Rehabilitation and Therapy Orthopedic Rehabilitation 2

Question 1

What is the classic rehabilitation precaution following posterior total hip replacement (THR) to prevent dislocation?

Accepted Answer

Avoid hip flexion > 90°, adduction, and internal rotation

Answer

Posterior approach THR precautions (hip flex < 90°, no adduction past midline, no internal rotation) protect the posterior capsule repair until adequate healing occurs.

Question 2

Which term describes the wearing away of articular cartilage in a joint, leading to bone-on-bone contact and pain?

Accepted Answer

Osteoarthritis (OA)

Answer

Osteoarthritis is a degenerative joint disease characterized by progressive cartilage degradation, subchondral bone changes, osteophyte formation, and joint space narrowing.

Question 3

What is the primary purpose of iontophoresis in orthopedic physical therapy?

Accepted Answer

Deliver medication transdermally using electrical current to reduce local inflammation

Answer

Iontophoresis uses direct electrical current to drive ionized medication (typically dexamethasone or lidocaine) through the skin to treat local inflammatory conditions.

Question 4

Which orthopedic special test is positive when the patient experiences lateral knee pain during compression and rotation, indicating a meniscal tear?

Accepted Answer

McMurray test

Answer

The McMurray test produces a click or pain in the medial or lateral joint line when the knee is passively flexed, rotated, and extended, indicating meniscal pathology.

Question 5

What is the SLAP lesion in shoulder pathology?

Accepted Answer

Superior Labrum Anterior to Posterior tear of the glenoid labrum

Answer

A SLAP tear involves the superior portion of the glenoid labrum at the biceps anchor attachment, common in overhead athletes and those with traction injuries.

Rehabilitation and Therapy Practice Test

Rehabilitation and Therapy Practice Test

Rehabilitation and Therapy Orthopedic Rehabilitation 2