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Therapeutic Exercise > Knee > Flashcards

Knee Flashcards

1
Q

Meniscus attaches to what bone?

A

Tibia

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2
Q

In the CKC how does the Screw Home Mechanism work on the knee?

A

In terminal extension the femur rotates internally while the hip moves into extension

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3
Q

Where does the Q-Angle measure?

A

From the ASIS to Patella to the Tibia Tuberosity

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4
Q

What causes Patella Tracking?

A

Increased Q-Angle
Muscle tightness
Lax medial capsule
Hip muscle weakness

The larger the Q-Angle the worse the patella tracking is and an increase in ACL tearing

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5
Q

Where does the Common peroneal nerve extend?

A

Below the fibular head

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6
Q

Where does the Saphenous nerve extend?

A

Medial knee and leg

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7
Q

What does a Mild First Degree sprain in tale?

A

Incomplete stretch, minimal pain, minimal swelling, no loss of joint function, no instability

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8
Q

What does a Moderate Second Degree sprain in tale?

A

Few fibers torn, mod pain, some swelling, some loss of joint function, some loss of stability

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9
Q

What does a Severe Third Degree sprain in tale?

A

All fibers torn, profound pain, intense swelling, loss of joint integrity and function

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10
Q

How is the ACL torn from a contact injury?

A

Excessive anterior stress on the ligament

Combination of ER, Valgus stress and Internal tibial torsion

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11
Q

What does the ACL resist?

A 
Resists anterior translation of tibia
Hyperextension
Valgus
Varus
Rotation
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12
Q

Hoe is the ACL torn from a non-contact injury?

A

Deceleration

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13
Q

Max phase of ACL injury

A

6-8 weeks

Strengthen quads within ranges and hamstrings

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14
Q

Avoid OKC in what range for Knee Ext of ACL Injury?

A

OKC Knee Ext: 40-0*

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15
Q

Avoid CKC in what range for Knee Ext of ACLE Injury?

A

CKC Knee Ext: 60-90*

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16
Q

What is the criteria in order to progress to the moderate protection phase in an ACL injury?

A 
ROM from 0-120*
FWB with normal gait mechanics
Quad control
Hams control
Controlled pain and swelling
6 weeks post opt
17
Q

Mod phase of ACL injury?

A

6-12 weeks
CKC of LEs
Quads and Hip strengthening is main goal

18
Q

What is the criteria in order to progress to the min protection phase in an ACL injury?

A 
Full ROM
FWB with normal gait without brace
Improved quads and hams strength
Controlled pain and swelling
Minimum 12-13 weeks post opt
19
Q

Min phase of ACL injury?

A

Return to functional activities and education on body mechanics

20
Q

What specials tests test for ligament stability of the knee?

A

Lachman’s and Anterior Drawer Test

21
Q

Mild, Mod, Severe Instability mm?

A

Mild 5 mm or less
Mod 5-10 mm
Severe 10 mm

22
Q

What is the mechanism of injury for the PCL

A
  • posteriorly directed force on anterior aspect of flexed knee
  • fall onto flexed knee
  • hyperextension with foot planted
23
Q

What do you need to remember when rehabbing the PCL?

A

Don’t activate the hams alone!!! They need to be activated along with the quads

ex: bridges & squats

24
Q

Max phase PCL injury?

A 
quad sets
4-way SLRs 
patella mobs 
ROM exercises for ext
AVOID hams activation
25
Q

Mod phase PCL injury?

A

6-12 weeks
Regain full ROM
progress strength

26
Q

Min phase PCL injury?

A

progress strengthening from bilateral to unilateral
functional activities
plyometrics

27
Q

Mechanism of injury for MCL?

A

Direct external force getting hit from outside of knee

28
Q

AVOID what when rehabbing a MCL injury?

A

Valgus stress and rotation

29
Q

What is involved in the Unlucky Triad?

A

MCL, ACL Meniscus tears

30
Q

What is the most common Meniscus tear?

A

Medial Meniscus

31
Q

In general, which injury is likely to progress the slowest for a 40 year old patient?

A

Meniscal repair to the central zone

32
Q

What is the key to strengthening in Patella Pathologies

A

Strengthening quads, hips, ankles

Therapeutic Exercise (5 decks)

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