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PHTH 517 > Differential, Treatment, TherEx, HEP > Flashcards

Differential, Treatment, TherEx, HEP Flashcards

1
Q

lateral ankle sprain differential

A
  • high ankle sprain
  • achilles tendonitis
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2
Q

lateral ankle sprain treatment

A

AP glide for DF

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3
Q

lateral ankle sprain special tests

A
  • anterior drawer
  • medial talar tilt
  • kleiger
  • dorsiflexion external rotation
  • royal london hospital test
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4
Q

lateral ankle sprain therEx

A
  • calf stretch
  • ankle pumps
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5
Q

lateral ankle sprain HEP

A
  • alphabets 3x, 5 day/wk
  • ankle 4 way 3x8 each direction, 3-4 days/wk
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6
Q

high ankle sprain differential diagnosis

A
  • lateral ankle sprain
  • achilles tendonitis
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7
Q

high ankle sprain treatment

A

AP glide grade 1-2

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8
Q

high ankle sprain special tests

A
  • anterior drawer
  • medial talar tilt
  • kleiger
  • DF ER
  • royal london hospital test
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9
Q

high ankle sprain therEx

A
  • calf stretch
  • ankle pumps
  • 4 way ankle (subacute)
  • foam balance (advanced healing)
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10
Q

high ankle sprain HEP

A
  • alphabets
  • ankle 4 way
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11
Q

achilles tendonitis differential

A
  • high ankle sprain
  • lateral ankle sprain
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12
Q

achilles tendonitis special tests

A
  • kleiger
  • DF ER
  • anterior drawer
  • royal london hospital test
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13
Q

achilles tendonitis treatment

A
  • STM
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14
Q

achilles tendonitis therEx

A
  • calf stretch on slant board
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15
Q

achilles tendonitis HEP

A
  • eccentric calf raises; 3x8, 3-4 days/wk
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16
Q

plantar fasciitis differential

A
  • morton’s neuroma
  • tarsal tunnel syndrome
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17
Q

plantar fasciitis special tests

A
  • morton’s squeeze
  • tinel’s test
  • windlass test
  • jack toe raise
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18
Q

plantar fasciitis treatment

A
  • STM to plantar fascia
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19
Q

plantarfasciitis threEx

A
  • foot intrinsics (shortening of arch)
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20
Q

plantarfasciitis HEP

A
  • calf stretch
  • toe curls
  • shortening of the arch
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21
Q

posterior tibial tendon dysfunction differential

A
  • tarsal tunnel
  • achilles tendon rupture
  • lateral ankle sprain grade 2
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22
Q

posterior tibial tendon special tests

A
  • tinel’s test
  • medial talar tilt
  • thompson’s test
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23
Q

posterior tibial tendon treatment

A
  • STM to posterior tib tendon
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24
Q

posterior tibial tendon therEx

A
  • calf stretch with eversion
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25
Q

posterior tibial tendon HEP

A
  • posterior tibia rotation with theraband
  • calf raises with ball squeeze between heels
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26
Q

medial meniscal tear differential

A
  • MCL
  • Donahue’s (ACL)
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27
Q

medial meniscal tear special tests

A
  • valgus stress test (0 to 30)
  • anterior drawer
  • McMurray’s ER
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28
Q

medial meniscal tear treatment

A
  • tibiofemoral distraction
  • AP glide (flexion)
  • PA glide (extension)
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29
Q

medial meniscal tear therEx

A
  • PNF for quads and/or hamstrings
  • heel slides if acute
  • quad sets if acute
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30
Q

medial meniscal tear HEP

A
  • quad sets
  • hamstring curls
31
Q

donahue’s injury differential

A
  • LCL sprain
  • adductor strain
  • hamstring strain
32
Q

donahue’s injury special tests

A
  • varus stress test (LCL)
  • anterior drawer
  • McMurray’s
  • valgus stress test
  • Ely’s - quads may compensate and become tight
33
Q

donahue’s injury treatment

A
  • tibiofibular distraction
  • AP glide (flexion)
  • PA glide (extension)
34
Q

