T Skills Final

Front 1

hip flex/ext rom

Back 1

120, 20

Front 2

hip abd/ass rom

Back 2

45/30

Front 3

hip IR/ER rom

Back 3

45/30

Front 4

resting pack hip

Back 4

30 flex, 30 abd, 20 ER

Front 5

closed pack hip

Back 5

ext, abd, IR

Front 6

capsular pattern hip

Back 6

flex, IR, ext, abd

abd, IR, flex

Front 7

transverse ligament hip

Back 7

between space in acetabulum

Front 8

illiac bura

Back 8

squeezed out in weight bearing, moved in in traction

when pathology keeps pad out it decreases shock absorption and decreases lubrication

Front 9

iliofemoral ligament

Back 9

anterior band limits extension, lateral band limits adduction

Front 10

pubofemoral ligament

Back 10

limits external rotation and abduction

Front 11

ischiofemoral ligament

Back 11

limits internal rotation and adduction

Front 12

signs of OA at hip (6)

Back 12

pain, decreased AROM/PROM, decreased strength, decreased joint mobility, early morning stiffness and with inactivity, initially decrease in pain with movement

Front 13

precaution posterolatral approach THA

Back 13

avoid hip flex >90, adduction and IR

Front 14

precaution anterolateral approach THA

Back 14

avoid flex >90

hip extension, add & external rotation past neutral

combined hip flexion, abduction and external rotation

Front 15

either THR avoid

Back 15

high cross leg

Front 16

transgluteal/trochanteric THR approach (6)

Back 16

avoid adduction past neutral, no antigravity hip abduction for 6-8 wks, no WBing exercises for 12 weeks, sleep with abduction pillow, don't high cross, WB restricted 6-8 weeks

Front 17

treatment of early stage OA

Back 17

progress quickly to grade 3 if early stage, lateral traction, caudal distraction, stretch and strengthen (high rep low resistance), strengthen nonWBing if painful

Front 18

ER/IR of knee in flexion

Back 18

45 deg external, 30 deg internal

Front 19

knee rotation in extension

Back 19

5 deg ER

Front 20

movement of fluid in knee with ROM

Back 20

anterior with extension

posterior with flexion

Front 21

arthrokinematics with small steps (0-25 deg flexion knee)

Back 21

all roll, no glide

at end range all glide

Front 22

collateral ligaments knee

Back 22

tight in ER and extension

Front 23

lateral knee stabilizers

Back 23

LCL, TFL

Front 24

ACL taught in

Back 24

flex - anteromedial

posterolateral - taut in extension

taut in IR when knee flexed (same with PCL)

Front 25

acl runs

Back 25

from posterior medial lateral condyle to anterior lateral medial condyle, also attaches to meniscus

Front 26

quad forces on patella

Back 26

VM pulls at larger angle than VL

VL has posterior component

Front 27

quad pull on tibia

Back 27

anterior translation force closer to full extension, at >60 deg flexion little to no anterior translation

open chain no TKE post ACL

closed chain no deep squat

Front 28

causes of excessive lateral tracking of the patella

Back 28

tight lateral retinaculum, tight ITB, glute tightness, walking toed out

Front 29

patella rotation follows

Back 29

tibial rotation

Front 30

during flexion force on patella

Back 30

increases

Front 31

patella contact throughout flexion

Back 31

0 deg inferior pole

45 eg large area in middle of patella

90 deg superior aspect only, max force

Front 32

exercises for patellar pain

Back 32

minisquat (not much flexion, 0-50), open chain do 30-60/45-90 deg flexion

Front 33

post ACL repair initially exercise

Back 33

closed chain 0-30, open chain 45-90

Front 34

post PCL initially

Back 34

open chain 0-25 deg extension

Front 35

severe muscle contusion rehab

Back 35

start with AROM, high rep, avoid vigorous stretching or strengthening

Front 36

excessive pronation leads to

Back 36

tibial internal rotation, femoral internal rotation, valgus at the knee, femoral adduction, increased Q angle

Front 37

3 thins to examine for patellofemoral pain

Back 37

tibial rotation, femur rotation, knee position

Front 38

effect of weak hip ER

Back 38

hip will internally rotate, increasing valgus at knee, increases compression at tibial and femur

Front 39

causes of medial collapse

Back 39

poor glute med/min strength, inability to come out of pronation, anteversion of hip causing decreased effectiveness of abductors

