Knee Flashcards

1
Q

knee extension arthrokinematics

A

anterior roll and glide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

knee flexion arthrokinematics

A

posterior roll and glide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

which condyle is bigger… medial or lateral

A

medial (its also more curved)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

meniscus special tests

A

mcmurrays, appleys, thessalys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

males with knee pain tend to have weaker ___ while females have weaker _____

A

quads
hips

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

is ther-ex well supported to manage TKA and sprains? what about meniscal injuries

A

yes
A for TKA/sprain
B for meniscal and articular cartilage injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T or F: therex is well supported for patellofemoral pain and OA

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the primary NSAID for knee OA

A

tramadol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

when you make IC, you load the _____ compartment and the knee is in

A

medial
varus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when you go into midstance, you load the ____ compartment and the knee is in

A

lateral
valgus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how can you control valgus at the knee

A

strengthen the hips

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

are closed or open chain exercises more functional for the knee

A

closed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

does closed or open chain help with proprioception

A

open
move pt’s leg into a position with their eyes closed. they suddenly let go and have them hold it there

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

in the late phase of rehab, you should be working in ____ chain

A

closed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

T or F: early weight bearing is usually best. why are why not

A

T: it facilitates the quad muscles, reduces atrophy, and assists with knee motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what do postural muscles do in the presence of pain

A

shorten and tighten

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

LE postural muscles

A

hip adductors
hamstrings
hip flexors
rectus femoris
gastroc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what do phasic muscles do in the presence of pain

A

lengthen and atrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

LE phasic muscles

A

glutes
vastus muscles
ankle DFs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what do you need before speed and power training

A

a good strength base

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

nordic exercise

A

eccentric exercise for hamstrings
- hold feet in kneeling and have pt slowly lower themselves down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

the patella makes contact at ____ degrees of knee flexion

A

20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

T or F: with patellofemoral arthritis you can start with a shallow squat for strengthening

A

T: because the patella doesn’t make contact until 20 degrees
*but w/ tibiofemoral you may want to stay away from standing initially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

when you make initial contact your foot is ______ and during loading it is ________

A

supinated
pronated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

4 main goals for knee rehab

A

1 - obtain full ext
2 - muscle activation, esp quad
3 - reduce effusion
4 - obtain knee flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

5 phases of knee rehab post surgery

A

1 - intro/pre-op
2 - unloaded activities
3 - CKC
4 - strength training
5 - return to activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

T or F: pre-op ROM is a major indicator of post-op ROM

A

T
*best to go into surgery with full ROM and strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

arthrofibrosis

A

stiffness in the joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

T or F: delaying surgery delays return to sport

A

F: b/c going into surgery too early (w/o good strength and ROM) has worse outcomes

30
Q

when does unloaded activities phase begin

A

immediately after surgery

31
Q

what plane do you focus on during unloaded activities phase and why

A

sagittal plane because you want to avoid shear

32
Q

goals during unloaded activities

A

protect healing structures
control pain and swelling
ROM
patellar mobility
muscle activation

33
Q

is knee flexion or extension more important

A

extension, this is what you should worry about first

34
Q

treatment options during unloaded activities phase

A

isometrics
patellar mobs
prom/aarom/arom
soft tissue
flexibility

35
Q

what muscles do you want to stretch post knee surgery

A

gastroc
hamstrings

36
Q

quad set

A

pt activates quad, patella moves, sustain patellar movement, extent the knee against gravity, hyperextension

37
Q

how do you progress a quad set

A

straight leg raise w/o quad lag

38
Q

complications are not common w/ arthroscopic knee surgeries but what is the most common complication

A

infection

39
Q

what is the goal during the closed kinetic chain phase

A

full ROM
return to ADLs
muscular endurance
proprioception

40
Q

what phase do you really start to work on knee flexion ROM

A

closed kinetic chain

41
Q

what might quad avoidance look like during gait

A
  • knee hyperextension
  • decreased stance time
  • limp through midstance b/c they don’t have the quad strength for full knee extension
42
Q

once you are past _____ degrees of flexion, stress on patellofemoral joint does not increase significantly

A

70

43
Q

how do you know how deep to have your pt squat

A

listen to your pt, stay in pain free range. also depends on kind of surgery they had

44
Q

T or F: ACL deficiency can cause reorganization of the CNS

A

T: this is why you should work on proprioception

45
Q

what are the goals during strength training phase

A

normalize muscle strength
speed of movement
agility/proprioception

46
Q

what phase can you start adding more weight and plyometrics

A

strength training phase

47
Q

why is it important to work on hamstring strength after knee surgery

A

they need to be strong to counteract anterior pull of quad

48
Q

how do you activate the glutes more during a squat

A

widen the stance

49
Q

which recruits more glute max… barbell hip thrust or back squats? what are two other exercises that are good for the glutes

A

barbell hip thrusts
side plants, single leg deadlift

50
Q

4 hop tests

A

1 hop for distance
crossover hop
triple hop
6m timed hop

51
Q

both traditional _______ training and ______ training need to be incorporated into a comprehensive rehab program

A

strength
neuromuscular

52
Q

T or F: after ACLR males and females both demonstrate decreased vertical ground reaction force on the ACLR side

A

T

53
Q

most common knee position for ACL injury

A

near extension
often tibial IR and valgus

54
Q

most common knee position for PCLinjury

A

deep flexion

55
Q

where is the thickest articular cartilage in the body

A

back of patella

56
Q

pronation is associated with tibial ______

A

IR

57
Q

how does the meniscus move during open chain knee extension

A

it moves anteriorly
same direction as the tibia

58
Q

functional progression for return to play

A
  • sport specific drills
  • position specific drills
  • scrimmage
  • games
59
Q

3 major factors in post-op care

A

1 - surgeon and PT
2- patient
3 - biology

60
Q

factors for post-op care relating to PT and surgeon

A

1 - correct dx
2 - correctly and gently performing surgery
3 - appropriate and careful rehab

61
Q

factors for post-op care in the patient’s control

A
  • ice the knee
  • rest the knee
  • protect knee during healing
  • compliance with home instruction
62
Q

factors for post-op care related to biology

A
  • extent of pathology
  • genetic efficiency of tissue healing
63
Q

what does 5/0/140 mean in ROM documentation

A

5 degree hyperextension
140 degree flexion

64
Q

what does 0/10/130 mean in ROM documentation

A

lack 10 degrees of extension
130 degrees of flexion

65
Q

what are some PROM exercises to work on getting knee extension

A

prone hang
heel prop
towel pull

66
Q

what are some PROM exercises to work on getting knee flexion

A

use the well leg to apply pressure to surgical
- supine passive flexion
- wall slide
- sitting knee flexion

67
Q

it is best to do post glides in ____and ant glides in _____

A

flexion
extension
* take them to end range

68
Q

which part of the capsule is tight in knee flexion? extension?

A

anterior
posterior

69
Q

cues for SLR post knee surgery (proper sequencing)

A
  • quad set
  • lift leg
  • lower leg
  • relax quad
70
Q

how to make a lunge more difficult

A

increase instability (foam, reaching activities, make sure to engage glute med)