Lighthouse Concepts in Orthopedics

Question 1

How do we impact the control and vigor of our musculoskeletal tissues?

Answer 1

By modulating symptoms and improving movement control through individualized treatments following developmental stages and sequences.

Question 2

What are the steps in the PT Pyramid?

Answer 2

• Therapeutic Alliance,
• Tissue Healing and Symptom Modulation,
• Mobility, Movement, Control,
• Advanced Performance, Motor, Sensory.

Question 3

How do you classify tissue irritability?

Answer 3

Using a broad classification system to determine the level of tissue irritation and its impact on treatment.

Question 4

What are the three activation strategies?

Answer 4

Too Much, Not Enough, Just Right.

Question 5

How do you progress past symptom modulation?

Answer 5

By implementing appropriate activation strategies and progressing through therapeutic stages.

Question 6

What is the envelope approach in treatment?

Answer 6

Shaping treatment to meet needs using manual therapy and therapeutic exercise.

Question 7

Which activities limit patient participation?

Answer 7

Activities that exacerbate the patient’s symptoms and impairments, identified during the initial assessment.

Question 8

How to identify orthopedic impairments?

Answer 8

Assessing range of motion, control, and strength to determine the extent of orthopedic impairments.

Question 9

How to identify neural impairments?

Answer 9

Evaluating motor, sensory, and autonomic functions to identify the extent of neural impairments.

Question 10

How to align history and testing with pathoanatomical diagnosis?

Answer 10

Using patient history and test results to support a pathoanatomical diagnosis and guide treatment.

Question 11

What are the salient aspects of the exam?

Answer 11

Key findings that highlight the primary impairments and guide the treatment plan.

Question 12

The significance of tissue irritability classification?

Answer 12

Helps determine the appropriate treatment strategies based on the level of tissue irritation.

Question 13

How to build a therapeutic alliance?

Answer 13

Establishing trust and collaboration between therapist and patient to enhance treatment outcomes.

Question 14

Conversion of irritability to treatment?

Answer 14

Translating the level of tissue irritability into specific treatment approaches.

Question 15

Optimal response to injury?

Answer 15

Achieving highly functional motion segments and effective tissue adaptation.

Question 16

Maladaptive response to injury?

Answer 16

Developing compensatory patterns that impair movement and function.

Question 17

Functional roles of trunk, shoulder, hip, elbow, knee, wrist/hand, and ankle/foot?

Answer 17

Stability, force generation, force modulation, and force transmission.

Question 18

The concept of ‘too loose’ and ‘too tight’ areas?

Answer 18

• ‘Too loose’ areas need stability,
• ‘Too tight’ areas need mobility.

Question 19

Transverse plane tendencies?

Answer 19

Areas of the body that tend to be too loose or tight and need specific interventions.

Question 20

Functional emphasis for motor control efforts?

Answer 20

Focusing on stability and mobility based on the patient’s specific needs and impairments.

Question 21

Stability vs. mobility in the body?

Answer 21

Balancing the need for stability and mobility to optimize function and prevent injury.

Question 22

Developmental stage and sequence of exercises?

Answer 22

Progressing from basic mobility to advanced skill through a structured developmental sequence.

Question 23

Exercise progressions and regressions?

Answer 23

Adjusting exercise difficulty to match the patient’s current capabilities and progress over time.

Question 24

How to select specific exercises for mobility and stability?

Answer 24

Choosing exercises based on the patient’s impairments and goals, focusing on appropriate mobility and stability.

Question 25

The importance of task, position, and repetition?

Answer 25

Task-specific training in various positions with appropriate repetition to enhance motor learning.

Question 26

Strategies to boost motor learning and performance?

Answer 26

Using techniques like frequent demonstrations, external focus, variability, and contextual interference.

Question 27

Principles of tissue adaptation?

Answer 27

Applying appropriate load, volume, intensity, and rest to promote tissue remodeling and adaptation.

Question 28

Tendon remodeling techniques?

Answer 28

Using isometrics, eccentric training, and progressive loading to remodel tendons.

Question 29

Principles of stretching?

Answer 29

Long-duration stretching, hold/relax techniques, and considering both muscle and fascia.

Question 30

Techniques for nerve glides?

Answer 30

Performing nerve glides with appropriate dosage to modulate symptoms and improve function.

Question 31

Motor pattern retraining?

Answer 31

Focusing on movement control with timed practice sessions instead of traditional sets and reps.

Question 32

Exercise order and intensity?

Answer 32

Prioritizing hard exercises first, with appropriate load and intensity to maximize adaptation.

Question 33

Importance of load and volume?

Answer 33

Ensuring the correct load and volume to stimulate tissue adaptation without causing injury.

Question 34

Repetition duration and rest interval?

Answer 34

Optimizing repetition duration and rest intervals to balance training effect and recovery.

Question 35

Exercise selection criteria?

Answer 35

Choosing exercises based on their complexity, joint involvement, and patient-specific needs.

Question 36

Example progressions for different types of injuries?

Answer 36

Adjusting exercises and progressions based on the specific injury and patient's recovery stage.

Question 37

Examples of manual therapy vs. therapeutic exercise?

Answer 37

Using manual therapy for immediate symptom relief and therapeutic exercise for long-term adaptation.

Question 38

Specific exercises for various body parts?

Answer 38

Targeted exercises for areas like deep neck flexors, knee, and ankle to address specific weaknesses.

Question 39

Case study examples?

Answer 39

Real-world scenarios to illustrate the application of PT concepts and treatment strategies.

Question 40

How to assess and address specific conditions like spondylolisthesis?

Answer 40

Using targeted assessments and interventions to manage specific conditions effectively.

Question 41

Strategies for treating acute injuries?

Answer 41

Immediate interventions and progressive exercises to manage acute injuries and facilitate recovery.

Question 42

Adjusting treatment based on patient feedback?

Answer 42

Modifying exercises and interventions in response to patient progress and feedback.

Question 43

Practical application of PT concepts in real-world scenarios?

Answer 43

Applying theoretical concepts to practical treatment situations to enhance patient outcomes.

Question 44

Role of core control in preventing injuries?

Answer 44

Enhancing core stability to prevent injuries and improve overall movement efficiency.

Question 45

Examples of functional tasks and their relevance?

Answer 45

Incorporating functional tasks into therapy to improve real-world performance and patient engagement.

Question 46

Importance of developmental sequence in exercise prescription?

Answer 46

Following a structured developmental sequence to ensure safe and effective exercise progression.