Therex Exam 3 -- LE

table, CKC, early plyometrics, jump training

what is the basic LE exercise progression

quad set

this is an isometric exercise intended for quad motor function and improves active knee extension

dorsiflexion

what action can you cue with a quad set to improve quad recruitment

supine knee extension prop

what exercise can be done that improves knee extension ROM and is a long duration, low-load stretch

knee extension

which ROM is most important to achieve early in post-op recovery

prone hang

what exercise is intended to improve knee extension ROM as an advancement from extension prop, using gravity to assist with stretching of the knee

last

do you want to do a prone hang exercise first or last in a treatment session

heel slide

what exercise can improve knee flexion or hip flexion ROM and can be done active, active assisted, or passive

short arc quad

what exercise improves quad control and is a step before a straight leg raise

quad lag

when a patient has normal ROM , but knee still bends during a straight leg raise

extensor lag

when a patient has uneven or abnormal extension ROM, causing a lag in their knee during a straight leg raise

long arc quad

exercise to improve quad function and control, step between short arc quad and a straight leg raise

0-90

how many degrees of knee flexion ROM does a patient need to have for a long arc quad exercise

0-45

how many degrees of knee flexion ROM does a patient need to have for a short arc quad exercise

straight leg raise

exercise that improves muscular control and strength of the quad and hip flexors

lean, lock, lift

what is the most difficult variation of a straight leg raise

supine

what position is the easiest to perform a straight leg raise in

lag

what should you be watching for most intently when a patient is doing a straight leg raise

terminal knee extension

exercise that improves knee extensor strength and muscular control at end range

90/90 hamstring stretch

this exercise improves hamstring flexibility and stretches the entire posterior chain when the foot is in dorsiflexion

single leg lowering at the wall

this exercise improves hamstring flexibility passively on one leg and dynamically on the other

prone hip mobility

this exercise improves flexibility of the rectus femoris and iliopsoas with the weight bearing leg used to lock out lumbar spine

bretzel

this exercise improves flexibility of the hip flexors and knee extensors and also improves thoracic mobility

clamshell

this exercise improves hip motor control by improving active hip external rotation stability, a main performance focus is to keep the pelvis forward

rotating lumbar spine

what is a common cheat when patients perform the clamshell exercises

sidelying hip abduction

this exercise improves hip motor control by improving active hip abduction stability

hip flexor involvement, anterior movement of leg

what are two common cheats from patients performing sidelying hip abduction

double leg bridge

this exercise improves active hip extension ROM with a bilateral pattern -- want patient to maintain a level pelvis and torso with 70-75% of feeling centered in the glute

lower back

patients performing a glute bridge incorrectly often experience the effect of the exercise where

single leg bridge

improves active hip extension ROM and motor control with a unilateral pattern, advancement from a double leg bridge

lumbar locked bridge

exercise that improves active hip extension ROM and motor control with a knee to chest used to lock out the lumbar spine

fire hydrant

this exercise improves active hip abduction stability, challenges weight bearing hip stability, and motor control while maintaining a neutral spine

quadruped diagonals

this exercise improves muscular control of the glutes, hip extension ROM, and motor control by incorporating a crawling pattern

mountain climbers

this exercise improves active hip flexion with contralateral hip extension, starting in a frog-like position

half-kneeling balance

this exercise improves muscular control of the hips where 90% of weight is on the back hip and check for asymmetries

double leg deadlift

this exercise improves muscular control of the quads and hips in a symmetrical stance posture, using a dowel to help maintain proper posture

knees

what should not be bending during a double or single leg deadlift

OTIS

this exercise improves single leg stance through reactive perturbation with resistance bands, band resistance provides core assistance

heel taps

this exercise trains eccentric quad control -- watch for knee valgus collapse

forward

step ups in this direction train and strengthen the quad and posterior hip

lateral

step ups in this direction train and strengthen the lateral hip

ankle circles and ABCs

what two exercises are multi-plane AROM exercises for the ankle

gastroc towel stretch

this exercise improves OKC ankle dorsiflexion ROM

soleus towel stretch

this exercise improves OKC ankle dorsiflexion ROM with a flexed knee

half kneeling dorsiflexion

this exercise improves CKC ankle dorsiflexion ROM -- pt is in half-kneeling and should be able to see great toe when lunging into position

open half kneeling dorsiflexion

this exercise improves CKC ankle dorsiflexion ROM, the heel of the front foot stays down and kettlebell hold assists motor control

as high as tolerated

what should the load be for exercises in an achilles tendinopathy pain program

twice weekly

based on the presented research, patients should exercise at least ___________ ____________ at an intensity as high as tolerated by the patient

Alfredson's protocol

achilles tendinopathy protocol for eccentric strengthening that is performed 3x15 reps, two times daily, seven days a week even if there is pain

band, seated, 2 leg standing, 1 leg standing

what is the progression for achilles tendinopathy exercises

70%

for rate of force development: "using loads of ______________ maximal has been shown to enhance maximal muscle strength and muscle hypertorphy but results in a reduction in the relative RFD and as such no change in RFD"

initiating contraction

weeks 0-2 of force development phases should consist of what

endurance

weeks 2-8 of force development phases should consist of what

hypertrophy

weeks 8-12 of force development phases should consist of what

strength

weeks 12-16 of force development phases should consist of what

power/strength/hypertrophy

weeks 17-52 of force development phases should consist of what