Lecture 4: Interprofessional MSK Management

Question 1

Which exercise type is used for functional improvement in activities of daily living and involves the distal segment of the extremity moving about the proximal segment i.e., most UE weightlifting exercises?

Answer 1

Open Kinetic Chain

Question 2

Which exercise type is used for shoulder and knee rehabilitation/dynamic stability and involves the proximal segment of the extremity moving on a fixed distal segment i.e., leg press, squats, elliptical walker..

Answer 2

Closed Kinetic Chain

Question 3

What is eccentric vs. concentric in terms of exercise?

Answer 3

• Eccentric: muscle contracts as it lengthens i.e., extension phase of bicep curl
• Concentric: muscle contracts as it shorten i.e., flex biceps

Question 4

What is isometric vs. isotonic in terms of exercise?

Answer 4

• Isometric: muscle contracts, but it’s length stays the same i.e., holding a weight stationary
• Isotonic: constant resistance through a joint i.e., free weights

Question 5

Which exercise type is utilized for treating patellofemoral syndrome?

Answer 5

Isometric: helps strengthen when joint mobility not advised

Question 6

When would a DO refer to an acupuncturist?

Answer 6

• Pt needs more frequent treatments
• Knows based upon PE findings pt has physically related problem, but lab findings are essentially negative + OMT is not lasting as expected