'Passive Accessory Movements of the Patellofemoral Joint' Study Guide
TEST POSITION OF MODEL LOCATE BONY THERAPIST DIRECT, SPEED + PICTURE Instruction
LANDMARKS APPLY MAGNITUDE
(stab+direction CONTACT
of force)
Medial Glide PFJ Supine, pillow under Find Lateral Thumbs on Lat→ med by pressure I’m going to apply a gentle
knees (slightly flex) aspect of patella. lateral aspect of from both thumbs movement to your patella-
Hands placed on patella Slow mvt medially End pushing into your midline.
distal femur + prox feel: capsular elastic + If you feel any discomfort
tibia to stabilize small range please let me know and I will
stop
Lat Glide PFJ Supine, pillow under Medial aspect of Index fingers med→ lat by index fingers I’m going to apply a gentle
knees (slightly flex) pat placed Slow mvt medially End movement to your patella-
Hands placed on lengthways on feel: capsular elastic + pushing it to the outside of your
distal femur + prox med aspect of small range knee.
tibia to stabilize pat. If you feel any discomfort
please let me know and I will
stop
Longitudinal Supine, pillow under Sup aspect of pat Heel of hand on Sup→ Inf direction. I’m going to apply a gentle
caudad PFJ knees (slightly flex) Stabilizing prox sup pat (base) Slow mvt medially End movement to your patella-
tibia feel: capsular elastic + pushing downwards.
small range If you feel any discomfort
please let me know and I will
stop
Longitudinal Supine, pillow under Inf apex of pat Heel of hand on inf→ sup direction I’m going to apply a gentle
cephalic PFJ knees (slightly flex) Stabilizing distal apex pat End feel: capsular elastic + movement to your patella-
femur small range pushing upwards.
If you feel any discomfort
please let me know and I will
stop
, 'Passive Physiological Movements of the Tibiofemoral/Knee Joint'
TEST POSITION OF LOCATE BONY THERAPIST DIRECT, SPEED + PICTURE Instruction
MODEL LANDMARKS APPLY MAGNITUDE
(stab+direction of CONTACT
force)
Tibiofemoral Supine, anatomical Med calcan Post knee- Once flexed- move hand to I’m just going to assess the ROM
Flexion position, side of plinth Post knee guiding knee ant knee and other hand to at your knee jnt by bringing your
direction ant shin- bringing knee into heel to you buttock, let me know
flex. if you feel any pain.
Heel -buttock Capsular elastic end feel
with some ST opposition
Hip at 90° 130-140°
Tibiofemoral supine, side of plinth Stab: achilles tendon Apply upward lift Full knee ext I’m just going to assess the ROM
Extension Pressure on ant of distal lower Capsular elastic end feel at your knee jnt by fully
Lower plinth aspect distal femur limb + downward with some ST extending your knee jnt, let me
pressure on distal 10-20° ext know if you feel any pain.
femur
Tibiofemoral Prone + at side of Knee at 90 Apply medial rot Capsular elastic end feel I’m just going to assess the ROM
Med Rot plinth Stab: knee with your force bringing 10-20° med rot at your knee jnt by applying a
Lower plinth so your knee heel out towards rotation force, let me know if you
knee can prop up you feel any pain.
Hold both hands
wrap around ankle
just above lat + med
mal
TEST POSITION OF MODEL LOCATE BONY THERAPIST DIRECT, SPEED + PICTURE Instruction
LANDMARKS APPLY MAGNITUDE
(stab+direction CONTACT
of force)
Medial Glide PFJ Supine, pillow under Find Lateral Thumbs on Lat→ med by pressure I’m going to apply a gentle
knees (slightly flex) aspect of patella. lateral aspect of from both thumbs movement to your patella-
Hands placed on patella Slow mvt medially End pushing into your midline.
distal femur + prox feel: capsular elastic + If you feel any discomfort
tibia to stabilize small range please let me know and I will
stop
Lat Glide PFJ Supine, pillow under Medial aspect of Index fingers med→ lat by index fingers I’m going to apply a gentle
knees (slightly flex) pat placed Slow mvt medially End movement to your patella-
Hands placed on lengthways on feel: capsular elastic + pushing it to the outside of your
distal femur + prox med aspect of small range knee.
tibia to stabilize pat. If you feel any discomfort
please let me know and I will
stop
Longitudinal Supine, pillow under Sup aspect of pat Heel of hand on Sup→ Inf direction. I’m going to apply a gentle
caudad PFJ knees (slightly flex) Stabilizing prox sup pat (base) Slow mvt medially End movement to your patella-
tibia feel: capsular elastic + pushing downwards.
small range If you feel any discomfort
please let me know and I will
stop
Longitudinal Supine, pillow under Inf apex of pat Heel of hand on inf→ sup direction I’m going to apply a gentle
cephalic PFJ knees (slightly flex) Stabilizing distal apex pat End feel: capsular elastic + movement to your patella-
femur small range pushing upwards.
If you feel any discomfort
please let me know and I will
stop
, 'Passive Physiological Movements of the Tibiofemoral/Knee Joint'
TEST POSITION OF LOCATE BONY THERAPIST DIRECT, SPEED + PICTURE Instruction
MODEL LANDMARKS APPLY MAGNITUDE
(stab+direction of CONTACT
force)
Tibiofemoral Supine, anatomical Med calcan Post knee- Once flexed- move hand to I’m just going to assess the ROM
Flexion position, side of plinth Post knee guiding knee ant knee and other hand to at your knee jnt by bringing your
direction ant shin- bringing knee into heel to you buttock, let me know
flex. if you feel any pain.
Heel -buttock Capsular elastic end feel
with some ST opposition
Hip at 90° 130-140°
Tibiofemoral supine, side of plinth Stab: achilles tendon Apply upward lift Full knee ext I’m just going to assess the ROM
Extension Pressure on ant of distal lower Capsular elastic end feel at your knee jnt by fully
Lower plinth aspect distal femur limb + downward with some ST extending your knee jnt, let me
pressure on distal 10-20° ext know if you feel any pain.
femur
Tibiofemoral Prone + at side of Knee at 90 Apply medial rot Capsular elastic end feel I’m just going to assess the ROM
Med Rot plinth Stab: knee with your force bringing 10-20° med rot at your knee jnt by applying a
Lower plinth so your knee heel out towards rotation force, let me know if you
knee can prop up you feel any pain.
Hold both hands
wrap around ankle
just above lat + med
mal
