Knee Flashcards
knee extension arthrokinematics
anterior roll and glide
knee flexion arthrokinematics
posterior roll and glide
which condyle is bigger… medial or lateral
medial (its also more curved)
meniscus special tests
mcmurrays, appleys, thessalys
males with knee pain tend to have weaker ___ while females have weaker _____
quads
hips
is ther-ex well supported to manage TKA and sprains? what about meniscal injuries
yes
A for TKA/sprain
B for meniscal and articular cartilage injuries
T or F: therex is well supported for patellofemoral pain and OA
T
what is the primary NSAID for knee OA
tramadol
when you make IC, you load the _____ compartment and the knee is in
medial
varus
when you go into midstance, you load the ____ compartment and the knee is in
lateral
valgus
how can you control valgus at the knee
strengthen the hips
are closed or open chain exercises more functional for the knee
closed
does closed or open chain help with proprioception
open
move pt’s leg into a position with their eyes closed. they suddenly let go and have them hold it there
in the late phase of rehab, you should be working in ____ chain
closed
T or F: early weight bearing is usually best. why are why not
T: it facilitates the quad muscles, reduces atrophy, and assists with knee motion
what do postural muscles do in the presence of pain
shorten and tighten
LE postural muscles
hip adductors
hamstrings
hip flexors
rectus femoris
gastroc
what do phasic muscles do in the presence of pain
lengthen and atrophy
LE phasic muscles
glutes
vastus muscles
ankle DFs
what do you need before speed and power training
a good strength base
nordic exercise
eccentric exercise for hamstrings
- hold feet in kneeling and have pt slowly lower themselves down
the patella makes contact at ____ degrees of knee flexion
20
T or F: with patellofemoral arthritis you can start with a shallow squat for strengthening
T: because the patella doesn’t make contact until 20 degrees
*but w/ tibiofemoral you may want to stay away from standing initially
when you make initial contact your foot is ______ and during loading it is ________
supinated
pronated
4 main goals for knee rehab
1 - obtain full ext
2 - muscle activation, esp quad
3 - reduce effusion
4 - obtain knee flexion
5 phases of knee rehab post surgery
1 - intro/pre-op
2 - unloaded activities
3 - CKC
4 - strength training
5 - return to activity
T or F: pre-op ROM is a major indicator of post-op ROM
T
*best to go into surgery with full ROM and strength
arthrofibrosis
stiffness in the joint