Viva knee movements PDF

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VIVA PLANS...

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Viva - Anterior Knee Movements Introduction - name, consent, hand hygiene, bed hight, brakes on plinth, ask which leg is sore Active physiological movements with goniometry - FEML Passive physiological movements - FEML Joint Test/Accessory movements - AP,PA (sit on foot) , lateral/medial translations, patellar femoral movements Introduction - Important to introduce myself, ask for consent then apply hand hygiene so patient feels at ease - I will communicate well with my patient by talking slowly whilst using clear and simple language. I will be aware of health and safety issues by checking the bed height and brakes before starting Active physiological movements with goniometry:

- An active movement is when the patient does the movement without assistance. - I will measure range of movement with the goniometry which is a piece of equipment physiotherapists use to accurately measure joint angles. It is an accurate apparatus, however human error can occur so the therapist needs to be careful. - I will be focusing on the patient and therapist positioning when taking my readings and I am going to read out each number Flexion - patient sitting up legs out, then bring heel to glutes with foot on the bed. Extension - patient sitting up, knee fully extended with toes pointing up. Then get patient to put their knee into the plinth as far as possible Medial and lateral rotation - patient sitting at end of bed and put goniometry under foot then measure With goniometry always line it up with a boney landmark and then measure Passive physiological movements:

- Passive movement is when the physiotherapist takes control and performs the movement on the patient while they relax

- Same as active, as I want to do a comprehensive examination of the knee so I am going to do all movements - I will also be examining the end feel. The types of end-feel include capsular, boneon-bone, spasm, springy block and many more. The most common type of end feel in the body is a firm end feel, which is caused by tension in soft tissues - End feel is a sensation transmitted to therapists hand when carrying out an assessment which indicates what is limiting the movement. Accessory movements Joint Integrity test specifically shows how intact the joints are Accessory movement is when the physiotherapist does the movement because the patient cant perform it themselves Accessory movements of patella femoral (patella tap/patella sweep) PA – testing posterior cruciate ligament. - Sit on patients foot to support. Palpate joint line, rest thumbs over it. Push the tibia in an explosive movement. AP – testing anterior cruciate ligament - Sit on patients foot to support. Palpate joint line, rest thumbs over it. Pull the tibia in an explosive movement....