MOI
The MCL fails when a ____ force big enough is applied:
Valgus
The MCL acts as a ___
Static stabilizer
What modality does not promote growth or healing of the tissue?
TENS
Immediately after the injury, the rehab program should begin when the swelling goes down
False.
When should static stretches be performed?
Before exercise
To test for an MCL injury/tear, the knee would be examined at:
30* knee flexion
0* neutral
The MCL inserts into the medial side of the fibula. True or False?
false --> MCL inserts into the medial side of the tibia
Define edema.
Swelling due to excess fluid trapped in body tissues
Icing the knee should stop after phase 3
False
How often should one use NMES?
1-2 times a week
State 3 sports in which this injury is more likely to occur as discussed in the presentation
Soccer
Hockey
Rugby
Football
Skiing
The MCL plays a role in proprioceptive feedback with the help of which innervation?
medial articular nerve
Which modality may be administered to attenuate muscle atrophy/weakness of the quadriceps?
NMES
What is the timeline for recovery for an MCL grade 2 tear?
6 weeks
At what phase do sports specific agility exercises begin?
Phase 4
What is the name of the test used to diagnose a grade 2 partial MCL tear?
Abnormal Passive Abduction Test
Muscles discussed that help the MCL with stability include:
Semimembranous, Pes anserinus, Vastus Medialis
Which modalities may be administered to relax muscle spasms?
NMES and TENS
At what degree of flexion should be reached before progressing to phase 2?
70 degrees
What is our prof Lester's last name?
Lester :D
State 4 signs and symptoms for a grade 2 partial MCL tear as discussed in the presentation.
moderate pain
swelling
more instability
partial tearing of the ligament
heat upon palpation of MCL
Which one of these statements is false?
A) Muscles acting around the MCL as dynamic stabilizers have very fast reaction times in comparison to valgus forces experienced in sports
B) neurological feedback allows for the MCL to "stiffen up" when experiencing a forceful load through
C) The superficial and deep layers of the MCL have separate unique functions
D) MCL injuries are best tested in 30 degree knee flexion
A is false --> the reaction times of dynamic stabilizers are actually too slow in comparison to the valgus forces experienced in some sports
Cold (cryotherapy/ice), should initially be applied at what angle of knee extension?
0 degrees
State 2 goals of a rehab program for an MCL grade 2 tear
-Control joint pain and swelling
-Regain normal knee range of motion
-Regain a normal gait pattern
-Regain normal lower extremity strength
-Regain normal proprioception, balance, and coordination
What does the acronym ATC IS IT stand for?
Avoid aggravation
Timing
Compliance
Individualization
Specific Sequencing
Intensity
Total Patient