714
Coxa ____ increases shear force/load on the neck of the femur
Vara
What are distal risk factors for PFPS?
(+) navicular drop
excessive pronation
Limited DF or Supinated foot
When ACL reconstruction is indicated, moderate evidence supports reconstruction within how many months of injury in order to protect the articular cartilage and menisci?
within 5 months
Your patient reports medial ankle pain, a localized burning sensation, and paresthesia at the medial plantar surface of the foot. Based on these findings, which ICF classification would you use for this pt? Which special test(s) might you want to use during your exam?
ICF: Ankle and foot radiating pain
Special test: Dorsiflexion Eversion and Triple Compression
A pt. with PFPS presents with weak hip abductors and dynamic/functional valgus when performing a squat, which contributes to her knee pain. What is an appropriate intervention for this pt.?
Brueger's side steps w/ elastic band
Function correction for femoral internal rotation/adduction
What motions does the iliofemoral restrict?
extension, ER, and ABD
Age >50
Mod Ant or Lat hip pain during WB activities
Morning stiffness < 1hr
Hip IR < 24 OR Hip Flex and IR 15 degrees less than uninvolved side
and/or increased hip pain w/ passive IR
Following hip arthroscopy, this motion is key in enhancing early motion and preventing intra and extra-articular adhesions
Circumduction
Based on your exam findings, you determine that having the pt. perform repeated movements would be most appropriate. What are 3 things that you MUST remember when having the patient perform repeated motions?
1. get their baseline (location and intensity)
2. ask pt. how they feel DURING the test
3. ask pt. how they feel after the test
For your Triple Jump case, your patient has a Dx of Plantar Fascitis. When you come in for phase 2 of TJ, Manny asks you to provide sleeping education to this pt. What will you tell this pt.?
Teach pt. ways to avoid full plantarflexion while sleeping.
What is the 3rd layer of the instrinsic muscles of the plantar foot
flexor hallucis brevis, adductor hallucis, flexor digiti minimi brevis
For the Fitzgerald Test, How do you test the Ant Labrum?
start pt. in Flex, Abd, ER
move into Ext, iR, ADD
When would you back off training following hip arthroscopic surgery?
when pain lasts 2-3 days after a workout
when pain is evident at the beginning of a run/walk and becomes worse as run/walk continues
When pain keeps patient awake at night
When pain changes the patient's stride
You suspect a patient has hip OA. When assessing ROM, which motions do you expect to be the most limited?
IR, Flexion and Abd
Upon return from lumbar flexion, you note excessive lumbar extension. The pt. moves into lumbar spine extension first as opposed to hip extension. How can you correct this?
Stabilize the pt's hips as they bend forward, and then forcefully move pt into hip extension in order to guide them to use their hips first.
OR
cue pt. to engage abdominals when bending forward and then maintain this abdominal brace upon return in order to limit excessive use of paraspinals
During Supination twist of the tarsometatarsal joint, rays 1 and 2 will ___ rays 4-5 will ____ to maintain contact with the ground
Rays 1 and 2: DF
Rays 3 and 4: PF
What are the components of the Foot Posture Index?
Talar head position
Lateral malleolar curves
Calcaneal inversion/eversion
Talonavicular congruence
Medial Arch height
Forefoot Abd/Add
For ACLR Rehab, what are the clinical milestones for weeks 6-8?
Normal gait pattern
Full Knee ROM
Quadriceps strength greater than 80%
When moving from a position of hip flexion to hip extension, the pt. reports a "snapping" sound occurring at the hip. Based on this finding, what pathology do you believe is present, and what structure(s) is involved?
Internal snapping hip: Iliopsoas tendon
For your Triple Jump, you plan to perform E-Stim on a pt. Before you do this, Manny asks you what the contraindications are. What will you say?
Cardiac pacemaker or arrythmias
electrodes over carotid sinus
areas of venous or arterial thrombosis or thrombophlebitis
Pregnancy-over or around abdomen or low back
What motions occur during Pronation twist in Weightbearing?
Calcaneal eversion
Talar Adduction
Talar plantarflexion
Tibiofibular medial rotation
What are key findings indicative of Achilles Tendinopathy?
Pain 2-6cm proximal to insertion
pain with palpation
(+) arc sign
(+) Royal London
(-) Lumbar screen
What is the progression of CKC exercises for ACL?
Start with lunge, then step up, then step down, and finally SL sit to stand
You suspect a patient has posterior tibial tendon dysfunction. You notice an excessively pronated foot and when administering the 6 minute walk test, you notice that she has decreased walking distance. When considering muscle performance up the chain, strength and endurance of which muscles would be appropriate for this patient?
Hip abductors and extensors
Your TJ pt. is 2 weeks post-op ACL reconstruction. What clinical milestones do you wish to achieve during this phase?
Full knee extension
Knee flexion greater than 110
walking with full knee extension
use of cycle/stair climber without difficulty
Use of stairs foot-over-foot
KOS-ADL greater than 85%