Module 6: Rehab Part 1

Question 1

what is rehab

Answer 1

restoration of function, imagination, commitment

Question 2

mild soft tissue injury

Answer 2

grade 1 sprain with +/- local tenderness

Question 3

moderate pain during activity, usually has to stop

Answer 3

grade 2 sprain

Question 4

complete or near complete rupture, severe pain or loss of function

Answer 4

grade 3 sprain

Question 5

ruptured ligament may be painless due to

Answer 5

loss of continuity

Question 6

three phases of healing

Answer 6

acute inflammatory
repair
remodeling

Question 7

acute muscle soreness due to

Answer 7

lack of adequate bloodflow

Question 8

muscle sorness that occurs 24-48 hours later

Answer 8

delayed

usually due to mechanical stress, free radicals, Ca+ related damage

Question 9

what does cryotherapy decrease

Answer 9

temperature, swelling, vascular permeability

Question 10

if muscle is held to same degree of tension, it will increase in length over time

Answer 10

creep

Question 11

what does ultrasound do

Answer 11

increase healing, increase symptoms of DOMS

Question 12

what does massage do

Answer 12

increase blood flow, decrease neutrophils, decrease PG synthesis, increase O2

Question 13

acute inflammation

Answer 13

3-4 days

Question 14

tissue repair

Answer 14

2 days to 6 weeks

Question 15

tissue remodeling

Answer 15

3 weeks to 1 year

Question 16

scar tissue intensive begins between

Answer 16

5th day and 21st day

Question 17

passive resistive exercises are for

Answer 17

active contraction during the eccentric contraction

Question 18

rule of 10

Answer 18

10 second contraction, 10 second relax, 10 angles, 10 reps, 10 sets

Question 19

why train with proprioception

Answer 19

prevent injury, improve joint stability, increase performance

Question 20

important for performance, speed, and endurance

Answer 20

alignment

Question 21

comprehensive approach that strives to improve all components necessary to achieve athletic success

Answer 21

functional training

Question 22

movement is

Answer 22

triplanar (sagittal, frontal, transverse)

Question 23

most active shoulder muscle

Answer 23

serratus anterior

Question 24

most common shoulder condition seen in the office

Answer 24

shoulder impingement

Question 25

superior shoulder pain

Answer 25

AC joint

Question 26

anterior shoulder pain

Answer 26

subacromial bursitis or biceps

Question 27

lateral shoulder pain

Answer 27

supraspinatus, deltoid, teres minor, or infraspinatus

Question 28

anterolateral shoulder pain

Answer 28

supraspinatus

Question 29

anteromedial shoulder pain

Answer 29

capsule, subscap

Question 30

elevating arms relieves pain

Answer 30

cervicogenic

Question 31

supporting elbow relieves pain

Answer 31

AC joint, rotator cuff, cervicogenic/brachial

Question 32

shoulder strengthening exercises

Answer 32

dumbbell exercises with scaption, flexion, horizontal abduction, bent over rows, push up, press up

Question 33

AC joint injuries typically due to

Answer 33

fall directly on lateral aspect of the shoulder with the arm adducted

Question 34

rehab for grade 1 AC joint tear

Answer 34

1. ) ice for 24-48 hours 2. ) return to sports in 7-10 days 3. ) delay heavy lifting and contact sports until full AROM

Question 35

rehab for grade 2 AC joint tear

Answer 35

1. )sling for 1-2 weeks with gentle ROM exercises | 2. ) avoid contact sports and heavy lifting for 6 weeks

Question 36

rehab for grade 3 AC joint tear

Answer 36

1. ) immobilization until discomfort has diminished to allow pain free AROM 2. ) passive and active ROM for 3-4 weeks, followed by strengthening exercise

Question 37

entrapment of suprascapular nerve due to

Answer 37

1. ) direct trauma 2. ) traction when throwing or weight lifting 3. ) backpacking

Question 38

location of suprascap nerve entrapment

Answer 38

Erb's point due to stretch from a fall on the shoulder or tractioning of the nerve root from a fall

Question 39

neurological TOS involves

Answer 39

lower trunk of the brachial plexus, caused by an abnormal nerve stretch or compression

Question 40

vascular TOS involves

Answer 40

subclavian artery and vein, more common in men than women

Question 41

primary cause of TOS

Answer 41

postural

Question 42

neurological TOS typically occurs in what kind of patient

Answer 42

women with slender build and droopy shoulders

Question 43

conservative treatment of TOS

Answer 43

correct postural imbalances, trigger point therapy, pectoral stretching

Question 44

accounts for 90-95% of GH instabilities

Answer 44

anterior

Question 45

posterior disclocation force

Answer 45

AP force with the arm in flexion, adduction, and internal rotation

Question 46

for dislocated shoulders, ice and immobilize for

Answer 46

3-9 weeks

Question 47

localized elbow pain at the medical epicondyle, can cause avulsion fracture in children

Answer 47

little league elbow

Question 48

lateral elbow pain ddx in children

Answer 48

tennis elbow, osteochondrosis, osteochondritis dissecans

Question 49

rehab for adults post surgery with medial elbow pain

Answer 49

posterior splint, cast, begin strengthening after 12 weeks, light throwing, moderate to full throwing

Question 50

rehab for adults with lateral elbow pain

Answer 50

same as medial rehab program but with brace in 30 degree block splint for 4 weeks

Question 51

posterior elbow pain causes

Answer 51

triceps tendinitis, olecranon bursitis, loose bodies, dislocation, valgus overload syndrome

Question 52

test for dislocation of the lunate

Answer 52

murphys sign

Question 53

indicates possibility of scaphoid/navicular fracture

Answer 53

anatomical snuff box

Question 54

injury to the collateral ligaments of the thumb

Answer 54

gamekeepers thumb/skiers thumb

Question 55

most common finger for jersey finger

Answer 55

ring finger

Question 56

hip ligaments

Answer 56

iliofemoral, pubofemoral, ischiofemoral

Question 57

iliopecitneal bursa can refer pain

Answer 57

down front of leg due to entrapment of femoral nerve

Question 58

trochanteric bursa pain referral

Answer 58

pain may occur during flexion and internal rotation of thigh

Question 59

ischiogluteal bursa parn

Answer 59

from sitting too long and may cause sciatic nerve irritation

Question 60

hip problems refer pain to

Answer 60

the knee without giving hip pain

Question 61

antalgic gait in obese people may indicate

Answer 61

slipped capital femoral epiphysis

Question 62

to get full ROM of knee after ACL tear, it is recommended to

Answer 62

places emphasis on hamstrings and quads, secondary emphasis on hip and lower legs

Question 63

how to relieve stress on ACL injured knee on the cycling bike

Answer 63

lower the seat and pedal on the balls of your feet