Lower Limb Biomechanics 1 Flashcards

1
Q

What are the 3 segment of the lower limb?

A

Thigh
leg
foot

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2
Q

What are the 3 main joints of the lower limb?

A

hip
knee
ankle

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3
Q

What are the two main functions of the lower limb joints?

A

movement

weight bearing

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4
Q

What are the possible movements of the hip joint?

A
flexion 
extension
adduction 
abduction 
internal rotation 
external rotation 
circumduction
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5
Q

Describe a synovial joint?

A

surfaces covered in articular cartilage
enclosed in a fibrous joint capsule forming the synovial capsule
filled with synovial fluid which is secreted by the synovial membrane

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6
Q

What are the two functions of synovial fluid?

A

reduction in jont friction

nourishes articular cartilage

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7
Q

Why is the hip joint intrinsically stable?

A

ball and socket joint

surrounded by several, large, strong muscles

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8
Q

In which plane do flexion and extension occur?

A

sagittal

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9
Q

What is the range of hip flexion and extension?

A

0-140 flexion

0-20 extension

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10
Q

What is the range of abduction and adduction at the hip?

A

0-30 abduction

0-25 adduction

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11
Q

Which movements occur in the transverse plane?

A

external and internal rotation

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12
Q

What is the range of external and internal rotation at the hip?

A

external 0-90

internal 0-70

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13
Q

Why is less internal and external rotation possible when the hip is extended?

A

soft tissues in the way

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14
Q

What degree of flexion, extension, adduction and abduction and rotation are required to perform the activities of daily living?

A

120 degrees of flexion extension
20 degrees adduction/abduction
20 degrees rotation

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15
Q

In walking, in which plane does most movement happen?

A

sagittal (flexion extension)

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16
Q

When standing in unilateral stance, how much does the hip joint force increase than in bilateral stance?

A

9 times (0.5x -> 4.5x)

17
Q

Why is abductor muscle contraction required in unilateral stance?

A

to maintain the pelvis level

18
Q

What are two articulations at the knee joint called?

A

tibiofemoral

patellofemoral

19
Q

What covers the proximal surface of the tibia?

20
Q

What is the function of the menisci?

A

distribute load

shock absorbers

21
Q

What is the smooth anterior depression between the femoral condyles called?

A

the trochlea

22
Q

What does the trochlea develop into posteriorly?

A

intercondylar notch

23
Q

Where do the cruciate ligaments attach?

A

the intercondylar notch

24
Q

What kind of bone is the patella?

A

sesamoid bone

25
What is the function of the fibula?
anchor for biceps femoris | anchor the LCL
26
Is the knee joint intrinsically stable?
no
27
What provides the stability of the knee joint?
mainly form its ligaments
28
Which ligaments lie outside of the joint capsule?
MCL | LCL
29
What kind of joint is the knee?
hinge joint
30
What kind of mechanism is employed in the axis of rotation of the knee joint?
screw-home mechanism
31
What is a screw-home mechanism?
a spiral motion the tibia rotates internal on flexion and rotates externally on extension as a result of the medial condyle being 1.7cm longer than the lateral condyle
32
What path does the centre of rotation follow in the knee joint?
semicircle
33
What is the range of flexion extension at the knee joint?
a few degrees of extension | 140 degrees of flexion
34
what is the range of adduction/abduction at the knee joint?
maximum of 30 degrees - depends on how much knee flexion
35
in extension, how much rotation is there at the knee?
none - prevented by interlocking femoral condyles
36
in flexion how much internal/external rotation is there at the knee?
external - 0-45 | internal - 0-30
37
What ROM is required to perform activities of daily living?
full extension 115 degrees of flexion 10 degrees of rotation