Exam 3: The Knee Flashcards
Which nerves are subject to injury at the knee
common peroneal
saphenous
What are common sources of referred pain for the knee
L3: anterior knee
S1-S2: posterior knee
Hip: anterior thigh and knee
What are two possible diagnosis that cause hypomobility of the knee
osteoarthritis and post-immobilization
What are four common body structure and function impairments that a patient with hypomobility of the knee would experience
pain
loss of ROM/stiffness
quad inhibition
decreased balance
List a few examples of common activity limitations that a patient with hypomobility of the knee would experience
pain with WB that limits household and community activity
Difficulty with sit to stand activities, stairs, and squatting
What are two goals of the protection phase with patients who have hypomobility in the knee
control pain and protect the joint
Maintain soft tissue and joint mobility
What are three goals of the controlled motion and return to function phase with a patient who has hypomobility in the knee
deal with impairments that interfere with functional activities
safe return to function
educate the patient
How would a clinician treat a patient with patellofemoral dysfunction in the protection phase
modalities
rest
gentle motion
muscle setting in pain free positions
How would a clinician treat a patient with patellofemoral dysfunction in the controlled motion or return to function phase
correct or modify biomechanical forces causing impairments
In ligament injuries involving the knee, joint effusion and swelling can cause (quadricep/hamstring) inhibition and should be addressed at the beginning of rehab
quadriceps
(early/late) stages of rehab should include improving muscle performance, functional status, and cardiopulmonary conditioning
late
Sometimes _____ occurs with a meniscal tear, and patients can move just right to unlock it or a PT may have to maneuver the leg to get it to unlock
locking
After acute symptoms subside following a meniscal tear, exercises should be performed to improve _____ and endurance and to progress toward _____ activities
strength; functional
Which exercise mode can be used when muscle activation is not contraindication, but motion may still be contraindicated
isometric/muscle setting
Which exercise mode can be used when you want to begin to facilitate neuromuscular control, proprioceptive feedback, and improve circulation when you are still under strict ROM restrictions
isometric
Isometric exercise mode progression is used usually in (earlier/later) stages of rehab, but should be done in (one/multiple) angles to get the most benefit
earlier; multiple
Which exercise mode usually begins slowly during sub-acute phase if there are no restrictions from surgery with minimal to no resistance at first.
DCER
Which exercise mode uses multiple tools to perform exercises and must consider concentric and eccentric type exercises
DCER
When are stabilization exercises performed
towards the end of the sub acute phase or later
Which type of exercise mode is used to cause quick activation and deactivation or co-contraction of muscles to cause stabilization of the joint
stabilization exercises
Which exercise mode begins in the later sub-acute or chronic stages of rehab and considers the functional goals of the patient
functional exercise
Which exercise mode doesn’t begin until later stages of rehab once ROM is fully regained and good quality muscular control acheived
plyometric and sport specific
True or False:
Stretching and joint mobilizations are okay to use on a patient with hypermobility
false
In patients with hypermobility, which exercise mode can be used if you are careful of which direction your muscle contraction is pulling
isometric
In patients with hypermobility, which exercise mode has a slow progression starting with smaller ROM then progressing from there; in the subacute/controlled motion phase
DCER
In patients with hypermobility, which exercise mode is the biggest part of rehab
stabilization
In patients with hypermobility, when can stabilization exercises be performed
in controlled motion/sub acute phase
In patients with hypermobility, when can functional exercise begin
in later subacute or chronic stages of rehab
In patients with hypermobility, when can plyometric and sport specific exercises begin
later stages of rehab when good quality muscular control and stabilization achieved
Progression of mode of exercise should always include what three things
strength power and endurance
Endurance and strength come (before/after) power type of training
before
