Course Integrator Guide

NAME ______

SECTION ______

CHAPTER 16 WORKSHEET

USING THERAPEUTIC EXERCISE IN REHABILITATION

MATCHING: Match the following terms with the appropriate response.

_____ 1. Isotonic contractionA. Motion occurring between two articulating surfaces of a

_____ 2. Muscle strength joint throughout a physiologic range

_____ 3. Muscle enduranceB. Ability to sustain muscle contraction at a submaximal effort

_____ 4. Atrophy over time

_____ 5. Arthrokinematics C. Exercises are concerned with restoring normal body

_____ 6. Isometric contraction function after injury

_____ 7. Therapeutic exerciseD. A manual therapy technique that can be used for

strengthening muscle or increasing range of motion

_____ 8. Isokinetic contractionE. Contraction with no change in length of muscle or the angle

_____ 9.Proprioceptive neuromuscular of the joint

facilitationF. Allows athlete to overcome a given resistance

_____ 10. Neuromuscular controlG. Shortening or lengthening the muscle through its complete

range of motion

H. Wasting away of a tissue

I. Contraction of muscle against an accommodating resistance

throughout the range of motion

J. Mind’s attempt to teach the body conscious control of a

specific movement.

SHORT ANSWER: Answer the following questions with a brief response.

11. ______is one of the most important rehabilitative tools available to the athletic trainer, therapist, or coach.

12. What are the two types of kinetic chain activities and their definitions?

13. What happens to the body when activity is suddenly stopped?

14. How can we retard the loss of articular cartilage and degeneration of the joint after immobilization?

15. In addition to muscle strengthening and flexibility, what other elements should be included in a rehabilitation program?

16. What are some disadvantages to using isotonic exercise?

17. What are some reasons to use isokinetics in a rehabilitation program?

18. What is the significance of the preoperative exercise phase?

19. Why should exercise begin 24 hours after surgery?

20. What are the advantages of using water submersion in your exercise plan?

21. What does joint mobilization work to improve?

22. Define a manipulation.

LISTING

In establishing a conditioning program, emphasis should be placed on:

23.

24.

25.

26.

Name three methods of reestablishing proprioception in a joint.

27.

28.

29.

List three treatment goals that joint mobilization works to attain.

30.

31.

32.

List two PNF methods that can be used to increase flexibility.

33.

34.

List two PNF methods that can be used to increase strength.

35.

36.

ESSAY

37-41.Describe the basic principles for using PNF stretching techniques.

42-46. Describe the criteria to return to full activity.

INJURY ASSESSMENT

47-50. Describe how you would perform the diagonal patterns for building strength in the lower extremity.

51-55. A high school basketball player has been evaluated by her personal physician and was found to have sustained a mild sprain of the medial collateral ligament in the right knee. Immobilization was not necessary, but the physician placed the athlete on crutches until the swelling decreases and wants an exercise program established as soon as possible. Establish an exercise program using the phases covered in the book.

NAME ______

SECTION ______

CHAPTER 17 WORKSHEET

DRUGS AND SPORTS

MATCHING: Match each item with the appropriate response.

_____ 1. AddictionA. Desired effect of drug

_____ 2. AnalgesicB. Increasing amount of drug needed to achieve the same effectiveness

_____ 3. AntidoteC. Alcohol or oil-containing medicated fluid used for external massage

_____ 4. DiureticD. Drug that increases urine output

_____ 5. Drug vehicleE. Physiological need for a drug

_____ 6. EmeticsF. Inhibits the action of a poison

_____ 7. HabituationG. Substance in which a drug is transported

_____ 8. IntradermalH. Psychological need for a drug

_____ 9. LinimentI. Agents that cause vomiting

_____ 10. PlaceboJ. Effect of two or more drugs is greater than when either is used alone

_____ 11. BioavailabilityK. Fake drug with no active ingredient

_____ 12. Side effectL. How completely a particular drug is absorbed by the system

_____ 13. Specific effectM. Effect that is other than what is desired

_____ 14. Synergistic effectN. Drug that inhibits pain

_____ 15. ToleranceO. Administering a drug through the skin

P. Administering a drug directly into a vein drop by drop

SHORT ANSWER: Answer the following questions with a brief response.

