1
BPK 241 injuries Questions with Answers
(100% Correct Answers)
What are the steps of assessing an injury. Answer: 1. Observation
2. ask questions past history
3. gait test
4. Range of motion, active, passive
5.Strength/resistance test
6. Ligament tests
7. Palpation
8.Diagnose
9.Treatment
A soccer player gets side tackled to the ground. Player stays on ground longer
than 10 seconds clutching ankle. you run out. what questions do you ask?
Answer: where is the pain?
What makes it worse, what makes it better?
how new are your shoes?
rate the pain?
have you had any injuries to your ankle before and how did it heal?
Athlete tells you there is pain on the lateral side of the ankle, inversion makes it
worse, RICE makes it better, shoes are 2 months old and well broken in, pain is
a 7, no previous ankle injuries. What tests do you perform next? Answer:
weight bearing test
,2
athlete shifts most of weight to right foot indicating left ankle is sore. ROM is
decreased in PF. Whats next? Answer: Active and Passive ROM in DF, PF,
and inversion and eversion
You find that DF and EVE hurts, and PF and INV cause pain in active and
passive ROM. more so in active ROM. what do you do next? Answer: Strength
testing in DF,PF,EVE and INV
EVE is painful. What do you do next and which tests do you perform based on
findings? Answer: Ligament tests.
anterior drawer, posterior drawer, ATFL, CFL,PTFL
There is pain with all of the tests. there is mild pain and mild laxity when
testing the calcaneofibular ligament and moderate pain and laxity with anterior
talofibular ligament. What is your diagnosis. Answer: inversion ankle sprain.
1st degree sprain on calcaneofibular ligament and 2nd degree sprain of the
anterior talofibular ligament.
What treatment plan do you prescribe Answer: RICE
non weight bearing activity for a week or until pain decreases
work on ROM using a towel to assit
start with strengthning, isometric- inversion-place foot against a wall or hard
surface and push side of foot into wall and hold for 10 secs. x10, increase
number of sets from 1-5 as time goes on. do same for eversion.
use towel for resisted PL and DF
start on balance- sitting on chair with foot on bosu ball, progress to standing
with both legs on ball, then one leg on ball, then do that with eyes closed, then
add squat with eyes open, eyes closed
proprioception- spell alphabet with ankle, foot on bosu ball moving forward,
backward, side to side
,3
running progression- start with pool running in deep end, move to pool running
in shallow end, walking, running on mini trampoline, side to side hopping,
kareoke, ladder work, running on inside turf of track, running on harder
surfaces, running figure 8s cutting loops smaller, running and cutting at 90
degrees, sprinting, sprinting and cutting at 90 degrees
long distance runner comes into clinic and complains of pain on the bottom of
their foot. what do you start with? Answer: Observation
you observe that there is slight swelling near the heel and redness. what
questions do you ask the athlete? Answer: where is the pain?
what makes it better, what makes it worse?
how old are your shoes?
rate the pain on scale of 0-10
any past injury in foot?
pain in the heel, worse in morning after just waking up and after sitting for long
periods of time, feels better after moving around a bit. shoes are 2 years old,
worn frequently, pain is 7-8, no past injuries on foot. Given this information
what do you do next? Answer: Check range of motion in PF, DF, INV, and
EVE as well as half squat and twist squat, checking for arch support and weight
bearing tendencies
pain on active DF, less painful with passive, has loss of control of arch on
injured side. What next? Answer: Strength testing. test strength of
DF,PF,INV,EVE, toe flexion and toe extension.
strength is equal for DF,PF,INV,EVE, slight pain with toe extension. next?
Answer: length testing in gastroc (leg straight passively dorsiflexing), soleus
(knee at 90 passively dorsiflexing), and flexor hallucis longus(bending big toe
back).
, 4
Tightness is felt in gastroc, soleus and FHL on injured side. Next? Answer:
palpate medial calcaneal tubricle, general calcaneus, plantar fascia and dorsal
pedal pulse.
pain with medial calcaneal tubricle, and plantar fascia. no pain with general
calcaneus, dorsal pedal pulse is normal. Diagnosis? Answer: Plantar fasciitis
Treatment plan Answer: soft orthodics with deep heel cups worn at all times
new shoes
arch taping for support
night splint to keep in dorsi instead of plantar
do eccentric loading program- assisted raising onto both feet, weight transferred
to injured leg, non assisted lowering, starting with set of 10 reps, increasing to 3
to 5 sets of 10 reps
Runner comes in complaining of pain in foot, whats the first thing you do.
Answer: observe foot.
ask where pain is,
how long has there been pain,
what makes it better what makes it worse,
how long have you had your footwear
rate pain
any previous injury to area
pain is on heel, pain has been there for a few days really bad, non weight
bearing activity makes it better, weight bearing makes it worse, foot wear is a
few months old, broken in, no previous injury. what tests do you do for it?
