OSCE Station 6

Question 1

deep gluteal syndrome exercises

Answer 1

piriformis muscle stretch
sitting up straight, hip and knee flexed
foot crossed over knee
held in position by holding both hands on the knee
muscle rebalances - squat, single leg squat, single leg stance
gluteal stretch - front of foot pressed against chain while knee is flexed and hip is abducted

Question 2

exercises for proximal hamstring tendinopathy

Answer 2

isometric hamstring load - isometric leg curl
isometric supine leg curl
prone hip extension
- REP 15RM Mas load lifted 15 times perform 3-4 sets hold for 3 seconds

Question 3

exercises for FAIS

Answer 3

For hip stability – wobble board, foam rollers
Neuromuscular control – squatting, single leg squat, lunge
Strengthening – hip and lumbosacral weakness
e.g. single leg raise, side lying abduction, bridging

Question 4

For restricted ROM in flexion and IR in FAIS what joint mobilisations are used

Answer 4

AP

Long Caudad

Question 5

exercises for labral tear surgery post op

Answer 5

Phase 1 – piriformis stretch, hip abd isometric, leg raises (abd, add, ext)
Phase 2- kneeling hip flexor stretch, 2 leg bridging, single leg bridging
Phase 3 – standing resisted hip ER, lunges, core ball stabilization
50% weight bearing progress to 75% WB

Question 6

iliopsoas groin strain

Answer 6

ROM = stretching rectus femoris bring pelvis to more neutral position, hold for 20 relax for 30 repeat 5x
Associated with ant. Pelvic tilt anf lumbar lordosis
Strengthening = inc. hamstrings, abs, glut max
4 sets of 10 15 reps
prone resisted hip flexion
standing hip single leg squats against chair
resisted hip flexion when standing with theraband

Question 7

exercises for gluteal tendinopathy

Answer 7

standing hip abduction - spread feet apart as far as possible and put pressure on outer part of shoes
feel butt contrack
hold for 5 to 10 seconds
5-10 reps 1-2 sets twice daily
double leg bridge - hold 3 seconds up and 3 seconds on the way down
8 reps, 3 sets daily
isometric hip abduction in supine with theraband 5-10 seconds, 5-10 reps 1-2 sets twice daily

Question 8

Exercises for GTPS

Answer 8

ROM – hip abduction with chair for stability 10 -12 times 3 sets every other day
Strengthening – abduction against the wall 20 second hold 3 times
Lateral bridge 20 – 30 seconds hold 3 times
Side lying abduction w/ pillow between legs

Question 9

Exercises for IFI

Answer 9

prone hip abduction
hip flexion stretching
prone knee flexion
Goal to adequately reduce pain and increase range of motion in the hip joint and increase its stabilizing effect on the hip

Question 10

exercises for patellar tendinopathy

Answer 10

Eccentric exercise – Single leg decline squat performed with upright torso to 90degs knee flexion OR maximum angle allowed by pain (left) - 3 sets of 15 repetitions, twice daily 
resisted knee extension
5 reps x 45 secs, 2 to 3 x day 
Isotonic – split squats 
3 sets of 15 repetitions, twice daily

Question 11

exercise for Post op patellar subluxation/dislocation

Answer 11

Strengthening of quads
Strengthen eccentric
ROM
Core stabilising

Question 12

exercise for MCL

Answer 12

Strengthen - straight-leg raise, supine knee to chest
Quads stretch - seated extend hip
no hip abduction - adds valgus
resisted theraband hip flexion one standing one in supine one seated w/o theraband

Question 13

exercises for PFP

Answer 13

start w/ open kinetic chain for strength, closed kinetic chain for function

Question 14

Medial Tibial Stress Syndrome

Answer 14

seated weighted heel raise
standing heel raise w/ tennis ball
theraband - supination

Question 15

exercises for calf strain

Answer 15

double leg heel raise - single raise heel descent
hold dorsiflexion against wall for 20 seconds
flex knee of uninjured leg and extended knee of injured leg while pressing against the wall

Question 16

exercises for achilles tendinopathy

Answer 16

single leg calf raise- isometric midrange 30-60 flexion for pain relief 5 reps 45 secs 2-3 times a day
hold heel raise for 30 second on step
single leg squat in dorsiflexion

Question 17

Post op for removal of cast in foot or ankle

Answer 17

– gait re-education, active exercise – strengthening, passive stretch,
controlled calf raise
theraband stretching - dorsiflexion

Question 18

Lateral ankle sprain

Answer 18

AROM progress to ROM , strengthening, neuromuscular, balance
Theraband – dorsiflexion, supination resistance
Lie patient on floor sitting up
Adduction at foot