Brain must juggle the things

Many times quick thoughts that must go through our mind during examination. you have patient who is likely be related to the loss of left knee terminal extension.

• When it is more knee flexion, it may likely more ankle dorsiflexion range of motion during walking. Therefore, anterior shin compartment requires more strength to stop a quick progression to the forefoot and pronation occurs more quickly .

• Due to excessive pronation ,more abrupt quadriceps loading occurs ( knee adapt valgus position) However, load doesn’t initiate in more knee extension therefore quadriceps become short now and increasing patella femoral compression. This kinetic chain distrubed continue and adding more hip flexion in stance phase . More hip flexion compensate pelvic tilt in Anterior direction which increase lumbar lordosis.

• More hip flexion with increased lumbar lordosis convert leg into shorter position which will through off pelvis symmetry .Therefore we should work more on contralateral hip abductors. consider their clinical symptoms), eventually this will lead to frontal plane pelvis drift to the short leg side , 2 different step lengths , [restrict]2 different hip extension patterns , 2 different heel rises, and altered arm swing on both sides. This alter in arm swing which can create changes into thoracic rotation (and of course the cervical spine sits on top of that). There is many compensation occurs But consider their clinical symptoms also.

• just wanted to tel you that how fast your brain must juggle things, otherwise your exam is going to be knee-centered and tunnel visioned. this is a perfect example of why you must examine the Whole kinetic chain.

• All the above dysfunction may be varied from individual. This is what we see in our routine practise. You can see every change but this gives an idea where you should look for. [/restrict]
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