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Rehab > Final Exam > Flashcards

Final Exam Flashcards

1
Q

Neural flossing: two nerves to test

A

Median nerve

Sciatic nerve

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2
Q

Median Nerve route

A

C-spine –> scalenes –> under clavicle –> medial side of upper arm –> cross over at the elbow –> anterior side of the forearm –> thumb

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3
Q

sciatic nerve route

A

head –> spine –> glutes–> hamstrings –> calves

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4
Q

Common features to WAD

A 
neck pain
dizziness
headaches
weakness
stiffness
altered sensation in the arms
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5
Q

grading system of WAD

A
  1. subjective symptoms with objective signs
  2. +MSK
    • neurological condition
  4. fracture/dislocation
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6
Q

cervicogenic headache

A

a headache arising from the cervical spine caused by a mis-mapping of information at the trigemino-cervical nucleus

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7
Q

cervical artery dissection

A

compression of the carotid or arterial arteries caused by extension and rotation

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8
Q

should ROMS

A 
F: 180
E: 60
IR: 70
ER: 90
Ad: 180
Ab: 0
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9
Q

scapular dyskinesis types

A

I: inferior angle
II: medial border
III: superior angle
IV: normal

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10
Q

GH instability causes

A
  1. TUBS
  2. AMBRI
  3. Adaptive instability
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11
Q

tubs

A

traumatic unilateral bankart surgery

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12
Q

AMBRI

A

atraumatic multidimensional bilateral rehabilitative inferior capsular shift

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13
Q

What kind of athlete is prone to a GH instability?

A

overhead athletes: volleyball players, swimmers, baseball pitchers

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14
Q

risky ranges of motion for GH instability

A

external rotation and abduction

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15
Q 
what to do in the:
1-3 weeks 
4-6 weeks
7+ weeks
after a GH instability issue
A

1-3 weeks: immobilize
4-6 weeks: add in ROM <90 degrees Can do Abduction OR external rotation
7+ weeks: do all ROMs cautiously

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16
Q

impingement types

A
  1. posterior inferior impingement

2. subacromial impingement

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17
Q

posterior inferior impingement structures

A
  1. infraspinatus
  2. supraspinatus
  3. labrum
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18
Q

subacromial impingement structures

A
  1. supraspinatus
  2. subacromial bursa
  3. long head biceps tendon
19
Q

subacromial impingement cause

A

abduction and flexion

20
Q

PII causes

A

cross extension flexion and abduction

21
Q

Scapular dyskinesis that causes impingment

A
  1. XS anterior tilt
  2. limited superior rotation
  3. Winging
  4. XS protraction
  5. XS elevation
22
Q

Humeral mechanims contributing to impingment

A
  1. anterior translation
  2. superior translation
  3. GIRD
  4. limited external rotation
23
Q

How to treat shoulder issues in order of healing

A
  1. early healing ROM work

2. Elevation ROMs to address abduction and flexion and scapular plane work

24
Q

4 arcs of motion to work through

A
  1. 0-45
  2. 45-90
  3. 90-120
  4. 120-150
25
Q

When doing RT work for internal rotation of the shoulder, what should you watch for?

A

anterior tilt of the scapula

26
Q

When doing RT for external rotation of the shoulder, what should you watch for

A

anterior translation of the humerus

27
Q

when doing tricep dips, ____ is focused in the ECC contraction of the biceps and _____ is focused on the CON contraction. What should you emphasize for tendon pathology? How many reps and sets should you do?

A 
ECC = down
CON = up

emphasize on the down

3 sets of 15 2 x a day to tolerable discomfort

28
Q

What does gravity want of the T-spine when you enter shoulder flexion? abduction?

A

flexion: gravity wants t-spine flexion
Abduction: gravity wants ipsilateral side flexion

29
Q

3 common issues of the knee

A
  1. anterior knee pain
  2. ACL reconstruction
  3. osteoarthritis
30
Q

causes of anterior knee pain

A
  1. valgus/varus
  2. shifting of tibia or femur
  3. weak hip muscles (abductors and extensors)
  4. weak knee extensors relative to flexors
  5. lateral thigh restriction
  6. pronation of foot
  7. stiff rectus femoris
31
Q

3 types of ACL surgery

A
  1. bone-tendon-bone
  2. semitendinosus gracilus tendon
  3. allograft tendon
32
Q

in the 1st 2 weeks post-op on a knee for ACL, what are the things to focus on? 6

A
  1. control pain and swelling
  2. activate quads to prevent atrophy (JCM or NMES)
  3. crutches and bracing
  4. progress to WB
  5. ROM aim to reach 90 degrees flexion
  6. no WB extension and only activate up to terminal 40 degrees
33
Q

2-12 weeks post knee op

A
  1. normalize gait
  2. balance work
  3. quad resistance training
  4. hamstring resistance training
  5. hip resistance training
34
Q

12+ weeks post knee op

A
  1. interval treadmill running
  2. skip/hop
  3. multiplane agility
  4. RTS functional check
35
Q

osteoarthritis presentation

A
  1. swollen knee
  2. loss of contours
  3. valgus/varus
36
Q

what are the changes at the tissue level for OA?

A
  1. bone grate on bone causing the formation of sclerosis and oseophytes
  2. degeneration of the menisci
  3. rough cartilage
  4. failure of smooth cartilage
  5. stiffening of the joint capsule
  6. decrease in joint space
  7. change in tibia and femur angulation
37
Q

risk factors for OA

A
  1. varus/valgus knee
  2. chronic inflammation
  3. high BMI (<27kg/m2)
38
Q

3 main challenges of OA

A
  1. manage pain and swelling
  2. ROM
  3. Maintaining strength and mobility for ADL
39
Q

ROM tools for knee

A
  1. knee wall slides
  2. stationary bike
  3. overpressure knee prop
  4. straight leg raise
  5. kneeling lunge
  6. foam roller for lateral thigh
  7. downward dog
40
Q

Resistance exercise for knee

A
  1. posterior knee press with towel
  2. short arc quadriceps
  3. squat
  4. lunge/split squat
  5. leg press
  6. step up/down
  7. heel drag
  8. supine bridge
  9. prone hamstring curl
  10. nordic hamstring curls
    10 side-lying leg raise
  11. clamshells
  12. tip toe walking
  13. short foot exercise
41
Q

ROM for knee

A

F: 135
E: 10
IR: 30
ER: 40

42
Q

ROM for hip

A 
F: 120
E: 60
IR: 45
ER: 45
Ab: 45
Ad: 30
43
Q

ROM for ankle

A

Df: 20
Pf: 50
E: 30
I: 15

Rehab (2 decks)

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