Return Pt questions

Question 1

Assessment and Osteopathic principles

Answer 1

I’m going to assess above and below with the osteopathic view of the body is a unit and structure and function is interconnected.

I have assessed the hip previously in two sessions and there is no restriction or pain in any vectors. Therefor today I will only assess AROM and the strength in functional movements like squats and lunges.

Question 2

BPS factors impacting recovery:

Answer 2

 Decreased pain tolerance, ↓ rehab adherence due to psychological exam stress

 Educate the patient about load management and the risks of early return.

 Use goal setting (sport-related goals) to maintain engagement while pacing rehab.

 Encourage stress management techniques (breathing, sleep hygiene) during exam periods.

Question 3

Inhibition

Answer 3

Rule of artery is supreme – stimulating blood flow to avascularised ligaments.

Question 4

Mechanotransduction

Answer 4

Promotes the transition from disorganised Type III collagen to organised Type I collagen, which has greater tensile strength.

Encourages muscle fibre regeneration and proper alignment of fibres under stress.

Facilitates angiogenesis (formation of new blood vessels), improving blood flow and nutrient delivery.

Question 5

Voluntary contraction / neuromuscular connection

Answer 5

Enhances muscle spindle sensitivity, aiding joint stability without relying on passive structures.