KNEE

Question 1

What are common acute injuries

Answer 1

Meniscal
ACL/PCL
MCL
Articulate cartilage

Question 2

What are less common acute knee injuries and not to be missed

Answer 2

LCL
Patella tendon rupture
Patella dislocation
Avulsion
NTBM = tibial plateau

Question 3

Typical MOI for acl

Answer 3

Knee flexion and valgus - foot fixed on floor and twisting force

Question 4

Typical MOI for meniscus

Answer 4

Extension and rotation - type of rotation dictates side of injury
Usually non-contact

Question 5

Typical MOI for mcl

Answer 5

Valgus stress with knee in ext
Non contact or contact
Feel unstable

Question 6

What is unhappy triad

Answer 6

O’donohues - torn ACL, medial meniscus and MCL

Question 7

What are chronic knee injuries

Answer 7

Illiotibial band friction syndrome
Chondrimalacua patella
Patella tendinitis
Patellafemoral pain syndrome

Question 8

What may influence a knee rehab plan

Answer 8

Static alignment
Dynamic alignment
Increased Q-angle
Excessive femoral rotation
IT band tightness
Quad weakness or tightness
Weak flutes
Excessive pronation
Patella alignment

Question 9

What should phase 1 of knee injuries rehab include

Answer 9

Control pain and swelling
PRICE
Rehab brace
Modalities
Maintain core and cardio respiratory function

Question 10

What should happen in phase 2 of knee rehab

Answer 10

Early ROM - minimise changes in ligaments
AROM - heel slides, squats
PROM
PNF

Question 11

What should happen in phase 3 of knee rehab

Answer 11

Strengthening - overload principle, Mechanotherapy
Gently progress to isomeric to isotonic to isokinetic to plyometric to functional
Closed chain exercises

Question 12

What are types of isomeric exercises for knee rehab strengthening
Types of isotonic.
Proprioceptive training

Answer 12

Isometric = Quad sets, glute sets, hamstring sets
Isotonic = single leg raise, hip flexion and extension,
Squats, DL & SL, lunges, deadlifts, step ups
P = progressive balance exercises - add unstable surfaces, ball toss

Question 13

What techniques are used in phase 4 on knee rehab

Answer 13

Functional progressions return to sport activity
Running progression

Question 14

What techniques in phase 5 of knee rehab
And how do we progress through the phases

Answer 14

Maintenance and monitoring of return to sport

Use pain and swelling as guide , athlete should be comfortable and confident in progression