Exam Preview for 5374: Alleviating Knee Hyperextension by Addressin

Alleviating Knee Hyperextension by Addressing the Ankle and Hip for Individuals with Stroke - A Webinar for Physical Therapist Assistants

Please note: exam questions are subject to change.

1. The rehab aide is helping you with a client requiring Mod A x 2 and you are facilitating the gluteus maximus at midstance, however he is tapping the knee of the client and stating, “straighten your knee.” Which statement is correct? The gluteus maximus muscle works eccentrically to keep the trunk upright. The gluteus medius is responsible for sagittal plane knee stability. Momentum of the opposite swing leg causes the hemi knee to bend during stance phase. There is no need for active contraction of the quadricep group in mid to terminal stance.
2. The client is standing and able to bend the knee at initial swing, but unable to sustain until midswing. What is your conclusion? The hamstring strength is 5/5 The hamstring is weak eccentrically The hamstring strength is at minimum 3-/5 The quadriceps has a Modified Ashworth Score of 4
3. The client has difficulty allowing the right knee to go into flexion at loading response and kneeling with the hemi lower extremity forward. What treatment intervention do you suggest? Heel raises with the knee bent Extend the knee against the resistance of the elastic band and allow it to come forward slowly in stride with the right LE forward Bend the knee against the resistance of the elastic band and allow it to come forward slowly in stride with the right LE forward Heel raises with the knee straight
4. Ms. Bei has a left lower extremity (LLE) extensor synergy pattern and can bend her knee using the right leg in sit. The POC says to stretch the rectus femoris and quadriceps while strengthening the gluteus maximus. Which of the following is the best intervention? Low kneeling to high kneeling, concentric, isometric hold then eccentric lengthening the gluteus maximus Low kneeling to high kneeling, concentric, isometric hold then eccentric lengthening the gluteus medius Backward lunges keeping the LLE straight LLE on a 6-inch stool bending knees towards the toes
5. Keve is a computer programmer who, as manager, puts in 10,000 steps a day walking to oversee section outcomes for the company. He is allergic to latex and adhesives. His knee pain is 8/10 at the end of the day. He has a low tone lower extremity. Which is the best option for him 6 months post stroke? Bioness used as a functional electrical stimulator to increase plantarflexion HEP program and a use of a Swedish knee orthosis Wear an ankle weight for antigravity strengthening of the hamstrings during the day HEP consisting of isometric holding exercises and BWSTT with no overground transfer training