Practical 1

Question 1

Hamstring Strain 
Subjective:
Test:
Treatment
HEP:

Answer 1

1.) MOI from fast sprinting
2.) MMT hip ext
3.) PNF HS stretch
4.) Self stretch of HS
Other options: Hamstring sets, stool scoots

Question 2

Piriformis Syndrome
Subjective:
Test:
Treatment
HEP:

Answer 2

1. ) pain in gluteal region with some radiation into the thigh or calf; worse with sitting/squatting
2. ) Hip IR less than 60 degrees of knee flexion, Hip ER at more than 90 degrees of knee flexion, FAIR test
3. ) SLR slider or gluteal strengthening
4. ) Piriformis stretch

Question 3

Labral tear/impingement
Subjective:
Test:
Treatment
HEP:

Answer 3

1. ) groin pain, clicking or catching in the hip
2. ) Scour or anterior/posterior impingement tests
3. ) Long axis distraction
4. ) Total hip strengthening

Question 4

Hip OA/Stiff Hip
Subjective:
Test:
Treatment
HEP:

Answer 4

1. ) Age older than 60, pain and stiffness in the morning
2. ) Hip flex, IR, scour
3. ) Long axis distraction
4. ) Total hip strengthening

Question 5

Glute Strain
Subjective:
Test:
Treatment
HEP:

Answer 5

1. ) MOI or repeititive overuse injury
2. ) MMT Hip ext
3. ) Glute sets
4. ) Hip flexion stretch

Question 6

IT band Syndrome
Subjective:
Test:
Treatment
HEP:

Answer 6

1. ) Lateral hip/knee pain; may be a runner
2. ) Adduction ROM, Ober’s test
3. ) Ober’s Stretch
4. ) Self-IT Band Stretch (a.) Knee to chest or (b.) Standing stretch of IT Band

Question 7

Trochanteric Bursitis
Subjective:
Test:
Treatment
HEP:

Answer 7

1. ) Deep pain in the lateral groin or thigh. Pain worse with sit to stand and stairs
2. ) MMT- Abduction
3. ) Ober’s stretch
4. ) Self IT band stretch (can be done in supine or standing)

Question 8

Quad Strain
Subjective:
Test:
Treatment
HEP:

Answer 8

1. ) Repetitive or overuse injury
2. ) MMT knee ext
3. ) Prone Knee Bend
4. ) Quad sets

Question 9

Tight Quads
Subjective:
Test:
Treatment
HEP:

Answer 9

1. ) Nothing really specific in subjective.
2. ) Thomas Test
3. ) PNF stretching in prone
4. ) Standing Quad stretch

Question 10

Anterior Impingement
Subjective:
Test:
Treatment
HEP:

Answer 10

1. ) Pain in groin
2. ) FADIR, Flexion ROM, IR ROM
3. ) Long axis distraction
4. ) Stretch into limitation

Question 11

Erector Spinae Strain
Subjective:
Test:
Treatment
HEP:

Answer 11

1. ) Nothing specific subjective
2. ) Resist them going from lumbar flexion to lumbar extension
3. ) TA Activation exercises (bring one leg up-marches)
4. ) Stretch into flexion or briges

Question 12

Medial or Lateral Meniscus Injury
Subjective:
Test:
Treatment
HEP:

Answer 12

1. ) Popping/clicking MOI. Pivot turn compression
2. ) McMurrays
3. ) Patello-femoral distraction
4. ) Mini squats

Question 13

Ligamentous Injury
Subjective:
Test:
Treatment
HEP:

Answer 13

1. ) Instability at the knee, swelling and pain, MOI with rapid deceleration
2. ) You know this
3. ) Mini squats
4. ) Active SLR

Question 14

Patello-femoral pain
Subjective:
Test:
Treatment
HEP:

Answer 14

1. ) Pain in knee after sitting for a long time
2. ) MMT knee ext. McConnell’s
3. ) Medial Glides to patella
4. ) Correct Femoral IR with sit to stand

Question 15

Lateral Ankle Sprain
Subjective:
Test:
Treatment
HEP:

Answer 15

1. ) trauma with inversion
2. ) Rule out fx using Ottawa
3. ) Balance and proprioception things
4. ) 4 way ankle

Question 16

OA Ankle
Subjective:
Test:
Treatment
HEP:

Answer 16

1. ) Pain deep in the ankle and stiff
2. ) ROM DF
3. ) Posterior Glide of ankle (to help with DF)
4. ) Tennis fence stretch for DF ROM

Question 17

Peroneal Muscle strain
Subjective:
Test:
Treatment
HEP:

Answer 17

1. ) Overuse injury. No clear mechanism really
2. ) MMT eversion
3. ) Eversion with band around both ankles
4. ) Eversion with band

Question 18

Exercise in clinic and at home if they centralize with flexion

Answer 18

Clinic: Quadruped on heels
HEP: Double knees to chest
–> also may want to correct lateral shift if present in the clinic

Question 19

Exercise in clinic and at home if they centralize with extension

Answer 19

Clinic: Prone press ups
HEP: Bridges

Hip ext in prone also an option too

–> also may want to correct lateral shift if present in the clinic

Question 20

Things to do in clinic and at home if they fit in the manip category

Answer 20

Clinic: Supine AP Manip or CPA/UPA
HEP: Hand heel rocking, knee rocks

Question 21

how many reps for hand heel rocking

Answer 21

10 reps

Question 22

Treatments if someone falls into the motor control category

Answer 22

• TA exercises: Hooklying position and bring one leg up, table top and tap down, 6 inches and hold-
• Multifidus exercises: quadruped keeping flat spine and extend one leg and alterante
• Bridging
• Planks

Question 23

What to do for someone in the clinic and at home in the traction category

Answer 23

Clinic: Long axis distraction
HEP: SLR sliders, Slump sliders, Femoral nerve sliders

Question 24

What to do in clinic and at home for hypomobile SIJ

Answer 24

Clinic: Supine AP thrust
HEP: hand heel rocking

Question 25

What to do in clinic and at home for a hypermobile SIJ

Answer 25

For BOTH do multifidus, TA things, bridges, or planks

Question 26

What nerve root does the peroneal n come from

Answer 26

L4-S2