LQ Quiz Flashcards

1
Q

Motion that occurs at the hip in gait…

A

Flexion - 35degrees @ IC

Extension - 10-20degrees @ PS

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2
Q

In what action does the largest WB force occur at the hip?

A

Running

4.5x BW

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3
Q

What is Femoral anterior glide syndrome?

A

Lacking posterior glide
Excessive flexibility in anterior capsule
Runners, dancers, soccer, females

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4
Q

What are the EMG exercises for glue med (highest to low)

A

lateral band walks, SL hip abduction
wall squats, quadruped w a/l lifts
bilateral bridge, clams
good mornings, cable walk outs

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5
Q

S/S of femoral anterior glide syndrome

A

groin pain with hip flexion and standing
sway back posture
SLR
Impingement association, hip flexor strain

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6
Q

S/S of lateral glide syndrome

A
deep groin pain
popping hip
active subluxation with adduction
pain in weight bearing 
Association: troch. bursitis, snapping hip, piriformis strain
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7
Q

S/S of femoral hypomobility syndrome

A
deep groin pain, referred pain down inner thigh
pain constant but vary in intensity 
associated with WB activities 
stiffness in morning or after rest
Ages 55+
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8
Q

Treatment of lateral femoral syndrome

A

NO MOBS
strengthen hip adductors and all external rotators
mid range initially

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9
Q

Treatment of hypo mobile syndrome

A

distraction
ROM all planes
Education
Cane (opposite side)

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10
Q

Acute vs chronic hamstring strain

A

Acute - sudden movement, deceleration and eccentric

Chronic - proximal myotendinous junction (isch tube)

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11
Q

Acute hamstring strain signs

A

palpable tenderness
limp
loss of ROM / strength

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12
Q

Acute hamstring strain reccurrence

A
common (25%)
2 weeks 
muscle imbalance (glutes vs. hamstring dominance)
improper warm up 
fatigue
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13
Q

Acute hamstring strain treatment

A

muscle balance
ROM in pain free zone
neuromuscular control
progressive agility, trunk exercises

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14
Q

Chronic hamstring strain MOI

A

long distance runners
proximal tendon of semimembranosus
have an initial injury that becomes chronic

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15
Q

Chronic hamstring strain symptoms

A
pain lateral to isch tube
deep buttock pain
posterior thigh pain
worse in sitting
sciatic neuropathy may be present
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16
Q

Chronic hamstring strain treatment

A
Cross friction massage
Joint mobilizations 
slump stretching
eccentric hamstring training
gluteal strength
core strength
SLD
3D motion
17
Q

Patellofemoral pain syndrome local influence

A

lateral glide or tilt of the patella
most common complaint in runners
repetitive overload and compressive stressors
mal tracking (delayed activation of VMO)

18
Q

PFPS quad activation

A

Too little:
weak quad involvement (VMO deficient, poor timing)
- Straight leg raising
- Progress to WB exercises

19
Q

Patellofemoral Pain syndrome Proximal influence

A

internal rotation of the femur
Dynamic Q angle
hip muscle imbalance: strong IR and Adductors

20
Q

Patellofemoral pain syndrome distal influence

A

subtalar pronation causing IR of tibia
joint mobs needed to increase dorsiflexion
Orthotics

21
Q

patellar tendinopathy

A

tendinitis - jumpers knee, infammation, warm to touch

tendinosis - collagen degeneration, exercise

22
Q

Patellar tendinopathy mechanism

A

forces are too great for the tendon

weak quads, quad dominance and overuse, weak glutes

23
Q

iliotibial band syndrome

A

2nd leading cause of knee pain
TFL and Glute max tightness
inserts on the patella, gerdys, fib head
Positive Noble compression test

24
Q

IT band syndrome management

A
Strengthen glute med and ER
Joint mobs superior tib fib joint 
foam roller 
cho-pat bracing 
stretching
avoid downhill running
25
Q

Diagnosis of OA according to ACR

A

knee pain plus 3 of the following:
>50, Morning stiffness, crepitus, bony tenderness,
no warmth, osteophytes on X-ray

26
Q

OA treatment for knee

A

Distraction, aquatics, quad sets

27
Q

OA treatment Stage 1

A

joint mobs
strengthen knee
weight reduction
can, unloader brace

28
Q

OA treatment stage 2

A

Hip strengthening

29
Q

OA treatment stage 3

A

aerobic exercise (stationary cycling)

30
Q

Progression of ther ex for Knee

A

Open chain to closed chain

combo of manual therapy and ther ex