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120 Cards in this Set
- Front
- Back
Whats the difference between mobility and stability
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mobitliy tends to rotate mucles and stability tends to do translatory
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3 Specific Isokenetic proproties
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1. fixed velocity, resistance varies
2. resistant is dependant upon effort 3. resistance is parallel to the lever arm |
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Define Strength
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Ability to apply force and active tension
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What is passive tension?
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after toe region, when stretch is taken into the plastic or elastic region
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Muscle force is dependant on what type of factors?
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- muscle size
- architecture - length-tension relationship - age and gender |
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Action Tension =
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contraction due to cross bridge formation
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Discribe end rage elongation with active insufficiency
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no actin/myosin overlap
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Discribe the facet joints orientation
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lumbar-sagittal
thoracis- frontal cervial- tranvserse |
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Intervertebral disk is composed of?
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water, collagen and proteogylcans
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What is the most common type of bulge
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thinner posterior- bulges anteriorly
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What is the rectus abdominus responsible for?
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flex trunk
upward pelvis rotation(the same thing as posterior pelvic tilt) |
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What is responsible for hip hike? (lateral flexion)
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quadratus lumborum
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Spinal Mobility is determined by-
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1. orientation of facet joints
2. inherent mobility 3. height of disk 4. disk mobility |
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T/F there is a lot of rotation between C1 and C2
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TRUE BABY
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In rotation- superior facet glides in same/Opposit Direction of the rotation
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OPPOSITE
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lumbar-pelvic rhythm relationship
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lumbar flexion occurs first- then pelvis tilts during forward bending
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How does the spine resist torsion
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- outer layer of the vertebral bodies and the intervertebral disks resists torsional forces
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What is the most effective structure in the lumbar spine for resisting torsion?
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ANNULUS
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Normal lumbosacral angle-
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41
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what creates the greatest force on a disk?
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combines tension, axial compression and bending all from SITTING!
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if you have a disk gerniatioin at L4-L5 what is it caused by?
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rupture of posterior anulus fibrosis
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scoliosis humps are due to-
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rotation of the vertebra to the complexity of the lateral curvature
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what regions are more free for lateral bending?
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thorasic Spine
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what regions are more free for flexing
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cervical
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which region has most extension?
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lumbar
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what spinal region is most stable?
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thoracic
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what type of forces are common in the spine?
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shearing forces (due to poor posture)
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Discribe forward head posture
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ears should be above acromian process of spine
moment- upper flexion an dlower extension of the spine |
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c1 lacks....
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vertbral body and a spinous process
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in cervical osteology, spinous processes are usually?
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bifid
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what provides support from axis to occiput?
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anterior cruciform liament
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what helps limit facet joint distraction?
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articular capsules
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what type of joint is A-A
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pivot joint
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Is there a disk in A -A joint?
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No
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With lower cervical spine, where is the most movement occuring?
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C4/5 and C5/6
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what type of moevement is c 4/5
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side bends / rotations
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what type of movement is c 5/6
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flex/ ext
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iliac crest lines up with what vertebrae
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L4
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PSIS is at what vertebrae level
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S2
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C-1 transverse process can be found where?
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mastiod
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T7 is around what landmark
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inferior angle of scapula
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Functions of thorax
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- respiration
- protect lungs, and other organs - arm attachement - added stability - rib attachements |
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where are the demi-facets on vretebral bodies
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concave- where ribs attach
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rib 1 attaches to the
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manubrium
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Whats the difference between true ribs, false ribs, floating ribs
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T- attach directly to the sternum (2-7)
F- attach to cartilginous structure (8-10) FL- end articulation (11-12) |
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As the ribs meet the spine,m discribe their orientation
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comes FROM postero, latero, infero angle
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What is unique to the ribs?
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radiate ligament
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thoracic facets favor what movement?
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sidebend and rotation over flexion and extension
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Movement frame of reference of facet joints
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- superior moves on stationary inferior
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Lateral flexibitiliy of the spine increases you move up or down the spine?
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descending
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what joint would permit you to have forefoot pronation and normal rearfoot position?
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Transverse Tarsal Joint (TTJ)
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What joint is working if entire foot is pronated or supinated?
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Subtalar Joint (STJ)
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dorsiflexion and plantarflexion of foot occurs in what plane?
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sagittal
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inversin and eversion of foot occur in what plane?
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Frontal
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What muscle inverts the foot?
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tibialis anterior and posterior
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What is the reference for foot deformites
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SUBTALOR Nutral
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dscribe subtalor nutral position
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calcaneous can invert twice as much as evert
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Adduction and Abduction of foot occurs mostly at what joint and in what plane?
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TTJ Transverse plane
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Calcaneovalgus
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talus - adducts
calcanius- evert (or pronate) - rearfoot valgus - equinovalgus - very common |
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CalcaneoVarus
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- CACL is inverted/supine
- Talus is aBducted - rearfoot Varus - equinovarus |
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Foot valgus means=
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increase in medial angle
as a varus decreased this angle |
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Forefoot Varus looks like-
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forefoot supination
TTJ problem |
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If calc inversion in STJ...
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rearfoot VARUS
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purpose of arches
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shock absorption
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Discribe the rays of the foot
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(1-3) phalanges, metarsal and medial cuniform
(4-5) doesnt include the cubiod |
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what joint would permit you to have forefoot pronation and normal rearfoot position?
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Transverse Tarsal Joint (TTJ)
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What joint is working if entire foot is pronated or supinated?
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Subtalar Joint (STJ)
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inversin and eversion of foot occur in what plane?
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Frontal
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Pronation (foot) =
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eversion
ABduction dorsiflex |
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Supination (foot) =
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Inversion
ADDuction Plantarflex |
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Eccesive pronation during heel strike -
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soft foot
rearfoot valgus cant push off well |
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CCP for talocrural
LLP |
MAX Dorsiflex
10deg flex, midway between inver and eversion |
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CCP for Subtalor
LLP |
Supination
midway between extreme range of movement |
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ATFL =
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- ant talofibular ligamant
- MOST COMMon sprained ankle! (the second most common is calcaneofibular ligaments) |
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position feet are in when the ankle usually gets sprained-
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- plantarflex and inverted
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Angle of torsion
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femur rotated 15 degrees
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Anteversion of Femur =
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Angle of torsion increased
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What could cause pigeon toes?
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anteversion of femur
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what could cause ASHI toes?
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retroversion of femur
(decreased angle of torsion) |
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L5 and S1 angle degree-
Normal Q angle- |
41
125 |
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a coxa valgus could cause a genu?
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Genu VARUM
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A genu Varum does what to Q angle?
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DECREASE
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Whats another world for bowlegs?
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Genu VARUM
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Relate a Coxa Valgus to a decreased Q angle
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coxa valgus-> genu Varum->
-> decreased Q angle |
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Discribe a possible process of the Q angle being increased starting from the hip?
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coxa VARUM -> Genu VALGA ->
-> increased Q |
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whats another name for knock knees?
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genu valgus
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how many degrees of freedom does the knee have?
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2
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CPP of Knee
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full extension
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LPP of knee
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25 degrees flexion
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ACL attachments
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anterior TIBIAL
posterior FEMUR |
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PCL attachements-
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posterior TIBIA
anterior FEMUR |
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what protects against valgus and varus stresses in the posterior aspect of the knee?
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OPL - protects VALGUS
arcuate - protects VARUS |
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Q angle "attachements"
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ASIS
Mid patella Tibial Tuberosity |
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q angle is normally how many degrees?
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15
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If the Q angle is increased, what will happen to the patellar tracking?
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lateral pull
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what is the knee in postition for the most lateral tibial rotation?
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flexed to 90 degrees
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discribe kinetic chains with respect to tibia and femur movements
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tibia of femur = OPEN
femur on tibia = CLOSED |
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"unlocking" the knee =
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during squatting, the femur rotates laterally on a fixed fibia
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"locking of the knee in a closed kinetic chain"
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femur rotates medially on tibia during full extension
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what posiiton must the knee be in for greatest mechanical position of the quads?
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30-70 degrees flexion
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PFJA
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patella femoral joint arthralgia
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wrt to the muscles, how could there be a lateral patellar pull?
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vastus medialis insufficiency
and/or tight lateral retinaculum |
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what represents bucket handles?
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lower ribs during respiration
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what represents a pump handle?
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upper ribs during inspiration
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what kinetic chain must be mimicked if there are compensations in other body regions?
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closed
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reference of SI joint movement
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sacrum moving on ilium
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flexion at SI joint can be called-
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Nutation
(limited by sacrospinous and sacrotuberous) |
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LLP for Hip
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30 flex
30 abducted lateral rotation |
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almost all support of pubic symposis is due to...
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aponeurotic expansion
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discribe lateral tilt of the hips-
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Right hip hikes
BUT its because left hip drops |
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when your body is making a left forward rotational movement, what happens to femur?
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internal rotation on weight bearing limb
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Hat is approx ___ body weight
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2/3
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most common painful condition of the hip
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osteoarthritis
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First palpatable spinous process =
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C2
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What is the name for the very upper and very lower thorasic vertebrae?
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transition vertibrae
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When are the ribs involved in synovial joints?
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only when they attach to the sternum (1-7)
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Annulus protecs against ___ forces, while pulposis protects against ______ forces.
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sheering
compression |
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LORDOTIC COUPLING
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If LT Lateral Flexion...
Vertibral bodies LEFT Spinous processses RT |
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KYPHOTIC COUPLING
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if LT Lateral Bend...
Vertibral bodies RT Spinous processes LEFT |
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what side of the spinous processes would a hump be on?
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opposite side to the direction they are pointing.
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