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Lower Extremety > Lower Quarter Screen > Flashcards

Lower Quarter Screen Flashcards

Components History (Patient Interview ad Systems Review) Physical Exam Test and Measures Lumbar and SU joint screening exam Posture Exam Gait Analysis Structural Exam Flexibility Exam Functional Screens Specific joint exams of Hip, knee, and ankle ROM( A/PROM) Accessory Motions Special tests(ligamentous meniscal labral joint integrity) Palpation

1
Q

What positions can the should you consider for exam efficiency?

A

Standing, Sitting, Supine, Sidelying, and Prone

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2
Q

Pain from the lumbar and SI joint regions can refer pain where?

A

Down the lower extremity

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3
Q

Why is a screen of the Lumbar and SI joint required in any lower extremity examination?

A

Because pain from the lumbar and SI joint regions can refer pain down to the lower extremity.

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4
Q

What is the proper action for lumbar and SI joint screening?

A

Patient performs active lumbar flexion and extension in standing…Overpressure is provided if no pain is present at end range.

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5
Q

What result would warrant further investigation of the lumbar spine and SI joint?

A

Pain at any point in the ROM with or without overpressure.

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6
Q

What part of the LE exam is performed in standing?

A 
Posture Exam (static/dynamic) 
Limb length Equality
Gait analysis(more to come)
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7
Q

What parts of the patients posture should be examined from the sagittal plane?

A

Head position, shoulder position, thoracic alignment, lumbar and pelvis relationship, knee alignment, and hallux alignment

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8
Q

What portions of the patients posture should be studied from the frontal plane?

A

Head position, trunk relative to hips, limb length inequality, knee alignment, distal leg alignment, and foot posture

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9
Q

Correct alignment for posture should be studied in what three views?

A

Anterior Frontal, Lateral Saggital, and Posterior Frontal

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10
Q

Alignment of the distal 1/3 of Leg Relative to verticle

A

Distal Leg varum begs the hindfoot to evert in order to bring the medial aspect of the foot to the ground.

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11
Q

How do you measure limb length equality in standing?

A
  1. measure in standing
  2. Palpate the following boney landmarks
    ASIS/PSIS
    Iliac Crests
    Greater Trochanters
  3. Use boards of known thickned (1/8) under shorter limb to level pelvis
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12
Q

What should be palpated when testing for a patients limb length equality in standing?

A

ASIS/PSIS
Iliac Crests
Greater Trochanters

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13
Q

What two boney landmarks are used when measuring True Limb Length?

A

ASIS

Medial Malleolous

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14
Q

What two landmarks should be measured when measuring apparent limb length?

A

Belly button to medial malleolus

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15
Q

How do you measure relaxed rearfoot to leg angle?

A

Mid calcaneal to mid distal 1/3rd of leg

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16
Q

What happens to the rearfoot to leg angle when positioning from relaxed standing foot posture to single leg stance?

A

In single leg stance you can see the maximum amount of rearfoot angle that they have during gait and any substitutions that they may be using to overcome this angle.

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17
Q

What is the navicular drop test?

A

A qualitative assessment of the inferior displacement of the navicular tubercle as patient shifts from NWB to FWB

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18
Q

How do you measure the feiss line?

A

A line is drawn from the distal tip of medial malleolus to the lateral aspect of the 1st MTP.

19
Q

How do you assess the feiss line?

A

Assessment is made of where the navicular lies relative to the line?

20
Q

If the Navicular lies above the feiss line what posture is indicated?

A

Supinated Posture is indicates if the navicular lies above the feiss line.

21
Q

If the nevicular lies below the feiss line what posture is indicated?

A

Pronated Posture is indicated if the navicular falls below the feiss line.

22
Q

What is the longitudinal arch angle?

A

The longitudinal arch angle is measured from the medial malleolus to the navicular tuberosity then to the first metatarsal head…the arch lies above the navicular tuberosity

23
Q

What is the longitudinal arch good for?

staggard stance with equal weightbearing?

A

It is a good indicator of the arch angle of the foot during walking and running.
Pronated 150

24
Q

What positions should the boney structure exam be performed in?

A

Standing, sitting, supine, and prone

25
Q

What should be observed when performing the BSE in standing?

A

Look for any structural abnormalities seen in the posture exam, these findings will need to be confirmed with alignment tests.

26
Q

What LE boney structures are viewed in sitting?

A

Patella Alta

27
Q

What LE boney structures are viewed in supine?

A

Patella alignment and position

28
Q

What LE boney structures are viewed in the prone position?

A

Femoral anteversion(Craig test)
Tibial Torsion
Forefoot to rearfoot alignment
1st ray position and mobility

29
Q

The femoral anteversion of the hip is observed with what test?

A

The Craig Test

30
Q

Excessive anteversion and retroversion are both linked to what motion?

A

Compensatory pronation

31
Q

Femoral anteversion is associate with what syndrome?

A

Patellofemoral pain syndrome

32
Q

What position is tibial torsion viewed in?

A

Tibial Torsion is viewed in the prone position

With a bent knee Looking at the angle between the position of the two malleoli and the femoral condyles

33
Q

Tibial torsion that leads to excessive toe-out angle may drive what foot position?

A

Excessive pronation

34
Q

Forefoot to rearfoot alignment has

A

Good visual reliability with visual estimation

Poor reliability with use of goniometer

35
Q

How is forefoot to rearfoot alignment measured?

A

Place the foot in subtalar neutral and then dorsiflex the foot.

36
Q

1st ray position

A

plantarflexed, neutral, or dorsiflexed

37
Q

1st ray mobility

A

rigid, normal, hypermobile

38
Q

There are no good realiability measures for

A

1st ray position and mobility

39
Q

What part of the flexibility exam should be viewed in standing?

A

Trunk Flexion

40
Q

What part of the flexibility exam should be viewed in sitting?

A

Seated hamstring length

41
Q

What parts of the flexibility exam should be viewed in supine?

A

Straight leg raise
hamstring 90-90
Thomas test
Piriformis length test

42
Q

What parts of the flexibility exam should be viewed in sidelying?

A

Passive adduction tests (obers)

43
Q

What part of the flexibility should be viewed in prone?

A 
Rectus femoris tests
piriformis length tests
triceps surae
  gastrocnemius
  soleus

Lower Extremety (17 decks)

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