PCM III final Exam Questions with Verified
Correct Answers
most effective glute max exercises
1. single limb squat
2. single limb deadlift
3. transverse lunge
4. forward lunge
5. sideways lunge
most effective glute med exercises
1. side lying hip abd
2. single limb squat
3. lateral band walk
4. single limb deadlift
5. sideways hop
weak glute med leads to what motion in the lateral trunk
abduction , which increases stress on lumbar spine
with a weak glute med which side of the quadratus lumborum is affected
on the side of the elevated crest causing a lateral pelvic tilt
When hip abduction through femur movement is the desired motion
the pelvis must be stabilized by the lateral abdominals (internal and external obliques) on the
side of the moving femur.
With an asymmetrical slouched posture
,the person shifts the trunk weight onto one lower extremity and allows the pelvis to drop on
the other side
Passive support comes from the
iliofemoral ligament and iliotibial band on the stance leg side
hen standing on one leg, gravity creates an adduction moment at the hip, tending to
cause the pelvis to
drop on the unsupported side (hip or pelvic drop)
an adductor moment at this hip can result as what in the knee
valgus
if the gluteus medius is weak
there is increased adduction of the femur and increased valgus moment at the knee, imposing
greater stress on the medial collateral ligament, medial patellofemoral ligament, and anterior
cruciate ligament.
glute med weakness can do what to the TFL
cause it to act as an abductor
if the ITB is acting as a abductor there is
increased tension on the IT band, valgus collapse of the knee during weight-bearing with
hip/knee flexion, and increased dynamic Q-angle.
dominance of the TFL over the glute med can cause pain where
lateral knee pain (IT band syndrome) or pain knee patellofemoral pain syndrome from
increased bowstring effect on the extensor mechanism
, TSA
no GH extension past 30 degrees, no active IR to protect subscap, used when soft tissue is
intact, convex on concave
rTSA
wear immobilizer continuously for 3-4 weeks, no GH extension past neutral, used when an
effective RC can't be achieved, concave on convex
achilles tendon repair 0-4 weeks
Compression dressing and posterior splint set in equinus removed a few days to a week post
op, Foot held at 15-30 degrees PF, At 2-3 weeks, a new cast is applied, or the boot is adjusted
to less PF.
WB guidelines for achilles tendon repair 0-4 weeks
NWB, ambulate with crutches
achilles tendon repair 4 weeks
walking cast with the ankle positioned in neutral, or CAM brace, limits DF to 0, Continuous
immobilization in cast or very limited motion
in brace for an additional 2-4 weeks
WB guidelines for achilles tendon repair 4 weeks
NWB or touch-down weight bearing initiated with an immobilizer, WB progressed as tolerate
achilles tendon repair 6-8 weeks
If walking cast was used previously, it is replaced with
CAM brace allowing for DF beyond neutral, active ROM initiated while in brace
Correct Answers
most effective glute max exercises
1. single limb squat
2. single limb deadlift
3. transverse lunge
4. forward lunge
5. sideways lunge
most effective glute med exercises
1. side lying hip abd
2. single limb squat
3. lateral band walk
4. single limb deadlift
5. sideways hop
weak glute med leads to what motion in the lateral trunk
abduction , which increases stress on lumbar spine
with a weak glute med which side of the quadratus lumborum is affected
on the side of the elevated crest causing a lateral pelvic tilt
When hip abduction through femur movement is the desired motion
the pelvis must be stabilized by the lateral abdominals (internal and external obliques) on the
side of the moving femur.
With an asymmetrical slouched posture
,the person shifts the trunk weight onto one lower extremity and allows the pelvis to drop on
the other side
Passive support comes from the
iliofemoral ligament and iliotibial band on the stance leg side
hen standing on one leg, gravity creates an adduction moment at the hip, tending to
cause the pelvis to
drop on the unsupported side (hip or pelvic drop)
an adductor moment at this hip can result as what in the knee
valgus
if the gluteus medius is weak
there is increased adduction of the femur and increased valgus moment at the knee, imposing
greater stress on the medial collateral ligament, medial patellofemoral ligament, and anterior
cruciate ligament.
glute med weakness can do what to the TFL
cause it to act as an abductor
if the ITB is acting as a abductor there is
increased tension on the IT band, valgus collapse of the knee during weight-bearing with
hip/knee flexion, and increased dynamic Q-angle.
dominance of the TFL over the glute med can cause pain where
lateral knee pain (IT band syndrome) or pain knee patellofemoral pain syndrome from
increased bowstring effect on the extensor mechanism
, TSA
no GH extension past 30 degrees, no active IR to protect subscap, used when soft tissue is
intact, convex on concave
rTSA
wear immobilizer continuously for 3-4 weeks, no GH extension past neutral, used when an
effective RC can't be achieved, concave on convex
achilles tendon repair 0-4 weeks
Compression dressing and posterior splint set in equinus removed a few days to a week post
op, Foot held at 15-30 degrees PF, At 2-3 weeks, a new cast is applied, or the boot is adjusted
to less PF.
WB guidelines for achilles tendon repair 0-4 weeks
NWB, ambulate with crutches
achilles tendon repair 4 weeks
walking cast with the ankle positioned in neutral, or CAM brace, limits DF to 0, Continuous
immobilization in cast or very limited motion
in brace for an additional 2-4 weeks
WB guidelines for achilles tendon repair 4 weeks
NWB or touch-down weight bearing initiated with an immobilizer, WB progressed as tolerate
achilles tendon repair 6-8 weeks
If walking cast was used previously, it is replaced with
CAM brace allowing for DF beyond neutral, active ROM initiated while in brace
