TherEx - Final

During closed-chain strengthening of the quadriceps, knee ROM in which the greatest amount of patellofemoral compression occurs is:

Between 60 of knee flexion to full knee flexion.

To strengthen the elbow extensors in a closed chain, you have the patient perform push-ups, using body weight as the source of resistance. Which of the following variations of push-ups provides the greatest amount of resistance to the elbow extensors?

Bilateral push-ups while in a fully prone position on the floor with weight on the hands and toes

Although interventions used to manage patellofemoral pain syndrome are based on an examination of each patient on an individual basis, each of the following interventions is commonly employed except:

Lateral gliding of the patella.

Your patient has regained normal strength (5/5) and ROM during rehabilitation following a traumatic injury that severely stressed several ligaments and joints of the ankle. He continues to have poor control while walking on gravel or other uneven surfaces. To address this problem, your exercise program should focus on:

Performing progressive balance training with closed-chain disturbed balance activities on a rocker/balance board.

A patient who underwent a right cemented total hip arthroplasty through a posterolateral conventional incision 3 to 4 weeks ago is permitted to do each of the following except:

Pivot to the right while bearing weight on the operated lower extremity.

Tendinitis

condition in which the tissue connecting muscle to bone becomes inflamed.

Infraspinatus/Teres Minor

external rotation

Piriformis

external rotation

Gluteus Medius

hip abduction, assists in flexion and internal rotation; supports pelvis during gait

Gluteus Maximus

hip extension, hyperextension, lateral rotation

Pectineus

hip flexion and adduction

Rectus Femoris

hip flexion, knee extension

THA Indications for Surgery

-Anterior hip/groin pain as a result of focal lesions of the articular cartilage acetabulum or femoral head and often found in conjuction with FAI and/or acetabular labral tear or fraying that is not relieved by a course of conservative (nonop) treatment -Intra-articular loose bodies leading to clicking, catching, or locking of the hip joint -Laxity of the hip capsule typically leading to anterior instability of the hip -Intra-articular eamination of the hip

During the initial assessment of a patient who complains of a recent onset of "knee pain" when descending stairs and a sense of "giving way" both on the stairs and when walking, you ask several questions about recent knee injuries. Which of the following injuries would lead you to believe the patient might have injured his ACL?

A twisting injury when he slipped off the curb and his knee buckled inward

Your uncle called you last night after playing three games in a softball tournament yesterday. He indicated that late in the third game while trying to stretch a double into a triple, he felt a sudden sharp pain in his calf, which significantly interfered with his ability to continue running. He is able to move his foot "up and down," but both motions are painful. He is also able to walk if he "takes it slow." From the information your uncle gave you and the fact that he is a 42-year-old weekend warrior, your preliminary hypothesis is that your uncle may have sustained a(n):

Achilles tendon rupture.

Which one of the following ligaments of the ankle is most frequently stressed with an inversion sprain?

Anterior talofibular

When applying mobilization with movement techniques at the hip with the patient lying on a table in the supine position, the primary purpose of the mobilization belt is to:

Apply a pain-free inferolateral glide of the femur.

Pendulum (Codman's) exercises are used most effectively:

As a grade II oscillation technique to inhibit pain and maintain mobility.

Each of the following principles is important when designing a therapeutic exercise program to correct hip muscle length/strength imbalances except:

Because of the functional demands placed on the lower extremities, it is more important to have full hip ROM than to have "normal" strength of hip musculature.

Idiopathic frozen shoulder

Capsular thickening, capsular restrictions Usually occurs between ages of 40-65 YO. No known cause

Brachial Plexus in the thoracic outlet

Common sites for compression are the scalene triangle and the costoclavicular space and under the coracoid process and pectoralis minor muscle

Radial Nerve in the axilla

Compression occurs from continual pressure, such as when leaning on axillary crutches.

