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Bootcamp Quiz Questions > Week 2: Quiz 4 > Flashcards

Week 2: Quiz 4 Flashcards

1
Q

What is the recommended direction for the dynamic warm-up for UE before starting TERT?

A

Retro-cycling

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2
Q

What are three reasons for dynamic warm up?

A
  • Inc tissue temperature
  • Postural muscular endurance training for posterior RTC and scapulothoracic muscles
  • Cardiovascular training for some patients
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3
Q

What postural deformity is counter-acted by retro-cycling warm-up?

A

Kyphotic posture

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4
Q

What is the prescriptive formula for TERT based on?

A

Intensity X duration X frequency

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5
Q

What is the prescriptive formula for TERT used for?

A

To create plastic deformation

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6
Q

What limits the amount of force that can be applied when utilizing the prescriptive TERT formula and how do you know the appropriate amount?

A

The patient’s pain tolerance - look in their eyes and watch for indication of pain

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7
Q

What is the desired TERT duration?

A

20 minutes with tissue in stretched position

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8
Q

What is the daily frequency when using the TERT formula?

A

3X per day

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9
Q

What is the weekly frequency when using the TERT formula?

A

Daily

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10
Q

Why do we need to exercise patients daily when using the TERT formula?

A

To prevent the cross-bonds, that were denatured between collagen fibers as a result of stretching exercises, from reestablishing over the course of the next 24 hours

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11
Q

What is the optimum TERT time per day?

A

60 minutes

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12
Q

Which scapulothoracic MMT’s can be done in sitting: 3

A
  • Upper traps & Levator scap
  • Serratus anterior
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13
Q

Which scapulothoracic MMT’s should be done in prone? 3

A
  • Middle trap
  • Lower trap
  • Rhomboids
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14
Q

Which glenohumeral MMTs should be done in sitting? 3

A
  • Flexion
  • Abduction
  • Scaption
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15
Q

Which glenohumeral MMTs should be done in supine? 1

A
  • Horizontal adduction
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16
Q

Which glenohumeral MMTs should be done in prone? 4

A
  • Extension
  • Horizontal Extension
  • IR
  • ER (use only 2 fingers)
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17
Q

Describe the difference between the position for the original sleep stretch and the modified sleep stretch

A

Original Sleeper:

  • Side-lying on side to be stretched
  • 90*90* and then apply IR

Modified Sleeper:

  • Side-lying on side to be stretched
  • 30* scaption
  • 45* GH elevation
  • Apply IR (with strap ideally, to avoid fatigue)
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18
Q

Which sleep stretch position is optimal and why?

A
  • Modified sleeper is optimal - avoids creating iatrogenic impingement
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19
Q

What is an additional stretch that can be done to stretch posterior capsule?

A

Cross-body horizontal flexion

20
Q

What are the three limiting factors causing motion limitation in selective hypomobility?

A
  • Osseous (checked with CT, MRI)
  • Non-contractile (checked with passive mobility testing)
  • Contractile
21
Q

Which selective hypomobility limitation can be addressed in rehab?

A
  • Noncontractile and contractile
  • (Osseous cannot be changed with rehab)
22
Q

Give an example of each type of selective hypomobility

A
  • Osseous- Example: retroverted humerus in GIRD/ERG (not sure about this one)
    • Possibly also acromion morphology
  • Non contractile- Example: superior capsule tightness (also not sure about this one)
  • Contractile (Process of elimination bc muscle flexibility tests are not well recorded in the literature)
    • Example: muscle tendon unit in should
23
Q

What is thixotropy?

A
  • Tissue becoming less viscous when subjected to shearing forces
24
Q

What MOI causes Thixotrophy?

A

Eccentric deceleration

25
Q

With Thixotrophy, when the MTU is involved, what two ways can we address it?

A
  • By doing static positional stretching and/or
  • Contract-relax PNF
26
Q

How long should stretches be held for younger vs older adults (> 60) for the contractile unit?

A
  • Younger - 30 seconds
  • Older - 60 seconds (double the time!)
27
Q

What does GIRD/ERG stand for?

A

Glenohumeral IR deficit, ER gain.

28
Q

What population is GIRD/ERG commonly seen in?

A
  • Children who start throwing sports early, due to an anatomical change in the humerus (“[using] both MRI and CT scans, it is now well documented that the humerus of the throwing arm is more retroverted than the nondominant arm.”)
29
Q

What is the total arc of motion for GIRD/ERG?

A

1600

30
Q

What makes GIRD the appropriate diagnosis?

A

Total arc in one arm must be less than the other arm for GIRD to be the diagnosis

31
Q

Other teatment techniques that can be used to try to stretch the collagen tissue and create the plastic deformation?

A
  • Manual Therapy
  • Mobilizations
  • Myofascial Techniques
  • Myotherapy
  • Muscle Energy Techniques
  • ART
  • Graston
  • Strain Counterstrain Techniques
32
Q

Describe the arthroscopic lavage surgery.

A

Washout of the joint with an inflow and outflow canula to flush out inflammatory mediators and floating pieces of articular cartilage. Only effective in individuals with incomplete lesions

33
Q

According the Moseley et. al Level I RCT study (comparing lavage and arthroscopic surgery to placebo surgery), what was found regarding this surgery?

A

No difference in pain or function between intervention and placebo group

34
Q

Name 3 of the 4 things that can help to create plastic deformation of soft tissues.

A
  • Temperature (heat)
  • Temperature (cooling)
  • Intensity
  • Duration
  • Frequency
35
Q

Which one of the requirements to create plastic deformation can we not control?

A

Intensity (based on patient’s tolerance)

36
Q

What is the optimum amount of time (duration) for soft tissue elongation?

A

60 minutes per day

37
Q

How many times per week (frequency) would be optimal for patients to acheive true arthrofibrotic changes?

A

Everyday

Never manipulate on a Friday/ always manipulate at the beginning of the week to achieve greater maintained ROM

38
Q

At what point of GH elevation is the subacromial space the smallest?

A

Between 60-120 degrees elevation (painful arc syndrome)1

39
Q

What are the two surgical options for a LHB detachment/injury?

A
  • Tenotomy
  • Tenodesis
40
Q

Which surgery has been shown to be more effective Tenotomy or Tenodesis?

A

No difference in outcomes

41
Q

Describe how to perform the lateral scapular slide test.

A
  • Make a body mark at level of T7 (inferior angle) on spine
  • Measure from mark to inferior angle BL for all positions
    • Position 1- Arms at sides
    • Position 2- Hands on hips, thumbs posteriorly
    • Position 3- Arms 90 deg abduction, thumbs down
    • Position 4- Arms 120 deg abduction, thumbs up
    • Position 5- Arms 150 deg abduction, thumbs up
  • Normal: <1 – 1.5 cm difference bilateral
  • Pathological/athlete: >1.5 cm difference bilaterally
  • Roughly a 0.5 – 1cm increase in each position
42
Q

Name 3 treatment options for pain and inflammation:

A
  • Cryotherapy
  • Iontophoresis
  • Modalities
  • Manual therapy
  • Placebo effect
43
Q

What is the most common reason for failure of a subacromial decompression surgery?

A
  • If the pt also has AC DJD that does not get addressed in the surgery
44
Q

What procedure can be done to address the AC DJD?

A

Mumford procedure: distal clavicular excision

45
Q

What percentage of RTC repairs fail?

A

75%

46
Q

What percentage of pts with an atraumatic full thickness tear were successfully treated with PT and able to avoid surgery/RTC repair?

A

74-75%

Bootcamp Quiz Questions (8 decks)

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