Practical Flashcards
hip flexion A/PROM
AROM - 120
PROM - 145
hip extension A/PROM
AROM - 30
PROM - 30
hip abduction A/PROM
A/PROM 45
hip adduction A/PROM
A/PROM - 30
hip IR A/PROM
A/PROM - 45
hip ER A/PROM
AROM - 45
PROM - 45-60
knee flexion A/PROM
AROM - 135
PROM - 160
knee extension A/PROM
A/PROM - 0
knee medial and lateral rotation A/PROM
A/PROM - 60-70 full range
PF A/PROM
A/PROM - 50
DF A/PROM
A/PROM - 20
foot supination (PF, ADD, IV) A/PROM
A/PROM - 45-60
foot pronation (DF, ABD, EV) A/PROM
A/PROM - 15-30
MTP PF A/PROM
A/PROM 40
MTP DF A/PROM
A/PROM - 70
IP PF A/PROM
A/PROM - 90
IP DF A/PROM
A/PROM - 0
hip confirmation special tests. What do they test for?
- hip scowers test
- patrick’s test/FABER
intra-articular hip pathology
hip fracture special tests
- patellar-pubic percussion test
- fulcrum test
glut tendinopathy test
resisted external derotation test
Intra-articular hip pathology
- FADDIR
- Thomas test
- Hip Scower test
- FABER test
Long axis traction patient position
supine, hip passively flexed 30 deg, slight abduction 30 deg, slight ER
Anterior hip glide patient position
prone w/ neutral hip
- can also be done in FABER position
posterior hip glide patient position
supine w/ neutral hip
lateral hip distraction patient position
supine, hip passively flexed 90 deg (knee flexed 90 deg)
hip caudal glide patient position
supine, hip passively flexed 90 deg (knee flexed 90 deg and resting on PT shoulder)
Hip OA interventions
- manual therapy - joint mobs w/ oscillation and sustained holds
- hip ER, extensors, and abductor strength/endurance exercises
Exercises for hip ER
- clamshells
- fire hydrants in quaddraped
- figure 4 stretch
Exercises for hip extensors
- bridges/single leg bridge
- standing hio extension
- quaddraped and prone hip extension
- squats
- birddogs
- step ups
- lateral lunge or lateral step up
Exercises for hip abduction
- sidelying/standing hip abduction
- side stepping/monster walks
- pelvic drop
- single leg squat
exercises for RA
- active exercises within pain free ROM
- manual therapy joint mobs
exercises for ankylosing spondylitis
Extension based exercises
- prone press ups
- prone lying w/ breathing exercises
- swimming
exercises for hip tendinopathy
ECCENTRICS
- resps 3x30 for 10-12 weeks
- slow sit
- lower from sidelying hip abduction (glut med)
GTPS exercises
Manual therapy
- joint mobs
- soft tissue mobs
Concentration on hip abduction and ER
What exercises are ill-advised w/ GTPS?
ITB stretching or going into adduction (problematic position)
hamstring strain injury exercises
- hamstring strengthing
- nordic hamstring exercises (eccentric)
tibiofemoral joint anterior and posterior glides patient position
supine, hook lying on tested LE (knee bent to 90 deg) and contralateral knee in neutral
patellofemoral joint testing patient position
supine, knee in resting postion (~25 deg flexion) on bolster
Meniscus lesion special tests
- joint line tenderness
- Thessaly
- Dynamic - lateral meniscus only
- McMurray’s
- Appley’s
ACL integrity special tests
- Lachman’s - knee flexed to 15 deg
- Pivot shift
- anterior drawar
PCL integrity special test
Posterior drawar
MCL/LCL integrity special tests
- Varus (0 and 30 deg flexion) – LCL
- Valgus (0 and 30) – MCL
Patellofemoral dysfunction special test
patellar apprehension test
PFPS special test
Clarke’s sign
Tibiofemoral anterior glide patient position
prone, knee flexed 30 deg, table edge at distal anterior thigh
Tibiofemoral posterior glide patient position
sitting, knee flexed 30 deg
Tibiofemoral traction glide patient position
prone, knee flexed 30 deg, table edge at distal anterior thigh
Patellofemoral joint medial and lateral glides patient position
supine, knee in resting position (25 deg flexion on bolster)
Patellofemoral joint caudal glide patient position
supine, knee in 90 deg flexion, plantar foot resting on table
What muscles may be weak with patellofemoral pain?
Hip ER and abductors
What manual therapy can be done for patients with patellofemoral pain?
patellofemoral mobility
knee OA interventions
- manual therapy joint mobs
- LE strengthening
ACL post op week 1 intervention
- knee A/PROM 0-90 - heel slides/AAROM knee flexion
- active quad contraction (isometrics) - quad sets, TKE, hip exercises
ACL post op week 2 interventions
- knee flexion > 110
- no extension lag w/ SLR
- standing exercises to promote weight shifting
- mini squats
- step ups
ACL post op wk 3-5 interventions
- knee flexion ROM within 10 deg of non-affected LE
- Quad strength > 60%
- closed chain exercises
- 4 way hip
- single leg bridges
- star exercursion
ACL post op week 6-8 interventions
- full knee ROM
- quad strength > 80%
- progressive running
- single limb rebounder
- side stepping
- jumping and landing
- agility ladder
- activity specific
patellar tendinopathy interventions
eccentrics
- squat on declined surface
Inversion/lateral ankle sprain special tests
- anterior drawer test
- medial talar tilt stress test
- reverse anteriolateral drawer test
medial ankle sprain special tests
lateral talar tilt stress test
syndesmotic sprain special tests
- fibular translation test
- external rotation test
- syndesmosis squeeze test
anterior ankle impingement special tests
- forced DF test
- CPR of impingement
achilles tendon integrity special tests
Thompson test
interdigital neuroma special tests
foot squeeze test
anterior talocrural joint mob patient position. What does this help improve?
prone - improve PF/supination
posterior talocrural joint mob patient position. What does this help improve?
supine - improve DF/pronation
lateral subtalar glide joint mob helps improve what motion?
improve inversion
medial subtalar glide joint mob helps improve what motion?
improve eversion
