Rehab Outcome In Knee OA

Question 1

What are pre PT modifiable factors in patients with knee OA?

Answer 1

Obesity

Joint mobility

Lower limb alignment

Knee instability

Psycho social factors

Question 2

How does lower limb alignment relate to OA?

Answer 2

There was greater pain in mal alignment of lower limbs

Question 3

What movement limitation of the knee affects function the most?

Answer 3

Flexion/extension

Question 4

Does Genu varum have an effect on quad strength?

Answer 4

No

Question 5

What is a possible intervention for alignment?

Answer 5

Bracing

Laterally or neutral wedged insole

Question 6

What strategies can be used to improve adherence?

Answer 6

Periodic communication

Periodic check ups

Use of exercise diaries

Use of booster sessions

Engaged family

Question 7

If patients have knee OA and have a higher fear to perform physical activity what are their chances to improve their function?

Answer 7

Lower

Question 8

How would you address a patient with knee OA and a BMI of 33?

Answer 8

They are above the baseline BMI and would likely report higher WOMAC scores (worse pain, stiffness, and functional limitation)

Question 9

How do we determine severe knee instability?

Answer 9

If the knee is buckling

Question 10

How does knee buckling contribute to confidence?

Answer 10

The more buckling the less confident (results in decrease physical activity)