Assessment Flashcards

1
Q

Types of Pain

A

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

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2
Q

radicular pain

A

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

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3
Q

radiculopathy

A

radiating paresthesia, numbness or weakness, not pain

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4
Q

cutaneous pain

A

superficial tissue damage

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5
Q

deep somatic pain

A

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

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6
Q

visceral pain

A

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

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7
Q

referred pain

A

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

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8
Q

functional or psychogenic pain

A

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

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9
Q

bone pain

A

deep, boring and localized

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10
Q

vascular pain

A

diffuse, aching

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11
Q

Types of Mechanical forces

A

compression
tension
shear
torsion
bending

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12
Q

MF- Compression

A

structures pressed together

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13
Q

MF - Tension

A

a force pulls end of tissue away from each other

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14
Q

MF - Shear

A

sliding forces between 2 tissues = friction

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15
Q

MF - Torsion

A

rotation or twisting force

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16
Q

MF - Bending

A

compression on one side and stretch to the other

17
Q

Gait Phase list

A

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

18
Q

Initial contact

A

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

19
Q

Load response

A

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

20
Q

mid stance

A

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

21
Q

terminal stance

A

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

22
Q

pre-swing

A

only toes are in contact with the ground

23
Q

initial swing

A

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

24
Q

mid swing

A

hip knee and ankle continue to flex

25
Q

terminal swing

A

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.

26
Q

Types of End Feel

A

Normal End Feel
Abnormal End Feel

27
Q

Types of abnormal end feel

A

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

28
Q

Dermatome defintion

A

an area of skin innervated by a single spinal nerve root

29
Q

Myotome Definition

A

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

30
Q

6 parts of clinical impression

A

signs
symptoms
location of injury
stage of healing
condition
possible causes

31
Q

Acute stage of healing

A

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

32
Q

Sub-acute stage of healing

A

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

33
Q

Chronic stage of healing

A

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