16. What is the difference between an antiseptic and a disinfectant?

17. What is the specific type of antiseptic that is used to combat fungus?

18. What is the chief use of hydrogen peroxide in the care of athletes?

19. What common athletic ailment is associated with the fungi Microsporum, Trichophyton, and Epidermophyton?

20. What is the topical medication used on the ailment in # 19?

21. What major problem can occur with extended use of antibiotics?

22. How do counter irritants work?

23. What type of substances inhibit pain by depressing impulses and the athlete’s respiratory centers?

24. What drugs are designed to suppress all but the most severe pain without the athlete losing consciousness?

25. Why would acetaminophen be recommended for use rather than aspirin?

26. How does epinephrine work in the treatment of severe bleeding?

27. What are the two primary actions of antibiotics?

LISTING

List four substances/methods that have been banned by the International Olympic Committee.

28.

29.

30.

31.

List four complications of prolonged use of corticosteroids.

32.

33.

34.

35.

List three known conditions that can occur with using smokeless tobacco.

36.

37.

38.

What are three types of cold medicine?

39.

40.

41.

What are three main applications of salicylates (aspirin)?

42.

43.

44.

ESSAY

45-47. Discuss the legal implications of the athletic trainer's dispensing non prescription drugs and medications to the athlete.

INJURY ASSESSMENT

48-50. You have heard that one of you athletes has been taking some drugs to perform better on practice. What identifying signs and symptoms might you seek to confirm these rumors? What will you do to help this athlete?

NAME______

SECTION______

CHAPTER 18 WORKSHEET

THE FOOT

MATCHING: Select the structure and match it with the appropriate name.

______1. Anterior talofibular

______2. Anterior tibiofibular

______3. Calcaneus

______4. Cuboid

______5. Cuneiforms

______6. Deltoid

______7. Fibula

______8. Metatarsals

______9. Navicular

______10. Phalanges

______11. Calcaneofibular

______12. Posterior talofibular

______13. Sesamoid bones

______14. Talus

______15. Tibia

MATCHING: Match the condition with the correct response.

______16. Acute compartment SyndromeA. Sprain of metatarsophalangeal joint of great toe

______17. Pes planus footB. Damages plantar aponeurosis

______18. Jones FractureC. Retrocalcaneal bursitis

______19. Morton’s toeD. Characterized by a short first metatarsal

______20. “Pump bump”E. Tibial periostitis

______21. Plantar fascia strainF. Weakness in foot dorsiflexion

______22. Shin bruise G. Medial longitudinal arch appears to be flat

______23. Turf-toe H. immediate swelling and pain over the fifth metatarsal.

SHORT ANSWER: Answer the following questions with a brief response.

24.Where would you take a pulse to determine circulatory impairment?

25.How would you manage a bruised heel?

26.What signs and symptoms are present in a plantar fasciitis?

27.Where does the most common acute fracture of the foot occur?

28.What ligament is tested by the anterior drawer test, and how is the test performed?

29.How would you manage arch problems?

30.How would you place a pad to elevate the depressed metatarsal head when managing metatarsalgia?

31.What condition in the foot most resembles Osgood Schlatter disease in the knee?

LISTING:

List four exercises that can be included in the beginning stage of a foot rehabilitation program.

32.

33.

34.

35.

List four signs and symptoms of Morton’s neuroma.

36.

37.

38.

39.

ESSAY

40-42.Explain how you would manage a longitudinal arch strain.

43-45.What are some exercises that can be used in the non-weight bearing phase of a foot condition?

INJURY ASSESSMENT

46-47. A basketball player comes to you with pain that occurs suddenly in the arch region and reports that the pain decreases when he or she is non-weightbearing. What will you do to help alleviate the pain?

48-50. A 13-year-old boy comes to you complaining of pain at the posterior heel below the attachment of the achilles tendon. What will you do to evaluate and manage the problem?

NAME______

SECTION______

CHAPTER 19 WORKSHEET

THE ANKLE AND LOWER LEG

MATCHING: Match each item with the appropriate response.

______1. Achilles tendon

______2. Extensor digitorum longus

______3. Extensor hallucis brevis

______4. Extensor hallucis longus

______5. Gastrocnemius

______6. Peroneus brevis

______7. Peroneus longus

______8. Peroneus tertius

______9. Soleus

______10. Tibialis anterior

SHORT ANSWER:

11.How would you manage an acute Achilles tendon strain?

12.How might you relieve a tonic muscle spasm?

13.What serious complication can occur in a lower leg fracture when hemorrhage and swelling are present?

14.The primary muscle support in the region of the tarsometatarsal joint comes from. . .

15.How are Achilles tendon, bursitis, and tendinitis managed?

16.What is the mechanism of injury in peroneal tendon subluxation?

17.Name two causes of chronic medial shin pain.

