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Abnormal posturing is an involuntary flexion or extension of the arms and legs, indicating severe brain injury. It occurs when one set of muscles becomes incapacitated while the opposing set is not, and an external stimulus such as pain causes the working set of muscles to contract. [1] The posturing may also occur without a stimulus.
The normal knee flexion is between 130 and 150 degrees. Any pain, abnormal movement, or crepitus of the patella should be noted. If there is pain or crepitus during active extension of the knee, while the patella is being compressed against the patellofemoral groove, patellofemoral pain syndrome or chondromalacia patellae should be suspected ...
Extension is the opposite of flexion, a straightening movement that increases the angle between body parts. [12] For example, when standing up, the knees are extended. When a joint can move forward and backward, such as the neck and trunk, extension is movement in the posterior direction. [ 10 ]
It manifests in abnormal and stereotypical patterns across multiple joints called obligatory synergies. [1] They are described as either a flexion synergy or an extension synergy and affect both the upper and lower extremity (see below). [1] When these patterns occur in a patient, he or she is unable to move a limb segment in isolation of the ...
knee extension occurs- tight rectus femoris; Lateral rotation of tibia- tight biceps femoris; The hip flexion contracture is physiologic in the first 3 months of life and if it is absent in this period it may be a sign of developmental dysplasia of the hip. It is used to identify unilateral fixed flexion deformity of the hip. [3]
Involuntary extension of the "normal" leg occurs when flexing the contralateral leg against resistance. To perform the test, the examiner should hold one hand under the heel of the "normal" limb and ask the patient to flex the contralateral hip against resistance (while the patient is supine), asking the patient to keep the weak leg straight while raising it.
Complaints of locking sensation in the knee joint can be divided into true locking and pseudo locking. True locking happens when the intra-articular structure (e.g. ligaments) [1] is damaged, or a loose body is present inside the joint, or there is a meniscal tear. The knee can be unlocked by rotating the leg and full movement can be restored.
In transtibial amputees, the adjustment of the foot is highly influential to gait changes. Proper alignment of the prosthetic foot about the ankle joint causes metabolic cost [48] and gait symmetry at the anatomical hip and knee joints to improve, with hip flexion-extension motion being the most sensitive to alignment. [62]