Lab Class 14

Learning Objectives

By the end of this week:

  • You will be able to demonstrate joint play at the knee joint.
  • You will be able to assess the ligaments of the knee for injury.
  • You will be able to assess the meniscus.

Joint Play & Special Testing of the Knee

Welcome to Lab class 14!
We are going to cover Joint Play and Special testing for the knee joint.

 

Special Testing:


 Damage to the meniscus can be caused by trauma or be the result of degenerative processes. Next to signs like joint locking or joint line tenderness, there are commonly used special tests: One of them is the McMurray's Test. Watch the video below to learn more about their characteristics and how to perform this test.


Next to the menisci there are other important structures in the knee and around the knee joint. The cruciate and collateral ligaments. Check the videos below, which cover several special tests concerning these structures.

 

 

Case study:
Tom is a 19-year-old soccer player who just injured his knee in an amateur soccer match. You are the team's physiotherapist and responsible for a good first aid treatment and first hypothesis. The injury happened when Tom faced his opponent with the back, tried to turn left with the ball and the opponent blocked his flexed left knee.  When asking Tom a few questions, he says that he instantly felt shooting pain in the knee and he is sure that something is not right. He has never been seriously injured before. The knee is starting to swell and your ROM testing shows a clear reduction in flexion as well as extension direction. Both movements are painful.

 

Tasks:

1) What are your first steps as Tom's physio on the soccer field? Discuss and especially practice them with a fellow classmate!
You can post a list of your first steps to Google Drive!

2) Watch the Anterior Drawer Test, the Lachman Test and the Pivot Shift Test. Which test would you use to exclude an ACL tear and why?
Practice the test you chose for and post your answer in the Google Drive or discuss in the Forum/Chat!

 

 

Preparation for next week:

1) What is the "problem" with testing an acute lesion? Do you have an explanation? You can use the chat or forum to discuss.

2) Tom is having surgery for his ruptured ACL in two months. What do you suggest he should do for his rehabilitation until then? Share your answers in Google Drive!