Missed Questions Flashcards
A 17-year-old female who is a 3-sport athlete and currently participating in track comes to the high school clinic complaining of vague, right anterior knee pain. She notes that she initially had mild discomfort during basketball, but now 3 weeks into track season the pain has increased to a level of a 6/10. She describes the pain as an aching with occasional sharp pain. She notes the pain worsens during and after track practice but denies any night or morning pain.
What biomechanical observations would be consistent with the treatment plan for orthotic prescription for this athlete?
a. excessive forefoot supination
b. excessive tibial IR
c. inc Q angle
d. femoral retroversion
b. excessive tibial IR
The use of foot orthotics for PFPS is based on the assumption that excessive foot pronation, not forefoot supination, during stance phase would cause abnormal tibial internal rotation that consequently would disrupt the normal tracking of the patella inside the trochlear groove.
what do intrafusal muscle fibers (muscles spindles) do?
detect changes in length of muscle
what do Golgi tendon things provide
inhibitory thing that senses changes in muscle tension
what do Pacinian corpuscles do
sense change in pressure and vibration of the skin
describe the mental status of someone who has undergone an epidural hematoma
epidural hematoma, you will get decreased consciousness, then lucidity, then over time rapidly decline again.wh
where is an epidural vs subdural hematoma
subdura: between the dura and the brain,
epidural: between skull and dura
what is the oxford level of evidence scale
top to bottom:
-SR of RTC
-individual RTC
-all or nothing
-SR’s cohort
-individual cohort
-outcome/ecologic studies
-SRs case control
-individual case control
-case series
-expert opinions.
what causes the most impact during collision for concussion?
acceleration/deceleration… but there is linear and rotational… so perhaps the answer is cumulative forces from all angles? this was an EMI pre-quiz question.
