Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Musculoskeletal Rehab > Application of Patient History and Examation > Flashcards

Application of Patient History and Examation Flashcards

1
Q

What should you look at when taking a patient history?

A

current complaint
B/W/S since onset
NPRS
Nature of Pain
PMH
PSH
aggravating factors
Easing Factors
Medications
Other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the 5 parts of a screen exam?

A
  1. Posture
    2 ROM
  2. Force Production
  3. Sensation
  4. Reflexes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are you looking at in a posture during screen exam?

A

-performed sitting or standin
-cervical and thoracic alignment
-upper extremity symmetry
-muscular/soft tissue imbalances
-iliac crest height
-nose over sternum
-tragus aligned with acromion
-umbilicus centered

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what some places you can test AROM & overpressure?

A

-cervical spine
-shoulder
-elbow
-wrist/hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

when testing ROM in a screening exam what are you looking for?

A

-reproducing of symptoms
-changing symptoms
-limited ROM
-then response to over pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are all the ROM to test on cervical spine?

A

-flexion
-extension
-lateral side bend
-rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the motions that can be tested when looking at shoulder ROM?

A

-extention (back)
-flexion (up and side)
-scaption (arms out at angle then up)
-function internal & external rotation
-abduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when testing ROM of shoulder what motions do you not apply over pressure?

A

-FIR & FER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is 2 point insufficiency?

A

when two joint muscles does not flex enough limiting ROM in antagonist direction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when testing ROM of the elbow what are the motions that can be tested?

A

-flexion
-extension
-forearm supination & pronation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When testing ROM in the wrist what motions can be tested?

A

–wrist flexion
-wrist extension
-finger abduction/adduction/opposition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is a myotome?

A

single nerve root that provides innervation to specific muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the grading of myotomes and what does it mean?

A

-strong and pain free = healthy
-strong & painful = little problem (prob with muscle at local point)
-weak & painful = larger problem that will take more time
-weak & no pain = huge problem b/c contractile tissue is not intact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is an isometric break test?

A

used to examine bilateral strength
-5 second hold requires
- patient has to give best effort to meet resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when doing an isometric break test what might paresis indicate?

A

nerve root lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when doing an isometric break test what might flaccidity or paralysis indicate?

A

peripheral nerve issue

17
Q

When doing isometric break test what can be tested?

A

-cervical spine (flexion, extension, sidebending)
-shoulder elevation
-shoulder abduction (also shoulder IR & ER)
-elbow flexion & extension
-wrist extension
-thumb extension
-finger abduction

18
Q

what is the myotome for cervical spine?

A

C1-3

19
Q

what is the myotome for shoulder elevation?

A

C4

20
Q

what is myotome shoulder abduction?

A

C5

21
Q

what is the myotome for elbow flexion?

A

C6

22
Q

what is the myotome for elbow extension?

A

C7

23
Q

what is the myotome for wrist flexion?

A

C7

24
Q

what is the myotome for wrist extension?

A

C6

25
Q

what is the myotome for thumb extension?

A

C8

26
Q

what is the myotome for finger abduction?

A

T1

27
Q

when testing sensation what are you looking at?

A

dermatomes

28
Q

when looking at reflexes during a screen exam what is hypoactive indicative of?

A

musculoskeletal
PNS 1 level of involvement

29
Q

when looking at reflexes in screen exam what is hyperactive indicative of?

A

CNS (brain & spinal cord)

30
Q

what is different about testing ROM in a regional exam versus screen exam?

A

-Regional Exam
actually taking measurements
-goniometry (inclinometer & goniometer)

31
Q

when looking a force production during a regional exam what should be done if myotome is found to be weak and pain free vs strong & pain or weak & pain?

A

weak & pain free = MMT (manual muscle testing)
strong & pain or weak & pain = FTPO (force to pain onset)

Musculoskeletal Rehab (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions