Rom/mmt 2

Front 1

hip capular pattern

Back 1

flex, abd, IR (order varies) >ext

Front 2

hip flexion

Back 2

supine, on edge, passive w/ hip stabilization, expose and drape GT. Axis: GT Stable: parallel to trunk Moving: lat epi. 120 soft/firm. Align knee w/ GH, no hands, spine flexion, tilting pelvis

Front 3

hip abd/add

Back 3

supine, toes and knee to ceiling. expose and drape ASIS. passive, hand on hip, stop once you feel mov't here- hiking. Add drop other leg off table. Axis: ASIS Stable: lined up w/ both ASIS Moving: midline of patella. Starts at 90 (take what you get minus 90). 45 firm/30 soft/firm. rotating leg, hiking your hip

Front 4

hip ext

Back 4

prone, on edge of table, drive heel to ceiling. expose and drape GT. Passive craddle knew in slight flex, start in lunge and raise up. Axis : GT, Stable: parallel to trunk Moving: lateral epi. 30 soft/firm. tilting pelvis, abd, lumbar ext, don't bend knee to much.

Front 5

hip IR/ER

Back 5

passive supine 90 flex. Sitting femur parallel to floor, towel under knee, lean on hands, move other leg to side. Axis: midpoint of patella Stable: vertical Moving: anterior midline of tibia. don't shift weight or pelvis. 45 both, firm

Front 6

Hip functional screen

Back 6

Pull hip to chest, lunge your leg back, side leg raise, cross legs over, turn toe in, turn toe out

Front 7

hip flexion MMT

Back 7

Iliopsoas. Sitting, table low, no feet on ground, lean back. Feel medial to ASIS. Flex hip, resist on distal thigh. Do not lean, abd, rotate

Front 8

hip flexion/ext MMT GE

Back 8

Iliopsoas/Glut max and hamstrings. sidelying, very close to PT, cradle knee, femur parallel w/ floor. Bring to neutral and have pt flex hip/start flexed have pt extend. Stabilize pelvis. Do not rotate leg, keep flat, move through back

Front 9

hip flex/abd/ER MMT

Back 9

Sartorius. Sitting, leaning. Heel to shin, slide up, and bring leg out. Resist anterolateral thigh down, in and IR; also add some knee flexion. Do not lean, rotate trunk. No GE b/c multi plane

Front 10

hip IR/ER MMT

Back 10

Glut med/min TFL. Piriformis, OE, OI, SG, IG, QF. Sitting, towel under knee so hip @ 90. Nontested abd. lean back. Bring foot out/in, resist on lateral lower leg. Stabilize the knee. Do not raise leg, straighten knee, abd

Front 11

hip IR/ER GE

Back 11

Glut med/min TFL. Piriformis, OE, OI, SG, IG, QF.

Supine, femur perpindicular to floor. stabilize knee and ankle. Start in slight opp motion

Front 12

hip ext MMT

Back 12

Glut max, hamstrings mm. Prone, pillow under hips. Slight ER- pinky out, slight knee flex. Stabilize pelvis (palpate mm). Resist distal post thigh. Do not abd, move through back. Alt: lean over table, hip ~>90, pillow and arms out. Bring leg back w/ ER, stabilize pelvis. Resist and comp same

Front 13

Hip abd MMT

Back 13

Glut med/min. Sidelying, slight hip ext. make a straight line w/ body. bring contra knee up and hold, ipsi arm down flat on mat, log roll to front. Stabilize/palpate on hip and push to keep from rotating. Bring leg into ext and raise all the way up. Resist on lateral thigh. Don't flex hip, ER, let leg roll, toes out.

Front 14

Hip abd/add MMT GE

Back 14

supine, PT support LE, stabilize on pelvis. start in slight add/abd and move out into abd/add. Toe up. Don't lift leg, flex hip

Front 15

Hip add MMT

Back 15

Add longus, brevis, magnus, pectineus, gracilis. Sidelying, grabbing plinth. PT support top leg or bend up. add bottom leg, inside foot straight up. Resist/palpate medial distal thigh. Don't turn foot in out, no hip flex, ext.

