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becky: THER EX > THEREX FINAL REVIEW > Flashcards

THEREX FINAL REVIEW Flashcards

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1
Q

tendonitis healing timeline

A

3-4 weeks to 5-7 weeks

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2
Q

lacerations of tendons healing time

A

5-7 weeks to 3-6 months

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3
Q

exercise induced muscle strain takes ___ days to recover

A

0-3 days

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4
Q

grade 1 mm strain takes

A

0-14 days to recover

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5
Q

grade 2 mm strain takes ___time to recover

A

4-14 days to 2-3 months

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6
Q

grade 3 mm strain takes up to ___time to recover

A

6 months to recover

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7
Q

ligament grade 1 sprain takes ___ to recover

A

0-3 days

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8
Q

ligament grade 2 sprain recover time

A

3-4 weeks-3-6 months

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9
Q

ligament grade 3 sprain recover time

A

5 weeks-6 mo/1 year

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10
Q

ligament graft takes how long?

A

2-3 mo-up to 2 years

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11
Q

bone takes how long to recover?

A

5-7 weeks to 2-3 months

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12
Q

cartilage repair takes how long to recover?

A

2-3 months up to 2 years

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13
Q

pre-op management should include

A

focus on restoring full ROM (pre-op ROM affects post-op ROM)
*education
*expectations
*precautions post-op education
*pain management

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14
Q

post-op primary care should include what?

A
  1. clean dressing
  2. distal pulses
  3. look for compartment syndrome
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15
Q

5 post op complications that can occur early or late in healing

A
  1. infection (red, hot, pain, LOF, swelling)
  2. DVT/PE
  3. delayed wound or bone healing
  4. nerve entrapment/compression
  5. adhesion/scarring
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16
Q

BENCH 3 PTS

A
  1. bed rest 3+ days
  2. edema
  3. non-varicose superficial veins
  4. cancer (active)
  5. history of DVT

3 CM LARGER ON AFFECTED LEG

Paralysis
Tenderness
Swollen

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17
Q

PEACE is for when?

A

immediately after post-op

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18
Q

LOVE is for when?

A

subsequent care after post op

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19
Q

grade 1 mm strain

A

mild damage, minimal loss of strength/motion

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20
Q

grade 2 mm strain

A

no rupture but significant LOSS OF STRENGTH/MOTION
*weak/painful

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21
Q

grade 3 mm strain

A

defect that you can feel
need sx probably
weak, PAINLESS SOMETIMES

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22
Q

grade 1 ligament sprain

A

stretched but keeps joint stable
*does NOT LIMIT MOTION

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23
Q

grade 2 ligament sprain

A

joint LOOSE (partial tear)

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24
Q

grade 3 ligament sprain

A

SPLIT INTO 2 PIECES, joint unstable (complete tear)

