1.) MSK principles

Question 1

Hard end feel

Answer 1

bone to bone
ex. elbow extension

Question 2

Soft end feel

Answer 2

soft tissue approximation
ex. knee flexion

Question 3

Firm end feel

Answer 3

tissue stretch
ex. ankle DF, shd ER, finger extension

Question 4

Empty end feel

Answer 4

acute subacromial bursitis
*is painful

Question 5

Boggy end feel

Answer 5

Hemarthrosis

Question 6

What is Hemarthrosis?

Answer 6

blood inside joint cavity

Question 7

What is the open pack position of the glenohumeral joint

Answer 7

55-70 abduction, 30 horizontal adduction, neutral rotation

Question 8

What is the closed pack of the glenohumeral joint

Answer 8

maximal abduction and ER

Question 9

What is the open pack position of the hip joint

Answer 9

30 flexion, 30 abduction, slight ER

Question 10

What is the closed pack position of the hip

Answer 10

Ligamentous: full ext, abd, IR

Bony: 90 flexion, slight abd, slight ER

Question 11

What is the open pack position of the knee

Answer 11

25 degrees of flexion

Question 12

What is the closed packed position of the knee

Answer 12

full ext, ER

Question 13

What is passive Insufficiency

Answer 13

a 2 joint muscles is unable to fully stretch

ex. hamstrings

Question 14

Active insufficiency

Answer 14

inability of a 2 joint muscle to actively contract across full ROM of both joints

ex. you cant make a fist and flex fingers

Question 15

How much flexibility of hamstrings is needed for SCI

Answer 15

100 degrees

Question 16

Phase 1 of healing

Answer 16

day 1 to 3
hemostasis - stop bleeding

Question 17

Phase 2 of healing

Answer 17

day 3 to 20
inflammation - new frame work for blood vessel growth

Question 18

Phase 3 of healing

Answer 18

week 1 to 6
proliferation (pulls the wound close) or granulation (scar tissue formation)

Question 19

Phase 4 of healing

Answer 19

week 6 to 2 years
remodeling or maturation - final proper tissue

Question 20

first 6 weeks of healing

Answer 20

maximum protection
limit ROM / activation

Question 21

second 6 weeks of healing

Answer 21

moderate protection
controlled loading

Question 22

6 months of healing

Answer 22

return to sport
hi-velocity
hi-load

Question 23

What is the difference between TOS and a pancoast’s tumor

Answer 23

A pancoast tumor will cause lung problems and horner’s symdrome

Question 24

What is the most common type of bone cancer

Answer 24

osteosarcoma

Question 25

Osteosacroma

Answer 25

boys 10-25 pain around lump (femur/tibia) tender lump progressing to fx near epiphyseal plates of long bone

Question 26

Ewing Sarcoma

Answer 26

- sunburst pattern - painful lump - most often in long bones diaphyses (middle of shaft)

Question 27

Benefits of aqua therapy

Answer 27

ROM resistance training progressive weight bearing minimize injury risk relaxation

Question 28

Auqa therapy Precautions

Answer 28

fear of water ataxia seizures (controlled epilepsy) cardiac dysfunction small wounds (covered)

Question 29

Contraindications for aqua therapy

Answer 29

cardiac failure/unstable angina vital capacity < 1 liter severe peripheral disease bleeding/hemorrhage severe kidney disease open wounds uncontrolled b/b infectious disease uncontrolled seizures

Question 30

10% WB at

Answer 30

C7

Question 31

33% WB at

Answer 31

Xiphoid process

Question 32

50% WB at

Answer 32

ASIS

Question 33

Aquatic temp norms

Answer 33

- air 3 degrees > water temp - 26-33 C range (78-92 F)