Answer: gait analysis looking for supination and pronation, flopping/ heavy
feet, shifting weight, limping etc
BPK 241 injuries Questions with Answers
(100% Correct Answers)
What are the steps of assessing an injury. Answer: 1. Observation
2. ask questions past history
3. gait test
4. Range of motion, active, passive
5.Strength/resistance test
6. Ligament tests
7. Palpation
8.Diagnose
9.Treatment
A soccer player gets side tackled to the ground. Player stays on ground longer
than 10 seconds clutching ankle. you run out. what questions do you ask?
Answer: where is the pain?
What makes it worse, what makes it better?
how new are your shoes?
rate the pain?
have you had any injuries to your ankle before and how did it heal?
Athlete tells you there is pain on the lateral side of the ankle, inversion makes it
worse, RICE makes it better, shoes are 2 months old and well broken in, pain is
a 7, no previous ankle injuries. What tests do you perform next? Answer:
weight bearing test
,2
athlete shifts most of weight to right foot indicating left ankle is sore. ROM is
decreased in PF. Whats next? Answer: Active and Passive ROM in DF, PF,
and inversion and eversion
You find that DF and EVE hurts, and PF and INV cause pain in active and
passive ROM. more so in active ROM. what do you do next? Answer: Strength
testing in DF,PF,EVE and INV
EVE is painful. What do you do next and which tests do you perform based on
findings? Answer: Ligament tests.
anterior drawer, posterior drawer, ATFL, CFL,PTFL
There is pain with all of the tests. there is mild pain and mild laxity when
testing the calcaneofibular ligament and moderate pain and laxity with anterior
talofibular ligament. What is your diagnosis. Answer: inversion ankle sprain.
1st degree sprain on calcaneofibular ligament and 2nd degree sprain of the
anterior talofibular ligament.
What treatment plan do you prescribe Answer: RICE
non weight bearing activity for a week or until pain decreases
work on ROM using a towel to assit
start with strengthning, isometric- inversion-place foot against a wall or hard
surface and push side of foot into wall and hold for 10 secs. x10, increase
number of sets from 1-5 as time goes on. do same for eversion.
use towel for resisted PL and DF
start on balance- sitting on chair with foot on bosu ball, progress to standing
with both legs on ball, then one leg on ball, then do that with eyes closed, then
add squat with eyes open, eyes closed
proprioception- spell alphabet with ankle, foot on bosu ball moving forward,
backward, side to side
,3
running progression- start with pool running in deep end, move to pool running
in shallow end, walking, running on mini trampoline, side to side hopping,
kareoke, ladder work, running on inside turf of track, running on harder
surfaces, running figure 8s cutting loops smaller, running and cutting at 90
degrees, sprinting, sprinting and cutting at 90 degrees
long distance runner comes into clinic and complains of pain on the bottom of
their foot. what do you start with? Answer: Observation
you observe that there is slight swelling near the heel and redness. what
questions do you ask the athlete? Answer: where is the pain?
what makes it better, what makes it worse?
how old are your shoes?
rate the pain on scale of 0-10
any past injury in foot?
pain in the heel, worse in morning after just waking up and after sitting for long
periods of time, feels better after moving around a bit. shoes are 2 years old,
worn frequently, pain is 7-8, no past injuries on foot. Given this information
what do you do next? Answer: Check range of motion in PF, DF, INV, and
EVE as well as half squat and twist squat, checking for arch support and weight
bearing tendencies
pain on active DF, less painful with passive, has loss of control of arch on
injured side. What next? Answer: Strength testing. test strength of
DF,PF,INV,EVE, toe flexion and toe extension.
strength is equal for DF,PF,INV,EVE, slight pain with toe extension. next?
Answer: length testing in gastroc (leg straight passively dorsiflexing), soleus
(knee at 90 passively dorsiflexing), and flexor hallucis longus(bending big toe
back).
, 4
Tightness is felt in gastroc, soleus and FHL on injured side. Next? Answer:
palpate medial calcaneal tubricle, general calcaneus, plantar fascia and dorsal
pedal pulse.
pain with medial calcaneal tubricle, and plantar fascia. no pain with general
calcaneus, dorsal pedal pulse is normal. Diagnosis? Answer: Plantar fasciitis
Treatment plan Answer: soft orthodics with deep heel cups worn at all times
new shoes
arch taping for support
night splint to keep in dorsi instead of plantar
do eccentric loading program- assisted raising onto both feet, weight transferred
to injured leg, non assisted lowering, starting with set of 10 reps, increasing to 3
to 5 sets of 10 reps
Runner comes in complaining of pain in foot, whats the first thing you do.
Answer: observe foot.
ask where pain is,
how long has there been pain,
what makes it better what makes it worse,
how long have you had your footwear
rate pain
any previous injury to area
pain is on heel, pain has been there for a few days really bad, non weight
bearing activity makes it better, weight bearing makes it worse, foot wear is a
few months old, broken in, no previous injury. what tests do you do for it?
Answer: gait analysis looking for supination and pronation, flopping/ heavy
feet, shifting weight, limping etc
