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OPTIM OCS: LQ > Knee: Examination 2 > Flashcards

Knee: Examination 2 Flashcards

1
Q

Meniscal testing: McMurray

higher sensitivity or specificity

A

specificity (low to mod sensitivity)

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2
Q

Meniscal testing: McMurray

Higher specificity for medial or lateral?

A

lateral

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3
Q

Meniscal testing: McMurray (lateral)

specificity

A

94%

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4
Q

Meniscal testing: McMurray

specificity - medial

A

77%

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5
Q

Meniscal testing: What are the main special tests

A
  • McMurray
  • Apley compression
  • JL tenderness
  • Thessaly
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6
Q

JL tenderness: more sensitive or specific?

A

sensitivity > specificity

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7
Q

Meniscal testing: JL tenderness

sensitivity - medial

A

83%

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8
Q

Meniscal testing: JL tenderness

sensitivity - lateral

A

68%

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9
Q

Meniscal testing: Thessaly

sensitivity/specificity

A
  • sens: 64%

- spec: 53%

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10
Q

What is the meniscal cluster?

A
  • hx catching or locking
  • JL tenderness
  • pain with flexion OP
  • pain with ext OP
  • pain or audible click with McMurray
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11
Q

Meniscal Cluster: with 5/5 variables, get high specificity of

A

99%

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12
Q

Meniscal Cluster: 4+ variables

specificity

A

96%

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13
Q

Meniscal Cluster: high specificity, (high/low) sensitivity

A

low

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14
Q

PFPS is a diagnosis of

A

exclusion

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15
Q

PFPS: what to assess

A
  • resisted knee ext through ROM
  • step down test
  • patellar mobility - apprehension test
  • patellar compression
  • posteromedial and lateral borders of patella
  • strength testing
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16
Q

functional testing: higher level

L to R comparisons should be within (%) for return to sport

A

80-85%

17
Q

functional testing: higher level

Commonly used tests

A
  • Noyes hop tests
  • Star excursion balance test
  • Y balance
18
Q

functional testing: higher level

Noyes Hop Tests

A
  • single hop for distance
  • triple hop for distance
  • timed 6m hop test
  • cross over hop for distance
19
Q

functional testing: higher level
Y balance

Different > (#) cm in anterior direction = higher risk of injury

A

> 4 cm difference

20
Q

functional testing: higher level
Y balance

Difference in > 4 cm in anterior direction = (#)x risk of injury

A

2.5x risk of injury

21
Q

functional testing: lower level (list)

A
  • timed stair climbing test
  • 6MWT
  • TUG
  • 5x STS
  • self-selected walking speed
22
Q

functional testing: lower level

What does the 6MWT measure?

A

submaximal aerobic capacity

23
Q

Red flags:

With normal knee exam or unexplained pain onset, consider:

A
  • referral from lumbar, SIJ, hip
  • lumbar radiculopathy
  • SCFE
  • OCD
  • Legg-Calve-Perthes disease
24
Q

joint mobility: for flexion

(anterior/posterior) glide of tibia on femur

A

posterior

25
Q

joint mobility: for flexion

Superior/inferior patellar glide

A

inferior

26
Q

joint mobility: for extension

(anterior/posterior) glide of tibia on femur

A

anterior

27
Q

joint mobility: for extension

(superior/inferior) patellar glide

A

superior

28
Q

Flexibility: things to look at with the knee

A
  • hip IR/ER
  • hip flexors/extensors
  • quads
  • HS
  • ankle DF (gastroc/soleus)
29
Q

Strength: quad deficits of ≥ (%) L to R indicate using NMES

A

15-20%

30
Q

Strength: be sure to incorporate these types of exercises

A

single leg

eccentrics

31
Q

Strength: increased injury risk with imbalances between

A

quadriceps to hamstring strength ratio

32
Q

Strength: for return to sport, males should have > (%) quad to ham ratio

A

> 66%

33
Q

Strength: for return to sport, females should have > (%) quad to ham ratio

A

> 75%

34
Q

Motor control: use these

A
  • balance
  • dynamic joint stability training
  • perturbation exercises
  • plyometrics
  • agility and coordination training
  • sport specific exercises

OPTIM OCS: LQ (43 decks)

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