Podcast
Questions and Answers
What type of joints are characterized by having a synovial cavity and free movement?
What type of joints are characterized by having a synovial cavity and free movement?
- Synovial joints (correct)
- Suture joints
- Fibrous joints
- Cartilaginous joints
Which motion is primarily associated with the sagittal plane?
Which motion is primarily associated with the sagittal plane?
- Internal rotation
- Flexion (correct)
- Abduction
- Eversion
What is the primary characteristic of close pack position of a joint?
What is the primary characteristic of close pack position of a joint?
- Maximally congruent joint surfaces (correct)
- Joint fluid accumulation
- Mild laxity in ligaments
- Partially congruent joint surfaces
Which type of joint permits slight movement and is typically classified as amphiarthroses?
Which type of joint permits slight movement and is typically classified as amphiarthroses?
What describes the fronal/coronal plane's associated movements?
What describes the fronal/coronal plane's associated movements?
Which of the following is NOT a distinguishing characteristic of synovial joints?
Which of the following is NOT a distinguishing characteristic of synovial joints?
During mobilization in open pack position, how are the joint surfaces described?
During mobilization in open pack position, how are the joint surfaces described?
What type of joint can be found at the connection between the tibia and fibula?
What type of joint can be found at the connection between the tibia and fibula?
What grade corresponds to complete range of motion against gravity with maximal resistance?
What grade corresponds to complete range of motion against gravity with maximal resistance?
Which of the following describes 'soft tissue approximation' as an end-feel?
Which of the following describes 'soft tissue approximation' as an end-feel?
What is the average pelvic tilt angle considered normal?
What is the average pelvic tilt angle considered normal?
Which pelvic type is characterized by a taller height and narrower width?
Which pelvic type is characterized by a taller height and narrower width?
In manual muscle testing, which grade indicates that there is some but not complete range of motion against gravity?
In manual muscle testing, which grade indicates that there is some but not complete range of motion against gravity?
Which end-feel is associated with acute subacromial bursitis?
Which end-feel is associated with acute subacromial bursitis?
Which of the following motions describes a lateral pelvic tilt?
Which of the following motions describes a lateral pelvic tilt?
What is indicative of a hard capsular end-feel in a joint?
What is indicative of a hard capsular end-feel in a joint?
Which pelvic motion is accompanied by hip extension?
Which pelvic motion is accompanied by hip extension?
What primarily strengthens during a posterior pelvic tilt?
What primarily strengthens during a posterior pelvic tilt?
In which pelvic dysfunction case is the right PSIS higher than the left?
In which pelvic dysfunction case is the right PSIS higher than the left?
What muscle group is weak during an anterior pelvic tilt?
What muscle group is weak during an anterior pelvic tilt?
What is the primary cause of posterior innominate rotation?
What is the primary cause of posterior innominate rotation?
Which of these values indicates lateral pelvic tilt when the left leg is in stance?
Which of these values indicates lateral pelvic tilt when the left leg is in stance?
What happens to the ASIS during an anterior innominate rotation?
What happens to the ASIS during an anterior innominate rotation?
What is indicated by a right PSIS that is higher compared to the left PSIS in supine position?
What is indicated by a right PSIS that is higher compared to the left PSIS in supine position?
What indicates hypomobility of the SI joint during the PIEDALLU'S SIGN test?
What indicates hypomobility of the SI joint during the PIEDALLU'S SIGN test?
What is considered a normal Center-edge angle of the hip joint?
What is considered a normal Center-edge angle of the hip joint?
What is the normal acetabular anteversion angle range?
What is the normal acetabular anteversion angle range?
What is the average angle of femoral torsion in adults?
What is the average angle of femoral torsion in adults?
Which of the following is NOT a compensatory posture related to excessive anteversion?
Which of the following is NOT a compensatory posture related to excessive anteversion?
Which muscle is primarily responsible for hip extension?
Which muscle is primarily responsible for hip extension?
Which action could lead to tightness of the Gracilis muscle?
Which action could lead to tightness of the Gracilis muscle?
What is a common abnormal finding in femoral torsion?
What is a common abnormal finding in femoral torsion?
What is the origin of the Gluteus Maximus muscle?
What is the origin of the Gluteus Maximus muscle?
Which action is NOT associated with the Gluteus Maximus?
Which action is NOT associated with the Gluteus Maximus?
What is the nerve supply for the Gluteus Medius?
What is the nerve supply for the Gluteus Medius?
Which muscle is responsible for both hip flexion and abduction?
Which muscle is responsible for both hip flexion and abduction?
What is the insertion point for the Semitendinosus muscle?
What is the insertion point for the Semitendinosus muscle?
Which muscle is considered an external rotator of the hip?
Which muscle is considered an external rotator of the hip?
What is the primary action of the Semimembranosus muscle?
What is the primary action of the Semimembranosus muscle?
