Musculoskeletal Physiotherapy and Manual Therapy Flashcards
7 cards from real PCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Musculoskeletal Physiotherapy and Manual Therapy flashcards as text
In the Maitland grading system, which grade describes a high-velocity, low-amplitude thrust beyond the normal range of motion?
Answer: Grade V
Grade V is Maitland's manipulation grade, performed beyond the anatomical limit of range using a high-velocity, low-amplitude thrust technique.
A patient presents with a positive FABER test (pain in the posterior pelvis). Which structures are most likely implicated?
Answer: Sacroiliac joint or hip joint
The FABER test (Flexion, Abduction, External Rotation) stresses both the sacroiliac joint and the hip joint; posterior pelvis pain during this test implicates the sacroiliac joint.
According to the convex-concave rule, to increase glenohumeral internal rotation, the therapist should glide the convex humeral head in which direction?
Answer: Posteriorly, opposite to the direction of movement
When a convex surface (humeral head) moves on a fixed concave surface (glenoid), the joint glide is in the opposite direction to the intended bone movement — a posterior glide increases internal rotation.
A patient with low back pain centralizes with lumbar extension. According to the McKenzie Method, which treatment is MOST indicated?
Answer: Lumbar extension exercises
The McKenzie directional preference principle dictates that when symptoms centralize with extension, extension exercises are the primary treatment approach.
Which of the following findings on the Ottawa Ankle Rules warrants an ankle radiograph?
Answer: Inability to bear weight immediately after injury and during assessment
The Ottawa Ankle Rules indicate radiography when the patient cannot take four steps (bear weight) both immediately after injury and during the clinical evaluation.
The Hawkins-Kennedy test for shoulder impingement is performed by placing the shoulder at 90° of flexion and then:
Answer: Applying internal rotation to compress the supraspinatus under the coracoacromial arch
The Hawkins-Kennedy test compresses the supraspinatus tendon under the coracoacromial arch by internally rotating the shoulder held at 90° of flexion.
Which outcome measure is most widely validated for assessing pain and function in patients with hip and knee osteoarthritis?
Answer: WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index)
The WOMAC is specifically designed and validated for hip and knee osteoarthritis, measuring pain, stiffness, and physical function across 24 items.