Lower Extremity HVLA and BLT Flashcards
hip flexion spinal levels
L1-L3
hip extension spinal levels
L5-S1
hip abduction spinal levels
L5,S1
hip adduction spinal levels
L1-L3
hip IR spinal levels
L1-L3
hip Er spinal levels
L5,S1
knee flexion spinal levels
L5,S1
knee extension spinal levels
L3, 4
ankle dorsiflexion spinal levels
L4,5
ankle plantar flexion spinal levels
S1,S2
ankle inversion spinal levels
L4,L5
ankle eversion spinal levels
L5,S1
dorsiflexion n
deep fibular n
inversion n
deep fibular n
patellar reflex spinal levels
L4
achilles reflex spinal levels
S1
anterior fibular head HVLA setup
pt supine
doc ipsilateral dysfunction
lateral hand on anterolateral fibular head
medial hand grasp foot
invert, IR, plantarflex
closepack the knee and slightly flex
thrust- rapid extension with downward/medial thrust through fibular head
posterior fibular head HVLA setup
Pt supine doc contralateral dysfunction MCP of cephalad index finger on posterior aspect of fibular head with hypothenar on hamstrings ER tib-fib complex thrust futher flexion
ankle inversion/eversion SD HVLA setup
pt supine with doc at foot of table
one hand on calcaneus, other on dorsum of foot
inversion thrust - caudad traction with hypereversion of ankle
eversion SD - caudad traction with hyperinversion of the ankle
plantarflexed talus SD HVLA setup
pt supine with doc at foot of table
fingers interlaced on dorsum fo the foot, thubms on ball of the foot
traction and dorsiflexion
metatarsal HVLA setup
pt supine
physician ipsilateral to dysfunction
thumbs over distan end of metatarsal and proximal end of first phalanx
thrust downward through thumbs
Hiss whip setup
pt prone with hip and knee of affected leg at edge of table
thumbs over plantar surface of affecte structure with fingers on dorsum of foot
slightly abduct pt LE off table and flex knee
thrust downward through thumbs
posterior fibular head BLT setup
pt supine
thumb of cephalad hand on superolateral aspect of fibular head
caudad hand inferior to distal tibia
thumb of fibular head applies pressure straight towards foot while caudad ands inverts foot to point of BLT
femorotibial SD BLT setup
pt supine doc ipsilateral cephalad palm overanterior femur caudad palm over tibial tuberosity lean into pt leg with posterior force approximate femur and tibia with compressive force induce IR/ER to BLT
boot-jack technique BLT setup
pt supine with knee under physicians axilla (ipsilateral)
medial hand holds calcaneus with thumb and index finer
fingers of lateral hand wrap around medial foot
fulcrum w/ elbow
distract calcaneus from talus by leaning back
plantar flexion
cuneiform and metatarsal BLT setup
pt supine
thumbs on dorsum of distal metatarsal and fingers on plantara spect of foot
press thumbs downward toward metatarsals until BLT
