Term
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Definition
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Term
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Definition
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Term
| Total tibial rotation during MSt |
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Definition
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Term
| Ratio of pronation : tibial rotation during MSt |
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Definition
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Term
| Gastroc/Soleus: action at subtalar joint |
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Definition
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Term
| Finding subtalar neutral: invert & evert calcaneus until... |
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Definition
| you feel talus equally on index finger and thumb |
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Term
| Rear Foot compensation = ... |
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Definition
| STJ pron/sup to get PLANTAR SURFACE on the ground |
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Term
| Forefoot compensation = ... |
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Definition
| STJ & midtarsal jt pron/sup to get MET HEADS on the ground |
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Term
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Definition
| rear foot or forefoot does not reach flat contact c ground |
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Term
| "high arch" c which foot compensation? |
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Definition
| uncompensated subtalar varus |
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Term
| "super high arch" c which foot compensation? |
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Definition
| uncompensated forefoot varus |
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Term
| Panjabi theory behind lumbar instability: |
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Definition
"neutral zone" of Z Joint stability;
abnormal incr >> more stress on passive structures surrounding it |
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Term
| Lumbar spine neutral zone maintained by... (3) |
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Definition
passive elements (mostly at endrange)
active elements (throughout range)
nervous system |
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Term
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Definition
abdominals
paraspinals & gluteals
diaphragm
pelvic floor & hip girdle mm |
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Term
Lumbopelvic mm: GSS v LSS
small, monoarticular, deep mm |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
high density of mm spindles |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
produce symmetric patterns during low loads |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
continuous activity |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
large cross-sectional area |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
polysegmental mm |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
produce asymmetric patterns during low loads |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
pelvic floor |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
TrA |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
multifidus |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
diaphragm |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
psoas |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
internal oblique |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
rotatores |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
musculi interspinalis |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
intertranserversarii mediales & laterales |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
long erector spinae |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
rectus abdominus |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
external oblique |
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Definition
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Term
Lumbopelvic mm: GSS v LSS
longissimus thoracis |
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Definition
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Term
| __% MVC needed to stiffen spine sufficiently for ADLs |
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Definition
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Term
| __% MVC needed for "rigorous" activity |
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Definition
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Term
| __% MVC maximally stabilizes the spine |
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Definition
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Term
| Neural control of core made up of... (3) |
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Definition
feedforward response
co-contraction
ligamento-muscular reflex |
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Term
| Sequence of sequelae p LBP (8) |
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Definition
atrophy of multifidus
decr back extensor endurance
altered patterns of recruitment (GSS a LSS)
altered timing
mm imbalance (GSS > LSS)
reflexive inhibition//hypertrophy
facet hypertrophy
decr proprioception >> loss of balance |
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Term
| Decr proprioceptive input from spinal joints >> decr motor control of pelvis/hip >> adoption of ________ in lower limb |
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Definition
valgus angulation
(hip add/IR, knee valgus, tibial ER, foot pronation) |
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Term
| Chronic hypertonus of short ERs (piriformis syndrome) >> pain & anterior pull on femoral head, aka ... |
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Definition
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Term
| Priorities of eval for LBP pt |
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Definition
exam lumbar spine, pelvis, & hip, looking for
hypomobile jts
hypermobile jts
unstable jts |
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Term
| Mobilize ____ first in LBP pt; leads to greatest gains |
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Definition
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Term
| Hip mobilization: focus on regaining... |
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Definition
IR
abd
ext
(close packed position) |
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Term
| Standing screen for motor control of lumbopelvic complex |
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Definition
10-12 single leg squats RAPIDLY
timed test of unilat stance (eyes open/closed) |
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Term
| Assessing LSS (in order of priority) |
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Definition
pelvic floor
TrA
multifidus
hip mm (psoas & R/C, ERs, abds, glut max) |
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Term
| Multifidus testing: ___% MVC c resisted hamstring contraction |
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Definition
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Term
| Multifidus testing: ___% MVC c resisted hamstring contraction & lifting contralat UE |
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Definition
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Term
| "R/C of the hip" comprised of: (4) |
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Definition
quadratus femoris
glut minimus
obturator internus/externus
gemelli |
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Term
| Retraining TrA: biofeedback cuff mmHg |
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Definition
80mmHg at rest
raise needle 5pt (no more than 10pt) |
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Term
| Retraining TrA: exercise progression (8) |
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Definition
biofeedback cuff
single leg straightening
single leg fallouts
single leg lowers
single leg abductions
single SLR circles/squares
single straight leg abd circles/squares
add arm motions |
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Term
| Planks NOT advised in LBP pts who have... |
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Definition
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Term
| FOUNDATION of rehab for LBP pts (2) |
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Definition
coordination
proprioception |
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Term
| Rehab program for average Joe c LBP |
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Definition
fxnl mvmt program
trunk endurance ex, 45 min, 3x/week
hip ex (ROM, strength)
balance activities 2x/week |
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Term
| What to look for in knee exam (4) |
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Definition
effusion
jt line tenderness
atrophy
localizing symptoms |
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Term
| MRI abnormalities on >40 y/o knee... |
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Definition
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Term
| Main goal post knee sx (5) |
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Definition
symmetry between knees
ROM
stability
strength
function |
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Term
| Full flex knee ROM measured by... |
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Definition
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Term
| Full ext knee ROM measured by... |
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Definition
| propping heels on bolster |
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Term
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Definition
decr ROM >> OA
(not vice versa) |
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Term
| Proper rehab for deconditioned knee (3) |
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Definition
1. restore full, symmetric ext ROM
2. restore full, symmetric flex ROM
3. strengthen |
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Term
| Why should symmetry be a goal for knee rehab? (3) |
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Definition
necessary for ADLs
essential for athletes to perform at higher levels
important for ROM & strength |
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Term
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Definition
ext: usually some hyperextension
flex: usually >150º |
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Term
| Optimal/desired strength for knee |
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Definition
| within 10% strength of opposite, normal knee |
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Term
| Swelling limits knee ____ |
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Definition
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Term
| Suggested strengthening exercises for the knee |
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Definition
leg press
knee ext machines
high rep step-down exercises |
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Term
| post-op ACL rehab protocol |
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Definition
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Term
| post-op patellar realignment rehab protocol (4) |
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Definition
encourage knee flex ≥90º
swelling control
ROM
quad control |
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Term
| Basic principles of knee rehab (4) |
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Definition
normal knees = symmetric
can't effectively strengthen a stiff knee
prevent swelling
encourage normal use of knee during all activities |
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Term
| Common pitfalls of knee rehab (3) |
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Definition
failure to recognize slight ROM asymm
strengthening a stiff knee
working on both ext & flex ROM simultaneously |
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Term
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Definition
RICE
low impact ex (bike, elliptical, aqua) |
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Term
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Definition
explain what OA is
explain that stiff knee is more painful
explain goals of rehab phases
encourage daily habits using both legs equally |
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Term
| Injections used for the knee (4) |
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Definition
cortisone
hyaluronan
glucosamine
chondroitin |
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Term
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Definition
cryocuff >>
heel props, towel stretch >>
SLR >>
gait training (2x/day; emphasis quality of gait) |
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Term
| Type of leg/ACL most likely for ACL injury |
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Definition
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Term
| Gastroc causes ______ translation of tibia |
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Definition
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Term
| Shelbourne: When to return to sports p ACL reconstruction |
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Definition
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