Rehabilitation and Therapy Orthopedic Rehabilitation 1 — Questions and Answers
Question 1: What is the typical rehabilitation protocol progression after total knee replacement (TKA)?
- Early mobilization day 1, progressive weight bearing, range of motion, then strengthening (Correct answer)
- Strict bed rest for 2 weeks, then physical therapy
- Non-weight bearing for 6 weeks, then full weight bearing
- Immediate return to high-impact activities after 2 weeks
Correct answer: Early mobilization day 1, progressive weight bearing, range of motion, then strengthening
Modern TKA protocols emphasize early ambulation on post-op day 1, progressive full weight bearing, achieving 90° knee flexion within the first week, and gradual strengthening.
Question 2: Which orthopedic condition is characterized by pain and stiffness at the greater trochanter of the hip?
- Greater trochanteric pain syndrome (trochanteric bursitis) (Correct answer)
- Hip osteoarthritis
- Femoral neck stress fracture
- Iliotibial band syndrome
Correct answer: Greater trochanteric pain syndrome (trochanteric bursitis)
Greater trochanteric pain syndrome involves pain over the lateral hip at the greater trochanter, often from gluteal tendinopathy or bursitis, worsened by lying on the affected side.
Question 3: What is the Hawkins-Kennedy test used to diagnose?
- Subacromial impingement syndrome of the shoulder (Correct answer)
- Acromioclavicular joint separation
- Biceps tendon rupture
- Glenohumeral instability
Correct answer: Subacromial impingement syndrome of the shoulder
The Hawkins-Kennedy test internally rotates the shoulder with the arm in 90° flexion to impinge the supraspinatus against the coracoacromial ligament, reproducing impingement pain.
Question 4: Which condition is characterized by inflammation of the plantar fascia at its calcaneal insertion, causing heel pain with first steps in the morning?
- Plantar fasciitis (Correct answer)
- Achilles tendinopathy
- Heel fat pad syndrome
- Tarsal tunnel syndrome
Correct answer: Plantar fasciitis
Plantar fasciitis is the most common cause of heel pain, producing classic first-step morning pain as the fascia is abruptly loaded after rest-induced shortening.
Question 5: Ottawa Ankle Rules help clinicians decide when to order X-rays for ankle injuries. Bone tenderness in which area mandates imaging?
- Posterior edge or tip of the lateral or medial malleolus, or base of the 5th metatarsal (Correct answer)
- Anterior ankle only
- Mid-shaft fibula only
- Achilles tendon insertion
Correct answer: Posterior edge or tip of the lateral or medial malleolus, or base of the 5th metatarsal
The Ottawa Ankle Rules indicate X-rays are needed if there is tenderness at the posterior 6 cm or tip of either malleolus, the navicular, or the base of the 5th metatarsal with inability to bear weight.
Question 6: What is the purpose of joint mobilization Grade I–II in orthopedic manual therapy?
- Pain relief through neurophysiological effects, not to increase range of motion (Correct answer)
- Stretching capsular adhesions to gain mobility
- High-velocity manipulation to restore joint play
- Strengthening periarticular muscles
Correct answer: Pain relief through neurophysiological effects, not to increase range of motion
Maitland Grades I–II are small-amplitude oscillations used primarily for pain modulation through stimulation of mechanoreceptors, without stressing joint structures.
Rehabilitation and Therapy Orthopedic Rehabilitation 1
What is the typical rehabilitation protocol progression after total knee replacement (TKA)?