Mathematics? Nah, Osteo- and Arthro-kinematics
Grade 1-2
Mr. Pheet is walking and you are observing the joint that unlocks after he takes every step to have it pronate and conform to the surface he walks on. This is the ?
Midtarsal Joint
IT band syndrome.
In a muscle length tension graph, as the muscle gets shorter, we won't achieve maximal power (strength). This is due to ...?
Gastrocnemius and Soleus.
You are a powerlifter and while you train, you experience pain in your anterior shoulder. Lo and behold, Dr. C diagnosed you with Bicipital Tendonitis. What motions will you most likely be painful and limited?
Elbow flexion and shoulder flexion
Your aide is doing a poor job demonstrating a squat, so you do it for the patient instead. You set your stance, plant your feet, and proceed to eccentrically lower yourself to demo. You feel a pinch in your own knees and stop to hold midway through the movement. In that very same moment, what type of contraction are your hamstrings doing?
Isometric
You are warming up for your sport. You decide to stretch your hamstrings standing up and do this by touching your toes. With your legs straight, it's hard to achieve this, but with your legs bent - you achieve it. This is due to ... ?
(hint: think of the 200 question)
Passive insufficiency - the hamstring muscle is too long when legs are straight and cannot further stretch out without damage to the tissues.
You are working with your patient who has difficulty with his gait, especially when it involves weight acceptance. What phases of the gait will you have trouble with the most?
Initial Contact and Loading Response
You notice your friend walk in front of you and sees that he is wide at the hips. He also complains that the outside of his knees hurts sometimes. What condition do you think he has at the hips? What condition do you think he has at the knees?
Coxa Vara. Genu Valgum
Posterior shoulder muscles: Teres minor, infraspinatus, rhomboids. Eccentrically
Mr. Ngi is seeing you for his R knee and you notice that he lacks 5 deg of TKE when he walks. To achieve extension, you decide to give him a joint mobilization. In which direction should the glide occur to achieve knee extension?
Anterior Glide
Mr. Strut is exhibiting right hip abd weakness. You note that he ends up leaning to compensate for this. What side is he leaning on? What will you see his left side do to avoid tripping or falling?
You observe your patient, Ms. Cerv's posture - you deduce that the pathology is an excessive kyphosis. In what excessive position will you see her atlantoaxial joint at? Her lower cervical spine?
1. Excessive extension
2. Excessive flexion
Radial Deviation, flexion. Radiocarpal joint. Concentric
Mrs. Cupple is coming in with complains of lower back pain and front hip pain. You immediately notice that she has an anterior pelvic tilt. From a force couple perspective, what would you do for her hip flexor? What about her hamstring? Her core? and lastly, for her back?
1. Stretch her hip flexors
2. Strengthen her hamstrings
3. Strengthen her core
4. Stretch her low back
You with your Parkinson patient and you are going to take him for a walk. He tells you that he is almost due for his meds. What dysfunctional gait pattern will likely occur when it wears off? Aside from the meds, what are other things you can do to help him?
Festination. Auditory/Visual cues, LSVT BIG exercises.
Mr. Kypho is coming into the clinic with complaints of low back pain. He is experiencing muscle spasms and pain when he sits and bends down to pick things up, only to find relief when he stands or lies down. Occasionally, he gets a "nervy" sensation down his leg. What pathology could this be?
Herniated Disc