PHYT 5103 Lab II Flashcards
Craig’s Test or Ryder Test
What does it measure?
How do you do it?
What ROM is abnormal?
Measures femoral torsion - degree of anteversion and retroversion at the hip.
Lab 2 - goniometer.
Prone, knee flexed to 90 degrees. Palpate GT with heel of hand. Most lateral with ext rotation - retroverted. Most lateral with int rotation - anteverted.
Internal rotation >15 degrees anteversion
External rotation <8 retroversion
Thigh foot angle - how do you do it?
Prone
Patient knee flex at 90 degrees, hind foot vertical, foot in neutral
Stationary arm goniometer along femur, movable arm between 2nd and 3rd metatarsal
Transmalleolar axis - how do you do it?
Supine
Place calipers on midpoints of medial and lateral malleolus - place inclinometer on top to measure angle
Leg length - how do you do it?
What is a normal discrepancy?
Supine
Legs 6-8 inches apart at malleoli
Measure ASIS to distal medial malleolus with tape measure
Normal is about 1 cm
Knee Varus/Valgus - how do you measure?
Standing erect, feet together (neutral), knees straight, hips straight.
Varus - measure distance between medial and femoral epicondyles with calipers.
Valgus - measure distance between medial and lateral malleoli.
Medial longitudinal arch height - how do you measure? What is normal?
Patient standing erect, feet neural, 6-8 inches apart.
Palpate navicular tuberosity. Measure distance from this landmark to the floor.
Normal 3.6-5.5cm
Anterior/posterior pelvic tilt. How do you measure and interpret results? What is normal?
Patient standing erect. Palpate PSIS and ASIS. Use calipers and angle finder OR telescoping rule and inclinometer.
Normal 10 degrees.
ASIS lower than PSIS - anterior tilt
PSIS lower than ASIS - posterior tilt
Upward or downward scapular rotation - how do you measure? What is normal?
Measure distance between inferior angle to spinous process, and medial border of spine of scapula to spinous process with tape measure. Distance should be equal.
Pec minor length - how do you measure?
Patient supine
Measure distance from posterior lateral tip of accordion to the bed with a tape measure
Occiput to wall - how do you do it?
Seated or standing.
Standing - bum, shoulders touch the wall, then relax into normal posture. measure distance of external occipital protuberance to the wall with callipers. Can bend knees for comfort.
Sitting - low back and shoulders touch wall, then relax into normal posture. Same as above.
Modified Ober test - what does it measure? How do you do it? What is a positive test?
Patient side lying with lower leg bent. With upper leg fully extended, passively abduct upper leg and use other hand to stabilize pelvis from rear. Lower leg - if cannot drop below horizontal 10 degrees, the IT band is tight.
Ober Test - what does it measure? How do you do it? What is a positive test?
Patient side lying with lower leg bent. With upper leg knee flexed at 90 degrees, passively abduct upper leg and use other hand to stabilize pelvis from rear. Lower leg - if cannot drop below horizontal 10 degrees, the TFL band is tight.
Iliopsoas vs rec fem vs TFL restricting hip flexor length Thomas test
Thomas test position lay back on bed with knee flexed at 90 degrees. (Patient hold or PT support)
Thigh does not touch bed - tight iliopsoas
Thigh touch bed when PT extend knee into extension - tight rec fem
Thigh touch bed when PT extend knee into extension and abduction - tight TFL
Hamstring length - how do you measure? How do you know if it is tight?
Patient supine, flex hip to 90 degree with knee straight (normal). Measure hip angle with goniometer.
Patient cannot do this, bend hip into 90 degrees flexion and measure knee angle with goniometer to determine hamstring length.
How to determine if ankle plantar flexor tight? What do you measure?
Measure gastrocnemius tightness.
Foot on floor (neutral), bend forward. Measure foot, fibula angle with goniometer.
