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SCS Prep > CPGs > Flashcards

CPGs Flashcards

1
Q

Achilles Tendinitis Examination

A

B

  • walk, descend stairs, uni heel raise, SL hop, recreation
  • DF ROM, ST ROM, PF strength/endurance, static arch height, FF alignment, painful palpation
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2
Q

Achilles Tendinitis Interventions

A 
A - ECC loading
B - laser, ionto
C - stretching, orthoses (running), night splint NOT beneficial vs ECC
D - heel lift
F - MT, taping
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3
Q

ACL Prevention

A

A

  • prox control, strength, plyo
  • 20+ min sessions, > 30 min/wk
  • start in preseason, continue through season

B - does not need balance or solely focus on balance

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4
Q

Adhesive Capsulitis

Risk Factors/Clinical Course

A

B - DM, thyroid, 40-65, female, had on contra side

C - 12-18 mo (mild/mod mob deficits and pain persist but min/no disability)

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5
Q

Adhesive Capsulitis Interventions

A

A - injections with mob/stretching (more effective than mob/stretching alone)
B - pt edu, stretching
C - modalities (shortwave, US, estim with mob/stretchin), joint mob, MUA

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6
Q

Ankle Sprain Risk Factors and Dx

A

B

  • hx of previous strains, no external use, no normal DF ROM, no proper warm up, no balance/prop program
  • level of function, lig lax, hemorrhage, pt tender, total ankle motion, swelling, pain
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7
Q

Ankle Sprain/Instability Examination

A

A - swelling, ROM, talar translation and inversion, SL balance
B - SL hop tests for lateral, diagonal, directional movement/changes

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8
Q

Ankle Instability Risk Factors and Classification

A

C - inc talar curvature, no external support, no balance/prop program after acute sprain
B - CAIT, instability from old lig injury, stability and movement coordination impairments

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9
Q

Ankle Sprain/Instability Intervention - Acute/Protected Motion Phase

A

A - Early WBing with support, therex (severe sprain)
B - MT (drainage, active and passive STM and joint mob, A/P talar mob)

Physical Agents
A - cryo, US (don’t use)
C - diathermy
D - electro/laser

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10
Q

Ankle Sprain/Instability Intervention - Progressive Loading/Sensorimotor Training Phase

A

A - MT (graded mob/manip, MWM for DF, prop, WBAT for sprain)

C - therex/theract (functional and SL balance), sport specific

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11
Q

Carpal Tunnel Diagnosis

A

A - SWMT (2.83 or 3.22)
B - Katz, Phalen, TInel, carpal compression
D - UE neurodynamic tests, scratch-collapse test, test for vibration

B - cluster (3+ for accuracy)
> 45, wrist ratio index (> .67), CTQ-SSS > 19, shaking hands to relieve symptoms, sensory loss in thumb

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12
Q

Carpal Tunnel Examination

A

Strength
A - don’t use lateral pinch or grip
C - grip, 3pt, tip pinch
D - tip, 3pt, APB MMT following surgery

Sensory
C - don’t use threshold or vibration in nonsurgical, phalen surgical
D - 2 pt discrimination, threshold after surgery

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13
Q

Carpal Tunnel Intervention

A

B - orthoses (neutral wrist worn at night, short term and nonsurgical), agents (don’t use laser, ionto, magnets)

C

  • assistive technology
  • orthoses (day, symptomatic, full time when night only doesn’t work; during pregnancy/post partum)
    • may add MCP joint immob or modify wrist position
  • agents (heat and diathermy for short term, don’t use US, phono for nonsurgical)
  • MT (short term)
  • therex (orthotic/stretching program if no thenar atrophy and normal 2pt)

D

  • agents (nonthermal US)
  • MT (neurodynamic mob)
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14
Q

Knee Sprain Interventions

A

A - therex (WB/NWB, CON/ECC within 4-6wks after ACLR; 2-3x/week 6-10 mo), nm estim (6-8 wks), neuro re-ed
B - immed mob (within 1 wk), cyro, supervised rehab
C - CPM, early WBing (WBAT), knee bracing
D - patient preference knee brace
F - knee brace (acute PCL, severe MCL, PLC injuries)

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15
Q

LBP Interventions

A

A

  • MT (thrust manip for acute lumbar/butt/thigh pain, thrust manip and nonthrust mob for subacute/chronic)
  • trunk coordination, strength, endurance ex (subacute and chronic post microdiscectomy)
  • centralization (acute with referred pain)
  • directional preference (acute, subacute, chronic with mobility issues)
  • progressive endurance ex (generalized pain)

B
- pt edu (not if it will incr perceived threat/fear)

C

  • flex ex (combined with MT, strengthening, nerve mob, progressive walking - chronic with radiating)
  • LQ nerve mob (subacute and chronic with radiating)

D
- traction (mod evidence to not use with acute/subacute nonradicular or chronic; prelim evidence for nerve root compression with peripheralization or + CSLR - intermittent in prone)

