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THEREX 2 > Final Review > Flashcards

Final Review Flashcards

1
Q

What muscles are in the fundamental 6 pack

A

Pelvic Floor

TRA/ Internal Oblique

Lats

Multifidus

Diaphragm

Glute Max

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2
Q

How long does it take a mild ankle sprain (grade 1) to heal

A

5-14 days

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3
Q

How long does it take a moderate ankle sprain (grade 2) to heal?

A

2-3 weeks

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4
Q

How long does it take a severe ankle sprain (grade 3) to heal?

A

3-12 weeks

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5
Q

How long before you can return to running after an ACL injury?

A

8 weeks

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6
Q

NM Control exercises for foot

NM control/strength exercises

A

BAPs board (circles and 4 way)

Short foot (arch raises) for the foot intrinsic and post tib

Towel Scrunches for toe flexors

Marble pickup

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7
Q

MOI of high ankle sprain

A

Eversion and dorsiflexion

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8
Q

MOI of lateral ankle sprain

A

Inversion and plantarflexion

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9
Q

Grade 1 lateral ankle sprain

A

mild tearing of ATFL

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10
Q

Grade 2 lateral ankle sprain

A

Moderate tearing of ATFL

Some tearing of CFL

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11
Q

Grade 3 lateral ankle sprain

A

Full tear of ATFL CFL and PTFL

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12
Q

What shoes do supinators need

A

Neutral w/ arch support (need the ground brought up to their stiff arch)

Need squishier shoes for more impact absorption

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13
Q

What shoes do pronators need?

A

Moderate - support

Severe - Motion Control shoes

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14
Q

Exercises for Achilles Tendinopathy

A

Isometrics early for pain control

Progress to eccentric drills (some pain normal)

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15
Q

Posterolateral corner precautions

A

WBAT with brace 4 weeks

No active knee flexion for 4 weeks

Avoid posterolateral knee thrust in gait

No resisted leg extension machine

No high impact or cutting for 3-4 months

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16
Q

What ligaments are injured with posterolateral corner

A

LCL PCL

Popliteofibular ligament

Popliteus tendon

Bicep femoris tendon

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17
Q

What is the MOI of a posterolateral corner injury

A

varus, hyper extension, or twisting of the knee.

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18
Q

Exercise progression for tendinopathies (patellar tendinopathy)

A

Isometric

Eccentric

Energy Storage

Return to sport

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19
Q

Hallmark of patellar tendinopathy

A

Pain localized to the inferior pole of the patella

Load-related pain that increases with the knee extensors, notably in activities that store and release energy in the patellar tendon

Rarely have pain at rest

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20
Q

The medial mensicus attaches to what?

A

Deep MCL

Semimembranosus

Quadriceps

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21
Q

The lateral meniscus attaches to what?

A

Popliteus

Quadriceps

Acruate ligament

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22
Q

During flexion the meniscus moves:

A

posteriorly

With extension the meniscus moves anteriorly

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23
Q

Which meniscus is O shaped, more mobile, and less prone to injury

A

Lateral

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24
Q

Therex for meniscus

A

Progressive motion

Progressive WB

Progressive return to activity

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25
Q

The anteriormedial bundle of the ACL is taut when?

What about the Posteriorlateral (Larger) bundle?

A

Flexion

Extension

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26
Q

When do both ACL bundles become parallel?

A

Full ext

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27
Q

When is the anteriolateral PCL bundle taut?

What about the posteriomedial PCL

A

Flexion

Extension

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28
Q

Pain at anterior tibial tubercle with kneeling and activity

May have swelling at tibial tubercle

A

Osgood Schlatters at tibial tuberosity

Traction injury to attachment site of tendons in children and adolescence

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29
Q

Pain at inferior patellar pole with kneeling and activity

Swelling/calcification at inferior pole

A

Sinding Larsen Johansson syndrome

at inferior patellar pole

30
Q

Where does Osgood Schlatters affect

What about SLJ syndrome

A

Tibial Tuberosity

Inferior patellar pole

31
Q

In closed chain anterior pelvic tilt produces hip _________

Posterior pelvic tilt produces:

A

flexion

Extension

32
Q

When does hip internal rotation occur in closed chain

A

When extending from a flexed position

When flexed 60-100

Hip IR drives force into ground

33
Q

How to improve hip IR in CKC:

A

Improve hip IR where it actually occurs (Hip IR occurs with posterior rotation of innominate and sacral nutation)

Slowing the eccentric
Force through the concentric

First need to work on the sacral nutation (frog breathing exercise)

Next need to work on hip IR in a flexed position with box squat isos

Then we want to work on training force into the ground so work on quadruped hip shift
Then work towards extension with sidelying stride

