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THEREX 2 > Final Review > Flashcards

Final Review Flashcards

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1
Q

What muscles are in the fundamental 6 pack

A

Pelvic Floor

TRA/ Internal Oblique

Lats

Multifidus

Diaphragm

Glute Max

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2
Q

How long does it take a mild ankle sprain (grade 1) to heal

A

5-14 days

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3
Q

How long does it take a moderate ankle sprain (grade 2) to heal?

A

2-3 weeks

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4
Q

How long does it take a severe ankle sprain (grade 3) to heal?

A

3-12 weeks

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5
Q

How long before you can return to running after an ACL injury?

A

8 weeks

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6
Q

NM Control exercises for foot

NM control/strength exercises

A

BAPs board (circles and 4 way)

Short foot (arch raises) for the foot intrinsic and post tib

Towel Scrunches for toe flexors

Marble pickup

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7
Q

MOI of high ankle sprain

A

Eversion and dorsiflexion

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8
Q

MOI of lateral ankle sprain

A

Inversion and plantarflexion

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9
Q

Grade 1 lateral ankle sprain

A

mild tearing of ATFL

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10
Q

Grade 2 lateral ankle sprain

A

Moderate tearing of ATFL

Some tearing of CFL

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11
Q

Grade 3 lateral ankle sprain

A

Full tear of ATFL CFL and PTFL

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12
Q

What shoes do supinators need

A

Neutral w/ arch support (need the ground brought up to their stiff arch)

Need squishier shoes for more impact absorption

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13
Q

What shoes do pronators need?

A

Moderate - support

Severe - Motion Control shoes

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14
Q

Exercises for Achilles Tendinopathy

A

Isometrics early for pain control

Progress to eccentric drills (some pain normal)

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15
Q

Posterolateral corner precautions

A

WBAT with brace 4 weeks

No active knee flexion for 4 weeks

Avoid posterolateral knee thrust in gait

No resisted leg extension machine

No high impact or cutting for 3-4 months

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16
Q

What ligaments are injured with posterolateral corner

A

LCL PCL

Popliteofibular ligament

Popliteus tendon

Bicep femoris tendon

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17
Q

What is the MOI of a posterolateral corner injury

A

varus, hyper extension, or twisting of the knee.

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18
Q

Exercise progression for tendinopathies (patellar tendinopathy)

A

Isometric

Eccentric

Energy Storage

Return to sport

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19
Q

Hallmark of patellar tendinopathy

A

Pain localized to the inferior pole of the patella

Load-related pain that increases with the knee extensors, notably in activities that store and release energy in the patellar tendon

Rarely have pain at rest

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20
Q

The medial mensicus attaches to what?

A

Deep MCL

Semimembranosus

Quadriceps

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21
Q

The lateral meniscus attaches to what?

A

Popliteus

Quadriceps

Acruate ligament

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22
Q

During flexion the meniscus moves:

A

posteriorly

With extension the meniscus moves anteriorly

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23
Q

Which meniscus is O shaped, more mobile, and less prone to injury

A

Lateral

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24
Q

Therex for meniscus

A

Progressive motion

Progressive WB

Progressive return to activity

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25
The anteriormedial bundle of the ACL is taut when? What about the Posteriorlateral (Larger) bundle?
Flexion Extension
26
When do both ACL bundles become parallel?
Full ext
27
When is the anteriolateral PCL bundle taut? What about the posteriomedial PCL
Flexion Extension
28
Pain at anterior tibial tubercle with kneeling and activity May have swelling at tibial tubercle
Osgood Schlatters at tibial tuberosity Traction injury to attachment site of tendons in children and adolescence
29
Pain at inferior patellar pole with kneeling and activity Swelling/calcification at inferior pole
Sinding Larsen Johansson syndrome at inferior patellar pole
30
Where does Osgood Schlatters affect What about SLJ syndrome
Tibial Tuberosity Inferior patellar pole
31
In closed chain anterior pelvic tilt produces hip _________ Posterior pelvic tilt produces:
flexion Extension
32
When does hip internal rotation occur in closed chain
When extending from a flexed position When flexed 60-100 Hip IR drives force into ground
33
How to improve hip IR in CKC:
Improve hip IR where it actually occurs (*Hip IR occurs with posterior rotation of innominate and sacral nutation*) Slowing the eccentric Force through the concentric First need to work on the sacral nutation (**frog breathing** exercise) Next need to work on hip IR in a flexed position with **box squat isos** Then we want to work on training force into the ground so work on **quadruped hip shift** Then work towards extension with **sidelying stride** Then finally work on **bottoms up split squat hold** (creating force with both the flexed and extended leg)
34
What are these pictures showing
PT holds pt into IR and the patient progressively steps around their foot putting themselves further into IR PT can use a band at home for lateral traction and step around their foot
35
What is this picture showing
Way to use your new IR motion once youve gained it Pt will wind and unwind themselves slowily from band working on closed chain IR strength
36
Posterior hip precautions
No hip flexion >90 degrees No hip internal rotation No adduction beyond neutral None of the above motions combined FADIR
37
Anterior hip precautions
No hip extension or hip external rotation beyond neutral No bridging, no prone lying, and none of the above motions combined When the patient is supine, keep the hip flexed at or above 30 degrees Pillow under the patient’s knee or raise the head of the bed
38
Lateral hip precautions
Abduction restrictions
38
What motions happen at the sacrum/innominate with closed chain hip IR
Sacral nutation Posterior innominate
39
Cam vs Pincer impingement:
Cam- femoral head -more often in males -history of SCFE or Legg-Calve-Perthes - femoral head anteversion or coxa vara Pincer- Acetabulum -often in females -acetabular retroversion, coxa profunda, acetabular protrusions
40
How will FAI present?
* Passive hip **IR**- painful and limited * Passive hip **flexion**-painful and limited * **Trendelenburg** gait or abductor lurch * Decreased ROM * **Click/catching** * **Giving way**
41
What kind of FAI is most common?
Combination of pincer and cam
42
Tendonitis healing time
3-7 weeks
43
Tendon laceration healing time
5 week to 6 months
44
Muscle exercise induced healing time
0-3 days
45
Muscle grade 1 healing time
0-14 days
46
muscle grade 2 healing time
4 days to 4 months
47
muscle grade 3 healing time
4 days to 6 months
48
ligament grade 1 healing time
0-3 days
49
ligament grade 2 healing time
3 weeks to 6 months
50
ligament grade 3 healing time
5 weeks to 1 year
51
ligament graft healing time
2 months to 2 year
52
bone healing time
5 weeks to 3 months
53
articular cartilage healing time
2 months to 2 years
54
What takes the longest to heal?
Articular cartilage (up to 2 years) nerves (2+ years)
55
Lordotic posture has a _______ lumbosacral angle _______ lumbar lordosis _______ pelvic tilt hip __________
increased increased anterior flexion
56
Swayback posture has shift of entire pelvis __________ hip ______ shifted thoracic segment __________ Associated with ___________
Anterior extension posterior forward head, thoracic kyphosis
57
Flat back posture has ______ lumbosacral angle _________ pelvic tilt _________ lumbar lordosis ________ thoracic spine
decreased posterior decreased flattened
58
What posture has an increased lumbosacral angle, hip flexion, and increases lumbar lordosis
Lordotic posture
59
What posture is associated with forward head and thoracic kyphosis
swayback
60
What posture is associated with posterior pelvic tilt and decreased lumbosacral angle
flat back posture
61
You have a sudden, intense urge to urinate followed by an involuntary loss of urine.
Urge incontinence
61
Urine leaks when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy.
stress incontinence
62
You experience frequent or constant dribbling of urine due to a bladder that doesn't empty completely.
Overflow incontinence.
63
A physical or mental impairment keeps you from making it to the toilet in time. For example, if you have severe arthritis, you may not be able to unbutton your pants quickly enough
Functional incontinence.
64
Mixed incontinence
Experiencing more than one type of urinary incontinence.
65
Open chain pronation
Calcaneal eversion, dorsiflexion, and abduction
66
Open chain supination
Calcaneal inversion, plantar flexion, and adduction
67
Closed chain pronation
Calcaneal eversion talar adduction, and plantarflexion
68
Closed chain supination
Calcaneal inversion, talar abduction, and dorsiflexion
69
Return to run criteria for ACL
95% restored knee flexion ROM Full EXT No swelling Limb symmetry index 80% Pain free alter-G or aqua jogging Pain free single leg hopping

THEREX 2 (12 decks)

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