Knee OA

Question 1

Ticket muscles

Answer 1

quads, PF and HS

Question 2

Presentation and who it affects

Answer 2

most common cause of knee pain in elderly
knee pain and stiffness
over 50
worse in mornings

Question 3

Risk factors

Answer 3

1. Older age
2. Previous knee injury
3. Reduced spring strength (LL muscle mass) and leg
   press performance
4. Comorbidities
5. Lower social and educational background

Question 4

Pathophysiology

Answer 4

1. OA as inflammatory disease (total joint failure with
   inflamm)
2. OA bc of metabolic disease (body fat releases
   cytokines + adipokines~ joint damage, obesity in OA
   causes high joint load

Question 5

Physical features

Answer 5

• palp tibial and femoral condyles, pat, tibiofemoral joint line
• knee effusion test (swipe and tap)
• active knee mvts
• passive knee mvts (F+E and quad)
• hip FADIR

Question 6

Initial Management

Answer 6

Optimal tissue loading, manual therapy (massage, mobs~ MWM), gentle exercises for pain relief, taping, exercises to limit strength & fitness decay. NSAIDS good

Question 7

Rehab

Answer 7

1. restore quads strength
2. restore hip flexor strength
3. restore isolated strength
4. restore functional strength
5. functional rehab - load management