UPDATE 100% CORRECT
What are the two most important tests of joint play or laxity of the talo-crural
joint? For deficiency of which anatomic structures is each sensitive and/or
specific (specify which is the case)? (4) Answer - · Anterior Drawer Test for ATFL
= SN and SP
· Talar tilt test for CFL = SP
What are two common types of talo-crural impingement? What assessments
would you perform to test for them? (2) Answer - · Impingement with
dorsiflexion
· Impingement with plantarflexion
· Passive and active ROM tests asking if pain is felt at end ROM
How would you assess the knee of someone suspected of having patellar
instability? (3) Answer - · Take a history - knee giving way or episodes of
unlocking
· Look for swelling, ask if there is pain when resting and weight bearing
· Tenderness at the site of MPFL rupture and/or lateral bony injury
· Have a positive apprehension test - apply laterally directed force as the flexed
knee is straightened. If they become apprehensive when the knee extends then
it is positive
Measure patella alta, rearfoot pronation, poor axial alignment
Patellar hypermobility
, What are the manifestations of extrinsic collateral ligament injury in the knee?
(3) Answer - · Tenderness to palpation at site of rupture
· Instability - feeling of giving way or buckling
· Laxity with varus/valgus tests, poor endpoint feel, pain with stress if partial
rupture
· Difficulty with extension
Reactive hamstring tension
How would you assess a client who presented with chronic "groin" pain? What
disorders that may cause groin pain are potentially differentiated by each
component of your assessment? (8) Answer - · Palpation - structural issues
with the bones or muscles
· PROM restriction or provocation - potential issues bone and joints
· Resisted muscle activation - myofascial issues
· Laslett's cluster - SI pain and referred pain from spine
· Neurologic exam - nerve entrapments and referred pain from spine
How would you assess the truncal stability of a client with chronic mixed-
pattern back-dominant low back pain? Why would you assess it this way? (4)
Answer - · Assessments - isometric strength-endurance exercises held for 2 min
o Biering Sorensen position
o Side bridge
o Flexion 45
· Why
o Theory and data suggest that these strength-endurance measures are
strongly correlated with stability measured with instruments
o Also, there is a correlation between performance in these tests from freedom
from low back pain