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Rehabilitation > Knee rehabilitation > Flashcards

Knee rehabilitation Flashcards

1
Q

What are some common knee injuries?

A
  • Ligament sprain/rupture (ACL/MCL)
  • Ligament reconstruction (ACL)
  • Patellar subluxation/dislocation
  • ITBFS
  • Muscle strains (hamstrings)
  • Tendinitis
  • Meniscal tear
  • Superior tib/fib sprain
  • Osteoarthritis
  • Patellofemoral syndrome
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2
Q

What are some acute phase objectives?

A
  • Decreased pain
  • Decreased swelling
  • Prevent secondary complication
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3
Q

What are some secondary complications during the acute phase?

A
  • Contractures
  • Instability (ligaments, PFJ)
  • Impingement (meniscal)
  • Friction (ITBFS)
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4
Q

What are some way sot relieve pain during the acute phase?

A
  • Ice
  • TENS
  • Medications
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5
Q

What are some ways to relieve swelling during the acute phase?

A
  • Pressure
  • Ice
  • Elevation
  • Medication
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6
Q

What are some ways to support the knee during the acute phase?

A
  • Zimmer splint
  • Hinge brace
  • PF support
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7
Q

What are some ways to deal with infection during the acute phase?

A
  • Clean suture sites
  • Monitor
  • Medication
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8
Q

What are some important things to note about suture healing?

A
  • Usually made along the lines of dermal stress
  • Early AROM can place excessive stress on the suture line
  • Can cause post rehab irritation
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9
Q

What are some sub scute phase objectives?

A
  • Decrease residual swelling
  • Increase range of motion
  • Muscle re-education
  • Ligament healing
  • Suture healing
  • Whole body maintenance
  • Psychological intervention
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10
Q

What are some treatment methods for suture healing?

A
  • Transverse frictions
  • Ultrasound
  • LASER
  • Vitamin E
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11
Q

What muscles should be the focus for re-education?

A
  • Hip flexion: iliopsoas. rectus femoris
  • Extension: gluteus maximus, iliotibial band
  • Hip abduction: gluteus medius/minimus, tensor fascia lata
  • Adduction: gracillis
  • Calf planar flexion: gastrocnemius
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12
Q

What is important to strengthen for flexion?

A

The hamstrings; dynamic stabilizers against anterior tibial translation and rotation

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13
Q

What are some ways to strengthen the knee in a closed kinetic position?

A
  • Stool walking exercise

- Backward cycling

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14
Q

What are some ways to strengthen the knee in an open kinetic position?

A

Hamstring curls (tubing, isotonic)

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15
Q

What muscles do you want to strengthen for internal rotation?

A

Semitendinosus and semimembranosus

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16
Q

What muscle do you want to strengthen for external rotation?

A

Biceps femoris

17
Q

What is strengthening the quadriceps important for and what are some cautions?

A
  • Important for patellofemoral stabilization
  • Caution against anterior tibial traction
  • Caution against PF compression
18
Q

What are some closed kinetic chain strength exercises for the knee?

A
  • Leg press
  • Wall squats, tubing squats
  • Peterson step-ups, terminal extensions
  • Drop squat
19
Q

What are some open kinetic chain strength exercises for the knee?

A
  • Water exercises
  • Tubing leg extensions
  • Machines
20
Q

What are some considerations for high velocity strength?

A
  • 180-360 degrees/second
  • Minimal tibio/femoral shearing
  • Minimal patellofemoral compression
  • Used for power/endurance training
21
Q

What are some considerations for low velocity strength?

A
  • 60 degrees/second
  • Increased tibiofemoral shearing
  • Increased patellofemoral compression
  • Patellar tendon stress
  • Used for strength training
22
Q

When it comes to endurance what are some different knee positions for some sports?

A
  • Swimming: 15-20 degrees
  • Stepper: 45 degrees
  • Cycling/stairs: 90 degrees
  • Rowing: 120 degrees
23
Q

What are some guidelines for proprioception of the knee?

A
  • Begin early with basic exercises: mirroring, weight shifts

- Start with fully extended knee

24
Q

What are some considerations for return to sport?

A
  • Proprioception
  • Agility
  • Power
  • Plyometrics
  • Psychological readiness
  • Skill development
  • Full ROM
  • Good joint stability
  • Practice before games
  • Begin with minimal stress
  • Progressively increase the level of activity

Rehabilitation (9 decks)

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