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| What is normal ROM for ankle DF? |
0-20 DEGREES |
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MichaelMorano Sun, 05 Dec 2010 20:40:51 GMT |
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| How do the quads work from heel strike to foot flat? |
ECCENTRICALLY |
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MichaelMorano Sun, 05 Dec 2010 20:40:51 GMT |
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| What is the normal pulse for an infant? |
100-130 |
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MichaelMorano Sun, 05 Dec 2010 20:39:43 GMT |
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| What is the treatment of choice when treating a patient with multi-directional instability? |
CONSERVATIVE |
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MichaelMorano Sun, 05 Dec 2010 20:39:43 GMT |
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| How long does the maximum protection phase for surgical repairs to large RC tears usually last? |
6-8 WEEKS |
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MichaelMorano Sun, 05 Dec 2010 20:39:43 GMT |
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| What is the function of the lower trapezius? |
-DEPRESSION OF THE SCAPULA
-UPWARD ROTATION OF THE SCAPULA
-RETRACTION OF THE SCAPULA |
0 |
MichaelMorano Sun, 05 Dec 2010 20:39:42 GMT |
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| How do Codman Pendulum's work most effectively? |
AS GRADE II OSCILLTION TECHNIQUES WHICH INHIBIT PAIN AND MAINTAIN JOINT MOBILITY |
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MichaelMorano Sun, 05 Dec 2010 20:13:28 GMT |
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| What muscles need to be strengthened if a patient shows excessive IR? |
-INFRASPINATUS
-TERES MINOR
-POSTERIOR DELTOID |
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MichaelMorano Sun, 05 Dec 2010 20:13:28 GMT |
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| What muscles need to be strengthened if a patient has excessive shoulder protraction? |
-RHOMBOID
-MIDDLE TRAP
-LOWER TRAP |
0 |
MichaelMorano Sun, 05 Dec 2010 20:13:28 GMT |
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| What set of shoulder muscles should be targeted for strengthening on a patient with an anterior dislocation? |
-TERES MAJOR
-SUBSCAPULARIS
-PECT MAJOR |
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MichaelMorano Sun, 05 Dec 2010 20:13:28 GMT |
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| A positive sulcus sign indicates injury to the superior glenohumeral ligament? |
FALSE
INFERIOR GLENOHUMERAL LIGAMENT |
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MichaelMorano Sun, 05 Dec 2010 19:51:29 GMT |
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| What is the primary goal of a total shoulder replacement? |
PAIN RELIEF |
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MichaelMorano Sun, 05 Dec 2010 19:51:29 GMT |
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True/False
The drop arm test is a good test for determing the integrity of the rotator cuff? |
TRUE |
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MichaelMorano Sun, 05 Dec 2010 19:51:29 GMT |
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True/False
The subscapularis is commonly a source of pain and discomfort with impingement syndrome? |
FASLE
SUPRASPINATUS |
0 |
MichaelMorano Sun, 05 Dec 2010 19:51:29 GMT |
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| Advanced task specific strengthening activities dominate this phase of rehab after an RC repair? |
MINIMUM PROTECTION PHASE |
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MichaelMorano Fri, 03 Dec 2010 02:22:07 GMT |
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| What muscles must first be targeted after an RC tear repair? |
