MMT LE Flashcards

1
Q

Sartorius

A

SITTING
Stabilize low back
Instruct patient to drag heel up other shin
Press on lateral knee and medial malleolus to induce hip extension, internal rotation, adduction

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2
Q

Hip internal rotators

TFL

A

SITTING
Stabilize medial leg proximal to knee
Instruct patient to swing ankle outwards, without allowing for lifting at the hip
Press medially proximal to ankle

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3
Q

Hip abductors

Glut med/ min

A

SIDE LYING
Stabilize ASIS
Palpate between iliac crest and greater trochanter
Instruct patient to lift leg towards ceiling
Press down proximal to knee
*Bend bottom leg to a 45 degree angle

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4
Q

Hip abductors

TFL

A

SIDE LYING
Stabilize ASIS
Place toes off table (leg in slight hip flexion and internal rotation)
Instruct patient to lift leg up towards ceiling
Press down proximal to knee

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5
Q

Hip adductors

A

SIDE LYING
Support weight of upper leg
Instruct patient to lift lower leg towards ceiling
Apply pressure (while keeping elbow straight and bending from hips) proximal to knee

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6
Q

Hip extension

General

A
PRONE
Stabilize above glut max
Palpate above ischial tubes
Instruct patient to lift leg towards ceiling
Press down proximal to knee
*avoid extension of lumbar spine!
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7
Q

Glut max

A
PRONE
Stabilize PSIS
Patient has knee bent at 90 degrees
Instruct patient to lift leg towards ceiling
Press down proximal to knee
*avoid lumbar spine extension!
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8
Q

Hamstrings

A

PRONE
Stabilize PSIS
Patient has knee bent just over 90 degrees
Pull into knee extension just proximal to ankle

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9
Q

Quadriceps

3 vasti muscles

A
SITTING
Stabilize side of hip
Place roll under knee
Instruct patient to kick leg out
Press down (elbow straight, bending at hips) proximal to ankle
*make sure knee is bent about 10 degrees
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10
Q

Tibialis anterior

A

SITTING
Stabilize behind proximal to ankle
Instruct patient to point foot up and in
Press down and into eversion

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11
Q

Extensor digitorum longus and brevis

A

LONG SITTING
Stabilize plantar side of foot
Instruct patient to lift toes upwards
Press down, 4 small toes

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12
Q

Extensor hallucis longus

A

LONG SITTING
Stabilize plantar side of foot
Instruct patient to lift big toe upwards
Pull down on big toe

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13
Q

Flexor digitorum longus

A

LONG SITTING
Stabilize dorsum of foot
Ask patient to curl toes
Pull up on each toe individually

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14
Q

Fibularis longus and brevis

A

SIDE LYING
Stabilize proximal to ankle
Palpate anterolaterally to LATERAL malleolus
Instruct patient to move toes down and up
Press foot into inversion

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15
Q

Tibialis posterior

A

SIDE LYING
Stabilize proximal to ankle
Palpate 1st tendon behind MEDIAL malleolus
Instruct patient to move foot down and in
Press into eversion

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16
Q

Gastrocnemius

Soleus

A

STANDING
Stabilize patients hands
Instruct patient to stand on one straight leg (gastroc) or one bent leg (soleus)
Patient does 4-5 full ROM ankle raises

17
Q

Trunk flexion

Rectus abdominis

A

SUPINE
Instruct patient to put arms behind head and lift shoulders and upper back off table and a into a sit up
5- hands behind head, inf angle of scap clears table
4- hands crossed on chest, inf angle clears table
3+- arms at sides, inf angle of scapula clears table
3 - arms at sides, upper portion of scap clears table
2 - arms at side, head and c spine clear table

18
Q

Trunk rotation

External and internal obliques

A
SUPINE
Stabilize thighs
Instruct patient to put arms behind head and twist so their elbow comes toward you
5- arms behind head
4- arms across chest
3- arms by sides
19
Q

Trunk extension

Erector spinae, multifidus, semispinalis thoracis

A

PRONE
Stabilize at ischial tube
Instruct patient to put arms behind head and lift chest off table
5- xiphoid process clears table with arms behind neck
4- xiphoid process clears table with arms behind low back
3- xiphoid process clears table with arms at side
2- partial ROM with arms at side

20
Q

Hip Flexors (iliopsoas and rectus femoris)

A

SITTING
Stabilize low back
Instruct patient to lift knee towards ceiling
Press down proximal to knee (without gripping thigh)

21
Q

Hip external rotators

TFL

A

SITTING
Stabilize medial leg proximal to knee
Instruct patient to swing ankle outwards, without allowing for lifting at the hip
Press medially proximal to ankle