621 EBP
What are the components of EBP?
Best available evidence, clinical expertise, patient values
normal: IR=30-35, ER=15-20
hind: IR=15-25, ER=5-12
Hip long-axis manipulation helps with what type of hip hypomobility?
ALL ROM
Which structure heals the fastest in order from fastest to slowest: tendon, muscle, cartilage
muscle, tendon, cartilage
What are the components of a MWM?
1-3 sets, 6-10 reps
Sustained glide with movement
PAIN FREE (alter glide)
What does MCID stand for?
Minimally clinically important difference.
The difference that is meaningful to PATIENT
What is the loose-packed position for the patella and ankle?
patella= Full extenstion
ankle= 10 degrees platarflexed
Anterior glides of the hip improve which motions?
What is a modality for each of the three phases of healing?
Acute inflammation: Ice, sensory stim...
Proliferation/repair: Heat, motor stim, ...
maturation/remodel: Heat, motor stim, ..
What are contraindications for compression wrap?
edema secondary to circulation blockage, thormbosis, tumor, heart failure, ABI >0.6
What 2 components are part of Categorical Evidence?
What 2 components are part of Continuous Evidence?
Nominal & Ordinal
Interval & Ratio
What are the signs and symptoms for someone who has PFPS?
Anterior knee pain and swelling, pain with prolonged sitting, climbing stairs, kneeling
Intraarticular (labrum, OA, FAI) special tests are best to rule IN OUT or BOTH
What phase of healing is the patient in Moderate protection & controlled motion?
Proliferation/repair
What is the frequencies of each STIM?
Russian: 35-80
IFC/Pre mod: 100-150
High Volt: 100-120
What is sensitivity vs specificity?
True positive rate and true negative rate
What are the Ottawa Knee Ankle and Foot Rules :)
knee: history of recent trauma, above 55 y/o, unable to flex the knee to 90, tenderness in the localized patella and fibular head, inability to WB (4 steps in ED)
ankle: Pain in malleoli region, tenderness 6cm distal tibia and fibula med/lat malleoli, inability to WB (& 4 steps in ED)
foot: Pain in mid foot region, tenderness navicular and 5th med, inability to WB (4 steps in ED)
2 part question:
What leg do you move first when you are in PWB during ascending stairs and descending?
Ascending: unaffected leg->crutch-> affected
Descending: crutch->affected leg-> affected
What grade sprain is the most painful?
Grade 2
Navicular glide indication vs consideration
Indication: navicular hypomobility, pain, limited midfoot ROM
consideration: PRONATION
What is the definition of a likelihood ratio?
the magnitude of the shift in the probability of the condition being present
How much functional DF ROM do you need descending the stairs?
21-36
REPAIR IMMEDIATELY
Tendons will continue to pull off muscle, makes it more difficult to reattach
What grade sprain is the most mobile during joint mobilities?
Grade 3 then 2 then 1
What are the contraindications of a cold pack?
cold hypersensitivity, cryoglobulinemia, paroxysmal cold hemoglobulinemia, Raynaud's disease, over area of PVD or circulatory compromise, over regenerating peripheral nerves