STRENGTHEN CUFF MUSCLES FIRST BEFORE DYNAMICALLY STRENGTHENING THE SHOULDER ABDUCTORS AND FLEXORS |
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MichaelMorano Fri, 03 Dec 2010 02:22:07 GMT |
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| For a post RC repair, when do strengthening exercises typically begin? |
8 weeks post op |
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MichaelMorano Fri, 03 Dec 2010 02:22:07 GMT |
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| Begin to develop strength, endurance, and neuromuscular control of the shoulder. What phase of rehab is this most approprite for? |
MODERATE PROTECTION PHASE |
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MichaelMorano Fri, 03 Dec 2010 02:09:32 GMT |
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| When can pendulum exercises typically start for a post RC repair? |
-FIRST POSTOPERATIVE DAY (MAX PROTECTION PHASE) |
0 |
MichaelMorano Fri, 03 Dec 2010 02:09:32 GMT |
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| What oscillation grade is used in the max protection phase of a RC tear? |
GRADE I OSCILLATION (TO CONTROL PAIN AND INFLAMMATION) |
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MichaelMorano Fri, 03 Dec 2010 02:09:32 GMT |
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| With RC tears, how long does the max protection phase last for medium and large RC tears? |
3-4 WEEKS (MEDIUM TEARS)
6-8 WEEKS (LARGE/MASSIVE TEARS) |
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MichaelMorano Fri, 03 Dec 2010 02:09:32 GMT |
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| What muscle group needs to be strong to stabilize the humeral head against anterior translation forces of the shoulder? |
SUBSCAPULARIS & LONG HEAD OF BICEPS |
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MichaelMorano Fri, 03 Dec 2010 00:43:13 GMT |
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| What is a SLAP lesion? |
A TEAR IN THE SUPERIOR LABRUM |
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MichaelMorano Fri, 03 Dec 2010 00:43:13 GMT |
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| What structures are most commonly injured do to an anterior shoulder dislocation? |
-BRACHIAL PLEXUS
-AXILLARY NERVE |
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MichaelMorano Fri, 03 Dec 2010 00:43:13 GMT |
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| What kind of tissue do joint mobs stretch? |
NON CONTRACTILE |
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MichaelMorano Fri, 03 Dec 2010 00:15:51 GMT |
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| What special tests can be used to diagnose impingement syndrome? |
-EMPTY CAN TEST
-HAWKINS TEST
-NEER TEST |
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MichaelMorano Fri, 03 Dec 2010 00:15:51 GMT |
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| Name 3 symptoms associated with impingement syndrome? |
-PAINFUL ARC OF MOTION
-INFLAMMATION
-DECREASED ROM |
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MichaelMorano Fri, 03 Dec 2010 00:15:51 GMT |
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| What muscle groups are targeted for anterior shoulder instability? |
ADDUCTORS AND INTERNAL ROTATORS |
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MichaelMorano Fri, 03 Dec 2010 00:15:51 GMT |
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| AMBRI? |
ATRAUMATIC MULTIDIRECTIONAL BILATERAL REHAB INFERIOR |
0 |
MichaelMorano Fri, 03 Dec 2010 00:04:52 GMT |
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| TUBS? |
TRAUMATIC UNIDIRECTIONAL BANKART SURGERY |
0 |
MichaelMorano Fri, 03 Dec 2010 00:04:52 GMT |
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| When is the shoulder most vulnerable to an anterior shoulder dislocation? |
