Accessory Technique 2-2

Front 1

Dysfunction in the lower extremities alters the functional capacity of the rest of the body, particularly the ___.

Back 1

Pelvic girdle

Front 2

From the functional perspective, the lower extremity begins at the ___ joint rather than the hip joint.

Back 2

Sacroiliac

Front 3

Assessment of lower extremity function must include the ____.

Back 3

pelvic girdle

Front 4

As with the lower extremities, evaluation should proceed from ___ to ___.

Back 4

proximal
distal

Front 5

The ultimate goal of evaluation and treatment of the lower extremities is to return the ____________ that is possible.

Back 5

most symmetric walking cycle

Front 6

Alternation in the mechanics of the foot with flattening of the medical, transverse, and lateral arches; of the knee region, including the tibiofemoral and proximal tibiofibular articulations; and the hip may alter function within the ___ and ____.

Back 6

vertebral axis
pelvic girdle

Front 7

Hip joint movement includes ___. ___ and ___.

Back 7

flexion-extension
abduction-adduction
internal rotation-external rotation

Front 8

Hip Joint
Supine
Assessment of Hip Capsular pattern

Back 8

P 452

Front 9

Hip Capsular pattern
hesitation at lateral --->

Back 9

anterior capsule

Front 10

Hip Capsular pattern
hesitation at medial --->

Back 10

posterior capsule

Front 11

Hip Joint
Supine
Acetabular Labrum Technique

Back 11

P 453

Front 12

Hip Joint
Prone
Mobilization of Anterior Capsule

Back 12

P 454

Front 13

Hip Joint
Supine
Mobilization of Posterior Hip Capsule

Back 13

P 455

Front 14

Hip Joint
Muscle Energy Technique
Motion tested: Abduction
Muscles tested: Adductors (adductor magnus, adductor brevis, adductor longus)

Back 14

P 456

Front 15

Muscle Energy Technique
Motion tested: Adduction
Muscles tested: adductors (gluteus medius, gluteus minimis)

Back 15

P 457

Front 16

Hip Joint
Muscle Energy Technique
Motion tested: External ration w/ hip flexed to 90 degrees
Muscle tested: Internal rotators (gluteus medius, gluteus minimis)

Back 16

P 458

Front 17

Hip Joint
Muscle Energy Technique
Motion Tested: Internal rotation w/ hip flexed to 90 degrees
Muscles tested: External rotators (primarily priformis)

Back 17

P 459

Front 18

Hip Joint
Muscle Energy Technique
Motion tested: Partial Hip Flexion (Straight leg raising)
Muscles tested: Hip extensors, primarily hamstring muscles (semitendinosus, semimembranosus, biceps femoris)

Back 18

P 460

Front 19

Hip Joint
Muscle Energy Technique
Motion tested: Hip extension
Muscle tested: Iliopsoas

Back 19

P 461

Front 20

The primary movement at the knee joint is ___ and ___ of the tibia under the femur.

Back 20

flexion
extension

Front 21

During extension, the tibia rotates ___, and during flexion, the tibia rotates ___.

Back 21

externally
internally

Front 22

Dysfunction of the internal-external rotation interferes with normal ____.

Back 22

flexion-extension

Front 23

The flexion-extension and the internal -external rotation movements depend on ______ and _____.

Back 23

a small anteroposterior glide

medial-to-lateral gapping of the opposing joint surfaces

Front 24

The primary somatic dysfunctions of the knee joint are at ___ and ___.

Back 24

the medial meniscus

the internal-external rotation of the tibia on the femur.

Front 25

Knee Joint
Supine
Medial Meniscus Technique
Mobilization w/o impulse

Back 25

P 465

Front 26

Knee Joint
Sitting
Diagnosis
Restriction of internal-external rotation

Back 26

P 468

Front 27

Knee Joint
Sitting
Muscle Energy Technique
Diagnosis
Position: Tibia internally rotated
Motion restriction: External rotation of tibia

Back 27

P 468

Front 28

Knee Joint
Sitting
Muscle Energy Technique
Diagnosis
Position: Tibia externally rotated
Motion restriction: internal rotation of the tibia

Back 28

P. 469

Front 29

Knee Joint
Prone
Muscle energy technique
Diagnosis of Internal-external rotation

Back 29

P 469

Front 30

The proximal tibiofibular joint has an ___ glide and is influenced by the action of the ___ muscle inserting at the fibular head.

Back 30

anteroposterior
biceps femoris

Front 31

The proximal tibiofibular joint can be restricted either ___ or ___.

Back 31

anteriorly
posteriorly

Front 32

Restoration of normal ___is accomplished before addressing the proximal tibiofibular joint.

Back 32

internal-external rotation movement of the tibia on the femur

Front 33

The plane of proximal tibiofibular joint is approximately ___ degrees from lateral to medial and from from before backward.

