MSK II Exam 2_Musculoskeletal Examination With Questions and Answers 100% Correct Graded A+ updated 2024

What information should be asked in the history if someone is referred to PT w/ hip pain? - CORRECT ANSWER-You will need to determine the onset of symptoms, MOI, and chief complaint you also need to determine any sources of referred pain. LB pain might cause neurogenic (nerve root compression) and spondylogenic (SI joint) causes You should ask and rule out any involvement of the lumbar spine What factors make up the history and systems review? - CORRECT ANSWER-pt age pain location distribution of symptoms symptom flucuations motion restrictions MOI behavior of symptoms aggrevating factors How can decreased mobility in the hip lead to cartilage breakdown? - CORRECT ANSWER-less mobility leads to less force distribution or possibly more localized force on that joint compression which puts more pressure on the cartilage so then not as much synovial fluid is pumping in and out of the joint How can cartilage breakdown start the vicious cycle of muscle weakness to mobility impairments? - CORRECT ANSWER-cartilage breakdown could lead to muscle weakness because the person won't use it as much due to pain, which then shuts down their function due to their reflex inhibition which causes mobility impairments What are the risk factors for Hip OA? - CORRECT ANSWER-age over 60 high BMI history of developmental disorders like LCPD and SCFE a previous injury high intensity or direct impact activites Males and females have different hip OA patterns Running (its low risk but still a risk) Where are the common locations of pain for hip OA? - CORRECT ANSWER-butt groin thigh knee pain ranges from dull aches to sharp and stabby the pt. might show you a C sign - which is when they cup their hand above the greater trochanter Whats the behavior of pain for hip OA? - CORRECT ANSWER-Pain that can last several hours, Stiffness of the hip (esp after inactivity and in the morning), difficulty and pain walking up the stairs and putting on socks What will be our exam findings for Hip OA? - CORRECT ANSWER-IR, abduction, flexion of the affected hip will be restricted w/ pain at end range Cyriax capsular pattern (FABIR) most common loss of motion w/ IR and Flexion What is the 2nd cluster of symptoms for hip OA? - CORRECT ANSWER-Hip IR 15 pain w/ IR morning stiffness that lasts 60 minutes or less age 50 yrs or older What is the 1st cluster of symptoms for hip OA? - CORRECT ANSWER-Hip IR 15 hip flexion less than or equal to 115 age 50 yrs or older What does "spPIN" mean - CORRECT ANSWER-it means that if a test has high SPecificity, we can rule IN an impairment What does SnNout mean? - CORRECT ANSWER-If a test has high sensitivity and you get a negative result, that means you can rule out the impairment What is the MCID? - CORRECT ANSWER-Minimally clinical important difference - the significant difference that the pt. will also feel What is MDC? - CORRECT ANSWER-minimal detectable change What is the Western ontario and Mcmaster universities osteoarthritis index (WOMAC) and how many questions does it have? - CORRECT ANSWER-its a measure that asseses pain, stiffness and physical function in a person w/ hip and/or knee OA 24 questions (0-4 score) for a total score of 0 (best) to 96 (worst) What is LEFS (lower extrememity functional scale) - CORRECT ANSWER-measures 20 different activities and scores from 0 (extremely difficult or the pt. couldn't do it) to 4 (no difficulty) total score is 0-80 w/ 80 showing the pt. has maximal function What is the MCID of the LEFS? - CORRECT ANSWER-9 points What are anti-inflammatory interventions for hip OA? - CORRECT ANSWER-NSAIDS, Cox-2 inhibitors, steroid injections, glucosamine sometimes suggested What would be good functional, gait, and balance training for hip OA? - CORRECT ANSWER-make sure you teach them how to use their ADs to improve their gait and function w/ WB actvities What would be a good Pt. education for hip OA? - CORRECT ANSWER-teach them activity modification, exercise, weight reduction and how to unload arthritic joints (putting their cane on the uninvolved side) avoid contact sports maybe do activities like swimming/cycling that helps mobilize the hip w/ no loads Teach them to load the hip to maintain integrity Why is manual therapy a good intervention for hip OA? - CORRECT ANSWER-it gives shortterm pain relief but improves hip mobility and a person's functions who has mild hip OA? But best intervention is a multi-modal approach! (combo of manual therapy and exercises) Whats our main goal when it comes to treating hip OA? - CORRECT ANSWER-relieve the person's symptoms, minimize their disability, and reduce the risk of the disease progressing What manual therapy techniques can we do for hip OA? - CORRECT ANSWER-inferior glides and posterior stretching (grades I-IV) long axis distraction What therapeutic exercises can we do w/ a pt. for hip OA? - CORRECT ANSWER-bike to warm up the joint Hamstring stretch stretch for flexion, ab, ER to counter the capsular pattern strength exercises for trunk stabilizers and major hip muscles (esp glute med) Clams (for glute med) bridges (for glute max) progress to -- sqauts, step ups What neuromuscular reeducation can we do for hip OA? - CORRECT ANSWER-show them to counter a pelvic hip drop AROM/PROM in the new range What's another name for gluteal tendinopathy? - CORRECT ANSWER-trochanteric bursitis What positions would you find pain w/ gluteal tendinopathy? - CORRECT ANSWER-pain w/ side lying, standing, walking, climbing up & down the stairs, sitting