WHILE THE SHOULDER IS IN THE POSITON OF ER AND 90 DEGRESS ABDUCTION |
0 |
MichaelMorano Fri, 03 Dec 2010 00:04:52 GMT |
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TRUE/FALSE
Use only passive and no assisted ROM for 6-8 weeks for a repair of a massive cuff tear or after a traditional open repair with deltoid detachment? |
TRUE |
0 |
MichaelMorano Fri, 03 Dec 2010 00:04:52 GMT |
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| ADL's after a full thickness RC repair? |
AVOID USE OF OPERATED ARM FOR FUNCTIONAL ACTIVITIES THAT INVOLVE HEAVY RESISTANCE FOR 6-12 WEEKS POST OP |
0 |
MichaelMorano Thu, 02 Dec 2010 23:49:55 GMT |
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| What are the guidlines for stretching a repaird full thickness RC repair? |
AVOID VIGOROUS STRETCHING, THE USE OF CONTRACT-RELAX PROCEDURES OR GRADE III JOINT MOBILIZATIONS FOR AT LEAST 6 WEEKS POST OP. |
0 |
MichaelMorano Thu, 02 Dec 2010 23:49:55 GMT |
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| Strengthening exercise guidlines after repair of a full thickness RC tear? |
-ISOMETRIC RESISTANCE TO SCAPULOTHORACIC MUSCULATURE (ARM SUPPORTED)
-NO WEIGHT BEARING (CLOSED CHAIN) EXERCISES OR ACTIVITIES FOR 6 WEEKS
-DELAY DYNAMIC STRENGTHENING (PRE's) FOR A MINIMUM OF 8 WEEKS |
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MichaelMorano Thu, 02 Dec 2010 23:49:55 GMT |
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| Early shoulder motion guidlines after repair of a full thickness rotator cuff tear? |
-PERFORM PASSIVE OR ASSISTED ROM WITHIN SAFE AND PAIN FREE RANGES
-ONLY PASSIVE AND NO ASSISTED ROM FOR 6-8 WEEKS
-MINIMIZE ANTERIOR TRANSLATION OF THE HUMERAL HEAD AND POTENTIAL FOR IMPINGEMENT. (SEE THAT THE HUMERUS IS POSITIONDED SLIGHTLY ANTERIOR TO THE FRONTAL PLANE OF THE BODY AND IN SLIGHT ABDUCTION) *SCAPTION |
0 |
MichaelMorano Thu, 02 Dec 2010 23:49:55 GMT |
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| Surgical repair is not indicated in patients who are asymptomatic from an RC tear despite the persence of a tear confirmed by imaging? |
TRUE |
0 |
MichaelMorano Thu, 02 Dec 2010 21:59:59 GMT |
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True/False
Partial thickness tears of the RC occur most often in young, active adults? |
FALSE
FULL THICKNESS |
0 |
MichaelMorano Thu, 02 Dec 2010 21:59:59 GMT |
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| Partial thickness tear? |
EXTENDS INFERIORLY OR SUPERIORLY THROUGH ONLY A PORTION OF THE TENDON. |
0 |
MichaelMorano Thu, 02 Dec 2010 21:59:59 GMT |
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| A complete tear, which extends the entire depth of the tendon? |
FULL THICKNESS TEAR |
0 |
MichaelMorano Thu, 02 Dec 2010 21:59:59 GMT |
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| What is the Tx of a rotator cuff in the minimum protection phase? |
-INCREASE ROM
-NORMALIZE SHOULDER KINEMATICS
-STRENGTHEN RC AND PARASCAPULAR MUSCLES
-IMPROVE THE RC ABILITY TO TOLERATE TENSION LOADING |
0 |
MichaelMorano Thu, 02 Dec 2010 21:49:47 GMT |
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| What determines the length of rehab after surgery of an RC injury? |
DEPENDS ON THE PATIENT'S AGE, TYPE OF TEAR, AND SURGICAL REPAIR. |
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MichaelMorano Thu, 02 Dec 2010 21:49:47 GMT |
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| Conservative Tx for a rotator cuff injury? |
*GOAL IS TO STRENGTHEN UNINJURED RC
-CONTROL INFLAMMATION (STEROID INJECTION)
-ACTIVITY MODIFICATION (AVOID OVERHEAD ACTIVITIES)
-MAINTAIN NORMAL SHOULDER MECHANICS
-ANT/POST CAPSULE STRETCHING
SURGERY (THE LENGTH OF REHAB DEPENDS ON THE PATIENTS AGE, TYPE OF TEAR, AND SURGICAL REPAIR. |
0 |