LISTING: List three characteristic signs of an anterior compartment syndrome.

18.

19.

20.

Name three conditions of the foot that predispose the body to injury.

21.

22.

23.

ESSAY

24-26. Give a brief description of the various methods used to manage an athlete with shin splints.

INJURY ASSESSMENT

27-29. A lacrosse player has come into the training room complaining of extreme pain and weakness in her Achilles tendon, especially when she pushes off to sprint down the field. Your evaluation indicates that there is point tenderness, swelling, erythremia, mild crepitation, and pain on motion. What would you suggest for managing this injury?

30-32. A baseball player slid into third base directly impacting his right foot into the non-yielding base. He heard a snap and is now in extreme pain and unable to move the ankle. How can you evaluate this injury to determine if there is a possible fracture?

NAME______

SECTION______

CHAPTER 20 WORKSHEET

THE KNEE AND RELATED STRUCTURES

MATCHING: Match the structure with the appropriate name.

______1. Anterior cruciate

______2. Femur

______3. Fibula

______4. Lateral collateral

______5. Lateral condyle

______6. Lateral meniscus

______7. Ligament of Wrisberg

______8. Medial collateral

______9. Medial condyle

______10. Medial meniscus

______11. Posterior cruciate

______12. Tibia

______13. Tibial tuberosity

MATCHING: Match the condition with the correct response.

______14. Anterior cruciate tearA. Cutting motion while running

______15. Baker's cystB. Apophysitis of tibial tubercle

______16. ChondromalaciaC. Cyclist's knee

______17. Iliotibial band syndromeD. "Pop" with immediate disability

______18. Knee plicaE. Runner's knee

______19. Longitudinal meniscal tearF. Semimembranous bursa

______20. Osgood-Schlatter diseaseG. Central axis for rotation of knee

______21. Pes anserinus tendinitisH. Abnormal patellar tracking

______22. Posterior cruciate ligamentI. Infrapatellar synovial fold

SHORT ANSWER: Answer the follow questions with a brief response.

23.What is the main artery carrying blood to the knee? What two nerves carry impulses to the knee?

24. When inspecting the knee for joint effusion, explain the different types of effusions you might encounter and the different fluids which could be present?

25.If a positive anterior drawer test occurs at 0 degrees of tibial rotation, the test should be repeated at. . .

26.Why has the Lachman test become the preferred test by many over the drawer test at 90 degrees of flexion?

27.In performing the McMurray stress test, if the tibia is placed in internal rotation the ______is being tested. If the tibia is placed in external rotation during the McMurray test, the ______is being tested.

28.How is the patellar apprehension test performed?

29.The anterior cruciate ligament is most vulnerable to injury when the. . .

30.In meniscal tears close to the periphery, what might you expect for the chances of complete healing? Why?

31.How can one injure their infrapatellar fat pad?

LISTING

Of the following stress tests, indicate what structures are tested.

32.Valgus test

33.Varus test

34.Anterior drawer test

35.McMurray test

36.Apley compression test

37.Apley distraction test

38.Patellar apprehension test

39.Pivot-shift test

40.Flexion-rotation test

41.Posterior "sag" test

ESSAY

42-44.What is the mechanism of a medial meniscal injury, and why is the medial meniscus more likely to be injured?

INJURY ASSESSMENT

45-47.A football player was carrying the ball up the field when he set his right foot in the sod and turned to his left to avoid an oncoming tackler. The defensive player tackled him hitting his right leg. The player went down with a knee injury. Do an on-the-field evaluation for this mechanism.

48-50.An athlete had received arthroscopic surgery for an anterior cruciate injury. The immobilization is removed, swelling has been controlled, and pain is minimal. What exercises can be started, and what goals will you want to attain before you allow this athlete back into practice?

NAME______

SECTION______

CHAPTER 21 WORKSHEET

THE THIGH, HIP, GROIN, AND PELVIS

MATCHING: Match the structure with the appropriate name.

______1. Acetabulum

______2. Anterior-superior spine

______3. Iliac crest

______4. Ischial tuberosity

______5. Obturator foramen

______6. Posterior-inferior spine

______7. Posterior-superior spine

______8. Pubic crest

______9. Ramus of ischium

______10. Sciatic notch

______11. Spine of ischium

______12. Superior ramus of pubis

MATCHING: Match the letter of the condition with the correct response.

