Knee Osteoarthritis
Treatment
Subtopic 1
Connective Tissue
Dense (type 1 collagen)
Cruciate Ligaments (ACL/PCL)
ACL Tests:(anterior translation)
PCL Tests: (posterior translation)
Fibrous
Collateral Ligaments (MCL/LCL)
MCL (Valgus stress)
LCL (Varus Stress)
Anterior Knee Pain
Patellofemoral Pain (PFP)
Fat Pad/ Plica
Knee Bursitis
Patellofemoral Instability
Tendon Injury
Quadriceps/Patellar Tendon Rupture
Bony Disorders
Apophyseal Injuries
Iselin Disease (fifth MT)
Sever's Disease (calcaneus)
Osgood-Schlatter (tibial plat.)
Sinding-Larsen-Johansson Lesion (patella)
Bone Bruise
Subperiosteal contusion/hematoma
Subchondral bruise/fracture
Interosseous bruise
Baker's Cyst
Bipartite Patella
Patellar Fracture
Tibial Plateau Fracture (intra-articular)
Segond Fracture
Dislocations
Cartilage Injuries
Articular
Localized
Osteochondritis Dissecans (OCD)
Generalized
Osteoarthritis
Fibrocartilage
Meniscus
Entrapment Tests:
Lumbar Spine
Lumbar Disc
Spinal Stenosis (degenerative conditions)
Central Stenosis
Lateral Stenosis
Neurogenic Claudication
Facet Joint Degeneration
DDD (degenerative disc disease)
Compression Fracture
Nerve Root Pain
Nerve Root Pain
Radiculopathy
Examination
Ankylosing Spondylitis
info
Info
Prognosis
Cauda Equina Syndrome
Subtopic 1
Signs/Symptoms
Causes
Lumbar Instability
ROM Testing
Who benefits from Stabilzation
SI Joint Dysfunction
Who's at risk
Assessment
Assessment
Hip Disorders
HIP OA
Signs/Criteria
Tests and Measure
Key Impairments To Assess
Hip Avascular Necrosis (AVN)
Signs/Tests
Risk Factors
Femoral Acetabular Impingement (FAI)
Signs/Deformities
Risk Factors/Presentations
Examination
Hip Labral injuries
Signs/Tests
Risk Factors
Non-Surgical Protocol
Post-Surgical Protocol
Muscle Recruitment
Non-surgical
Post-Surgical Precautions
Hip Bursitis
Signs
Other Extra-Articular Bursitis of HIP
Hernias/Athletic Pubalgia
Causes of Groin Pain
MOI: Athletic Pubalgia
Schematic
Signs/Symptoms
Snapping Hip Syndrome
Different Forms of Snapping Hip
Signs/ Findings
Internal Treatment
External ITB Examination
Hip/Femur Fractures
MOI/Risks
Fracture Types
Stress Fracture Examination
Muscle Strains/Contusions/Heterotopic Ossification
Hamstring Strain MOI
Quadriceps contusion
Contusion vs. Strain
Ossification/Myositis Ossificans
Aggravating Factors/Development
Myositis Ossificans
Signs and Symptoms (hamstrings)
Other Muscle/Inflammation Injuries
Adductor Strain
Piriformis Syndrome
Glute Med/Min Injury
Osteitis Pubis
Nerve Entrapement
Pediatric/Adolescent Hip Disorders
Differential Diagnosis
Developmental Dysplasia
Septic Arthritis
Acute Transient Synovitis
Legg-Calve-Perthes Disease
Slipped Capital Femoral Epiphysis (SCFE)
Foot/Ankle
STM
Gastroc/Soleus
Plantar Fascia
Stretching
Gastroc/Soleus
Plantar Fascica
Therax
Tibialis Anterior
Posterior Tibialis
Peroneal Strengthening
Gastroc/Soleus
Neuromuscular Re-Education
Sitting/Standing Weight Shifts
Squat Progression
Single Limb Balance
Triage for LBP
Treatment Based Classification
Subtopic 1
Treatment-Based Classification Approach
Medical/CS
Subtopic 1
Subtopic 2
Self
PT
Functional Optimization
Subtopic 1
Movement Control
Subtopic 1
Symptom Modulation
Manual Therapy
Subtopic 1
Directional Preference
Subtopic 1
Traction and/or Immobilization
Subtopic 1
3 Categorization Buckets (Triage)
Nonspecific LBP
Back pain with potentially associated Radiculopathy or Spinal Stenosis
Back Pain with potentially associated with another specific spinal Cause
Do Not get routine imaging or diagnostic tests
Only perform diagnostic imaging when sever or progressive neurologic deficits are present
MRI preferred for radiculopathy or spinal stenosis
Educate patient with evidence based information
First-line medication options, Acetaminophen, Nonsteroidal anti-inflammatory drugs
Nonpharmacologic therapy
general interventions
HIP Interventions
Hip Joint Mobilizations
Long Axis
Helps with any direction
Lateral Hip Traction
No Movement
With Movement
Anterior Femoral Glide
STM
Posterior-Lateral Hip
Iliacus and Psoas
Stretching
Posterior-Lateral Hip
1. Supine
2. Seated
3. Standing
4. Pigeon
Iliacus and Psoas
1. Standing 2-joint bias
2. 1/2 kneeling
Progression
3. SL Standing
Glute Med./Max
Clams
Compensations
Static Abduction (progression)
L-Position Clam
Crab Walk/Monster Walk
Compensations
Bridging
Compensations
1. Bridge Marches
2. Single-Leg Bridge
Standing Clock
Glute Biased Squats
Long Femur
Interventions (knee)
STM + Stretching
STM Hamstring
Contract/Relax Hamstrings
Hamstrings Self-Stretch
Supine
With band
Active Knee extensions
Seated (PPT)
Standing
STM Quads
Bolster (leg elevated)
Modified Thomas position
Quads Self-Stretch
Sidelying (static or dynamic)
Standing
TFL + ITB
Sidelying
TFL and Superior Fibers of Glute Max Self-Stretch
Same as QL standing stretch (reaching over)
Same as QL position but hinging back
Knee Joint Mobilization
Traction Tibiofemoral + A-P glide of tibia
Improves Knee Flexion
Will decompress Joint surfaces
Tibiofemoral Glide P-A Glide of the Tibia
Improves Knee Extension
Tibiofemoral Glide A-P Glide of the Femur
Improves Knee Extension (cause femur)
Tibiofemoral Glide A-P Glide of Tibia
Improves Knee Flexion
Tibiofemoral Glide A-P Glide of Femur (nonbiomechanical)
Improves knee extension
Patellofemoral Glides
Superior glide (for knee extension)
inferior glide (for knee flexion)
Medial glide
Side-lying Patellofemoral Mobilizations - Medial Glide and Medial Tilt
for lateral pulling/tilting on patella
Knee Patellofemoral Taping
Correction of Lateral Tilt of the Patella
Correction for Lateral Glide of the Patella
Patellar Tendon Unloading
Therax
Quad Set
SLR
Hip Abduction
Double Limb Squat
Split Stance LUnge
Step Up and Down
Foot/Ankle
Ligaments
Anterior Talofibular Ligament (ATFL)
Calcaneo-Fibular Ligament (CFL)
Posterior Talofibular Ligament (PTFL)
Deltoid Ligament
Anterior Border
Posterior Border
Sinus Tarsi Structures
Subtalar Joint
Sprain Injuries
High Ankle Sprain
Ligaments Affected
Squeeze Test Differentiation