Lower Limb Exam Flashcards
The primary flexor of the hip is the?
Iliopsoas
Paralytic equinus during swing phase is often caused by injury to the?
Common peroneal nerve
A cycle of gait is defined as all activity that occurs between?
Heel-strike on one limb and subsequent heel-strike on the same limb
“Toe-out” or “toe-in” is the relationship of the long axis of the foot to the?
Line of progression
The motions of inversion and eversion occur primarily at which joint?
Subtalar joint
A complete lesion of the tibial nerve on one leg will result in what gait deviation
Shortened step length on contralateral side.
————disease is an osteochrondrosis of the capital femoral epiphysis that generally occurs in —————.
Legg-calve perthes; three to ten year old males
At which part of gait are the most number of muscles active?
heel strike
For correction of genu valgum, forces should be applied over the
Lateral thigh distal to the greater trochanter, lateral aspect of the foot and medial comdyle of the femur.
The purpose of measuring external rotation of the ankle joint is to:
Insure that the mechanical ankle axis coincides with the anatomical ankle axis in the transverse plane.
What is the maximum acceptable malalignment of a tibial fracture that can be managed with an off the shelf fracture orthosis?
10 degrees of Varus or valgus, 20 degrees of anterior posterior angulation.
For most patients with paraplegia to stand in KAFOs they must be allowed to rest on their iliofemoral ligaments. I order to facilitate this posture, how should the tibias be positioned sagitally in relationship to the ground.
A few degrees of relative dorsiflexion
Congenital osteoporosis, along with fractures before And during birth is indicative of which conditions?
Osteogenesis imperfecta
What is the best initial recommendation for a new born patient with talipes Equino Varus?
Serial casts
A flexible Varus hind foot might be corrected using?
A lateral heel wedge
Which of the following shoe modifications is most likely to be used for a fixed equinus deformity?
A heel lift
The proper location of the mechanical knee joint on a KAFO is?
Half the distance between the adductor tubercle and the medial tibial lateru
Which one of the following is not a contraindication for a R.G.O?
10 degree hip flexion contractures
Metatarsal pads function to ————- as well as ———-
Relieve metatarsal heads, elevate the transverse arch
Which of the following ankle joint controls would be indicated for a patient with paralysis of the plantarflexors?
Dorsiflexion stop
In relation to the apex of the greater trochanter, where is the mechanical hip joint located?
25 mm proximal, 12mm anterior
A complete lesion of the femoral nerve as it leaves the lumbar plexus affects?
Knee extension
A patient has sustained a stroke and you note that he has a flexion synergy pattern in his upper extremity and lower extremity. Pick the best that describes both synergy patterns.
UE: shoulder abduction, external rotation, elbow flexion, forearm pronation, wrist flexion
LE: hip flexion, abduction, external rotation, knee flexion, ankle dorsiflexion
During normal heel strike, the forward hip is how flexed:
20/25 degrees
Gait cycle is described by the Activity between?
Heel strike on one side and the following heel strike on the same side.
A patient is seen in clinic and presents with lumbar DJD. The patient has handed you a script with RX: LSO aligned appropriately. How would you align the patient in the sagital plane:
Decrease lumbar lordosis
A patient is seen in clinic and presents with L5,SI spondylitis thesis. The patient has handed you a script with RX: LSO aligned appropriately . How would you align the patient in the sagital plane:
Decrease lumbar lordosis
It is early in the recovery phase of a patient with a L3 complete spinal cord injury. The expected outcome would most likely be:
Some recovery of function since damage is to peripheral nerve roots.
