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OCPM Biomechanics Statistics and Compensation 2
Quesions
40
Medical
Professional
06/14/2009

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Term
What is Compensation?
Definition
Change of structure, position, or fx of one part in an attempt by the body to adjust to a deviation of structure, position, or fx of another part.
Term
What are the 2 forms of Compensation?
Definition
Normal and Abnormal (Good and Bad)
Term
What 2 structures usually accomplish Normal Compensation?
Definition
STJ and MTJ
Term
What does the STJ and MTJ do to compensate Abnormally?
Definition
Pronate or Supinate (Reccurent or persisten demand for this compensation may result in Pathology)
Term
What are the Primary joints for compensation in the Lower Extremity?
Definition
MTJ and STJ (Primary Joint of Primary Joints)
Term
Why are the STJ and MTJ the Primary sties for Compensation?
Definition
B/c they are Triplanar
Term
T/F Compensation usually only in one plane, however will not casue abnormal motion in the other two planes?
Definition
FALSE
Term
What 2 terms are used to describe direction of Compensation?
Definition
Pronatory Comp. and Supinatory Comp
Term
What does Pronation of the STJ do to the RF?
Definition
Everts
Term
What does Supination of the STJ do to the RF?
Definition
Inverts
Term
T/F While the STJ moves the forefoot attempts to remain in contact with the ground?
Definition
TRUE
Term
The motion of the FF in relation to the STJ is dependent on what structure?
Definition
MTJ
Term
When does the MTJ lock on the RF?
Definition
When both the LMTJ and OMTJ axis are MAXIMALLY PRONATED
Term
What are 2 things that determin the MTJ's ability to compensate for RF position?
Definition
ROM and Locking Position
Term
What is the FF compensation for STJ pronation (RF eversion)?
Definition
FF Inversion (LMTJ supination)
Term
T/F The RF and FF must have the same number of degrees of Eversion and Inversion for compensation to occur?
Definition
TRUE
Term
T/F If the FF cannot invert the same numbers of degrees as the RF everts then there is NO RF pronation, and no compensation?
Definition
FALSE, there is partiall compensation
Term
What is the result of normal compensation?
Definition
1st Ray dorsiflexes, MTJ unlocks, and foot bears weight primarily on 2nd Met Head.
Term
T/F The FF can compensate for RF supination?
Definition
FALSE, as the calcaneus inverts with STJ supination, FF also inverts.
Term
Why can't the FF compensate for RF supination?
Definition
The FF can't evert b/c the MTJ is locked (FULLY pronated)
Term
What happens in the RF when the angle of tilt exceed the amount of inverison available at the FF?
Definition
The RF invers the extra degrees required for compensation.
Term
What does the RF do when the angle of tilt does not exceed amount of inversion available at the FF?
Definition
Nothing
Term
When terrain beneath the FF is tilted so that the FF is everted the RF will ever with the FF. Why?
Definition
B/c the MTJ is locked (FULLY pronated) and cannot allow the FF to evert anymore independent of the RF.
Term
Why does the FF end up everting slighty more than the RF when the terrain beneath the FF is tilted so that the FF is everted?
Definition
B/c the STJ pronaiton will free some eversion of the FF. (The locking position of the MTJ becomes more and more everted as the STJ pronates)
Term
T/F A sudden demand for STJ supination can result in instability leading to equilibrium loss and possible lateral instability?
Definition
TRUE
Term
What is the most common cause for the "I've fallen and I can't get up syndrom"?
Definition
Sudden demand for STJ supination.
Term
T/F the FF can compensate for STJ eversion?
Definition
TRUE
Term
What is Abnormal Compensation?
Definition
Compensation at the MTJ or STJ to an abnormal structural or positional deviation in the Lower Extremity.
Term
Abnormal Compensation results in one or both of what 2 thing?
Definition
Abnormal Locomotor Fx and/or Position of the Foot.
Term
What is FF Varus?
Definition
Structural Inversion of the FF on the RF when the MTJ is Locked.
Term
What is the compensation in the STJ through Midstance and Propulsion, for FF Varus?
Definition
Pronation
Term
What is RF Varus?
Definition
RF STJ Neutral position is Inverted
Term
What is the copensation seen for RF Varus?
Definition
STJ Pronation during Midstance to equalize ground reactive forces across the plantar heel.
Term
What is FF Supinatus?
Definition
Soft tissue (not bone) contracture causing FF to be inverted on the RF.
Term
What is the Compinsation for FF Supinatus?
Definition
Supination of the LMTJ creating osseous instability of FF.
Term
What causes FF Supinatus?
Definition
Tight Gastro/Soleus Complex
Term
What is Rigid Plantar-Flexed 1st Ray?
Definition
The 1st Met is structurally plantarflexed
Term
What is the Compensation for Rigid Plantar-Flexed 1st Ray?
Definition
Supinaiton of the STJ in Contact Period. (Should be Pronated)
Term
What can result form Rigid Plantar-Flexed 1st Ray?
Definition
Muscle imbalance and possible lateral instability.
Term
T/F Compensation is usually Good in the Foot?
Definition
FALSE, usually leads to Pathology. (No compensation is also very bad)
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