Suprascapular nerve in the suprascapular notch

Injury occurs from either direct compression or from nerve stretch, such as when carrying a heavy book bag over the shoulder

You place your patient's wrist in a splint because he is experiencing an acute episode of lateral epicondylitis. Which of the following is the least appropriate intervention while the inflamed soft tissue is healing?

Have the patient wear a splint to immobilize the wrist continuously for at least 2 weeks or until there is no pain.

Iliopsoas

Hip flexion; control hip extension at the end of stance and contract concentrically to initiate swing

bursitis

Inflammation of the fluid-filled pads (bursae) that act as cushions at the joints

A patient with a history of recurrent dislocation of the patella underwent a surgical procedure for realignment of the extensor mechanism. Considering the position of immobilization postoperatively, you would expect to find each of the following impairments when it is permissible to begin exercises except:

Lack of full or almost full passive knee extension.

Your patient has a 5-year history of RA. There are no obvious deformities, but during this current exacerbation of the disease, the wrist and MP joints are swollen, red, tender, and warm. There is generally decreased range of motion (ROM), pain during joint motion, and increased pain at the end of the available range of each joint. An appropriate short-term goal and intervention is:

Maintain joint mobility and decrease pain by using grade I or II joint-oscillation techniques.

The primary value of a patient performing quadriceps setting exercises when the knee is immobilized in a long leg cast for an extended period of time is to:

Maintain mobility of the patella.

A quadriceps lag may be described as:

Patient cannot actively extend the knee to full extension even though there is full passive knee extension.

A 40-year-old teacher who has been referred to you has experienced pain along the plantar aspect of the heel for more than 6 months. It is most noticeable when getting out of bed in the morning, upon standing after sitting for longer than 1 hour, and after playing racquetball. During walking, pain is most noticeable at the terminal stance/pre-swing phase of gait. The mostly likely disorder causing these symptoms is:

Plantar fasciitis.

Which of the following surgical approaches for conventional total hip arthroplasty is associated with the highest risk of postoperative hip dislocation if the hip flexes (passively or actively) beyond 80 to 90 during the early postoperative weeks?

Posterolateral

Tennis elbow may involve all of the following structures except the:

Pronator teres.

Each of the following is an expected outcome of conservative management of osteoarthritis of the knees except:

Regenerating worn articular cartilage.

According to Neer's classification of rotator cuff disease, which of the following stages is seen most often in patients 25 to 40 years of age and characterized by tendonitis or bursitis but not a rotator cuff tendon rupture?

Stage II

You are evaluating a patient with rheumatoid arthritis (RA) of the hand and wrist. You notice several deformities, including hyperextension of the proximal interphalangeal (PIP) joints and flexion of the distal interphalangeal (DIP) joints of digits 2, 3, and 4. This deformity is called:

Swan-neck deformity.

Each of the following is true about guidelines for rehabilitation after a procedure to repair an articular cartilage defect except:

Swimming and cycling are allowed and encouraged within 2 weeks to stimulate circulation and healing with limited weight bearing.

Repair of a SLAP lesion

Tear of the superior labrum is classified as a SLAP lesion (superior labrum extending anterior to posterior) Tear of proximal attachment of the long head of teh bicpes tendon and recurrent anterior instability of the GH joint. Repair: debridement of torn portion of superior labrum, abrasion of the bony surface of the superior glenoid, and reattachment of the labrum and biceps tendon with tacks or suture anchors.

Which of the following special tests may be used to confirm or rule out a rupture of the Achilles tendon during a patient's physical examination?

Thompson test

our patient exhibits a forward head posture and excessive thoracic kyphosis. Considering the muscles that typically are weak with this faulty posture, which of the following muscles of the shoulder girdle are most important to strengthen?

Upper and lower trapezius and serratus anterior

tendinosis

a degeneration of the tendon's collagen in response to chronic overuse

Subscapularis

internal rotation, adduction

Bankart Repair

open or arthroscopic reattachment of the torn joint capsule to the glenoid

Supraspinatus

shoulder abduction