LQ Quiz Flashcards
Motion that occurs at the hip in gait…
Flexion - 35degrees @ IC
Extension - 10-20degrees @ PS
In what action does the largest WB force occur at the hip?
Running
4.5x BW
What is Femoral anterior glide syndrome?
Lacking posterior glide
Excessive flexibility in anterior capsule
Runners, dancers, soccer, females
What are the EMG exercises for glue med (highest to low)
lateral band walks, SL hip abduction
wall squats, quadruped w a/l lifts
bilateral bridge, clams
good mornings, cable walk outs
S/S of femoral anterior glide syndrome
groin pain with hip flexion and standing
sway back posture
SLR
Impingement association, hip flexor strain
S/S of lateral glide syndrome
deep groin pain popping hip active subluxation with adduction pain in weight bearing Association: troch. bursitis, snapping hip, piriformis strain
S/S of femoral hypomobility syndrome
deep groin pain, referred pain down inner thigh pain constant but vary in intensity associated with WB activities stiffness in morning or after rest Ages 55+
Treatment of lateral femoral syndrome
NO MOBS
strengthen hip adductors and all external rotators
mid range initially
Treatment of hypo mobile syndrome
distraction
ROM all planes
Education
Cane (opposite side)
Acute vs chronic hamstring strain
Acute - sudden movement, deceleration and eccentric
Chronic - proximal myotendinous junction (isch tube)
Acute hamstring strain signs
palpable tenderness
limp
loss of ROM / strength
Acute hamstring strain reccurrence
common (25%) 2 weeks muscle imbalance (glutes vs. hamstring dominance) improper warm up fatigue
Acute hamstring strain treatment
muscle balance
ROM in pain free zone
neuromuscular control
progressive agility, trunk exercises
Chronic hamstring strain MOI
long distance runners
proximal tendon of semimembranosus
have an initial injury that becomes chronic
Chronic hamstring strain symptoms
pain lateral to isch tube deep buttock pain posterior thigh pain worse in sitting sciatic neuropathy may be present
Chronic hamstring strain treatment
Cross friction massage Joint mobilizations slump stretching eccentric hamstring training gluteal strength core strength SLD 3D motion
Patellofemoral pain syndrome local influence
lateral glide or tilt of the patella
most common complaint in runners
repetitive overload and compressive stressors
mal tracking (delayed activation of VMO)
PFPS quad activation
Too little:
weak quad involvement (VMO deficient, poor timing)
- Straight leg raising
- Progress to WB exercises
Patellofemoral Pain syndrome Proximal influence
internal rotation of the femur
Dynamic Q angle
hip muscle imbalance: strong IR and Adductors
Patellofemoral pain syndrome distal influence
subtalar pronation causing IR of tibia
joint mobs needed to increase dorsiflexion
Orthotics
patellar tendinopathy
tendinitis - jumpers knee, infammation, warm to touch
tendinosis - collagen degeneration, exercise
Patellar tendinopathy mechanism
forces are too great for the tendon
weak quads, quad dominance and overuse, weak glutes
iliotibial band syndrome
2nd leading cause of knee pain
TFL and Glute max tightness
inserts on the patella, gerdys, fib head
Positive Noble compression test
IT band syndrome management
Strengthen glute med and ER Joint mobs superior tib fib joint foam roller cho-pat bracing stretching avoid downhill running
Diagnosis of OA according to ACR
knee pain plus 3 of the following:
>50, Morning stiffness, crepitus, bony tenderness,
no warmth, osteophytes on X-ray
OA treatment for knee
Distraction, aquatics, quad sets
OA treatment Stage 1
joint mobs
strengthen knee
weight reduction
can, unloader brace
OA treatment stage 2
Hip strengthening
OA treatment stage 3
aerobic exercise (stationary cycling)
Progression of ther ex for Knee
Open chain to closed chain
combo of manual therapy and ther ex