Which of the following muscles is part of the internal rotators group?
Which of the following muscles is part of the internal rotators group?
Which ligament is classified as a primary ligament of the sacroiliac joint?
Which ligament is classified as a primary ligament of the sacroiliac joint?
What motion does nutation of the sacrum involve?
What motion does nutation of the sacrum involve?
What is indicated by a positive Approximation Test?
What is indicated by a positive Approximation Test?
Which test indicates a problem with the anterior sacroiliac ligament?
Which test indicates a problem with the anterior sacroiliac ligament?
What is the normal response for the Gillet's Test?
What is the normal response for the Gillet's Test?
During counternutation, how does the pelvic inlet change?
During counternutation, how does the pelvic inlet change?
What occurs in the Supine Active SLR Test for postpartum patients?
What occurs in the Supine Active SLR Test for postpartum patients?
Which test is performed in a side-lying position?
Which test is performed in a side-lying position?
Which motion occurs during pelvic extension?
Which motion occurs during pelvic extension?
What does a positive Lasegue's Test indicate?
What does a positive Lasegue's Test indicate?
Which term describes the capsular pattern of the sacroiliac joint?
Which term describes the capsular pattern of the sacroiliac joint?
In sacral movement, what is the relation between lumbar side flexion and sacral rotation?
In sacral movement, what is the relation between lumbar side flexion and sacral rotation?
What does the Flamingo Test assess?
What does the Flamingo Test assess?
Flashcards
Sagittal Plane
Sagittal Plane
The imaginary vertical plane that divides the body into left and right halves.
Transverse Plane
Transverse Plane
The imaginary horizontal plane that divides the body into upper and lower halves.
Frontal Plane
Frontal Plane
The imaginary plane that divides the body into front and back halves.
Fibrous Joint
Fibrous Joint
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Cartilaginous Joint
Cartilaginous Joint
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Synovial Joint
Synovial Joint
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Close-Packed Position
Close-Packed Position
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Open-Packed Position
Open-Packed Position
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Manual Muscle Testing
Manual Muscle Testing
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Grade 5 Muscle Strength
Grade 5 Muscle Strength
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End Feel
End Feel
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Bone to Bone End Feel
Bone to Bone End Feel
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Android Pelvis
Android Pelvis
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Pelvic Tilt
Pelvic Tilt
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Anterior Pelvic Tilt
Anterior Pelvic Tilt
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Posterior Pelvic Tilt
Posterior Pelvic Tilt
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Lateral Pelvic Tilt
Lateral Pelvic Tilt
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Neutral Pelvis
Neutral Pelvis
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Lower Crossed Syndrome
Lower Crossed Syndrome
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Supine to Sit Test
Supine to Sit Test
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Anterior Innominate Rotation
Anterior Innominate Rotation
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Posterior Innominate Rotation
Posterior Innominate Rotation
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Center-edge angle (Angle of Wiberg)
Center-edge angle (Angle of Wiberg)
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Acetabular Anteversion angle
Acetabular Anteversion angle
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Angle of Torsion of Femur (Femoral Torsion)
Angle of Torsion of Femur (Femoral Torsion)
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Increased Femoral Torsion (Femoral Torsion >15º)
Increased Femoral Torsion (Femoral Torsion >15º)
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Excessive Anteversion
Excessive Anteversion
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Femoral Torsion: Abduction Test
Femoral Torsion: Abduction Test
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Hip Extensors
Hip Extensors
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Piedallu's Sign
Piedallu's Sign
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What is the function of the Gluteus Maximus?
What is the function of the Gluteus Maximus?
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What additional actions does the Gluteus Maximus perform besides hip extension?
What additional actions does the Gluteus Maximus perform besides hip extension?
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How does the Gluteus Maximus contribute to posture?
How does the Gluteus Maximus contribute to posture?
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What are the consequences of a weak Gluteus Maximus?
What are the consequences of a weak Gluteus Maximus?
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What are the actions of the Biceps Femoris?
What are the actions of the Biceps Femoris?
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What are the actions of the Semitendinosus and Semimembranosus ?
What are the actions of the Semitendinosus and Semimembranosus ?
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What is the primary action of the Gluteus Medius?
What is the primary action of the Gluteus Medius?
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What are the actions of the Gluteus Minimus?
What are the actions of the Gluteus Minimus?
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Nutation
Nutation
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Counternutation
Counternutation
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Sacroiliac Joint
Sacroiliac Joint
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Sacral Apex Pressure Test
Sacral Apex Pressure Test
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Approximation Test
Approximation Test
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Oblique Axis Motion
Oblique Axis Motion
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Gapping Test
Gapping Test
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Thigh Thrust test
Thigh Thrust test
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Supine Active SLR Test
Supine Active SLR Test
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Iliolumbar Ligament Test
Iliolumbar Ligament Test
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Gillet's Test
Gillet's Test
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Ipsilateral Anterior Rotation Test
Ipsilateral Anterior Rotation Test
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Sacroiliac Rocking Test
Sacroiliac Rocking Test
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Tripod Sign
Tripod Sign
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Patrick's Test
Patrick's Test
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90-90 SLR Test
90-90 SLR Test
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Study Notes
Pelvis and Hip Anatomy and Kinesiology
- The outline of topics covers review of terminologies, the pelvis, the sacrum and sacroiliac joint, pelvic and sacral movement, and the hip joint.
