6.4 - Peat 2 (Section 4) Flashcards
When do ROM limitations typically become present in children w/ DMD?
After 5 years of age
What ROM limitations are common in children w/ DMD?
Lordotic posture (shortened hip flexors)
Winging of the scapula
DMD
What is it?
Pathophysiology
Clinical Presentation
Prognosis
A progressive NM degenerative disorder
Pathophysiology:
- Mutation in dystrophin gene –> lack of dystrophin protein –> allows for damage within the sarcolemma w/ contraction of the muscle
Clinical Presentation:
- Only occurs in MALES (x-linked recessive)
- Dx typically occurs between 2-5 yo
- Waddling gait
- Proximal mm weakness
- Clumsiness
- Toe walking
- Excessive lordosis
- Gower’s sign
- Pseudohypertrophy of the calf
Prognosis
- Death usually occurs by teenage years
Describe the cardiovascular exercise prescription guidelines for reducing lipid levels
40-80% HRR
5x / wk
Describe the motion at the wrist during use of a power grip
Slight extension & ulnar deviation
Describe how to perform the Adson test
For thoracic outlet syndrome
- Indicates scalene involvement in TOS symptoms
Patient seated
Extend arm back while palpating radial pulse
Patient turns head towards testing arm
What is the Wright test or Hyperabduction test indicative of?
Pec minor contributing to TOS symptoms
What position should the should be placed in to palpate the insertion of the supraspinatus tendon?
Should extension & IR
In an older adult patient, impaired proprioception may be a result of malabsorption of what nutrient?
Vitamin B12
Aging –> decline of intrinsic factor, a protein that helps the body absorb Vit B12 –> decreased Vit B12 absorption
Results in:
- Pernicious anemia
- Affects sensory and motor nerves due to myelin degeneration & loss of nerve fibers (causes impaired proprioception over time)
What is a Smith fracture?
What split is often used for this?
Fracture of the radius w/ volar angulation / displacement
Long arm casting
What splint may be used for posterior interosseous nerve syndrome?
Wrist cock-up splint
What is a Colles fracture?
Distal radial fracture w/ dorsal angulation / displacement
What is Legg-Calve-Perthes disease?
At what age does it typically occur?
Common gait deviation
Avascular necrosis of the femoral head
4-8 yo
Trendelburg gait
Describe the sections of the small intestine
Duodenum –> jejunum –> ileum
Good review of case control studies that I though was helpful:
A case control study classifies people based on whether they had an outcome of interest and then looks retrospectively at different exposures
(rather than groups being determined on the basis of exposure to an intervention)