Front 16

Hip abd/flex MMT

Back 16

TFL. Sidelying 10-20 flexion, IR. Bend bottom knee and hold; abd w/ slight flexion. Stabilize and palpate pelvis. Resist anterolateral thigh into add and ext. Don't flex, of rotate hip. GE supine, PT support leg in slight flexion and IR, have them abd

Front 17

knee functional screen

Back 17

deep squat, extend, butt kick w/ hand help. lunge squat

Front 18

knee capsular pattern

Back 18

flex

Front 19

knee closed pack/loose pack

Back 19

full ext and tibial ER

25 degrees flexion

Front 20

Knee flexion

Back 20

supine, axis: lat epicondyle stable: GT moving: lateral malleolus. stabilize femur. 135, firm or soft. Don't use hands or scoot foot back

Front 21

knee extension

Back 21

supine, towel under heel (under distal thigh if post op) axis: lat epicondyle stable: GT moving: lateral malleolus. stabilize femur. Qaud set. 0, firm. Don't rotate leg or lift hip

Front 22

Patellar mobility

Back 22

supine, superior/inferior- make sure forearm in line of direction of force. med/lat- surround patella and move w/ thumbs and fingers. med more. firm end feel. Pt needs to be relaxed

Front 23

knee flexion MMT

Back 23

hamstrings. prone. knee flexed ~70. resist distal leg, palpate post thigh. Push or pull. Don't turn leg, raise hip. Can rotate tib to isolate sides. GE: sidelying, support leg, wrap around to feel hamstrings. Don't raise or lower leg

Front 24

knee extension MMT

Back 24

quads. sitting, lean back. stabilize distal thigh, have them ext just over 90, resists distal leg, sink into it, a lot of P. Don't rotate or raise hips. GE: sidelying, support leg. Don't raise or lower leg

Front 25

DF/PF

Back 25

Supine w/ towel under knee (20-30 flex) and heel off table. Axis: just distal to lateral malleolus. Stable arm: head of fibula.Moveable arm: // to sole of heel. 20, 50. firm/hard for both.Movement substitution: knee ext, toe ext; knee flex, toe flex

Front 26

inversion/eversion

Back 26

Supine- 10-20 degrees of plantar flexion; heel off table.Axis: talocrural joint, midway b/n malleoli. Stable arm: tibial tuberosity.Moveable arm: 2nd MT. 35, 20°. firm for bothMovement substitution: tibial IR/ER, knee flex/ext, PF, DF

Front 27

great toe MTP flex/ext

Back 27

SupineMedial measurements if ticklish.Axis: dorsal/plantar 1st MTPStable arm: 1st MTMoveable arm: PP. 45, 70. Firm for both Mov't substitutions: PF, DF

Front 28

great toe MTP abd/add

Back 28

Supine PROM. Axis: dorsal 1st MTPStable arm: 1st MTMoveable arm: PP Normal range: not definedEnd-feel: Firm, Soft.

Front 29

great toe IP flex/ext

Back 29

Supine and block MTP ext/flex. Axis: dorsal IP.Stable arm: PP.Moveable arm: DP. 90 (up to it usually w/ PROM), 0. soft/firm, firmMov't substitutions: MTP flex/ext, PF/DF

Front 30

ankle PF

Back 30

Gastrocnemius (knee ext), soleus (slight knee flex). SL toe raises prefered fully rise on toes, 2 fingers on surface. Prone- knee flexed 90 if soleus. GE sidelying. 1-9 reps = 3/5 MMT10-24 reps = 4/5 MMT25 reps = 5/5 MM. Do not push off fingers, lean forward

Front 31

ankle DF, foot inversion

Back 31

TA. sitting. Up and in. Stabilization: anterior lower leg.Resistance location: dorsomedial forefoot. Common substitution(s): EDL and EHL (hallux ext).Palpation location: ant-med TC. GE- sidelying

Front 32

foot inversion

Back 32

TP. ipsi sidelying or sitting. Down and In. Stabilization: lower leg.Resistance location: medial forefoot. Common substitution(s): toe flex, tibialis ant.Palpation location: b/n medial malleolus and navicular bon. GE- supine, heel off

Front 33

Foot eversion

Back 33

FL/FB. opp sidelying. Stabilization: lower leg.Resistance location: lateral forefoot.Common substitution(s): toe flex, tibialis ant. Palpation location: FL- post to lat malleolus FB- proximal to base of 5th M. GE- supine, heel off

Front 34

MTP flexion

Back 34

FHB, lubricals. supine/long sitting. MTP flex, IPs stay ext. Stabilization: lumbrical grip blocks MT, arm blocks anterior lower leg,metatarsals. Resistance location: plantar prox phalanx. Common substitution(s): IP flexion.Palpation location: med sole of foot/Cannot palpate.

Front 35

IP flexion

Back 35

FHL, FDL, FDB. supine. IP, PIP, DIP flexion. Stabilization: lumbrical grip blocks MT, arm blocks anterior lower leg, MTPs.Resistance location: distal and middle phalanges.Palpation location: FHL/FDL- plantar PP FDP- N/A

Front 36

Great toe abd

Back 36

Abd Hallucis. supine. great toe abd. Stabilization: lumbrical grip blocks MT, arm blocks anterior lower leg, 1st metatarsal.Resistance location: medial prox. phalanx. No palpation

Front 37

MTP abd

Back 37

ADM, DI. supine, spread toes. observation only

Front 38

MTP and IP ext

Back 38

EHL, EDL, EDB. supine. ext toes. Stabilize MTs, resist dorsal distal phalanx, toes. Palpation location: EHL- dorsal 1 MTP EDL-dorsal MTPs EDB- dorsolateral foot, ant to lat malleolus

Front 39

Toe 2-5 MTP flex/ext

Back 39

Supine. PROM. Axis: dorsal/plantar MTP. Stable and: MT moveable arm: PP. 40 for each. Firm.

