Active Vs. Passive Insufficiency
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 24 October 2018
⏱️ 13 minutes
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Summary
Nadine assesses her patient's knee flexion strength in both the sitting and standing positions. The therapist finds that the patient has diminished end range knee flexion strength in standing.
The physical therapist is challenged with determining which is most likely reason for the diminished knee flexion strength.
How well do you understand the concept of active and passive insufficiency? Let's test your understanding in this excellent episode about active and passive insufficiency.
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Transcript
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| 0:00.0 | This episode of the NPTE Clinical Files is brought to you by the NPTE test strategy playbook. |
| 0:06.1 | Hey, PTs, is your repeat score less than 75%? And if it is, when you review your practice exams, |
| 0:12.6 | do you find several questions that you had the knowledge to, but you still got the question wrong? |
| 0:18.2 | Listen, you're not alone and you might have a test taking strategy |
| 0:21.8 | problem. You need to visit Destroy the NPTE.com to find out how you can stop getting questions wrong |
| 0:29.1 | about the topics that you know. Visit destroy the NPTE.com. You are now tuning in to the MPTE clinical files to mock MPTE-based questions told and |
| 0:41.3 | solved week by week. |
| 0:43.0 | Thank you for tuning in to the MPT clinical files. |
| 0:45.4 | My name is Kyle Rice, the MPT prep coach, the founder of the PT Hustle and the creator of |
| 0:50.8 | the MPT Prep Success coaching program 2.0. In this week's MPT clinical file is about |
| 0:57.3 | Nadine and she is assessing her patient's hamstring strength in the sitting position and standing |
| 1:03.5 | positions. The therapist finds that the patient's strength is significantly better in sitting |
| 1:10.5 | when compared to the standing position. |
| 1:12.7 | Which of the following is the most likely reason for the diminished end-range knee flexion |
| 1:18.4 | strength in standing? So we have A, active insufficiency of the quadriceps. B, active insufficiency |
| 1:26.7 | of the hamstrings. C, passive insufficiency of the quadriceps, B, active insufficiency of the hamstrings, C, passive insufficiency of the |
| 1:30.5 | quadriceps, and D, passive insufficiency of the hamstrings. |
| 1:35.1 | All right, so for this case, we have Nadine, and she's assessing her patient's hamstring |
| 1:39.3 | strength, both in the sitting position and in the standing positions. |
| 1:42.9 | And I really want to slow up really quick because I want to talk to you a little bit about, you know, |
| 1:47.3 | kinesiology class. |
| 1:48.7 | And maybe if you'll remember actin and myocin and cross bridges and how they relate to muscle contraction, |
... |
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