Pta201 Ankle/spine/si Quiz

Front 1

What position is the ankle placed to test the integrity of the calcaneofibular ligament when using an Inversion Stress Test?

Back 1

Neutral position

Front 2

For a patient with documented SI joint pathology, which of the following special tests would most likey reproduce their symptoms?
A. SLR at 20 degrees
B. Long sitting test
C. Slump test
D. Gaenslen's test

Back 2

Gaenslen's test
(SLR at 20 degrees does not stress the SIJ; Long sitting test looks at leg length; Slump test is not a test for SI joint dysfunction)

Front 3

Name one muscle that directly controls movement of the SI joint

Back 3

There are NO muscles that directly control movement of the SI joint; there are many muscles that cross the joint and influence it.

Front 4

What structure(s) give the SI joint its stability?

Back 4

A series of ligaments in the anterior and posterior aspect of the SI joint.

Front 5

Which of the following activities would least likely cause symptoms in a patient with SI joint dysfunction?
A. cross country skiing
B. rapid walking
C. sitting with feet flat on floor
D. going up 2 stairs at a time

Back 5

C
The remaining activities all put a large amount of asymmetrical force on the SI joint

Front 6

Where does pain from the SI joint refer to?

Back 6

hip, anterior and lateral thigh, buttock, posterior thigh- RARELY below the knee

Front 7

If a patient has a posterior innominate on the left, what would the results of a long sitting test be?

Back 7

In supine, the left LE would appear shorter. In long sitting, the left LE would appear longer.

Front 8

If a patient has a posterior innominate on the left, what would you expect to see in a postural evaluation?

Back 8

The ASIS would appear higher on the left; the PSIS would appear lower on the left

Front 9

What effect does nutation have on the pelvic brim and pelvic outlet?

Back 9

Nutation (a forward nodding of the sacrum)results in a decrease of the pelvic brim and an increase in the pelvic outlet

Front 10

Of the many special tests for SI joint dysfunction, which has been found to be the most valid?

Back 10

Gillet test

Front 11

Name 3 common mechanisms of injury for the SI joint

Back 11

falling onto the buttock(s)
sexual intercourse
unilateral kicking
stepping off a curb/stair
lifting with twisting
golf
shoveling
pregnancy (not really a mechanism of injury, but a precipitating factor)

Front 12

Name the three classifications of mechanical back pain as identified by MacKenzie.

Back 12

Postural, Dysfuction and Derrangement

Front 13

What differentiates a postural problem from a dysfunction?

Back 13

Postural Syndromes do not show any loss of motion and symptoms are produced only after sustained end range positioning

Front 14

True or False: The dysfunction is named by the motion which is lost or restricted.

Back 14

True

Front 15

Describe a derrangement syndrome.

Back 15

The situation in which the normal resting position of the articular surfaces of two adjacent vertebrae is disturbed as a result of a change in the position of the fluid nucleus between these surfaces.

Front 16

What tests are used to detect for a herniated disk in the lumbar region?

Back 16

SLR, LeSeque’s, Well SLR, Bowstring Test/Cram’s, Slump Test and Valsalva Maneuver

Front 17

Which of the cervical spine tests is positive when symptoms are abolished?

Back 17

Distraction test

Front 18

Name the global muscles in the lumbar spine.

Back 18

Rect abdominis, Internal & ext obliques, Quad Lumborum (lat portion), Erector spinae, and Iliopsoas

Front 19

Name the core muscles in the lumbar spine.

Back 19

Transverus Abdominis, Multifidus, Quad Lumborum (deep portion) and deep rotators

Front 20

Changes in the curves of the spine can effect the strength and flexibility of the spinal musculature. Name the two conditions that occur as a result of either shortening or lengthening of the muscle.

Back 20

Stretch weakness and Tight weakness

Front 21

Why do muscles become weak when they are habitually kept in a stretched position?

Back 21

The length-tension relationship of the muscle is altered

Front 22

What is the major goal of treatment when treating lateral ankle sprains?

Back 22

Increase the dynamic stability of the ankle evertors.

Front 23

Having a patient stand on an incline board accomplishes what goal?

Back 23

Stretching to the plantarflexors which increase DF ROM.

Front 24

When does the Early Remobilization program after an Achilles tendon repair allow for FWB?

Back 24

3-6 wks post-op with orthosis

Front 25

In the first 1-2 weeks of the Early Remobilization program after an Achilles tendon repair, how much DF motion is permitted?

Back 25

The patient is not allowed by go beyond 15-30 degrees of PF.

Front 26

When does the Conservative program after an Achilles tendon repair allow for FWB?

Back 26

6-8 weeks post-op

Front 27

What are the three causes of neurovascular compression in Thoracic Outlet Syndrome (TOS)?

Back 27

Anterior scalene tightness, costoclavicular approximation, and Pect Minor tightness

Front 28

What are the two types of problems assoiciated with TOS?

Back 28

Vascular and neurologic symptoms

Front 29

Name the treatment goals assoicated with MacKenzie.

Back 29

Reduce derrangement, stretch dysfunction, correct posture, restore function, and prevent recurrence

Front 30

How would you stretch the scalene muscles?

Back 30

Ipislateral rotation and contralateral lateral flexion

Front 31

Name the special tests used to detect TOS.

Back 31

Adson's or Scalene, East or Hands-up, Costoclavicular and Allen tests

Front 32

True of False: a goal of treating a Derrangement syndrome is centralizaion of symptoms.

Back 32

True

Front 33

Please review the Flashcards from last year's Kinesiology class on the spine and posture.

Back 33

I'm not kidding, I'd review them if I were you!

Front 34

What are the seven classifications of impairment based diagnostic categories?

Back 34

General, NWB bias, Extension Bias, Flexion bias, stabilization/immoblization, mobilization/manipulation and Muscle and Soft tissue lesion

Front 35

According to the Impairment Based Diagnositic Categories, what dictates treatment?

Back 35

Treatments are determined by the patient's responses to the maneuvers that provide the greatest relief of symptoms.

Front 36

True or False: patients that are classified as either an Extension Bias or Flexion Bias usually present with a flexed posture.

Back 36

True

Front 37

What level of derrangement has the following symptoms: Unilateral or asymmetrical pain across L4/5.
With or without buttock and/or thigh pain.

Back 37

Four

Front 38

What conditions fall under the diagnosis of Shin Splints?

Back 38

Post Tibial Tendonitis, Periostitis, or stress fracture

Front 39

True or False: Pain along the plantarflexors is a symptom associated with an Anterior Compartment Syndrome?

Back 39

False, pain is along the extensor tendons

Front 40

True or False: the posterior tibial nerve is compressed with Tarsal Tunnel Syndrome.

Back 40

True

Front 41

True or False: stretching the plantarflexors is an important part of treatment with plantar fascilitis (PF).

Back 41

True

Front 42

True or False: supination is commonly found in patients who have PF

Back 42

False, pronation

Front 43

What treatments are used with PF?

Back 43

Stretching to the gastrocnemius-soleus, strengthening to the intrinsic muscles, DF ROM exercises prior to prior to standing after awaking from a nights sleep and proper footware

Front 44

That's all folks!

Back 44

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