Term
True or False:
In the capsular pattern on the hip there is no limitation in external rotation or adduction? |
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Definition
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Term
Does this patient's measurements of Hip ROM (in degrees) follow a capsular pattern?
20-EXT, 95-FLX, 18-INT Rot,
43-EXT Rot, 26-ABD, 30-ADD |
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Definition
YES
Normals are as follows (in degrees):
30-EXT, 120-FLX, 45-INT Rot,
45-EXT Rot, 45-ABD, 30-ADD
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Term
| What is the end feel for KNEE EXTENSION? KNE FLEXION? |
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Definition
EXTENSION: Firm End Feel
FLEXION: Soft End Feel |
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Term
If a patient comes to you with knee pain and you assess their ROM to be (in degrees):
5-EXT, 115 FLX
Do these values follow a capsular pattern? If not what may the limitations be due to? |
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Definition
Does NOT follow capsular pattern, normal values for knee are (in degrees) Flexion: 120-150, Extension: 0-10.
Limitations may be due to:
Ligamentous adhesions, Internal derangement, Extra-articular limitations |
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Term
| What is the end feel of hip ABD? Hip ADD? |
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Definition
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Term
| If a patient has 125 degrees of hip flexion with the knee flexed and 45 degrees of hip flexion with the knee extended, where might the issue lie? |
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Definition
Hamstring muscles.
If the hip has full ROM with the knee flexed, the hamstrings are the added factor once the knee is in extension. They are probably tight and are limiting hip flexion through passive insufficiency. |
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Term
| What are the bony anatomical landmarks for measuring knee ROM? |
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Definition
| Lateral Melleoli, Lateral Femoral Epicondyles and Lateral Pelvic Axis |
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Term
| Where do you place the axis of the goniometer when measuring Hip ABD/ADD? |
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Definition
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Term
True or False:
Always measure passive ROM first so the patient gets a small stretch before voluntarily using their muscles of the active ROM measurement |
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Definition
Totally FALSE!!
Always measure ACTIVE ROM first! |
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