Then finally work on bottoms up split squat hold (creating force with both the flexed and extended leg)

34
Q

What are these pictures showing

A

PT holds pt into IR and the patient progressively steps around their foot putting themselves further into IR

PT can use a band at home for lateral traction and step around their foot

35
Q

What is this picture showing

A

Way to use your new IR motion once youve gained it

Pt will wind and unwind themselves slowily from band working on closed chain IR strength

36
Q

Posterior hip precautions

A

No hip flexion >90 degrees
No hip internal rotation
No adduction beyond neutral
None of the above motions combined

FADIR

37
Q

Anterior hip precautions

A

No hip extension or hip external rotation beyond neutral
No bridging, no prone lying, and none of the above motions combined
When the patient is supine, keep the hip flexed at or above 30 degrees
Pillow under the patient’s knee or raise the head of the bed

38
Q

Lateral hip precautions

A

Abduction restrictions

38
Q

What motions happen at the sacrum/innominate with closed chain hip IR

A

Sacral nutation

Posterior innominate

39
Q

Cam vs Pincer impingement:

A

Cam- femoral head
-more often in males
-history of SCFE or Legg-Calve-Perthes
- femoral head anteversion or coxa vara

Pincer- Acetabulum
-often in females
-acetabular retroversion, coxa profunda, acetabular protrusions

40
Q

How will FAI present?

A
  • Passive hip IR- painful and limited
  • Passive hip flexion-painful and limited
  • Trendelenburg gait or abductor lurch
  • Decreased ROM
  • Click/catching
  • Giving way
41
Q

What kind of FAI is most common?

A

Combination of pincer and cam

42
Q

Tendonitis healing time

A

3-7 weeks

43
Q

Tendon laceration healing time

A

5 week to 6 months

44
Q

Muscle exercise induced healing time

A

0-3 days

45
Q

Muscle grade 1 healing time

A

0-14 days

46
Q

muscle grade 2 healing time

A

4 days to 4 months

47
Q

muscle grade 3 healing time

A

4 days to 6 months

48
Q

ligament grade 1 healing time

A

0-3 days

49
Q

ligament grade 2 healing time

A

3 weeks to 6 months

50
Q

ligament grade 3 healing time

A

5 weeks to 1 year

51
Q

ligament graft healing time

A

2 months to 2 year

52
Q

bone healing time

A

5 weeks to 3 months

53
Q

articular cartilage healing time

A

2 months to 2 years

54
Q

What takes the longest to heal?

A

Articular cartilage (up to 2 years)

nerves (2+ years)

55
Q

Lordotic posture has a

_______ lumbosacral angle

_______ lumbar lordosis

_______ pelvic tilt

hip __________

A

increased

increased

anterior

flexion

56
Q

Swayback posture has

shift of entire pelvis __________

hip ______

shifted thoracic segment __________

Associated with ___________

A

Anterior

extension

posterior

forward head, thoracic kyphosis

57
Q

Flat back posture has

______ lumbosacral angle

_________ pelvic tilt

_________ lumbar lordosis

________ thoracic spine

A

decreased

posterior

decreased

flattened

58
Q

What posture has an increased lumbosacral angle, hip flexion, and increases lumbar lordosis

A

Lordotic posture

59
Q

What posture is associated with forward head and thoracic kyphosis

A

swayback

60
Q

What posture is associated with posterior pelvic tilt and decreased lumbosacral angle

A

flat back posture

61
Q

You have a sudden, intense urge to urinate followed by an involuntary loss of urine.

A

Urge incontinence

61
Q

Urine leaks when you exert pressure on your bladder by
coughing, sneezing, laughing, exercising or lifting something heavy.

A

stress incontinence

62
Q

You experience frequent or constant dribbling of urine due to
a bladder that doesn’t empty completely.

A

Overflow incontinence.

63
Q

A physical or mental impairment keeps you from making it to the toilet in time. For example, if you have severe arthritis, you may not be able to
unbutton your pants quickly enough

A

Functional incontinence.

64
Q

Mixed incontinence

A

Experiencing more than one type of urinary incontinence.

65
Q

Open chain pronation

A

Calcaneal eversion, dorsiflexion, and abduction

66
Q

Open chain supination

A

Calcaneal inversion, plantar flexion, and adduction

67
Q

Closed chain pronation

A

Calcaneal eversion

talar adduction, and plantarflexion

68
Q

Closed chain supination

A

Calcaneal inversion,

talar abduction, and dorsiflexion

69
Q

Return to run criteria for ACL

A

95% restored knee flexion ROM
Full EXT
No swelling
Limb symmetry index 80%
Pain free alter-G or aqua jogging
Pain free single leg hopping

THEREX 2 (12 decks)

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