Lower limb movement Flashcards

1
Q

Name 2 functions of the lower limb

A
  1. Transfer body from lying/sitting to standing
  2. support head, arms, trunk in all upright positions and movements
  3. Propulsion in walking, running and stair climbing
  4. Sensory information about posture and balance
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2
Q

What is the Pelvis joint also known as?

A

The sacroiliac joint (SI joint)

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3
Q

Where is the sacroiliac joint located?

A

Between the sacrum and ilium

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4
Q

What are the 2 tilts of the pelvis

A

Anterior and Posterior tilt

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5
Q

Which way is the pelvis when it is tilted anteriorly?

A

posterior (backward)

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6
Q

Which way is the pelvis when it is tilted posteriorly?

A

superior (forward)

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7
Q

What are the 2 functions of the SI joint?

A
  1. Stress relief within pelvic ring

2. Stability during load transfer between axial skeleton and lower limb

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8
Q

Where is the hip joint located?

A

Between the head of the femur and acetabulum

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9
Q

Name 2 functions of the hip

A
  1. support weight of body
  2. move body closer or further from the ground
  3. bring foot closer to trunk
  4. position lower limb
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10
Q

What stabilises the hip?

A

Ligaments, acetabular labrum and muscles

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11
Q

What are the hip abductors and are they posterior or anterior?

A

Gluteus medius and gluteus minimus, posterior.

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12
Q

What are the hip adductors and are they posterior or anterior?

A

5 muscles of the inner thigh, anterior

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13
Q

What are the hip flexors and are they posterior or anterior?

A

Iliopsoas, assisted by sartorius, rectus femoris, semitendinosus and semimembranosus, Anterior

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14
Q

What are the hip extensors and where are they located?

A

Gluteus maximus, assisted by hamsting, posterior

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15
Q

What does the hip do when standing?

A
  1. Positional shifts to reduce muscle fatigue
  2. Single stance - hip adductors on supporting leg move body weight over supporting leg
  3. Single stance - hip abductors prevent muscle dropping on unsupported side
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16
Q

What Lumbar plexus nerves supply the hip?

A

Lumbar plexus (T12-L4) consisting of Femoral nerve (hip flexors) and Obturator nerve (Hip adductors)

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17
Q

What Sacral plexus nerves supply the hip?

A

3 small nerves plus:
Superior gluteal nerve (L4-s1) - gluteus medius and minimus
Inferior gluteal nerve (L5, S2) - gluteus maximus
Sciatic nerve (L4, S3) - hamstrings.

18
Q

What are the 2 common pathologies of the hip?

A

Osteoarthritis and fracture

19
Q

What are the joints of the knee?

A

2 tibiofemoral and 1 patellofemoral

20
Q

Name 2 functions of the knee

A
  1. Support body weight
  2. lower and raise body from the ground
  3. allow shortening of the lower limb so foot can clear the ground
21
Q

What is Genu Valgum?

A

Knock knees

22
Q

What is Genu Varum?

23
Q

What is the menisci

A

Fibrocartilage discs on superior articular surfaces of the the tibia

24
Q

What is the function of the menisci?

A

lower compressive stress, weight bearing, stabilise joint, reduce friction

25
What are the important ligaments of the knee?
Cruciate ligaments (anterior and posterior)
26
What are the flexors of the knee and where are they located?
Hamstrings, posterior
27
What are the extensors of the knee and where are they located?
Quadriceps, anterior
28
What lumbar plexus nerves supply the knee?
Femoral nerve (L2-L4) - quadriceps
29
What sacral plexus nerves supply the knee?
Sciatic nerve (L4-S3) - hamstrings
30
Name 3 common pathologies of the knee
1. Meniscal injuries 2. ligamentous injuries 3. Osteoarthritis 4. Ageing 5. Patellofemoral joint pain 6. Chondromalacia Patellae
31
What are the ankle joints called?
Talocrual
32
What are the foot joints?
Intertarsal joints - subtalar, transverse tarsal joints
33
What is the function of the ankle?
Placing the foot on different surfaces of the ground for support
34
What is the function of the foot?
accommodate variations in supporting surface, provide spring and lift in body movement, provide sensory information for the regulation of body posture in standing and moving.
35
What is the medial longitudinal arch?
Major load bearing and shock absorbing structure
36
What is pes planus?
Flatfoot - dropped arch
37
What is pes cavus?
Abnormally high arch, cant absorb force
38
What are the dorsiflexors and where are they located?
Tibialis anterior, extensor hallucis longus, extensor digitorum longus, anterior
39
What are the plantarflexors?
Superficial - Gastrocnemius and soleus Deep - Flexor digitorium longus, flexor hallucis longus and tibialis posterior Posterior
40
What nerves supply the dorsiflexors?
Sciatic nerve (L4-S2)
41
What nerves supply the plantarflexors?
Sciatic nerve (L4-S3)
42
What are 2 common pathologies of the ankle and foot?
1. Hallux valgus (bunion) 2. Fractures 3. Osteoarthritis