Knee ROM thru Sprains Flashcards
Gait
____° during swing phase
Maximally hyperextend up to ___° at heel off
60
10
If Knee doesn’t reach full EXT, then _____ can become hypermobile
ankle
Stair Descent- ___° FLX
May need up to ____°
90
120
Sit-to-stand ____°
105
Cycling- need ___° FLX
Goal with ______
120
TKA
Kneeling and deep squatting
Full _____
Arthrokinematics ___-_____°
Femoral
- ____
- _____ glide
- < ___° lateral glide
flexion
90; 150
ER
Post
3
Grade ____ sprain
Moderate S&S; Activity stops; fibers stretched or torn so increased laxity with softer/later EF with ligament tests
II
Grade ___ sprain
Mild S&S; activity may continue; fibers are stretched NOT torn so minimal to no change during ligament special tests
I
Grade ____ sprain
Severe S&S; Activity stops; fibers are torn with possible avulsion; significant increase in laxity with empty end feels
III
________ are stretching or tearing of ligament that may lead to some degree of joint laxity and dysfunction
Sprains
Joint instability
Increased ______ _____ and inadequate ________ _______
accessory motion
neuromuscular function
_______ joint instability
able to offset laxity through neuromuscular function
Functional
_______ joint instability
unable to offset laxity and likely requires Sx
mechanical
Ligaments and Capsule
______ connective tissue
Type ___ collagen- resists ______
Low ______- better jt. _______
More ___-_______ fibers than tendons
Dense
I; tension
Elastin; stabilization
multi directional
Ligaments and Capsule
Mid Substance area
_____vascular
_____neural
Insertional ends
______vascular : high metabolic rate for greater _____ capacity
______neural: for ______ or position sense
Hypo
Hypo
Hyper; healing
Hyper; proprioception
__________
blends with capsule and heals without Sx
extraarticular
________
within jt space often Sx needed for repair due to dilution of synovial fluid
intraarticular
Symptoms
______ onset
______
likely _____ function
traumatic
swelling
reduced
Healing
Initial tensile strength: ___-___ weeks
Dense connective tissue: ____ wks
____-____ months normal strength post-op
3; 5
12
10; 12
Distinctive Rx
POLICED
______ ______ for external support
Protecting ligament in a ______ position for ____-_____ stability
Assistive Device
shortened; long term
MET Focus
Tissue ______/_______ and __________
proliferation
integrity
stabilization