Review of Terminologies
-
Planes of Motion:
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Frontal/Coronal: Abduction, adduction, inversion, eversion, thumb flexion, extension
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Sagittal: Flexion, extension, plantar flexion, dorsiflexion, thumb abduction & adduction
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Horizontal/Transverse: Internal rotation (IR), external rotation (ER)
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Types of Joints:
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Fibrous Joints (Synarthroses): Minimal to no movement (sutures, syndesmoses, gomphoses).
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Cartilaginous Joints (Amphiarthroses): Slightly movable (synchondroses, symphyses).
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Synovial Joints (Diarthroses): Free movement (5 distinguishing characteristics: joint cavity, articular cartilage, synovial membrane, synovial fluid, fibrous capsule).
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Open and Close Pack Position:
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Open Pack: Joint surfaces are minimally/partially congruent, capsule is lax, ligaments are lax, mobilizations are possible.
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Close Pack: Joint surfaces are maximally/fully congruent, capsule is taut, ligaments are taut, mobilizations cannot be perfomed.
-
Manual Muscle Testing:
-
A grading system used to evaluate strength of muscles (5-Normal, 4-Good, 3+-Fair+, 3-Fair, 3--Fair-, 2+-Poor+, 2-Poor, 2--Poor-, 1-Trace, 0-Zero).
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End Feel:
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Bone to Bone (Hard): Elbow extension
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Soft Tissue Approximation (Soft): Knee flexion
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Tissue Stretch (Soft): Ankle dorsiflexion
Additional End-Feel Examples
- Early muscle spasm: Protective spasm after injury
- Late muscle spasm: Spasm due to instability
- "Mushy" tissue stretch: Tight muscle
- Spasticity: UMNL
- Hard capsular: Frozen shoulder
- Soft capsular: Synovitis
- Bone to bone: Osteophyte formation
- Empty: Acute subacromial bursitis
- Springy block: Meniscus tear
Pelvis
- Anatomy: The pelvis consists of the ilium, ischium, pubis, sacrum, and coccyx. Detailed anatomical landmarks on the ilium, ischium, and pubis are listed.
- Motion: Anterior pelvic tilt, posterior pelvic tilt, lateral pelvic tilt, pelvic shift, and pelvic rotation.
- Special Tests: Various specific tests detailed, including the supine to sit test, tests for sacroiliac joint involvement, etc.
Sacrum and Sacroiliac Joint
- Anatomy: Includes the superior articular processes, sacral foramina, sacral canal, sacral promontory, superior articular facets, and the sacrococcygeal joint, and ligaments, including the ilio-lumbar, short sacroiliac, and long posterior sacroiliac ligaments.
- Motion: Nutation, Counternutation, Oblique axis motion (forward & backward torsion).
- Muscles: Relevant muscles for motion, including primary and secondary ligaments (see detailed sections).
- Special Tests: Multiple specific tests to assess sacroiliac joint involvement (e.g., Approximation test, Gapping test, Sacral apex pressure test, etc., with specific descriptions of the test process and potential findings).
Hip Joint
- Anatomy: The hip joint features the acetabulum, femoral head, ilio-femoral, pubo-femoral and ischio-fiboral ligaments.
- Motion: Flexion, extension, abduction, adduction, internal rotation, and external rotation.
- Muscles: Details of the hip flexor and adductor muscles (Psoas Major, Iliacus, Sartorius, Tensor Fascia Latae, Rectus Femoris, Pectineus).
- Special Tests: Includes detailed descriptions along with the process and potential findings.
Pelvic Motions/Motions
- Description of pelvic motions in relation to hip motion
- Description of posterior, anterior, and lateral pelvic tilt
- Discussion of pelvic rotation
Lumbo-Pelvic Rhythm
- Description of the normal movement of the lumbar spine and hip during motions.
- Charts of normal and abnormal ranges of motions.
Stability
- Description of structures contributing to hip stability: femoral head, acetabulum, and acetabular labrum.
- Descriptions of ligaments of the hip: iliofemoral, pubofemoral, ischiofemoral ligaments.
- Charts of the range of motion of the hip during normal activities
Special Tests
- Descriptions of specific tests, including descriptions of how to perform tests and what to look for to diagnose problems.
Summary of Special Tests
- Summary of tests with various conditions found throughout the presentation
- Descriptions of various possible findings
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