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1) According to the Journal of Orthopaedic Sports Physical Therapy Knee Ligament Sprain Clinical Practice Guidelines, all the following are considered grade “A” interventions except for which of the following:

A. Supervised rehabilitation after ACL reconstruction

B. Therapeutic exercises for 6 to 10 months after ACL reconstruction

C. Neuromuscular electrical stimulation for 6 to 8 weeks after ACL reconstruction

D. Neuromuscular re-education after ACL reconstruction

 

 

2) Which of the following ligaments in the knee is least likely to be injured?

A. Anterior cruciate ligament

B. Posterior cruciate ligament

C. Medical collateral ligament

D. Lateral collateral ligament

 

 

3) A youth athlete has increased anterior knee pain after an increase in volume of soccer practices and games.  Pain is localized to the inferior pole of the patella at the proximal attachment of the patellar tendon.  What is the most likely diagnosis?

A. Osgood-Schlatter Disease

B. Patellar tendonopathy

C. Sinding-Larsen-Johansson Syndrome

D. Medial patellofemoral ligament sprain

 

 

4) Which is the most common range that the patella dislocates at?

A. 0º to 20º

B. 20º to 40º

C. 40º to 60º

D. 60º to 80º

 

 

5) What is the ideal knee flexion angle for cyclists to reduce knee injuries when the shank and pedal are closest to the ground?

A, 15º to 20º

B. 20º to 25º

C. 25º to 30º

D. 30º to 35º

 

Scroll down for answers.

 

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1) According to the Journal of Orthopaedic Sports Physical Therapy Knee Ligament Sprain Clinical Practice Guidelines, all the following are considered grade “A” interventions except for which of the following:

A. Supervised rehabilitation after ACL reconstruction

Answer choice A was given a “B” grade based on published scientific literature prior to December 2016.  All other answer choices were given a grade of “A”. 

B. Therapeutic exercises for 6 to 10 months after ACL reconstruction

C. Neuromuscular electrical stimulation for 6 to 8 weeks after ACL reconstruction

D. Neuromuscular re-education after ACL reconstruction

Citation: Logerstedt DS, Scalzitti D, Risberg MA, Engebretsen L, Webster KE, Feller J, Snyder-Mackler L, Axe MJ, McDonough CM, Altman RD, Beattie P. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain Revision 2017: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Orthopaedic Section of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy. 2017 Nov;47(11):A1-47.

 

 

2) Which of the following ligaments in the knee is least likely to be injured?

A. Anterior cruciate ligament

B. Posterior cruciate ligament

C. Medical collateral ligament

D. Lateral collateral ligament

Of all the ligaments in the knee, the LCL is least likely to be injured. 

Citation: Logerstedt DS, Scalzitti D, Risberg MA, Engebretsen L, Webster KE, Feller J, Snyder-Mackler L, Axe MJ, McDonough CM, Altman RD, Beattie P. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain Revision 2017: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Orthopaedic Section of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy. 2017 Nov;47(11):A1-47.

 

3) A youth athlete has increased anterior knee pain after an increase in volume of soccer practices and games.  Pain is localized to the inferior pole of the patella at the proximal attachment of the patellar tendon.  What is the most likely diagnosis?

A. Osgood-Schlatter Disease

B. Patellar tendonopathy

C. Sinding-Larsen-Johansson Syndrome

Since the patient is a youth athlete, and the location of the pain is at the inferior pole of the patella you should suspect answer choice C.  Answer choice A is likely when pain is localized to the tibial tubercle. 

D. Medial patellofemoral ligament sprain

Citation: Patel DR, Villalobos A. Evaluation and management of knee pain in young athletes: overuse injuries of the knee. Transl Pediatr. 2017.

 

 

4) Which is the most common range that the patella dislocates at?

A. 0º to 20º

The patella most commonly dislocates between the ranges of 0º to 20º, bony stability between the patellofemoral joint is maximized between 20º and 60º.

B. 20º to 40º

C. 40º to 60º

D. 60º to 80º

Citation: Vitale TE, Mooney B, Vitale A, Apergis D, Wirth S, Grossman MG. Physical therapy intervention for medial patellofemoral ligament reconstruction after repeated lateral patellar subluxation/dislocation. International journal of sports physical therapy. 2016 Jun;11(3):423.

 

5) What is the ideal knee flexion angle for cyclists to reduce knee injuries when the shank and pedal are closest to the ground?

A, 15º to 20º

B. 20º to 25º

C. 25º to 30º

This is the best answer choice.

D. 30º to 35º

Citation: Bini R, Hume PA, Croft JL. Effects of bicycle saddle height on knee injury risk and cycling performance. Sports medicine. 2011 Jun 1;41(6):463-76.

 

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