Assessment

Question 1

Types of Pain

Answer 1

radicular pain
radiculopathy
cutaneous pain
deep somatic pain
visceral pain
referred pain
functional or psychogenic pain
bone pain
vascular pain

Question 2

radicular pain

Answer 2

nerve root compression- sharp shooting pain felt in a dermatome and myotome

Question 3

radiculopathy

Answer 3

radiating paresthesia, numbness or weakness, not pain

Question 4

cutaneous pain

Answer 4

superficial tissue damage

Question 5

deep somatic pain

Answer 5

from muscles, joint, tendons, periosteum
Severe chronic aching pain, hard to localize

Question 6

visceral pain

Answer 6

from distention, ischemia, abnormal contractures
characterized by diffuse severe pain and can have a referral pattern

Question 7

referred pain

Answer 7

from cutaneous, deep somatic and visceral pain
felt deeply, indistinct away from injured area

Question 8

functional or psychogenic pain

Answer 8

psychological or emotional pain
pain heightened, caused or prolonged due to anxiety, depression or hysteria or client exaggerate their symptoms

Question 9

bone pain

Answer 9

deep, boring and localized

Question 10

vascular pain

Answer 10

diffuse, aching

Question 11

Types of Mechanical forces

Answer 11

compression
tension
shear
torsion
bending

Question 12

MF- Compression

Answer 12

structures pressed together

Question 13

MF - Tension

Answer 13

a force pulls end of tissue away from each other

Question 14

MF - Shear

Answer 14

sliding forces between 2 tissues = friction

Question 15

MF - Torsion

Answer 15

rotation or twisting force

Question 16

MF - Bending

Answer 16

compression on one side and stretch to the other

Question 17

Gait Phase list

Answer 17

Stance Phase: initial contact, load response, mid-stance, terminal stance, pre-swing
Swing Phase: Initial swing, mid-swing, terminal swing

Question 18

Initial contact

Answer 18

Heel is usually the first point of contact. Weight is aligned between the two limbs

Question 19

Load response

Answer 19

instinctive assessment on whether or not the will bear the weight of the body

Question 20

mid stance

Answer 20

foot supports the body, the hip and knee move into extension and the trunk is aligned over the stance leg

Question 21

terminal stance

Answer 21

hip, knee and ankle begin to flex and heel comes up off the ground

Question 22

pre-swing

Answer 22

only toes are in contact with the ground

Question 23

initial swing

Answer 23

hip continues to flex and medially rotate as the knee flexes. ther ankle moves into dorsiflexion to clear the ground, while the trunk is aligned with the new stance leg

Question 24

mid swing

Answer 24

hip knee and ankle continue to flex

Question 25

terminal swing

Answer 25

hip flexes and medially rotates and the knee moves into maximum extension. ankle dorsiflexes and supinates while the trunk weight remains over the stance leg.

Question 26

Types of End Feel

Answer 26

Normal End Feel Abnormal End Feel

Question 27

Types of abnormal end feel

Answer 27

Empty- no physical restriction only pain muscle spasm- passive movement stops abruptly with springy rebound and pain springy block - springy or rebound feel in non-capsular pattern indicating loose cartilage or meniscus

Question 28

Dermatome defintion

Answer 28

an area of skin innervated by a single spinal nerve root

Question 29

Myotome Definition

Answer 29

A skeletal muscle or group of muscles whose motor axons are supplied by a single spinal nerve root

Question 30

6 parts of clinical impression

Answer 30

signs symptoms location of injury stage of healing condition possible causes

Question 31

Acute stage of healing

Answer 31

From moment of injury to 3 or 4 days -red, edema, heat, pain, limited ROM, spasm/guarding, black blue bruise - limit inflammation, decrease pain, edema, SNS firing, prevent re injury -treat contemplating structures NO HEAT

Question 32

Sub-acute stage of healing

Answer 32

2 days -2 weeks -decreased inflammation, edema, pain with ROM, somw muscle spasm -swedish on proximal tissue and trps, still gentle

Question 33

Chronic stage of healing

Answer 33

2-3 weeks up to 2 years -inflammation and edema gone, low rom, may have chronic inflammation -decrease restrictive adhesions and trps