Rotational Profile Lab Flashcards
What are teh 6 measures that the rotational profile measures
▪ Foot Progression Angle
▪ Medial and Lateral Hip
rotation
▪ Ryder’s Test – test for hip
anteversion
▪ Thigh-foot Angle
▪ Transmalleolar axis-thigh
angle
▪ Foot Configuration
What is the normal ROM for IR and ER
45°
What is the normal anteversion , transmalleolar axis (knee extended) and thigh- foot angle ( knee flexed) for a newborn
Ante: 40°
Trans: 0°
Thigh: 5-10° int
What is the normal anteversion , transmalleolar axis (knee extended) and thigh- foot angle ( knee flexed) for a 5 year old
Ante: 23-26°
Trans: 20-30° ext
Thigh: 10° ext
What is the normal anteversion , transmalleolar axis (knee extended) and thigh- foot angle ( knee flexed) for a 15 year old
Ante: 5-15°
Trans: 20-30°
Thigh: 12-30°
What is the normal , transmalleolar axis (knee extended) for a 2 year old
Trans: 10-15° ext
What is the normal anteversion and transmalleolar axis (knee extended) for a 8 year old
Ante: 20°
Trans: 20-30°
If a patient has less then the normal value for their age for transmalleolar axis then what does it result in
In toeing
Anterverison is hip ___
IR
Is there a rational profile for new borns
No bc they dont walk
What happens at the hip , tibia . Foot and toes during in toeing
Hip: medial femoral torsion
Tibia: medial tibial torsion
Foot metatarsus adductus
Toe: “searching” toe
During femoral anteversion what is happening at the tibia
ER
During femoral retroversion what is happening at the tibia
IR
What is miserable malignment
Femurs going in and tibia going out and knees dont know what to do
What kind of plane deviation is a squinting patella
Transverse plane
What is the normal foot progression angle
0-10° of ER
When do u do rotational profile
When we see in toeing or excessive out toeing
when does medial and lateral hip rotation in prone what way would u bring the lower leg for medial and lateral rotation
Medial: foot goes out
Lateral: foot foes in
During ur rotational profile for an 18 y/o u get 70° of hip IR , passive ER of 20° , hip anteversion of 35° , a transmalleolar axis of external 20° , a thigh foot angle of 20°, and a typicall forefoot to heel alignment .. out of these measurements what is the clinical finding
Excessive hip anteversion because it should be 5-15°
A 10 year old with spastic hemiplegic CP functioning at a GMFSC level 3 presents with limited hip movement and lumbar lordosis … what classification of the winters gage and hicks best describes this gait
4
What is the typical ° of anteversion in an adult
15°
What way should the thigh foot angle always be
externally rotated