Front 40

treatment for medial collapse

Back 40

mule kicks, mini squat

Front 41

resting pack talocrural

Back 41

10 deg PF

Front 42

closed pack talocrural

Back 42

full dorsiflexion

Front 43

minimum DF needed

Back 43

10 deg or else will over pronate

Front 44

distal fibular movement in plantarflexion

Back 44

distal and posterior, rotates internally

Front 45

distal fibular movement in dorsilexion

Back 45

proximal and anterior, rotates externall

Front 46

glide of subtalar inversion

Back 46

lateral glide, internal rotation (adduction)

Front 47

glide of subtalar eversion

Back 47

medial, external rotation

Front 48

open chain supination

Back 48

calcaneus: PF, add, inverts

anterior, lateral, medial rotation

Front 49

closed chain supination

Back 49

calcaneus inverts (lateral glide)

talus DF and abd

Front 50

tib posterior

Back 50

medial rotation of navicular, plantarflexion, inversion

Front 51

movement of navicular on talus in PF and inversion

Back 51

plantar

Front 52

movement of navicular on talus in DF and evs

Back 52

dorsal

Front 53

all tarsal bones are

Back 53

concave on convex except cuboid on calcaneus

Front 54

resting position of MTPs

Back 54

neutral or 10 deg extension

Front 55

closed pack of MTPs

Back 55

extension or full flexion

Front 56

resting pack of DIP and PIP toes

Back 56

slight flexion

Front 57

closed pack of DIP and PIP

Back 57

full extension

Front 58

initial contact to foot flat

Back 58

hit in 2-3 deg supinatoin, end in 3-4 deg pronation

Front 59

foot flat to midstance

Back 59

start to come out of pronation and get to neutral

Front 60

midstance to heel off

Back 60

neutral to 2 deg supination

Front 61

heel off to toe off

Back 61

continue supinating to 3 deg supination

Front 62

do not post

Back 62

rearfoot valgus

Front 63

compensated rearfoot varus leads to

Back 63

early excessive pronation and late pronation

Front 64

compensated forefoot valgus leads to

Back 64

excessive early supination

Front 65

compensated forefoot varus leads to

Back 65

calluses under the 2-4th toes, excessive pronation, from midstance though toe off

Front 66

uncompensated subtalar varus leads to

Back 66

excessive over supination throughtout entire cycle

Front 67

uncompensated forefoot varus leads to

Back 67

slight lack of pronation early

Front 68

rearfoot and forefoot varus leads to

Back 68

early and late excessive pronation

Front 69

compensated rigid forefoot valgus

Back 69

early excessive supination

Front 70

compensated subtalar varus and flexible forefoot valgus

Back 70

early excessive pronation

Front 71

rigid plantarflex first ray

Back 71

early and excessive supination

Front 72

flexible plantarflexed first ray

Back 72

near normal gait

Front 73

compensated equinus

Back 73

excessive late pronation

Front 74

normal distribution of gait

Back 74

60% stance, 40% swing

Front 75

normal step width

Back 75

5-10cm

Front 76

COG sway in gait

Back 76

less than 5 cm in any direction

Front 77

significant limb length discrepancy

Back 77

2cm

Front 78

normal pelvic rotation

Back 78

4 deg either side for total of 8

Front 79

knee flexion in gait

Back 79

should increase until end of midstance before heel off

Front 80

if knee flexion contracture

Back 80

work soleus, glute max to pull back tibia

Front 81

hip flexion contracture treat

Back 81

soleus, quads

Front 82

flexed posture work

Back 82

all extensors but quads

Front 83

weak quads work

Back 83

hyperextension, soleus, glute max

Front 84

step length

Back 84

72 cm

Front 85

stide length

Back 85

144cm

Front 86

loss of ankle dorsiflexion can cause (5)

Back 86

toe out gait, genu recurvatum, increased WB, medial knee stress, increased midtarsal mobility

Front 87

normal natural stance

Back 87

0-4 deg tibial

0-2 deg rearfoot

Front 88

issues compensated forefoot valgus can lead to

Back 88

heel spur, plantar fascitis, metatarsalgia, lateral ankle sprain, pes cavus-like foot, stress fracture

Front 89

issues compensated forefoot varus can lead to

Back 89

hallux valgus, internal tibial rotation, increased Q angle, stress at knee, increased hip internal rotation

Front 90

metatarsal raise

Back 90

helps to try and restore distal transverse arch

Front 91

breaking in orthotic

Back 91

wear for 2 hours walking time at first, add an hour a day until comfortable for 6 hours, wear for first part of sporting event then take out

Front 92

compensated tibial varum leads to

Back 92

early excessive pronation

Front 93

stretch tibialis posterior

Back 93

eversion and dorsiflexion

Front 94

stretch peroneus longus

Back 94

dorsiflexion and inversion