Back 33

30

Front 34

Proximal Tibiofibular Joint
Testing for anteroposterior glide

Back 34

P 471

Front 35

A fibular head that resists anterior translatory movement is positionally a ___ fibular head.

Back 35

posterior

Front 36

A fibular head that resists posterior translatory is positionally a ___ fibular head.

Back 36

anterior

Front 37

Proximal Tibiofibular Joint
Sitting
Muscle energy technique
Diagnosis
Position; Fibular head posterior
Motion restriction: Anterior glide of the fibular head

Back 37

P 472

Front 38

Proximal Tibiofibular Joint
Sitting
Muscle Energy Technique
Diagnosis
Position; Fibular Head Anterior
Motion restriction: Posterior glide of the fibular head

Back 38

P 472

Front 39

Proximal Tibiofibular Joint
Supine
Mobilization w/ impulse Technique
Diagnosis
Position: Posterior fibular head
Motion restriction: Anterior glide of fibular head

Back 39

P 473

Front 40

Proximal Tibiofibular Joint
Prone
Mobilization w/ impulse technique
Diagnosis
Position: Posterior fibular head
Motion restriction: anterior glide of the fibular head

Back 40

P 474

Front 41

Proximal Tibiofibular Joint
Supine
Mobilization with impulse technique
Diagnosis
Position: fibular head anterior
Motion restriction: posterior glide of the fibular head

Back 41

P 474

Front 42

The ankle region consists of ____, ___, _____.

Back 42

1. the distal tibiofibular articulation
2. the articulation of the superior aspect of the talus with the tibiofibular joint mortise,
3. the tarlocalcaneal (subtalar) articulation

Front 43

Talar restriction, from either above or below, significantly restricts___.

Back 43

ankle motion

Front 44

Talus does not have___.

Back 44

direct muscular attachment

Front 45

Dysfunction of talus at ___is one of the more common dysfunctions in the lower extremity.

Back 45

the tibiofibular joint mortise

Front 46

Superior surface of talus is wedge-shaped, with the ___ aspect being narrower than ___, as it articulates with the tibiofibular joint mortise.

Back 46

posterior
anterior

Front 47

The ankle is more stable when ___ than when ___.

Back 47

dorsiflexed
plantar flexed

Front 48

The most common dysfunction at the ankle joint is ___

Back 48

restricted dorsiflexion

Front 49

The distal tibiofibular joint is associated with the function of the ___.

Back 49

proximal tibiofibular articulation

Front 50

Appropriate treatment at the ____ frequently restores function at the distal tibiofibular articulation.

Back 50

proximal tibiofibular articulation

Front 51

Ankle region: distal tibiofibular joint
Supine
Diagnosis: distal tibiofibular dysfunction

Back 51

P 475

Front 52

Ankle region: distal tibiofibular joint
Supine
Mobilization w/ impulse technique
Position: anterior distal tibiofibular joint
Motion restriction: posterior movement of the lateral malleolus

Back 52

P. 476

Front 53

Ankle region: distal tibiofibular joint
Prone
Mobilization w/ impulse technique
Diagnosis
Position: posterior distal tibiofibular joint
Motion restriction: anterior movement of the lateral malleolus

Back 53

P. 477

Front 54

Ankle region: Talotial joint
Diagnosis

Back 54

P. 477

Front 55

A frequent cause of restricted dorsiflexion of the talotibial joint is shortness and tightness of the ___ and ___.

Back 55

gastrocnemius
soleus

Front 56

Ankle Region; talotibial joint
Sitting
Muscle energy technique
Diagnosis
Position; talus plantar flexed
Motion restriction: dorsiflexion of the talus

Back 56

P 478

Front 57

Ankle region: talotibial joint
Supine
Mobilization w/ impulse technique
Diagnosis
Position: talus plantar flexed
Motion restriction: dorsiflexion of the talus

Back 57

P. 478

Front 58

Ankle region; talocalcaneal (subtalar) joint
Testing for anteromedial-to-posterolateral glide

Back 58

P. 479

Front 59

Ankle region: talocalcaneal (subtalar) joint
Supine
Mobilization w/ impulse technique
Diagnosis
Position: anteromedial or posterolateral talus
Motion restriction: posteriolateral or anteromedial glide of the talus

Back 59

P. 480

Front 60

Calcaneocuboid joint
Supine
Diagnosis: cuboid dysfunction

Back 60

P. 482

Front 61

Calcaneocuboid joint
Prone
Mobiliztion w/ impulse technique (J-stroke technique)
Diagnosis
Position: Cuboid Pronated (internally rotated)
Motion restriction: Cuboid supination (external rotation)

Back 61

P. 482

Front 62

Calcanoecuboid joint
Supine
Muscle energy technique and Mobilization w/ impulse technique
Diagnosis
Position: cuboid pronated (internally rotated)
Motion restriction: supination (externally rotation) of the cuboid

Back 62

P. 483

Front 63

Cuneiform Bones (intertarsal joints)
Diagnosis: cuneiform dysfunction

Back 63

P. 485