quiz #2 Flashcards
leg positioning for INFERIOR GLIDE OF PUBIC BONE VIA LEG PULL
leg to be mobilized in slight flexion, adduction, internal rotation
PLACE FOOT OF OPPOSITE LEG AGAINST THIGH, knee straight, grasp above ankle, and turn body
turn body to use body weight not arm strength
distraction of pubic symphysis joint purpose and caution
increase overall ROM, distract pubic symphysis joint
caution if adductor strain, inguinal hernia or pain
procedure for pubic symphysis distraction
3 separate procedures
feet 8-12 inches apart
therapist places hands on medial sides of knees
pt pushes knees together 1/2 strength for 7 seconds, repeat
3/4 of strength
then full
lateral distraction of AF joint placement
stabilize = distal femur and knee aginst shoulder
mobilize = proximal femur in a lateral/inferior/anterior direction
purpose and positioning of medial glide of AF joint
increase hip ABDUCTION
side lying
stabilize= distal femur, medial knee
mobilize = direct mobilization of trochanter inferiorly and medially while distracting
CI for anterior glide of tibia on femur
CI if ACL injury
CI for posterior glide of tibia on femur
if PCL injury
CI of lateral/medial glides of tibia on femur
dont let femur rotate medially
patellofemoral CI superior glide
dont compress patella or force into EXTENSION
patellofemoral CI inferior glide
dont compress patella or force knee FLEXION
inferior glide of ilium on sacrum leg positioning
leg in slight ABDUCTION, INTERNAL ROTATION to lock out hip
positioning for superior glide of ilium on sacrum
thigh in slight EXTERNAL ROTATION
positioning for distraction of SI joint
knees and hips FLEXED, feet 20-30 cm apart, apply pressure to LATERAL knees, pt to abduct thighs to 30-50%
positioning for axial posterior glide of SI
hip in FLEXION, ABDUCTION, EXTERNAL ROTATION
KNEE JOINT medial and lateral glides
increase overall ROM
LATERAL glide = stabilizing hand on LATERAL ASPECT OF distal femur above joint line
apply pressure to proximal tibia in lateral direction
lat and medial glides of patellofemoral CI’s
do not force knee into hyperextension and do not do if previous dislocations
talocrural joint convex on concave
web of one hand over dome of talus, other hand behind ankle w fingers interlocked on medial side
purpose of posterior glide of talus on tibia
increase DORSIFLEXION
posterior glide of tibia on talus
increase plantar flexion
lateral glide of calcaneus on talus
stabilize = fingers are placed on lateral aspect of talus at the subtalar joint line
mobilize = thumbs are placed on medial aspect of calcaneus and push in lateral direction in a rotation driection
cuneonavicular joint - supination of cuneiforms on navicular
increase supination of forefoot
stabilize = webspace, thumb and index finger on navicular and cuboid
mobilize = webspace, thumb and index finger on cuneiforms and mobilize by pulling in a dorsal/lateral direction
like wringing out a cloth
which mob would you use to decrease genu valgum
lateral gap of tibiofemoral
patellofemoral joint
concave on convex
SI joint - posterior gap/lateral glide of SI
prone, thigh in internal rotation, knee flexed
stabilize = ankle pushing hip into internal rotation
mobilize = thenar eminence of PSIS, while internally rotating hip, at end of PSIS, apply further overpressure to PSIS in lateral direction
SI joint - inferior glide of ilium on sacrum positioning
supine
leg in slight abduction and internal rotation
