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MSK Fall P2 > 1- 1b] Dx. Tx, Joint Mobs, Sensory > Flashcards

1- 1b] Dx. Tx, Joint Mobs, Sensory Flashcards

1
Q

Constant, nocturnal
Disturbs sleep
AM stiffness > 2 hours
Unaffected by rest

A

Systemic pain

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2
Q

Intermittent
AM stiffness less than few min
Eased by rest
No sleep disturbance

A

Mechanical pain

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3
Q

Radicular (radiating) pain is secondary to ? And typically ?

A

Spinal segment/nerve

Dermatomal

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4
Q

Throbbing pain with systolic increase
Vascular headache
Arteritis

A

Arterial pain

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5
Q

Neoplasms
Compressive neuropathies
Tendon tears (rotator cuff)
Burning or acute throb

A

Pain at rest

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6
Q

P’s for PVD

A

Pallor
Pulsenessness
Paraesthesia
Paralysis

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7
Q

Ischemic pain: sharp or dull

A

Vascular claudication

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8
Q

Angina- visceral lesion

A

Typically 5-10 min after activity

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9
Q

Angina- MSK problem

A

Pain during activity

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10
Q

Goals of movement assessment exam

A

To reproduce symptoms and to determine impairments

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11
Q

3 types of selective tissue tensions exam

A

Contractile vs non contractile
Contractile
Non contractile

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12
Q

What is contractile vs non contractile

A

Active ROM
Passive ROM
Isometric testing

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13
Q

Contractile tissue

A

Muscles
Tendons
Tenoperiosteal insertion

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14
Q

Non contractile tissue

A

Ligaments/capsules
Bursa
Fascia

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15
Q

How to develop a differential diagnosis list

A

Begin broad, then focus.

Rule in, rule out.

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16
Q

Types of normal end feels

A

Bony
Capsular
Soft tissue approximation
Elastic/muscular

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17
Q

Bony end feel example

A

Elbow extension

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18
Q

Soft tissue approx example end feel

A

Elbow flexion

Knee flexion

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19
Q

Elastic end feel example

A

Wrist flex with finger flex
SLR
Ankle DF with knee extension

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20
Q

Capsular end feel examples

A

Soft wrist flexion
Medium supination elbow flexion
Hard knee extension

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21
Q

Springy end feel example

A

Knee flex/ext with displaced meniscus

22
Q

Boggy end feel example

A

Hemarthrosis at knee

23
Q

Spasm end feel example

A

Arthritis
Hypermobility
Grade II muscle tears

24
Q

Empty end feel examples

A

Acute bursitis

Sign of buttock

25
Q

Capsular pattern is limited ROM in?

A

Fixed proportion

26
Q

Non capsular pattern is?

A

Any other pattern

27
Q

Capsular pattern for shoulder

A

ER > ABD > IR

28
Q

Capsular patterns go in order of ?

A

whichever motion they have the least of first

29
Q

Non capsular pattern for shoulder

A

Flex > ER

30
Q

Contractile tissue pain with?

A

AROM in same

A/PROM in opposite

31
Q

Non-contractile tissue pain? No pain?

A

NO pain with AROM same

Pain with A/PROM in opposite

32
Q

Spinal vs peripheral.

Spinal has?

A

Motion, contraction, position impacts CC.
Dermatomal pattern of pain.
Myotomal pattern of weakness.

33
Q

Spinal vs peripheral.

Peripheral?

A

NO impact on CC
NON dermatomal pattern
NON myotomal pattern

34
Q

Joint mob indications (7)

A 
Increase ROM and strength 
Decrease pain
Muscle relax
Joint nutrition
Correct position
Eliminate meniscoid impingement 
Physio, psycho, placebo effects
35
Q

Contraindications for joint mobs (8)

A 
Unhealed Fx
Hypermobile
Ankylosis
Acute inflammation 
Hemarthrosis
Acute arthritis 
Osteomyelitis 
Spinal cord compression
36
Q

Grade 1 joint mob

A

Small amp osc at beginning of range

37
Q

Grade 2 joint mob

A

Large amp osc from beg to mid range

38
Q

Grade 3 joint mob

A

Large amp osc from mid to end range

39
Q

Grade 4 joint mob

A

Small amp osc at end range

40
Q

Grade 5 joint mob

A

high velocity, small amp thrust at end range

41
Q

Grade 1 distraction

A

Loosening

42
Q

Grade 2 distraction

A

Tightening

First stop at tissue resistance/end feel

43
Q

Grade 3 distraction

A

Stretching

After slack is taken up

44
Q

Process of transmission of the stimulus event from receptors to the cortex

A

Sensation

45
Q

Interpretation of and meaning attached to a stimulus

A

Perception

46
Q

Sensory loss of entire distal segment (foot or hand) is?

A

Stocking or glove sensory loss

47
Q

Abnormal responses to sensation testing (5)

A 
Decreased sensation
Exaggerated response (hyperaesthesia)
Absence
Incorrectly identify
Inconsistent response to stimulus
48
Q

What type of sensation is examined first?

A

Superficial sensation

49
Q

Stereognosis

A

Object recognition

50
Q

What is myotome for heel walking?

A

L4 - L5

51
Q

What is myotome for toe walking?

A

S1

52
Q

What do myotomes start at for UE and LE?

A

UE is C3 cervical lateral flexion

LE is L2 hip flexion

MSK Fall P2 (10 decks)

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