MichaelMorano Thu, 02 Dec 2010 21:49:47 GMT |
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True/False
An abducted shoulder will increase the blood flow to the supraspinatus tendon? |
TRUE |
0 |
MichaelMorano Thu, 02 Dec 2010 21:49:47 GMT |
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| What are the three clinical presentations of a rotator cuff tear? |
-PAINFUL ARC
-DECREASED STRENGHT AND ROM
-FUNCTIONAL DISABILITIES |
0 |
MichaelMorano Thu, 02 Dec 2010 21:39:20 GMT |
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| How long does it take to recover from a full thickness RC tear? |
6 MONTHS |
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MichaelMorano Thu, 02 Dec 2010 21:39:20 GMT |
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| What are the two classifications of rotator cuff tears? |
-PARTIAL THICKNESS
-FULL THICKNESS |
0 |
MichaelMorano Thu, 02 Dec 2010 21:39:20 GMT |
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| SAD |
SUB-ACROMIAL DECOMPRESSION |
0 |
MichaelMorano Thu, 02 Dec 2010 21:39:20 GMT |
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| What kind of joint mobs need to be performed for shoulder impingement? |
*STRETCH SHORTENED TISSUES
*INFERIOR JOINT MOBS
*STRETCH INTERNAL ROTATORS OF THE SHOULDER |
0 |
MichaelMorano Thu, 02 Dec 2010 20:03:48 GMT |
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| Scapular stabilization muscles? |
-UPPER AND LOWER TRAPS
-LEVATOR SCAPULA
-RHOMBOID MAJOR
-PECT MINOR
-MIDDLE AND LOWER SERRATUS ANTERIOR |
0 |
MichaelMorano Thu, 02 Dec 2010 19:43:38 GMT |
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| What muscles need to be targeted with an impingement syndrome? |
*SHOULDER EXTERNAL ROTATORS (INFRASPINATUS & TERES MINOR)
*NORMALIZE THE FORCE COUPLE BETWEEN THE DELTOID AND ROTATOR CUFF |
0 |
MichaelMorano Thu, 02 Dec 2010 19:43:38 GMT |
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| Extrensic factors of shoulder impingement? |
-POSTERIOR CAPSULE TIGHTNESS
-POOR NERUOMUSCULAR CONTROL OF THE ROTATOR CUFF OR SCAPULAR MUSCLES
-FAULTY SCAPULOTHORACIC POSTURE WITH MUSCLE IMBALANCES
-PARTIAL OR COMPLETE TEAR OF THE TISSUES IN THE SUPRAHUMERAL SPACE |
0 |
MichaelMorano Thu, 02 Dec 2010 19:43:38 GMT |
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| Intrinsic factors of shoulder impingement? |
-DIRECTLY ASSOCIATED WITH ENCROACHMENT OF THE SUBACROMIAL SPACE
-INCLUDES:
*VASCULAR CHANGES IN THE ROTATOR CUFF TENDON
*STRUCTURAL VARIATIONS IN THE ACROMION
*HYPERTROPHIC DEGENERATIVE CHANGES OF THE AC JOINT, CORACOAROMIAL ARCH, OR HUMERAL HEAD
(ALL OF THESE FACTORS DECREASE THE SUPRAHUMERAL SPACE AND OFTEN HAVE TO BE DEALT WITH SURGICALLY) |
0 |
MichaelMorano Thu, 02 Dec 2010 19:43:38 GMT |
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| What is believed to be the cause of primary shoulder impingement? |
OCCURS AS A RESULT OF MECHANICAL WEAR OF THE ROTATOR CUFF AGAINTS THE ANTEROINFERIOR ONE THIRD OF THE ACROMION IN THE SUPRAHUMERAL SPACE DURING ELEVATION ACTIVITIES OF THE HUMERUS. |
0 |
MichaelMorano Thu, 02 Dec 2010 18:26:26 GMT |
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| Neer's Classification of Rotator Cuff Disease (Stage 3)? |
BONE SPURS AND TENDON RUPTURE (PATIENT USUALLY > 40 YEARS OF AGE) |
0 |
MichaelMorano Thu, 02 Dec 2010 18:26:26 GMT |
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| Neer's Classification of Rotator Cuff Disease (Stage 2)? |
TENDINITIS/BURSITIS AND FIBROSIS (PATIENT USUALLY 25-40 YEARS OF AGE) |
0 |
MichaelMorano Thu, 02 Dec 2010 18:26:26 GMT |
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| Neer's Classification of Rotator Cuff Disease (Stage 1)? |
EDEMA, HEMORRHAGE (PATIENTS USUALLY > 25 YEARS OF AGE) |
0 |
MichaelMorano Thu, 02 Dec 2010 18:26:26 GMT |
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