Prev Care Exam 2

A swimmer is recovering from shoulder surgery. The supervising physician has recommended massage to break up soft tissue adhesions left from the surgical procedure. What massage technique will assist in achieving this goal? Why?

- Petrissage (kneading) - it increases circulation - promotes venous & lymphatic return - breaks up adhesions in superficial connective tissue - increases skin elasticity - loosens fibrous tissue - removed metabolic wastes from injured area - helps gain back some ROM; prevents shoulders from remaining stiff; provides a smoother over head motion

goals of therapeutic exercise?

-Return injured participant to pain-free functional activity Must address: -Pain modulation -ROM & flexibility -Strength -Cardiovascular fitness

physician has recommended a modality that will produce a deep thermal effect. What modality should be used? Why?

-We want to relieve pain, decrease swelling, increase range of motion -Ultrasound is used to manage several soft tissue conditions such as tendinitis, bursitis, & muscle spasm; to reabsorb calcium deposits in soft tissue; reduce joint contractures, pain, scar tissue

For subacute conditions, contrast bath should be applied using a:

3:1 or 4:1 warm to cold water ratio for 20 minutes

the ____ prevents: -Anterior translation of tibia on femur -Rotation of tibia on femur -Hyperextension

ACL

the ____ resist laterally directed (varus) forces and provides secondary restraint against external rotation of the tibia on the femur

LCL

the ____ resists medially directed (valgus) forces

MCL

the ____ resists posterior displacement of tibia on femur

PCL

A fold in the synovial lining that projects into the joint cavity is known as..

Patella plica shelf

knee flexion is done by the hamstrings and assisted by.. (4)

Popliteus Gastrocnemius Gracilis Sartorius

Bursa outside capsule consists of..

Prepatellar bursa Superficial infrapatellar bursa Deep infrapatellar bursa

the angle between line of resultant force produced by quadriceps and line of patellar tendon is known as the __ _____

Q angle

the muscles of the Quadriceps femoris muscle group involved in knee extension are.. (5)

Rectus femoris Vastus lateralis Vastus intermedius Vastus medialis Vastus medialis oblique (VMO)

Articular capsule—encompasses both tibiofemoral and patellofemoral joints, consists of... (3)

Suprapatellar bursa Subpopliteal bursa Semimembranosus bursa

____ is a discrete group of fibers arising from the medial femoral condyle and the fascia of the adductor magnus.

VMO

What are the contraindications for applying ultrasound?

a. acute/postacute hemorrhage b. infection c. thrombophlebitis d. areas of impaired circulation/sensation e. over stress fracture sites or osteoporosis f. over suspected malignancy or cancer g. over pelvic/lumbar area during menstruation or pregnancy h. over epiphyseal growth plates i. over eyes, heat, skull, spine, genitals j. over active sites of infection/sepsis k. over implanted pacemaker l. over exposed metal that penetrates the skin

In the treatment of an ____ ___ ___ , use of a nonsteroidal anti-inflammatory drug for more than 2 weeks could retard the healing process.

acute ankle sprain

Because of the _____ effect of ice massage, it is not a treatment of choice for acute trauma.

analgesic

drug that reduces the response to pain; sedation

analgesic

drug that prevents pain from being perceived

anesthetic

An _______ fracture at the tibial tuberosity commonly results from a violent quadriceps contraction against a fixed foot.

apophyseal

sequence of sensations experienced during the application of cold therapy

cold, burning, aching, analgesia

alternating cold application and exercise

cyrokinetics

physiologic effects of cryotherapy

decreased metabolism, nerve conduction, and pain perception

Nonsteroidal anti-inflammatory drugs aid healing by

decreasing the sensitivity of pain receptors

A ______ ______ often displaces laterally and is accompanied by an audible pop and violent collapse of the knee following deceleration involving a cutting maneuver

dislocated patella

what isn't a contradiction of cryotherapy?

edema

stroking

effleurage

Both microwave and shortwave diathermy generate heat in the body tissues by the action of _____ waves.

electromagnetic

the tibia has closed packed position of...

full extension

Normally, the angle between the femoral and tibial shafts ranges from 180° to 195°. An angle of less than 180° is called_____ ______ (i.e., "knock knee"); an angle of greater than 195° is called ____ ____ (i.e., "bowlegs"). Hyperextension, or posterior bowing of the knee, is called ____ _____ .

genu valgum; genu varum; genu recurvatum

nonsteroidal anti-inflammatory drugs include

ibuprofen, indomethacin, piroxican

The ____ ______ is a medial stabilizer of the knee.

iliotibial

____ ___ : Broad, thickened band of fascia that extends from the tensor fascia latae over the lateral epicondyle of the femur to Gerdy tubercle on the lateral tibial plateau Well supplied with free nerve endings that transmit signals for pain and proprioception to the brain, enhancing the structure's ability to promote lateral knee stability

iliotibial band

_____ prolongs repair and regeneration of damaged tissues and _____ refers to early controlled mobilization speeds healing process

immobilization; remobilization

During intermittent compression therapy, the limb being treated should be:

immobilized in full extension

The introduction of anti-inflammatory drugs through the skin with ultrasound is called

iontophoresis

________ , also known as semilunar cartilages bc of their half-moon shape. Firmly attached to the superior plateaus of the tibia by the coronary ligaments and joint capsule

menisci

Therapeutic agents that enhance tissue healing while reducing pain and disability are called:

modalities

In the sagittal plane, the _____ serves to increase the angle of pull of the patellar tendon on the tibia, thereby improving the mechanical advantage of the quadriceps muscles for producing knee extension.

patella

the _____ _____ test should be performed to confirm a suspected patellar dislocation

patellar apprehension

kneading

petrissage

Because the medial and lateral condyles of femur differ somewhat in size, shape, and orientation, the tibia rotates laterally on the femur during the last few degrees of extension to produce "locking" of the knee..known as the _____ _____ mechanism

screwing-home

The pes anserine is the common attachment of the sartorius, gracilis, and ..

semitendinosus

the ________ bursa reduces friction between the two structures

supra patellar

percussion

tapotement

A technique that temporarily freezes superficial tissues to aid the therapist in reducing the pain-spasm cycle prior to stretch exercises is the use of a ____ ___

vapocoolant spray