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MPT 2 > Knee > Flashcards

Knee Flashcards

(70 cards)

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1
Q

knee extension arthrokinematics

A

anterior roll and glide

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2
Q

knee flexion arthrokinematics

A

posterior roll and glide

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3
Q

which condyle is bigger… medial or lateral

A

medial (its also more curved)

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4
Q

meniscus special tests

A

mcmurrays, appleys, thessalys

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5
Q

males with knee pain tend to have weaker ___ while females have weaker _____

A

quads
hips

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6
Q

is ther-ex well supported to manage TKA and sprains? what about meniscal injuries

A

yes
A for TKA/sprain
B for meniscal and articular cartilage injuries

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7
Q

T or F: therex is well supported for patellofemoral pain and OA

A

T

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8
Q

what is the primary NSAID for knee OA

A

tramadol

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9
Q

when you make IC, you load the _____ compartment and the knee is in

A

medial
varus

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10
Q

when you go into midstance, you load the ____ compartment and the knee is in

A

lateral
valgus

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11
Q

how can you control valgus at the knee

A

strengthen the hips

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12
Q

are closed or open chain exercises more functional for the knee

A

closed

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13
Q

does closed or open chain help with proprioception

A

open
move pt’s leg into a position with their eyes closed. they suddenly let go and have them hold it there

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14
Q

in the late phase of rehab, you should be working in ____ chain

A

closed

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15
Q

T or F: early weight bearing is usually best. why are why not

A

T: it facilitates the quad muscles, reduces atrophy, and assists with knee motion

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16
Q

what do postural muscles do in the presence of pain

A

shorten and tighten

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17
Q

LE postural muscles

A

hip adductors
hamstrings
hip flexors
rectus femoris
gastroc

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18
Q

what do phasic muscles do in the presence of pain

A

lengthen and atrophy

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19
Q

LE phasic muscles

A

glutes
vastus muscles
ankle DFs

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20
Q

what do you need before speed and power training

A

a good strength base

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21
Q

nordic exercise

A

eccentric exercise for hamstrings
- hold feet in kneeling and have pt slowly lower themselves down

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22
Q

the patella makes contact at ____ degrees of knee flexion

A

20

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23
Q

T or F: with patellofemoral arthritis you can start with a shallow squat for strengthening

A

T: because the patella doesn’t make contact until 20 degrees
*but w/ tibiofemoral you may want to stay away from standing initially

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24
Q

when you make initial contact your foot is ______ and during loading it is ________

A

supinated
pronated

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25
4 main goals for knee rehab
1 - obtain full ext 2 - muscle activation, esp quad 3 - reduce effusion 4 - obtain knee flexion
26
5 phases of knee rehab post surgery
1 - intro/pre-op 2 - unloaded activities 3 - CKC 4 - strength training 5 - return to activity
27
T or F: pre-op ROM is a major indicator of post-op ROM
T *best to go into surgery with full ROM and strength
28
arthrofibrosis
stiffness in the joint
29
T or F: delaying surgery delays return to sport
F: b/c going into surgery too early (w/o good strength and ROM) has worse outcomes
30
when does unloaded activities phase begin
immediately after surgery
31
what plane do you focus on during unloaded activities phase and why
sagittal plane because you want to avoid shear
32
goals during unloaded activities
protect healing structures control pain and swelling ROM patellar mobility muscle activation
33
is knee flexion or extension more important
extension, this is what you should worry about first
34
treatment options during unloaded activities phase
isometrics patellar mobs prom/aarom/arom soft tissue flexibility
35
what muscles do you want to stretch post knee surgery
gastroc hamstrings
36
quad set
pt activates quad, patella moves, sustain patellar movement, extent the knee against gravity, hyperextension
37
how do you progress a quad set
straight leg raise w/o quad lag
38
complications are not common w/ arthroscopic knee surgeries but what is the most common complication
infection
39
what is the goal during the closed kinetic chain phase
full ROM return to ADLs muscular endurance proprioception
40
what phase do you really start to work on knee flexion ROM
closed kinetic chain
41
what might quad avoidance look like during gait
- knee hyperextension - decreased stance time - limp through midstance b/c they don't have the quad strength for full knee extension
42
once you are past _____ degrees of flexion, stress on patellofemoral joint does not increase significantly
70
43
how do you know how deep to have your pt squat
listen to your pt, stay in pain free range. also depends on kind of surgery they had
44
T or F: ACL deficiency can cause reorganization of the CNS
T: this is why you should work on proprioception
45
what are the goals during strength training phase
normalize muscle strength speed of movement agility/proprioception
46
what phase can you start adding more weight and plyometrics
strength training phase
47
why is it important to work on hamstring strength after knee surgery
they need to be strong to counteract anterior pull of quad
48
how do you activate the glutes more during a squat
widen the stance
49
which recruits more glute max... barbell hip thrust or back squats? what are two other exercises that are good for the glutes
barbell hip thrusts side plants, single leg deadlift
50
4 hop tests
1 hop for distance crossover hop triple hop 6m timed hop
51
both traditional _______ training and ______ training need to be incorporated into a comprehensive rehab program
strength neuromuscular
52
T or F: after ACLR males and females both demonstrate decreased vertical ground reaction force on the ACLR side
T
53
most common knee position for ACL injury
near extension often tibial IR and valgus
54
most common knee position for PCLinjury
deep flexion
55
where is the thickest articular cartilage in the body
back of patella
56
pronation is associated with tibial ______
IR
57
how does the meniscus move during open chain knee extension
it moves anteriorly same direction as the tibia
58
functional progression for return to play
- sport specific drills - position specific drills - scrimmage - games
59
3 major factors in post-op care
1 - surgeon and PT 2- patient 3 - biology
60
factors for post-op care relating to PT and surgeon
1 - correct dx 2 - correctly and gently performing surgery 3 - appropriate and careful rehab
61
factors for post-op care in the patient's control
- ice the knee - rest the knee - protect knee during healing - compliance with home instruction
62
factors for post-op care related to biology
- extent of pathology - genetic efficiency of tissue healing
63
what does 5/0/140 mean in ROM documentation
5 degree hyperextension 140 degree flexion
64
what does 0/10/130 mean in ROM documentation
lack 10 degrees of extension 130 degrees of flexion
65
what are some PROM exercises to work on getting knee extension
prone hang heel prop towel pull
66
what are some PROM exercises to work on getting knee flexion
use the well leg to apply pressure to surgical - supine passive flexion - wall slide - sitting knee flexion
67
it is best to do post glides in ____and ant glides in _____
flexion extension * take them to end range
68
which part of the capsule is tight in knee flexion? extension?
anterior posterior
69
cues for SLR post knee surgery (proper sequencing)
- quad set - lift leg - lower leg - relax quad
70
how to make a lunge more difficult
increase instability (foam, reaching activities, make sure to engage glute med)

MPT 2 (11 decks)

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