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16
Q

Knee Mensicus/Articular Cartilage Examination

A

B (meniscus) D (AC)
- modified stroke test for effusion, knee AROM, max vol isometric/isokinetic quad strength, jt line tenderness

B (meniscus) - max passive knee flex, McMurray’s, jt line tenderness

17
Q

Knee Meniscus/Articular Cartilage Interventions

A

Progressive knee motion (B) - early A/PROM (both)

Progressive WBing
B - stepwise progressive (FWB by 6-8 wks, AC)
C - meniscus

Progressive RTP
C - early RTP meniscus
E - delay RTP (AC)

Supervised Rehab (B) - meniscus

Therex (B) - both post op

NM estim/biofeedback (B) - both post op

18
Q

Neck Examination

A

Mobility - AROM, flex/rot test, c/t spine mob

Headache - AROM, flex/rot test, upper c spine mob

Radicular - neurodynamic testing, Spurling’s, distraction, Valsalva

Movement Coordination (includes WAD) - cranial cervical flex, neck flex endurance test

19
Q

Neck Interventions Mobility

A

B
acute - thoracic manip, neck ROM, ST/UE strengthening
subacute - neck/shoulder girdle endurance
chronic - thoracic manip, cervical manip/mob, cervical/ST exercises

C
acute - cervical manip/mob
subacute - thoracic manip and cervical manip/mob
chronic - neck, shoulder girdle, trunk endurance; pt edu

20
Q

Neck Interventions Movement Coordination

A

B, acute

  • edu (min use of collar, postural/mobility exercises)
  • reassure expected recovery is 2-3 mo
  • if slow recovery with persistent impairments (mobs with exercise)

C
acute - low risk of progressing to chronic (single session of edu/HEP, comprehensive ex program, TENS)
chronic - (edu, mob with submax ex program, TENS)

F
acute - monitor recovery status to identify delayed pts

21
Q

Neck Interventions Headaches

A

B
acute - active mobility
subacute - cervical manip/mob
chronic - cervical/CT manip/mob with shoulder girdle, neck stretching, strengthening, endurance ex

C
acute/subacute - C1-C2 self SNAG

22
Q

Neck Interventions Radiating

A

B, chronic

  • mechanical intermittent traction with stretching and strengthening, c/t spine mob/manip
  • edu

C
acute - mob/stab exercises, laser, short term collar use

23
Q

NonOA Hip Pain Interventions

A

F

  • pt edu
  • MT (joint mob, STM)
  • therex and theract
  • neuro re-ed
24
Q

Plantar Fasciitis Diagnosis

A 
B
plantar medial heel pain (after period of inactivity, worsens with prolonged WBing)
heel pain with inc activity
painful palpation of prox insertion
(+) Windlass (-) Tarsal tunnel
limited A/PROM TC DF
abnormal FPI
high BMI in nonathletes
25
Q

Plantar Fasciitis Interventions

A

A

  • manual therapy (joint mob, STM; tx for LE)
  • stretching (gastroc/soleus for short term, 1-4 wks; heel pad may inc benefits)
  • taping (antipronation for immed, up to 3 wks; elastic gastroc for short term (1 wk)
  • foot orthoses (prefab or custom to support med long arch and cushion heel)
  • night splint (1-3 mo program, if first step in AM pain)

B
- electro (ineffective for long term 1-6 mo; debatable for short term - ionto 2-4 wk)

C
- laser, phono, US (don’t use), footwear (rocker-bottom with orthosis, shoe rotation during work week)

E - edu for weight loss

F - therex and neuro re-ed (control pro and attenuate forces during WBing), dry needling (don’t use)

26
Q

PFPS Diagnosis

A

A - reproduce of retro/peri pain during squat or loaded flex position (stairs)

B - retro or peri pain, reproduction during squats, stairs, prolonged sitting, other flexed activities), exclusion of other ant knee pain pathologies

C - patellar tilt test with hypomobility

27
Q

PFPS Classification

A

F - no valid system, 4 proposed classification

overuse/overload
muscle performance deficits
movement coordination deficits
mobility impairments

28
Q

PFPS Examination

A

B - squat, step down, SL squat

C - patellar provocation, patellar mobility, foot position, thigh/hip strength, muscle length

29
Q

PFPS Interventions

A

A

  • exercise (hip/knee combo)
  • foot orthoses (prefab with inc pro for short term pain relief, 6 wks; combo with ex, insufficient evidence for custom over prefab)
  • dry needling (don’t use)
  • MT alone - don’t use
  • combined interventions (foot orthoses, patellar tapine, patellar mobs, and/or stretching)

B

  • patellar taping (w/ e for short term pain relief, 4 wks)
  • orthoses (don’t use)
  • biofeedback (don’t use electromyography, visual alignment cues)

C

  • running gait retraining (adopt FF strike, inc cadence, dec peak hip abd)
  • acupuncture

F

  • BFR (for limited painful ext)
  • pt edu

SCS Prep (16 decks)

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