Lower Extremity

Question 1

dorsiflexion is the same as foot [pronation / supination] and plantarflexion is the same as foot [pronation / supination]

Answer 1

dorsiflexion - pronation

plantarflexion - supination

Question 2

foot pronation is associated with a

• [plantarflexed / dorsiflexed] foot
• [inverted / everted] foot
• [abducted / adducted] foot
• [anterior / posterior] talus
• [internally rotated / externally rotated] tibia
• [anterior / posterior] fibular head

Answer 2

• dorsiflex
• everted
• abducted
• posterior palus
• externally rotated
• anterior fibular head

Question 3

foot supination is associated with a

• [plantarflexed / dorsiflexed] foot
• [inverted / everted] foot
• [abducted / adducted] foot
• [anterior / posterior] talus
• [internally rotated / externally rotated] tibia
• [anterior / posterior] fibular head

Answer 3

• plantarflexed
• inverted
• adducted
• anterior talus
• internally rotated tibia
• posterior fibular head

Question 4

dorsiflexion, i.e. foot [pronation / supination] is associated with a [] distal fibula and thus a [] fibular head

Answer 4

pronation

posterior

anterior fibular head

Question 5

plantar flexion, i.e. foot [pronation / supination] is associated with a [] distal fibula and thus a [] fibular head

Answer 5

supination

anterior

posterior fibular head

Question 6

describe the findings of a pronated foot

Answer 6

dorsiflexed, everted, abducted

Question 7

describe the findings of a supinated foot

Answer 7

plantarflexed, inverterted, adducted

Question 8

the talus of a pronated foot is […] while the talus of a supinated foot is […]

Answer 8

posterior

anterior

Question 9

if the diagnosis is an anterior fibular head, you’ll position the patient in the restrictive barrier of […]

Answer 9

supination

(plantarflexion)

Question 10

if the diagnosis is an posterior fibular head, you’ll position the patient in the restrictive barrier of […]

Answer 10

pronation

(dorsiflexion)

Question 11

what are the arches of the foot?

Answer 11

• transverse
• medial
• lateral

Question 12

what bones form all three foot arches?

Answer 12

• navicular
• cuneform
• cuboid

Question 13

what bones form the transverse foot arch?

Answer 13

• navicular
• cuboid
• cuniform

Question 14

which bones form the medial arch of the foot?

Answer 14

• navicular
• cuboid
• cuneform
• metatarsals 1-3
• talus

Question 15

wich bones form the lateral arch of the foot?

Answer 15

• navicular
• cuboid
• cuneform
• metatarsals 4-5
• calcaneus

Question 16

lateral ankle tendpoint - counterstrain position

Answer 16

foot eversion

Question 17

medial ankle tenderpoint - counterstrain position

Answer 17

foot inversion

Question 18

what is the spencer technique for the hip?

Answer 18

FECT-IE-Ab-Ad

• flex
• extent
• compression w/ curbumduction
• compression w/ traction
• int rotation
• ext rotation
• abduction
• abduction

“being perFECT Isnt Easy”

Question 19

piriformis - origin, insertion

Answer 19

• origin: posterior sacrum
• insertion: greater trochanter of femur

Question 20

piriformis - action

Answer 20

external rotation of LE

Question 21

a hypertonic piriformis will result in […]

Answer 21

external rotation of the lower extremity

Question 22

piriformis tenderpoint - counterstrain position

Answer 22

FABER - like FABER test, which is + for piriformis dysfunction

• flex
• abduct
• externally rotate

Question 23

glutes tenderpoint - counterstrain position

Answer 23

• external rotation
• extension
• abduction

Question 24

psoas tenderpoint - counterstrain position

Answer 24

• FLEX
• externally rotate
• sidebend toward dysfunction

Question 25

illiacus tenderpoint - counterstrain position

Answer 25

* FLEX * externally rotate * abduct

Question 26

illopsoasis tenderpoint locations

Answer 26

* illiacus - 1/3 between ASIS and umbilicus * psoas - 2/3 between ASIS and umbilicus

Question 27

medial collateral ligament tenderpoint - counterstrain position

Answer 27

* flex * adduct * internally rotate

Question 28

medial meniscus tenderpoint - counterstrain position

Answer 28

* flex * adduct * internally rotate

Question 29

lateral collateral ligament tenderpoint - counterstrain position

Answer 29

* flex * abduct * externally rotate

Question 30

lateral meniscus tenderpoint - counterstrain position

Answer 30

* flex * abduct * externally rotate

Question 31

ACL tenderpoint - counterstrain position

Answer 31

pillow under femur + push tibia posteriorly

Question 32

PCL tenderpoint - counterstrain position

Answer 32

pillow under tibia + push femur posteriorly

Question 33

the MCL, MM, LCL and LM counterstrain positions all involve [...]? how are they different

Answer 33

flexion * MCL, MM - adduction + internal rotation * LCL, LM - abduction + external rotation

Question 34

the innominates are diagnosed with the [seated / standing] flexion test and the sacrum is diagnosed with the [seated / standing] flexion test

Answer 34

standing seated

Question 35

when diagnosing the innominate, what are the two ways to determine the side of dysfunction and the positive findings of each

Answer 35

* standing flexion test - whichever PSIS moves first, farthest, or fastest * ASIS - whichever one has a hard end-feel

Question 36

anterior innominate * ASIS is [...] * PSIS is [...] * leg is [...] * d/t hypertonic [...] * tx with ME to the [...]

Answer 36

* inferior * superior * long * quads * hamstring

Question 37

posterior innominate * ASIS is [...] * PSIS is [...] * leg is [...] * d/t hypertonic [...] * tx with ME to the [...]

Answer 37

* superior * inferior * short * hamstring * quad

Question 38

which innominate dysfunctions can result in a short leg on that side?

Answer 38

* posterior rotation * upshear

Question 39

psoas muscle - action

Answer 39

marked hip flexion + slight ER

Question 40

a hypertonic psoas resuls in [...]

Answer 40

contalateral pelvic tilt ## Footnote *pt with a pelvic shift to the right has a hypertonic left psoas*

Question 41

psoas - origin, insertion

Answer 41

* origin: TPs of T12-L5 * insertion: lesser trochanter