hip and thigh 2 notes
TRANSCRIPT
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Unraveling the Mystery of Hip & Thigh Pain #2:
Hamstring Injuries
Unraveling the Mystery of Hip & Thigh Pain #2:
Hamstring Injuries
Instructor: Ben Benjamin, Ph.D.Instructor: Ben Benjamin, Ph.D.
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Instructor: Ben Benjamin, Ph.D.Instructor: Ben Benjamin, Ph.D.
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Webinar GoalsWebinar Goals
• Explore the assessment and treatment of the most common hamstring injuries.
• Explore the assessment and treatment of the most common hamstring injuries.
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PretestPretest
1. The most effective assessment test for a hamstring injury is:
a) Resisted extension of the kneeb) Resisted abduction
c) Passive straight leg raise d) Resisted flexion of the knee
1. The most effective assessment test for a hamstring injury is:
a) Resisted extension of the kneeb) Resisted abduction
c) Passive straight leg raise d) Resisted flexion of the knee
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PretestPretest2. The semitendinosus muscle is attached to:
a) The head of the fibulab) The medial condyle of the femur
c) The tibiad) The lateral condyle of the femur
2. The semitendinosus muscle is attached to:
a) The head of the fibulab) The medial condyle of the femur
c) The tibiad) The lateral condyle of the femur
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3
PretestPretest
3. If there is pain in the posterior thigh while forward bending in the standing position this could indicate:
a) Either a low back or hamstring injuryb) A hip joint injury
c) A thoracic injury
d) Any and of the above
3. If there is pain in the posterior thigh while forward bending in the standing position this could indicate:
a) Either a low back or hamstring injuryb) A hip joint injury
c) A thoracic injury
d) Any and of the above
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PretestPretest
4. The hamstrings
a) Extend the hipb) Flex the knee
c) Rotate the lower leg when the knee is bent d) All of the above
4. The hamstrings
a) Extend the hipb) Flex the knee
c) Rotate the lower leg when the knee is bent d) All of the above
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PretestPretest
5. Which tests help you differentiate between a hamstring injury, a low back injury or a hip joint injury?
a) Resisted flexion of the kneeb) Passive medial rotation of the hip
jointc) Active flexion while standing
d) All of the above
5. Which tests help you differentiate between a hamstring injury, a low back injury or a hip joint injury?
a) Resisted flexion of the kneeb) Passive medial rotation of the hip
jointc) Active flexion while standing
d) All of the above
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PretestPretest6. The superior attachment of the
semimembranosus and semitendinosis is:
a) At the posterior ilium and the ishialtuberosity
b) At the ischial tuberosity and the posterior femur
c) At the ishial tuberosity only with one common tendon
d) None of the above
6. The superior attachment of the semimembranosus and semitendinosis is:
a) At the posterior ilium and the ishialtuberosity
b) At the ischial tuberosity and the posterior femur
c) At the ishial tuberosity only with one common tendon
d) None of the above
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AnatomyAnatomy
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HamstringsHamstrings
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HamstringsHamstrings
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HamstringsHamstrings
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HamstringsHamstrings
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HamstringsHamstrings
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HamstringsHamstrings
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HamstringsHamstrings
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FunctionsFunctions
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FunctionsFunctions
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AssessmentAssessment
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Primary TestsPrimary Tests
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Resisted Flexion of the Knee Resisted Extension of the Hip
Auxiliary TestAuxiliary Test
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Differentiation TestsDifferentiation Tests
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Test 1: Forward flexion of the back
Test 2: Extension of the back
Test 3: Passive hip flexion
Test 4: Passive medial rotation of the hip joint
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Test 1: Active flexion
Test 1: Active flexion
Test 2:Active extension
Test 2:Active extension
Test 3: Passive Flexion of the Hip Joint
Test 3: Passive Flexion of the Hip Joint
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Test 4:Passive Medial Rotation of the Hip Joint
Test 4:Passive Medial Rotation of the Hip Joint
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Passive Flexion of the Hip JointPassive Flexion of the Hip Joint
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TheoryTheory
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Hamstring: Resisted Flexion of the Knee
Low Back:Forward Flexion and Extension
Low Back and Hip Joint:Passive Flexion of the HipMedial Rotation of the Hip
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Low Back Injury Alone: No pain in the hamstring on test
Hamstring Injury:Test is painful
Resisted Flexion of the Knee
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Hip Joint Injury:Tests will hurt in the anterior or lateral hip and sometimes down the thigh but not in the low back
Passive Flexion Medial Rotation
BalanceBalance
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InjuryInjury
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Injury LocationInjury Location
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Used in SurgeryUsed in Surgery
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TreatmentTreatment
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Friction TherapyFriction Therapy
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Friction TherapyFriction Therapy
4242
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Myofascial TherapyMyofascial Therapy
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Massage TherapyMassage Therapy
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Exercise TherapyExercise Therapy
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Exercise TherapyExercise Therapy
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Exercise TherapyExercise Therapy
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If I didn’t get to your question ask me here:If I didn’t get to your
question ask me here:
Facebook.com/DrBenBenjaminFacebook.com/DrBenBenjamin
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Post-TestPost-Test
1. The most effective assessment test for a hamstring injury is:
a) Resisted extension of the kneeb) Resisted abduction
c) Passive straight leg raise d) Resisted flexion of the knee
1. The most effective assessment test for a hamstring injury is:
a) Resisted extension of the kneeb) Resisted abduction
c) Passive straight leg raise d) Resisted flexion of the knee
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2. The semitendinosus muscle is attached to:
a) The head of the fibulab) The medial condyle of the femur
c) The tibiad) The lateral condyle of the femur
2. The semitendinosus muscle is attached to:
a) The head of the fibulab) The medial condyle of the femur
c) The tibiad) The lateral condyle of the femur
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Post-TestPost-Test
3. If there is pain in the posterior thigh while forward bending in the standing position this could indicate:
a) Either a low back or hamstring injuryb) A hip joint injury
c) A thoracic injury
d) Any and of the above
3. If there is pain in the posterior thigh while forward bending in the standing position this could indicate:
a) Either a low back or hamstring injuryb) A hip joint injury
c) A thoracic injury
d) Any and of the above
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Post-TestPost-Test
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4. The hamstrings
a) Extend the hipb) Flex the knee
c) Rotate the lower leg when the knee is bent d) All of the above
4. The hamstrings
a) Extend the hipb) Flex the knee
c) Rotate the lower leg when the knee is bent d) All of the above
52
Post-TestPost-Test
5. Which tests help you differentiate between a hamstring injury, a low back injury or a hip joint injury?
a) Resisted flexion of the kneeb) Passive medial rotation of the hip
jointc) Active flexion while standing
d) All of the above
5. Which tests help you differentiate between a hamstring injury, a low back injury or a hip joint injury?
a) Resisted flexion of the kneeb) Passive medial rotation of the hip
jointc) Active flexion while standing
d) All of the above
53
Post-TestPost-Test
6. The superior attachment of the semimembranosus and semitendinosis is:
a) At the posterior ilium and the ishialtuberosity
b) At the ischial tuberosity and the posterior femur
c) At the ishial tuberosity only with one common tendon
d) None of the above
6. The superior attachment of the semimembranosus and semitendinosis is:
a) At the posterior ilium and the ishialtuberosity
b) At the ischial tuberosity and the posterior femur
c) At the ishial tuberosity only with one common tendon
d) None of the above
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Post-TestPost-Test
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