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Physiotherapy 3 note lecture study
Typology: Study notes
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Limited Flexion Limited Abd Limited IR Osteokinematic (AROM/PROM) AROM, AAROM or PROM into flexion +/- hold relax of agonist or antagonist muscle. Arthrokinematic (PAM) Distraction Inferior glide -start in neutral and then progress to point of restriction Posterior glide -start in neutral and then progress to point of restriction. Myofascial (muscles that affect the movement of the joint) Stretches, STR, acupuncture, dry needling etc. to address the muscles that may be limiting the restriction
SAMPLE MCQ VERSION 1 Tim presents with left hip OA. He has pain and stiffness when sitting for prolonged periods of time, walking or standing. His movement loss is consistent with the capsular pattern of the hip. Which joint mobilization would be most appropriate. a) Traction b) Distraction c) Inferior glide d) Posterior glide
SELF TEST: TIBIOFEMO RAL JOINT CLASSIFICA TION The Tibiofemoral joint is (choose all that apply): A. Synovial B. Compound C. Complex D. Bicondylar, Modified Ovoid E. Modified Sellar F. Simple
COMPARE & CONTRAST
Hip Joint: Factors that affect biomechanics Excessive Anteversion with In Toeing = Serves to direct the femoral head more directly into the acetabulum Q: In what populations would you expect to see this and why? Q: What is the affect of the increased internal rotation on the hip muscles? Q: What would be the goals of Physiotherapy intervention?
APPLICATION OF BIOMECHANICS TO OSTEOARTHRITIS: ZOOMING IN TO THE BONEY LEVEL The articular cartilage covering the femoral head and acetabulum is relatively thicker anteriosuperiorly (red dots) Body weight Neumann p. 504 Fig 12.
HIP JOINT: CAPSULAR PATTERN With early articular changes, pain may be present before articular changes are significant enough to cause a restriction in ROM
As a compensatory strategy , stride length is shortened to decrease stance time on the affected side to decrease pain.
