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OCPM Biomechanics Statistics and Compensation 1
Quesions
50
Medical
Professional
06/14/2009

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Term
What is Static Stance?
Definition
A State of bipedal support of body weight during which all bones of the foot remain nearly motionless.
Term
What causes the interruption of Static Stance?
Definition
Muscle contraction that relieves fatigue
Term
T/F In Static Stance, body weight is supported by both feet equally?
Definition
TRUE
Term
What is the weight distribution of each foot?
Definition
1/4 on Forefoot, 1/4 on Heel and 1/2 on bones of the Midfoot.
Term
The bones of the Midfoot make up what system?
Definition
The Arch System (Medial, Lateral and Transverse)
Term
In parts, what is the weight distribution of the Met. Heads?
Definition
2:1:1:1:1 relationship
Term
The Loading axis extends from ___________________ and the _________________ for normal distribution to be seen?
Definition
Center of the Trochlea of the Talus and 2nd Intermetatarsal Space
Term
If the Loading Axis was shifted medially the 1st and 2nd Mets would bear how much more weight?
Definition
50.%
Term
What causes a medial shift of the Loading Axis?
Definition
Abducted Forefoot
Term
What causes a lateral shift of the Loading Axis?
Definition
Adducted Forefoot
Term
What must happen for the FF to bear 1/4 of the total weight placed on the foot?
Definition
Gastrocnemius muscle must fire. (Thereby placing tension on the Achilles tendon which places a plantarflexory force on the foot)
Term
The force exerted by the Achilles tendon must __________ the force of the load on the Tibia before the forefoot will bear wieght?
Definition
Exceed
Term
How much of the body should be supported by the feet anterior to the ankle joint?
Definition
3/4 of Weight
Term
What make up the Base of Support of the feet?
Definition
Lateral Margins and Posterior Margins of both feet, and MPJ of both feet.
Term
What FF structure does not bear weight without muscle function?
Definition
The Toes
Term
What is the position during static stance of the Leg and Calcaneus?
Definition
The Legs and the saggital bisection of the Calcaneus are Perpendicular to the ground.
Term
What is the position during static stance of the STJ?
Definition
The STJ of both feet are in Neutral (Heel biseciton perpendicular to the ground)
Term
What is the position during static stance of the MTJ?
Definition
The MTJs are locked in their fully pronated positions. (FF is perpendicular to the heel bisection)
Term
Are the MTJ and STJ different?
Definition
YES
Term
What difines the STJ as Neutral?
Definition
We can get 20' of inversion and eversion
Term
What is occuring on the Plantar Surface of the FF during Static Stance?
Definition
It rests fully on the ground, all Met Heads bear weight, and the FF is perpendicular to a vertical bisection of the heel.
Term
T/F No muscle support is needed to keep structural integrity during Static Stance?
Definition
TRUE
Term
T/F Bones of the foot are moving while they bear weight?
Definition
TRUE
Term
What does loss of postural equilibrium cause in Static Stance?
Definition
Bone movement as compensation for position.
Term
How does Newton's 2nd Law translate in the Kinetic Foot?
Definition
f = forces action upon bones of a joint, m = mass or in this case body weight, a = acceleration or the speed of locomotion.
Term
How does Newtons 2nd Law effect the foot?
Definition
The faster a person walks or the heavier that person is the greater the forces action on the joints of thefoot during gait.
Term
What are "all" the forces at work on the foot during gait?
Definition
Ground reactive forces interacting with the forces of mass, acceleration, and muscle tension at the joints of the foot.
Term
What are the two components of forces interacting at a joint?
Definition
Comression and Bending (Rotaional)
Term
What 3 things are necessary for achieving joint stability?
Definition
Bone compression, muscle contraction and little or no ligament tension.
Term
What is Phasic Activity?
Definition
Muscles undergo contraction at certain periods of the gait cycle to exert their action.
Term
What do Phasic Activity of muscle do at joints and Ground Reactive Forces?
Definition
Resist Rotatory Movements
Term
T/F Rotational Force increases at most joints during pronation?
Definition
TRUE
Term
Why does rotational force increase during pronation?
Definition
B/c the angles between bones increase and the angles that forces interact across a joint also increase.
Term
T/F Muscle needs to work harder in a stable supinated footo resist rotational forces?
Definition
FALSE
Term
T/F You can't have to much stability in a Foot?
Definition
FALSE
Term
What is Emergency Stability?
Definition
Movtion that is not anticipated so muscle provides little initial resistance, and stability is given by ligaments and joint capsule.
Term
T/F As ligaments lengthen resistance to the emergency rotational forces increases?
Definition
TRUE
Term
What does stretch on ligaments and capsules stimulate, that stabilize the joint?
Definition
Proprioceptors
Term
What happens during emergency instability?
Definition
Dec. motion of subluxing joint, Inc. contraction of muscles responsible for stabilizing joint and keep joint integrity intact until muscle fx reestablishes the joint.
Term
Why is fiberous tissue that replaces ligament tissue in a sprain not as good?
Definition
Not as strong, elastic or as many propriocetors. (This leads to more sprians)
Term
What are the 5 ways Ligaments can fail?
Definition
Sprain, Rupture, Avulsion Fracture, Joint damage due to compression of articular surfaces and Total Joint Dislocation.
Term
What is the Primary cause of mechanical trauma to the foot?
Definition
Kinetic Instability
Term
What are 2 examples of Kinetic instability?
Definition
Hypermobility and Subluxation
Term
What does abnormal shifting of weight bearing bones, between bone and surrounding soft tissue wihich are fixed against shoe gear, in the hypermobile foot result in?
Definition
Excessive Shearing Force
Term
What does Shearing Force cause?
Definition
Internal tissuse damage which eventually maifests in external symptoms like corns, calluses and neuromas.
Term
What is another down fall of Shoe Gear?
Definition
Inhibits proprioception and sensory in general (Just as you body ignores your clothes and becomes less sensitive)
Term
What are some pathologies that can result from subluxations?
Definition
Ligament Strain, Muscle Fatigue and Joint Deformities (Hallux Abducto Valgus, Hammer Toes and Hallux limitus)
Term
T/F Juvenile bone is more adaptable than adult bone?
Definition
TRUE
Term
What can subluxation in the adult foot result in?
Definition
Degenerative Joint Disease (DJD)
Term
T/F Trauma is more likely in Adult Bone?
Definition
TRUE
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