Physical Medicine Rehabilitation

Knee: Clinical Applications (A.L. Logan Series in by Alfred Logan, Lindsay Rowe

By Alfred Logan, Lindsay Rowe

This ebook specializes in functional and powerful methods to remedy o f the knee. The textual content contains anatomy, exam, trying out, therapy, and rehabilitation workout, in addition to 295 illustrations by way of the lat e Dr. Logan and sixty one pictures.

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Extra info for Knee: Clinical Applications (A.L. Logan Series in Chiropractic Technique)

Sample text

An ex­ ample is the patient in full stride with the one leg forward who is struck on the medial side of the knee by a running dog. If weakness of the VL is suspected, test the VL while supporting the patella and the VL opposite the VMO support. Testing may be performed in all degrees of flexion if the following is kept in mind: Testing the quadriceps femoris forces the patella into the trochlear groove, and the presence of edema or other problems may produce pain. If so, the test should bc dis­ continued.

Weakness, and susceptibility to harm, even in minor injuries. Weakness also occurs in the VL, interfering with nannal quadriceps function, but this is relatively rare. Seldom does postural distortion place undue stress on the VL. To strain the VL requires a blow the opposite of the clipping injury. An ex­ ample is the patient in full stride with the one leg forward who is struck on the medial side of the knee by a running dog. If weakness of the VL is suspected, test the VL while supporting the patella and the VL opposite the VMO support.

Compare with the normal knee for abnonoal pelvic movements during the test, whether or not the muscles tested weak. Weakness of the gracilis may produce an auempt by the body to extend the hip, enabling the adductors to assist in the lest. Weakness of the sartorius may be accompanied by a pos­ terior shifting of the ilium during the test. A weakened sartorius must be considered in persistent pos­ terior rotation fixations of the ilium. A persistent sartorius weakness may be a sign of adrenal problems (see Appendix A).

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