______13. Hip pointerA. Hip contractures

______14. Legg-Calvé-Perthes diseaseB. Caused by blow to iliac crest

______15. Myositis ossificansC. Caused by repetitive stress to pubic

______16. Osteitis pubissymphysis

______17. Renne's testD. Cartilage tissue formed in muscle

______18. Thomas testE. Avascular necrosis of femoral head

F. Iliotibial band tightness

SHORT ANSWER: Answer the following questions with a brief response.

19.What is the function of the quadriceps femoris muscle groups?

20.What two nerves innervate the quadriceps and hamstrings?

21.How would you manage myositis ossificans?

22.Why do most fractures occur at the middle third of the femur instead of at the ends?

23.What are the functions of the pelvis?

24.Name the capsular ligaments holding the femoral head into the hip socket.

25.What are some symptoms of Legg-Calvé-Perthesdisease?

26.How would you treat osteitis pubis?

27.What usually accompanies a fracture of the femur as a result of the pathology and pain?

LISTING

List the four classes of muscles in the thigh.

28.

29.

30.

31.

List three things one can do to aggravate a thigh contusion.

32.

33.

34.

List the five classic signs of a fractured femur.

35.

36.

37.

38.

39.

ESSAY

40-41. Describe how to determine true leg-length discrepancy in an athlete.

42-44. How would you evaluate and examine an athlete forFemoral Anteversion and Retroversion?

INJURY ASSESSMENT

45-47. A lacrosse player has received a severe blow to the quadriceps by an opponent's knee. There is marked pain and swelling, and the athlete is having difficulty walking without a limp. How would you manage this acute condition and what follow-up care would you do?

48-50. A female distance runner has come into the training room complaining of pain on the lateral side of her hip just above the greater trochanter. Identify the evaluation steps and tests that you would do to determine what her condition may be.

NAME ______

SECTION______

CHAPTER 22 WORKSHEET

THE SHOULDER COMPLEX

MATCHING: Match each structure with the appropriate name.

______1. Deltoid

______2. Infraspinatus

______3. Latissimus dorsi

______4. Pectoralis major

______5. Teres major and minor

______6. Trapezius

MATCHING: Match the condition with the appropriate response.

______7. Acromioclavicular sprainA. Winging of the scapula

______8. Clavicular fractureB. Drop arm test

______9. Anterior scalene syndromeC. Apprehension test

______10. Glenohumeral dislocationD. Compressed subclavian artery

______11. Impingement syndromeE. Contusion of acromion process

______12. Posterior capsular syndromeF. Cocking phase causes this

______13. Serratus anterior weaknessG. Acceleration phase causes this

______14. Shoulder pointerH. Deceleration phase causes this

______15. Strain of pectoral muscleI. Direct blow to tip of shoulder

______16. Supraspinatus strainJ. Greenstick in adolescents

______17. Thoracic outlet syndromeK. Compression of brachial plexus

SHORT ANSWER

18.How do you determine acromioclavicular joint instability?

19.What two tests can be performed to determine if the supraspinatus muscle is functioning correctly?

20.What mechanisms are associated with shoulder dislocations?

21.Explain how to perform Yergason’s test.

22.What occurs in impingement syndrome of the rotator cuff?

23.How are stages I and II of an impingement syndrome usually treated?

24.How are stages III and IV of an impingement syndrome usually treated?

25.What signs and symptoms will be present in a second degree-acromioclavicular sprain?

26.What signs and symptoms will be present in an anterior glenohumeral dislocation?

27.What is frozen shoulder?

28.What are the signs and symptoms of a fractured clavicle?

29.Because this important structure winds around the humerus, it could also be damaged in a humeral fracture leading to loss of wrist and finger extension. What is this structure?

30.What types of early rehabilitation exercises can be done for a rotator cuff condition?

31.If an individual had an anterior glenohumeral dislocation, what positions should be avoided, and what positions should be emphasized?

LISTING

List four exercises that can be used in an intermediate rehabilitation program for an acromioclavicular injury.

32.

33.

34.

35.

What three special tests can be performed to determine neurovascular syndromes in the neck and shoulder region?

36.

37.

38.

ESSAY

39-41.Explain the different procedures that can be used to determine glenohumeral instability.

42-44.What criteria would you use to determine full recovery from a rotator cuff tear?

INJURY ASSESSMENT

45-47.A swimmer is having difficulty with her right arm. She reports that it is always cold, at times somewhat weak, and she is unable to detect sharp and dull sensations. What possible condition might she have, and how would you evaluate this injury?

48-50.A baseball pitcher is experiencing anterior shoulder pain, especially in the middle of his throwing motion. How would you evaluate this condition, and what possible injuries might he have?
NAME ______