MSK LQ W11 - Knee Treatment

A 30 year old female (BMI = 21) is seeing you for recent onset of bilateral anterior knee pain. She reports no previous knee injury but she does explain she's had a long history of trail running both competitively and socially. She often reports her knee pain interferes with her normal running routine. Based on her subjective reports, you suspect patellofemoral pain as a likely diagnosis. You know that a multimodal intervention program can have the best outcomes for someone with PFP.You are aware of emerging evidence supporting the power of patient education for decreasing functional limitations and pain in runners with PFP. Which of the following is the most appropriate recommendation by the physical therapist with regards to patient education in treating patients with patellofemoral pain?

Educate the patient on load management strategies in terms of frequency and duration.

3 multiple choice options

The safest range for performing closed chain exercises in the rehabilitation of the patellofemoral joint to minimize joint stress is:

0-45° of knee flexion

3 multiple choice options

Neuromuscular electrical stimulation has strong evidence to support its use in which of the following conditions? Select the BEST answer.

ACL reconstruction

3 multiple choice options

A physical therapist attempts to select an appropriate intervention to treat a patient who has a 10 degree limitation in knee extension. Which of the following mobilization techniques would be the MOST appropriate?

Anterior glide of the tibia

3 multiple choice options

First line treatment for patients with knee OA consists of supervised exercise, patient education, and weight loss. What is the minimum number of supervised exercise sessions recommended?

12

3 multiple choice options

Which Grade of Manual Therapy is a high amplitude, short duration hold that is used while trying to promote joint mobility restrictions?

grade 4

3 multiple choice options

T/F: Eccentric HS training is preferred over concentric HS training for HS strain treatment for mid to late stage treatment

true

1 multiple choice option

which of the following exercises promote gluteus medius muscle activation (can be closed chain or open chain).

all of these

3 multiple choice options

You have a patient who is a runner, and presents with PFP syndrome. You perform a running analysis with the patient on a treadmill. Which of the following observations could increase risk for knee pain while running?

heel strike at initial contact

3 multiple choice options

What level of evidence supports the use of Neuro E-Stim for patients post ACL Reconstruction to improve quad strength and

strong

2 multiple choice options

T/F: Oral NSAIDS are strongly recommended for patients with Knee OA

true

1 multiple choice option

Your patient is recovering from ACL Reconstruction. They are asking you when they can return to running. What is the BARE MINUMUM a patient needs of quad strength (percentage wise ) on injured limb compared to non injured limb to return to running?

80%

3 multiple choice options

T/F: A Meniscal Repair is often performed in the inner 2/3, avascular zone

false

1 multiple choice option

Which of the following could increase one's risk for having central sensitization (nociplastic) knee pain?

all of the above

3 multiple choice options