Exam 3: The Knee

Question 1

Which nerves are subject to injury at the knee

Answer 1

common peroneal

saphenous

Question 2

What are common sources of referred pain for the knee

Answer 2

L3: anterior knee
S1-S2: posterior knee
Hip: anterior thigh and knee

Question 3

What are two possible diagnosis that cause hypomobility of the knee

Answer 3

osteoarthritis and post-immobilization

Question 4

What are four common body structure and function impairments that a patient with hypomobility of the knee would experience

Answer 4

pain
loss of ROM/stiffness
quad inhibition
decreased balance

Question 5

List a few examples of common activity limitations that a patient with hypomobility of the knee would experience

Answer 5

pain with WB that limits household and community activity

Difficulty with sit to stand activities, stairs, and squatting

Question 6

What are two goals of the protection phase with patients who have hypomobility in the knee

Answer 6

control pain and protect the joint

Maintain soft tissue and joint mobility

Question 7

What are three goals of the controlled motion and return to function phase with a patient who has hypomobility in the knee

Answer 7

deal with impairments that interfere with functional activities
safe return to function
educate the patient

Question 8

How would a clinician treat a patient with patellofemoral dysfunction in the protection phase

Answer 8

modalities
rest
gentle motion
muscle setting in pain free positions

Question 9

How would a clinician treat a patient with patellofemoral dysfunction in the controlled motion or return to function phase

Answer 9

correct or modify biomechanical forces causing impairments

Question 10

In ligament injuries involving the knee, joint effusion and swelling can cause (quadricep/hamstring) inhibition and should be addressed at the beginning of rehab

Answer 10

quadriceps

Question 11

(early/late) stages of rehab should include improving muscle performance, functional status, and cardiopulmonary conditioning

Answer 11

late

Question 12

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

Answer 12

locking

Question 13

After acute symptoms subside following a meniscal tear, exercises should be performed to improve _____ and endurance and to progress toward _____ activities

Answer 13

strength; functional

Question 14

Which exercise mode can be used when muscle activation is not contraindication, but motion may still be contraindicated

Answer 14

isometric/muscle setting

Question 15

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

Answer 15

isometric

Question 16

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

Answer 16

earlier; multiple

Question 17

Which exercise mode usually begins slowly during sub-acute phase if there are no restrictions from surgery with minimal to no resistance at first.

Answer 17

DCER

Question 18

Which exercise mode uses multiple tools to perform exercises and must consider concentric and eccentric type exercises

Answer 18

DCER

Question 19

When are stabilization exercises performed

Answer 19

towards the end of the sub acute phase or later

Question 20

Which type of exercise mode is used to cause quick activation and deactivation or co-contraction of muscles to cause stabilization of the joint

Answer 20

stabilization exercises

Question 21

Which exercise mode begins in the later sub-acute or chronic stages of rehab and considers the functional goals of the patient

Answer 21

functional exercise

Question 22

Which exercise mode doesn’t begin until later stages of rehab once ROM is fully regained and good quality muscular control acheived

Answer 22

plyometric and sport specific

Question 23

True or False:

Stretching and joint mobilizations are okay to use on a patient with hypermobility

Answer 23

false

Question 24

In patients with hypermobility, which exercise mode can be used if you are careful of which direction your muscle contraction is pulling

Answer 24

isometric

Question 25

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

Answer 25

DCER

Question 26

In patients with hypermobility, which exercise mode is the biggest part of rehab

Answer 26

stabilization

Question 27

In patients with hypermobility, when can stabilization exercises be performed

Answer 27

in controlled motion/sub acute phase

Question 28

In patients with hypermobility, when can functional exercise begin

Answer 28

in later subacute or chronic stages of rehab

Question 29

In patients with hypermobility, when can plyometric and sport specific exercises begin

Answer 29

later stages of rehab when good quality muscular control and stabilization achieved

Question 30

Progression of mode of exercise should always include what three things

Answer 30

strength power and endurance

Question 31

Endurance and strength come (before/after) power type of training

Answer 31

before