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Muscle testing > Posterior Leg > Flashcards

Posterior Leg Flashcards

1
Q

Gluteus Maximus attachments

A

Posterior sacrum, ilium and iliotibial tract

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2
Q

What movements does Gluteus Maximus control

A

Hip - extension

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3
Q

What nerve supplies Gluteus Maximus

A

Inferior gluteal nerve, L4 - S2

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4
Q

Gluteus Maximus

A

Supine - Knee ben 90deg, leg off the side of table. Your hand hand Pts foot. Resist downwards movement.
Prone - Knee bent, lifted slightly off table. Place one hand on hamstrings and resist upwards movement while your other hand supports upper leg.

Caution - Don’t do in a case of low back pain.

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5
Q

Gluteus Medius attachments

A

Iliac crest to ilium and greater trochanter

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6
Q

What movements does Gluteus Medius control

A

Hip - Abduction, internal rotation

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7
Q

What nerve supplies Gluteus Medius

A

Superior gluteal nerve, L4 - S1

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8
Q

Gluteus Medius

A

Supine - Knee bent 90deg. Hand superior to ankle. Resist outward movement while other hand stabilises knee on opposite side.
Prone - same.
Side-lying - Pt leg straight at 0deg flexion, abducted 30deg. Place hand superior to ankle and resist upwards movement.

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9
Q

Gluteus Minimus attachments

A

Posterior ilium and anterior surface of greater trochanter.

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10
Q

What muscles does Gluteus Minimus control

A

Hip - Abduction, internal rotation

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11
Q

What nerve supplies Gluteus Minimus

A

Superior gluteal nerve, L4 - S1

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12
Q

Gluteus Minimus

A

Supine and prone, use same tests as glut min.
Side-lying - Leg straight in 15deg. Hand superior to ankle. Resist upwards movement.

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13
Q

Piriformis attachments

A

Anterior sacrum and greater trochanter

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14
Q

What movements does Piriformis control

A

Hip - external rotation

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15
Q

What nerve supplies Piriformis

A

Superior gluteal nerve, L4 - S1

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16
Q

Piriformis

A

Supine - Knee bent 90deg. One hand inside, superior ankle and other inside Pts knee, Resist inward movement of the ankle.
Prone - same.

17
Q

Biceps Femoris attachments

A

Ischial tuberosity and head of fibula

18
Q

What movements does Biceps Femoris control

A

Hip - extension
Knee - flexion, external rotation

19
Q

What nerve supplies Biceps Femoris

A

Sciatic nerve - tibial branch, L4 - S3

20
Q

Biceps Femoris

A

Supine - Knee bent, foot turned out. Place hand superior to clients heel. Resist knee flexion.
Prone - Same, may have to place hand on hamstring to prevent cramping.

21
Q

Semitendinosus and Semimembranosus attachments

A

Semitendinosus - Ischal tuberosity and pes anserinus
Semimembranosus - Ischial tuberosity and medial tibial condyle.

22
Q

What movements does Semitendinosus and Semimembranosus control

A

Hip - extension
Knee - flexion, internal rotation

23
Q

What nerve supplies Semitendinosus and Semimembranosus

A

Sciatic nerve - tibial branch, L4 - S3

24
Q

Semitendinosus and Semimembranosus

A

Same as bicep femoris.

25
Q

Popliteus attachments

A

Lateral condyle of femur and posterior proximal tibial shaft.

26
Q

What movements does Popliteus control

A

Knee - internal rotation, Flexion

27
Q

What nerve supplies Popliteus

A

Tibial branch, L4 - S3

28
Q

Popliteus

A

Supine - Leg straight, with hand under Pts knee to slightly flex it. Other hand superior to medial heel with foot slightly turned in. Resist knee flexion.
Prone - Leg straight, heel turned in. Hand on Pts heel, resist first 10-15deg of flexion.

29
Q

Obturator internus attachments

A

Ischium and greater trochanter of femur below piriformis

30
Q

Obturator internus movements

A

Lateral rotation of hip

31
Q

Obturator internus nerve supply

A

Obturator nerve (L3, L4)

32
Q

Obturator internus

A

Prone - Knee bent and laterally rotated, foot angled toward mid calf.
Hand on opposite side of Pts ankle, resist inward and downward movement.

33
Q

Obturator externus

A

Ischium, obturator foramen and greater trochanter of femur

34
Q

Obturator externus movements

A

Lateral rot of hip

35
Q

Obturator externus nerve supply

A

Obturator nerve (L3, L4)

36
Q

Obturator externus

A

Supine - knee bent 90, hip abducted to 45. One hand outside knee to support other hand inside ankle. Resist inward and outward movement.

Muscle testing (10 decks)

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