LQ Kinesiological Standards

Question 1

Standing Alignment: Spinal Posture

Answer 1

Slight lumbar extension
Slight Thoracic Flexion
Symmetrical paraspinals

Question 2

Standing Alignment: Hips

Answer 2

Neutral pelvis
Hips in neutral flexion/extension, neutral rotation, and neutral abduction (feet below hips and shoulders)

Question 3

Standing alignment LE Kinesiological standard

Answer 3

Knees: Neutral flexion/extension
Foot/Ankle: Neutral pronation/supination/Abduction/Adduction

Question 4

Active Forward bending

Answer 4

• Initiation of movement: Posterior pelvic sway and hip flexion
• Rate of lumbar flexion < Rate of hip flexion in the first 50% of the movement
  -Quantity: 20 spinal flexion, 70 hip flexion

Question 5

Return forward bend

Answer 5

Initiation: Hip Extension
- No posterior sway at the trunk at the end of ROM

Question 6

Side bending Examiner Position

Answer 6

Posterior view

Question 7

Side bending Kinesiological Standard

Answer 7

• Symmetrical motion to right and left
• C shaped curve in lumbar region

Question 8

Rotation Examiner position

Answer 8

Posterior View

Question 9

Rotation Kinesiological Standard

Answer 9

Symmetrical motion to right and left

Question 10

Backbending Examiner position

Answer 10

Posterior View

Question 11

Backbending Kinesiological Standard

Answer 11

Pain free with equal motion at all vertebrae

Question 12

Single Leg Stance Examiner position

Answer 12

Posterior View

Question 13

Single Leg Stance Kinesiological Standard

Answer 13

• No change in pelvic tilt or rotation
• No change in hip joint rotation
• Slight pronation

Question 14

Hip and knee flexion (partial squat/mini squat) Examiner position

Answer 14

Anterior view

Question 15

Hip and knee flexion (mini squat)

Answer 15

• Knee should remain aligned approximately over 2nd toe
• Arch should demonstrate slight pronation

Question 16

Sitting alignment Examiner Position

Answer 16

• Observe with a side view
• Observe patient’s preferred sitting posture with or without a back
• Assess symptoms when exaggerate flexed and extended position

Question 17

Sitting alignment kinesiological standard

Answer 17

• 90 degrees hip and knee flexion
• Neutral hip abduction/adduction
• Neutral to slightly flexed lumbar spine

Question 18

Knee extension with dorsiflexion

Answer 18

Lumbar Spine: Stable
Knee: Extends to within 20 degrees of full knee extension
Ankle: Full dorsiflexion without increased symptoms or decreased knee extension

Question 19

Hip Flexor Length Test Kinesiological Standards

Answer 19

Lumbar Spine: Remains flat
Femur: Neutral
Knee: Flexed to 80 degrees
Hip: Lowered to 10 degree of hip extension

Question 20

Hip Flexor Test Impairment

Answer 20

• Unable to reach table with the hip and back in neutral alignment indicates short or stiff hip flexor

Question 21

Supine Alignment Examiner position

Answer 21

• Observe from a side view
• Observe hips and knees extended vs hips and knees flexed

Question 22

Supine: Hip abduction and lateral rotation with flexed knee Examiner Position

Answer 22

Passive: Assess ROM while monitoring Lumbopelvic region

Active: Monitor ASIS

Question 23

Supine: Hip abduction and lateral rotation with flexed knee

Answer 23

Passive: No standard, not available ROM
Active: Stable Lumbopelvic region throughout motion

Question 24

Supine: Unilateral hip and knee flexion Examiner Position

Answer 24

Passive: Monitor Lumbar Spine
Active: Monitor ASIS
Non Tested extremity extended

Question 25

Supine: Unilateral hip and knee flexion Kinesiological Standard

Answer 25

- Passive: Hip flexion to 120° without lumbar motion - Active: Stable Lumbopelvic region throughout motion

Question 26

Supine: Straight leg raise Test

Answer 26

- HS Length: > 70° without symptoms - Neural Tension: > 70° of hip flexion with DF of ankle without symptoms - Greater Trochanter remains stable

Question 27

Sidelying: Alignment examiner position

Answer 27

Posterior View

Question 28

Sidelying Alignment Kinesiological Standard

Answer 28

Lumbar: Neutral alignment Hip: Neutral alignment

Question 29

Sidelying: Hip abduction

Answer 29

Stable Lumbopelvic region

Question 30

Sidelying Hip Adduction

Answer 30

Stable Lumbopelvic region, no flexion/medial rotation of hip

Question 31

Prone: Alignment:

Answer 31

- Slight lumbar extension - Symmetrical Pelvic Position

Question 32

Prone: Knee Flexion Hand Placement

Answer 32

To monitor Lumbopelvic region, place one hand on pelvis and other hand on lumbar spine

Question 33

Prone Knee Flexion

Answer 33

- Quantity: 140° - Quality: Full motion without Lumbopelvic motion

Question 34

Hip lateral/medial rotation Kinesiological Standard

Answer 34

Quantity: 45° of MR and LR, symmetrical motion Quality: Full motion without Lumbopelvic rotation

Question 35

Prone: Hip extension with knee extended kinesiological standard

Answer 35

Both glute max and hamstring active to extend the hip (Place one hand on glute max and one hand on hamstring) (Place pillow under waist of patient lacks hip extension ROM)

Question 36

Quadraped Alignment

Answer 36

- 90° of hip flexion, 90° shoulder flexion - Neutral rotation, Adduction/abduction of hip - Neutral lumbar and thoracic spine

Question 37

Quadraped Rocking Back Kinesiological Standard

Answer 37

- Motion Initiated at hips - Lumbar spine does not flex until second half of the motion