donahue’s injury therEx

A
  • heel slides
  • quad sets
35
Q

donahue’s injury HEP

A
  • heel slides
  • quad sets
36
Q

medial hamstring strain differential

A
  • adductor strain
  • MCL
  • piriformis syndrome
37
Q

medial hamstring strain special tests

A
  • valgus stress at 30 degrees
  • FAIR
  • adductor squeeze
38
Q

medial hamstring strain treatment

A
  • STM
39
Q

medial hamstring strain therEx

A
  • hamstring stretch with belt
40
Q

medial hamstring strain HEP

A
  • acute: isometric heel digs; 3x30secs; 3-4 days/wk
  • subacute: step downs (eccentric loading); 3x8; 5 day/wk
41
Q

patellofemoral pain syndrome differential

A
  • ACL tear
  • meniscal tear
42
Q

patellofemoral pain syndrome special tests

A
  • anterior drawer
  • McMurrays
  • Clarke’s sign
  • patellar apprehension
43
Q

patellofemoral pain syndrome treatment

A
  • cross friction massage to lateral retinaculum
  • patellar glides, mainly medial glides (helps with lateral tracking and alignment)
44
Q

patellofemoral pain syndrome therEx

A

PNF to quads (repeated contractions)

45
Q

patellofemoral pain syndrome HEP

A
  • step downs (eccentric quad control); 3x8; 5 days/wk
46
Q

FAI differential

A
  • adductor strain
  • labral tear
47
Q

FAI special tests

A
  • scour (rule out labral tear)
  • adductor squeeze (rule out adductor strain)
  • FADIR swoop (identifies impingement)
48
Q

FAI treatment

A
  • long axis distraction (to reduce compression)
  • lateral distraction (reduce compression)
49
Q

FAI therEx

A
  • half kneeling hip flexor stretch
  • supine hip flexor stretch with PT resistance
50
Q

FAI HEP

A

supine hip flexor stretch; 3x30 secs; 5 days/wk

51
Q

piriformis syndrome differential

A
  • FAI
  • adductor strain
  • labral tear
52
Q

piriformis syndrome special tests

A
  • FADIR swoop (FAI)
  • adductor squeeze (adductor strain)
  • scour (labral tear)
  • FAIR
53
Q

piriformis syndrome treatment

A

STM to piriformis

54
Q

piriformis syndrome therEx

A

contract relax the piriformis

55
Q

piriformis syndrome HEP

A
  • piriformis stretch
56
Q

adductor strain differential

A
  • medial hamstring strain
  • medial meniscus
  • MCL
57
Q

adductor strain special tests

A
  • McMurray’s
  • valgus stress (0 then 30)
  • adductor squeeze
58
Q

adductor strain treatment

A

STM to adductor

59
Q

adductor strain therEx

A
  • ball squeezes
60
Q

adductor strain HEP

A

butterflies; 3x30secs; 5days/wk

61
Q

lateral ankle sprain functional test

A

squat (pain going into dorsiflexion, stability)

62
Q

high ankle sprain functional test

A

squat (pain going into dorsiflexion, stability)

63
Q

achilles tendonitis functional test

A

heel raises (directly targets the tendon and calf)

64
Q

plantar fasciitis functional test

A

SLS (uninvolved side first)

65
Q

posterior tibial tendon dysfunction functional test

A
  • heel raises (going into PF and INV)
  • gait (valgus and decreased medial arch)
66
Q

medial meniscal tear functional test

A
  • mini squat (loading –> pain)
67
Q

MCL tear functional test

A
  • squat (stability, pain)
  • SLS (stability, pain)
68
Q

donahue’s injury functional test

A

squat (stability and pain)

69
Q

medial hamstring strain functional test

A
  • squat (eccentric contraction and stretch)
  • step down (eccentric contraction)
70
Q

patellofemoral pain syndrome functional test

A
  • squat as far as they can go (puts load on the PF joint)
71
Q

FAI functional test

A
  • squat (hip flexion causes impingement)
72
Q

piriformis syndrome functional test

A
  • squat with torso forward (compression of sciatic nerve)
73
Q

adductor strain functional test

A
  • sumo squat

PHTH 517 (5 decks)

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