Front 40

C flex/ext goni and tape measure

Back 40

Pt. position:sittingAxis: ear lobeStable arm:verticalMoveable arm: // tobase of nostrils. 45/45

Pt. position: sitting Superior: tip of chin Inferior: suprasternal notch

Front 41

C lateral flexion goni and tape measure

Back 41

Pt. position:sittingAxis: C7 s.p. Stable arm: verticalalong spineMoveable arm:midline of post head. 45

Pt. position:sittingSuperior: mastoidprocessInferior: lateralacromion

Front 42

C rotation goni and tape measure

Back 42

Pt. position: sitting Axis: midpoint of top of head Stable arm: // b/n acromions Moveable arm: aligned w/ nose. 80

Pt. position: sitting Superior: tip of chin Inferior: lateral acromion

Front 43

head and neck ext MMT

Back 43

11 cervical and head ext mm. Prone, arms by head. Ext. Stabilize: hand under chin, hold plinth. Resist: sup occiput down and forward. No trunk mov't

Front 44

head and neck flex MMT

Back 44

Rectuscapitis anterior, longus colli, anterior scalene, SCM. Supine, GH 90, elbow 90 or on sternum. Tuck chin, lift head and hold. Stabilize: pt. on sternum, hand under head. Resist: 2 fingers on forehead. No trunk mov't

Front 45

Pelvic elevation MMT

Back 45

QL. Prone (supine, standing). Hike hip w/ slight abd. Stabilization: hold onto plinth. Resist: distal ant femur, towel around, sup to patella. No glutes, hamstrings, hip flex. Sup to iliac crest.

2 =mov't w/ handunder to reduce friction

3= mov't +resistance = to LE weight

4= mov't +resistance = to weight LE and mod

5= mov't +resistance = to weight LE and max

Front 46

Trunk ext MMT

Back 46

Erector spinae. Prone, pillow under abdomen. Lift sternum. Stabilize: lower post legs. Hold 3s.

2 = arms at side,head and upper sternum off

3= hands on LB,sternum partially off

4= hands on LB,xiphoid comes off

5= hands on head,xiphoid off

Front 47

C flex/ext inclinometer

Back 47

Pt. position: sitting Superior: top of head Inferior: upper trap or T1

Front 48

C lat flex inclinometer

Back 48

Pt. position: sitting Superior: top of head Inferior: T1

Front 49

C rotation inclinometer

Back 49

Pt. position: supine Superior: forehead Inferior: ---

Front 50

thoracolumbar flex/ext inclinometer and tape measure

Back 50

Pt. position: standing, sitting Superior: C7 Inferior: S2

Pt. position: standing Superior: C7 Inferior: S2

Front 51

thoracolumbar rotation inclinometer and tape measure

Back 51

Pt. position: standing, leaning, genie arms. Superior: C7 Inferrior: S2

Pt. position: sitting, feet on floor, geniearms // to floor. lateral acromion side pt is turning away from. contralateral superior greater trochante, side pt is turning toward

Front 52

thoracolumbar lateral flexion inclinometer, goniometer, tape measure

Back 52

Pt. position: standing Superior: T1 Inferior: S2

Pt. position: standing Axis: S2 Stable arm: vertical Moveable arm: C7

Pt. position: standing Superior: distal middle finger Inferior: floor

Front 53

trunk flexion MMT

Back 53

Rectus abdominus. Supine 'crunch' up. Hold 3s. Don't flex c region, keep legs flat on table. Can rotate hips into ER to take out hip flexors, or frog position. 0 = nothing 1 = flicker 2 = arms outstretched, only head and neck off 3 = arms outstretched, inf angle scapulae off 4 = arms across chest, inf angle scapulae off 5 = arms behind head, inf angle scapulae off

Front 54

thoracolumbar flexion and rotation MMT

Back 54

contra EO, ipsi IO. Supine Rotate one elbow to opp hip. Holds 3s Muscle/mov't substitution: RA, do not flex up first. Palpation location: contra EO below ribs, ipsi. IO above ASIS. 0 = nothing 1 = 1 sitting flicker 2 = sitting, hug self, turn 3 = arms straight, inf scapular angle off 4 = arms across chest, inf scapular angle off 5 = hands behind head, inf scapular angle off