PT

Question 1

What are the general therapeutic goals for ortho?

Answer 1

All of the above

Question 2

All rehab patients present with the following 3 components:

Answer 2

Mechanical
Neuromuscular
Motor

Question 3

2 main treatment interventions within PT include:

Answer 3

Manual therapy

Therapeutic exercise

Question 4

This finding is typically present when diagnosing patella-femoral syndrome.

Answer 4

Ipsilateral hip abductor weakness

Question 5

What does physical therapy assist with?

Answer 5

Restoration,

maintenance, promotion of optimal physical function

Question 6

Places where Physical Therapists can Practice

Answer 6

Hospital
Private practice
Inpatient rehabilitation facility
Outpatient clinic
Sports-injury treatment center
Skill nursing or extended care facility
Schools
Work, occupational, or industrial environment
Fitness centers or training facility
Academic/research center
Hospice
Home

Question 7

Patient Management

Answer 7

Examination & evaluation
Diagnosis
Prognosis
Intervention

Question 8

Therapeutic Goals for General Orthopedic Conditions

Answer 8

Educate
Pain control
Increase function
Improve coordination, gait, balance, proprioception, “core” activation
Appropriate bracing/orthoses
Prevent or minimize permanent physical disabilities
Restore, maintain, & promote overall health & fitness

Question 9

Education for PT

Answer 9

PRICE: prevention, rest, ice, compression, elevate
Activity modifications
“Active rest”

Question 10

How do PTs increase function?

Answer 10

Regaining ROM & strength

Question 11

Manual Therapy

Answer 11

Tissue/restriction mobilization
Mobilization/manipulation
Manual lymphatic drainage

Question 12

Therapeutic Exercise

Answer 12

Aerobic capacity or endurance conditioning
Balance, coordination & agility training
Body mechanics & postural stabilization
Flexibility exercises
Gait & locomotion training
Neuromuscular development & reeducation
Relaxation/breathing techniques
Strength, power, & endurance training

Question 13

Functional Training

Answer 13

ADL training
Barrier accommodations/modifications
Device & equipment use/training
Functional training programs
Instrumental ADL training
Injury prevention or reduction

Question 14

Devices & Equipment

Answer 14

Adaptive
Assistive
Orthotic
Prosthetic
Protective
Supportive

Question 15

Physical Agents & Mechanical Modalities

Answer 15

Cryotherapy/hydrotherapy
Electrotherapeutics (TENS)
Sound agents (US)
Thermotherapy
Compression
Traction devices
Gravity-assisted pneumatic compression devices

Question 16

3 Components of PT Treatment

Answer 16

Mechanical
Neuromuscular
Motor

Question 17

Mechanical Components of PT Treatment

Answer 17

Evaluation of joint, soft tissues, muscular, visceral, & neurovascular components which limit motion or function

Question 18

Neuromuscular Components of PT Treatment

Answer 18

Ability to efficiently initiate & demonstrate proper strength & endurance for any given contraction
Automatic Core Engagement tests
Manual facilitation techniques & directed exercise

Question 19

Motor Control Components

Answer 19

Ability to utilize efficient mechanical & neuromuscular components to efficiently assume a balanced posture
Focus on kinesthetic & proprioceptive awareness & enhancement
Effectively-timed activation of the core & global muscles during activity

Question 20

Commonly Treated Orthopedic Conditions in PT

Answer 20

Knee
Rotator cuff disease
Ankle sprains/fractures
Low back pain
Cervical myofascial disorders
Lateral hip pain

Question 21

Patellofemoral Pain Syndrome

Answer 21

Cartilagenous degenerative changes
Ipsilateral hip abductor weakness
Crepitation
Prolonged walking or sitting, running, hill climbing, & stairs

Question 22

Risk Factor for Patellofemoral Pain Syndrome

Answer 22

Flat feet (pes planus)

Question 23

Treatment of Patellofemoral Pain Syndrome

Answer 23

Rest
Strengthening of hip
Orthotics
Anti-inflammatories
Taping

Question 24

Rotator Cuff Syndrome

Answer 24

Impingement
Tendonitis
Tendonosis
Tear

Question 25

Presentation of Rotator Cuff Syndrome

Answer 25

Pain with overhead activities, reaching behind the back, sleeping on affected side Isolated cuff weakness

Question 26

Treatment of Rotator Cuff Syndrome

Answer 26

``` Rest Activity modifications NSAIDs Cortisone Ice Exercise Surgery ```

Question 27

Presentation of Ankle Sprain

Answer 27

``` History Warmth Redness Swelling Pain ```

Question 28

Ottawa Ankle Rules

Answer 28

Need x-ray if tender malleolli + one of the following: Tender tibia/fibula Tender navicular tender 5th metatarsal head

Question 29

Treatment of Ankle Sprains

Answer 29

``` PRICE Bracing ROM Balance & proprioceptive reawareness Strength & stabilization ```

Question 30

Reasons for Low Back Pain

Answer 30

Overuse/muscular strain Ligamentous sprain Disc injury Degenerative breakdown

Question 31

Presentation of Low Back Pain

Answer 31

Pain Decreased movement Radicular symptoms

Question 32

Treatment of Low Back Pain

Answer 32

``` Rest Education Meds Ice E-stim Early exercise (stability muscles) ```

Question 33

Possible Reasons for Cervalgia

Answer 33

``` Stress Poor posture Minor injuries Referred pain Overuse Disc protrusion Pinched nerve Degenerative ```

Question 34

Treatment of Cervalgia

Answer 34

``` Cold/heat TENS Improved posture/body mechanics NSAIDs/steroids Joint mobility & exercise ```

Question 35

Define Trochanteric Bursitis

Answer 35

Inflammation of the trochanteric bursa

Question 36

Presentation of Trochanteric Bursitis

Answer 36

Localized pain & tenderness Pain with walking & prolonged standing Pain with stairs & hills Pain with lying on affected side

Question 37

What conditions can trochanteric bursitis coexist with?

Answer 37

Low back pain OA Obesity

Question 38

Treatment of Trochanteric Bursitis

Answer 38

``` Activity modifications Heat Cortisone Ultrasound Stretching Strengthening Soft tissue mobilization ```

Question 39

What does an ACL disruption prevent?

Answer 39

Anterior tibial translation in relation to the femur

Question 40

What tears often accompany an ACL tear?

Answer 40

Meniscal MCL Cartilage

Question 41

History of an ACL Disruption

Answer 41

``` Pop Immediate pain & swelling Perceived knee instability Aspirate bloody fluid + Lachman's ```

Question 42

Management of ACL Disruption

Answer 42

PRICE Orthopedic consult MRI

Question 43

How long is rehab for an ACL disruption?

Answer 43

6-9 months