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25
What is the max protection phase post op?
days --6 weeks *inflammation/pain phase *precautions! *PROM or AAROM depending
26
what is the post op mod protection phase?
less inflammation, more mobility 4-12 weeks long FULL, PAIN FREE AROM *want to restore joint motion, gradually strengthen, improve neuro-msk control/stability
27
post op min protection phase
6 weeks-12 months *very little protection *restore strength, patient education!
28
case! A 17 year old patient has non op PCL/MCL tear! according to guidelines, he can jog at 8 weeks. But he didn't get PT until 5-6 weeks and lacks full ROM, strong quad activation. Can he safely run?
NO *consider the individual and not just the timeline *ROM has a window of time *can't regain motion after few months of healing
29
if you have a stress fx, will it show on imaging?
imaging may appear negative! *may not be seen for 1 wk to several months
30
ottawa knee rules
1. age over 55 2. can't take 4 steps 3. tenderness patella 4. tender at fib head 5. can't flex to 90 degrees
31
Ottawa anke/foot rules
1. pain at ankle OR midfoot AND tender at lateral or medial mal tender at base of 5th met or navicular OR CAN'T WEIGHT BEAR 4 STEPS
32
primary bone healing requires
absolute stability *STRESS SHIELDING
33
secondary bone healing is known as
fracture repaired without surgery *cast or sling (indirect healing)
34
what is stress shielding?
PATIENT IS NON WB PLATES* fragments held by compression, takes slower for bone to heal *absolute stability/no motion at fracture site
35
what is stress sharing?
lets secondary callus formation -partial load transmission across fx site -casts, pins, screws, external fixators, ETC... *forces of WB distributed btwn bone and device *EARLY WB IS GOOD
36
early WB with what types of devices
cast, rod and external fixator (secondary healing)
37
late WB with what devices
PLATE (unless bridged) *delayed WB with pin, screw, wire
38
exercise post-ORIF MAX PROTECTION PHASE
first 6-8 weeks ankle pumps, deep breathing resistive ex to everything except sx leg submax mm setting: -glutes -abd -add -quads -hams supine vs standing ex: -flex, abd, ext, SLR
39
posterolateral THA
cut the glutes *no flex 90 *no add *no IR abduction pillow, transfer to non op side
40
direct anterior approach THA
cut the TFL/sartorius (abductors are weak!) *no ext *no ER, NO ABD avoid frog leg! turn towards bad leg, use abduction pillow
41
what kinds of exercises are for day 1-3 post op?
ankle pumps, gait training, transfers functional training with movement and WB restrictions *ISOMETRICS
42
what kinds of exercises for phase 2 post op?
week 1-6 MOTION IS LOTION endurance, CARDIO, proprioception, nmes, ROM*
43
full ROM and full WB should happen for patellar post op when
6-12 weeks 12 weeks on no more ext brace
44
tibial plateau post op guidelines for ROM week 1-2
AAROM: 90 degrees of flexion NO WB isotonic ankle/glutes
45
tibial plateau post op guidelines for ROM week 2-8
FULL ROM, quad sets isometric NO WEIGHT BEARING AT 2 MONTHS
46
when do you weight bear for tib plateau post op?
PROGRESS TO full ROM, BEGIN AT END OF 3 MONTHS *gentle resistive
47
WEEK 12-16 for tib plateau post op
full AROM progressive resistance WBAT
48
when is ACL ligament reconstruction weakest?
at 6-12 weeks! most likely torn at 12 weeks
48
criteria for full ambulation
need 0 degrees ext, 90 deg knee flex 30 SLR without lag min pain, swelling symmetric gait with no limp MD/PT approval
49
ACL STRENGTH AND JOGGING PHASE
6-12 weeks criteria: 2 degrees of normal knee ext, 120 flex quad/hams 60% normal *can do 1 min of single leg squats pain below 3
50
ACL REHAB agility and power phase
12-20 weeks post op strength, weight training plyometrics and light agility
51
ACL RETURN TO PLAY POST OP
20+ weeks need pain less than 2/10 need quad/hams 90%, 60% HQ ratio for women 90% SLH test
52
PCL management
Closed chain immediately! NOT HAMS UNTIL 6-12 WEEKS
53
MCL AND LCL POST OP
for 6 weeks avoid valg/varus, rotation QUAD STRENGTH, NORMAL ROM
54
WB OR ROM RESTRICTION TO MCL/LCL?
no
55
MCL and LCL grade 1 tear should heal
few days to two weeks (2: 2-4 weeks) (3: 4-8 wks)
56
quad/patellar tendon rupture protocol for first 12 weeks
NO RESISTED OPEN CHAIN STRENGTH *WBAT locked in ext
57
quad/patellar tendon gets full ROM when
8 weeks
58
what mm are activated during quiet stance
gastroc/soleus tib ant glute med TFL iliopsoas erector spinae
59
what happens when post displacement of COG but weak quads
fall-no ankle
60
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becky: THER EX (11 decks)

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