MMR lower Extremity Flashcards
Psoas major and iliacus
Hip flexion
5-3 Sitting, flex hip, resist down at the knee
Resist downward toward the ground
Sartorius
Hip flexion, abduction and ER
5-3 sitting, resist down and out
resisting hip flexion and abduction (in a down and inward direction) with the proximal hand and hip external rotation and knee flexion (up and outward) with the hand at the distal leg.
Adductor longs, Magnus bee is, pectineus, gracilis
hip adduction
Side lying
resistance on the medial surface of the distal femur of the lower limb, just proximal to the knee joint. Resistance is directed straight downward
Tensor Fasciae Latae
Hip abduction with flexion
Side lying- Uppermost limb (test limb) is flexed to 45° and lies across the lowermost limb with the foot resting on the table. Have them flex the hip
resistance on lateral surface of the thigh just above the knee.
Glute med and min
hip abduction
side-lying, lift as high as possible
Resistance at the ankle (or knee) ina downward direction.
Gluteus Max and hamstring
hip extension
prone, keep knee straight
resistance on the posterior leg just above the ankle (or thigh)
Glute max focused
hip extension (knee flexed at 90)
prone, lift leg up
resistance on the posterior leg just above the ankle (or thigh)
Glute min, glute med, and TFL
internal rotation
sitting-ask the patient to move leg out, away from the other leg while maintaining hip stabilization
resistance on the lateral surface of the ankle, the other hand is over the medial surface of the distal thigh just above the knee.
Obturators, gamellae, piriformis, quadratus femoris, glute max
hip external rotation
sitting
resistance on the medial aspect of the ankle just above the malleolus and lateral knee
All hamstring
prone, midrange knee flexion
The hand provides resistance on the posterior surface of the leg just above the ankle, The other hand provides stabilization over the hamstring tendons on the posterior thigh
Semitendinous/semimembranous
Knee flexion (toe pointed medially)
Prone- the knee flexed to 45°. Leg in internal rotation (toes pointing toward midline).
Therapist resists knee flexion at the ankle using a downward and outward force
Biceps Femoris
Knee flexion (toes pointed laterally)
Prone- Prone with knee flexed to 45°. The leg is in external rotation (toes pointing laterally).
Therapist resists knee flexion at the ankle using a downward and inward force.
Quadriceps
Knee extension
Short sitting. Place a towel roll under the patient’s distal thigh for comfort.
Downward resistance at the ankle
Anterior tibialis
Ankle DF and Inversion
Supine- Ask patient to bring the foot up and in, towards the body
resistance on the medial aspect of the foot over the first ray. Resistance is provided down and out
Peroneus longus and brevis
foot eversion with plantar flexion
Supine- Ask patient to turn foot down and out (eversion)
Resistance is directed toward inversion and slight dorsiflexion (up and in).
Posterior tibialis
foot inversion
Sitting with ankle in slight plantar flexion. Ask the patient to move the foot down and in. “Turn your foot down and in. Hold it. Don’t let me move it.”
stabilizing hand on the posterior calf just above the malleoli, resist with an up and out motion.
Gastric/ Soleus
Ankle plantar flexion
“Stand on one leg. Lift your heel. Now down. Repeat this as many times as possible, lifting your heel as high as you can.”
Isolate soleus
ankle plantar flexion (flexed knee)
The soleus is isolated by flexing the knee during heel rise
Extensor Hallucis longus
hallux MP extension
Flexor hallucis brevis and lumbricals
hallux MP flexion
Hip flexion
Psoas Major and Iliacus
Psoas Major and Iliacus
hip flexion
Sartorius
Hip flexion, abduction, ER
Hip flexion, abduction, ER
Sartorius
hip adduction
Adductor longus, magnus brevis, pectineus, gracilis
Hip abduction with flexion
Tensor Fasciae Latae
hip abduction
Glute med and min
hip extension
Gluteus Max and hamstring
hip extension (focused)
Glute max focused
internal rotation
Glute min, glute med, and TFL
hip external rotation
Obturators, gamellae, piriformis, quadratus femoris, glute max
Knee flexion
All hamstring-
Knee flexion (toe pointed medially)
Semitendinous/semimembranous
Biceps Femoris
Knee flexion (toes pointed laterally)
Quadriceps
Knee extension
Ankle DF and Inversion
Anterior tibialis
foot eversion with plantar flexion
Peroneus longus and brevis
foot inversion
Posterior tibialis
Ankle plantar flexion
Gastric/ Soleus
ankle plantar flexion (flexed knee)
Isolate soleus
hallux MP extension
Extensor Hallucis longus
hallux MP flexion
Flexor hallucis brevis and lumbricals
