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DPT MSK - fall 22 > Cervicothoracic Scan > Flashcards

Cervicothoracic Scan Flashcards

1
Q

AROM - unwillingness to move or splinting

A

RED FLAG S&S - severe condition

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2
Q

AROM - few, if any, limited and/or painful planes of motion

A

less severe/acute condition

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3
Q

AROM - multiple limited and/or painful planes of motion

A

more severe/acute condition

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4
Q

AROM - aberrant motion

A

joint hyper mobility/instability

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5
Q

AROM - sharp/angulated spinal curve

A

joint hypomobility

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6
Q

AROM - region specific abnormalities i.e., large crease with neck ext

A

specific to region i.e., crease indicates hypermobility/instability

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7
Q

AROM - retest (up to 3x): improved P!/function

A

indicates inhibited m
regional interdependence
disc injury

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8
Q

AROM - retest: worse P!/function

A

indicates severe/acute condition

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9
Q

capsular vs non capsular pattern of restriction

A

capsular: firm end feels, loss of motion

non-capsular: any pattern not in capsular pattern

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10
Q

P! occurs in the direction of the same AROM and PROM

A

non contractile tissue

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11
Q

PROM similarly restricted as AROM in the same direction

A

joint hypomobility, protective guarding, or a shortened muscle

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12
Q

PROM significantly greater then AROM in the same direction

A

joint hypermobility/instability

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13
Q

PROM - motion limited similarly in both weight bearing and non-weight bearing positions

A

indicates joint hypomobility

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14
Q

PROM- motion greater in a non weight bearing position vs a weight bearing position

A

indicates joint hypermobility/instability

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15
Q

combined motion - consistent block through differing paths to the same point

A

joint hypomobility

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16
Q

combined motions - inconsistent block through differing paths to the same point

A

joint hypermobility

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17
Q

combined motions - opposing spinal quadrants blocked

A

fibrotic joint

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18
Q

resisted testing - strong and painful

A

mild condition

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19
Q

resisted testing - weak and painful

A

acute or moderate to severe condition

20
Q

resisted testing - weak and painless

A

neurological damage or persistent contractile rupture

21
Q

resisted testing - same pain occurs in one direction of resisted testing and the opposite direction of PROM

A

contractile tissue

22
Q

resisted testing - multiple planes of weakness at one joint

A

acute or severe injury

23
Q

resisted testing - symptoms upon release

A

non-contractile tissue

24
Q

resisted testing - multiple joints of weakness

A

UMN condition

25
Q

resisted testing - weakness throughout ROM

A

pathology

26
Q

resisted testing - positioning muscle in lengthened position to pick up mild contractile strain.
strong and only painful in lengthened range

A

indicates grade I contractile strain

27
Q

resisted testing - retest: improved P!/function

A

indicates inhibited m/regional interdependence

28
Q

resisted testing - retest: fatiguing weakness

A

indicates decreased nerve conduction

29
Q

resisted testing - retest: consistent weakness

A

indicates deconditioned/persistent contractile rupture

30
Q

resisted testing - retest: worse pain/function

A

indicates severe/acute condition

31
Q

stress test - rapid shallow force: P!, click, clunk, spasm; late, soft or empty end feel

A

P! indicates an acute condition
the rest indicates joint hypermobility/instability

32
Q

stress test - slower, larger, and deeper hold for 10 sec.: P!, click, clunk, spasm; late, soft or empty end feel

A

P! indicates a persistent condition
the rest indicates hypermobility/instability

33
Q

Stress test - distraction increases pain, compression relieves pain

A

indicates capsule, ligament or annulus

34
Q

stress test - distraction relieves pain, compression increases pain

A

indicates cartilage, nucleus pulposus, bone or spinal nerve

35
Q

stress test - both compression and distraction are painful

A

indicates acute condition

36
Q

stress test - if posterior/anterior pressures painful in the spine

A

pain indicates the level of a condition

37
Q

dermatomes - diminished or absent light/sharp touch

A

hyposensitivity –> LMN condition
grades 0-1 = LMN

38
Q

dermatomes - if light/sharp touch assess normal, then __

A

use pinwheel to assess for hypersensitivity
grade 3 = hypersensitivity –> UMN condition

39
Q

describe radiculopathy vs cutaneous nerve

A

radiculopathy = pinched nerve
cutaneous nerve = numbness

40
Q

deep tendon reflexes - absent reflex

A

0 = LMN condition

41
Q

DTR - hyporeflexive

A

1+ = LMN condition

42
Q

DTR - large arc but normal dampening

A

3+ = UMN condition or nociplastic P!

43
Q

DTR - >3 beats

A

4+ = clonus; UMN condition

44
Q

myotomes - what would be an abnormal finding?

A

fatiguing weakness - LMN or UMN condition indicated

45
Q

dural mobility - symptoms increased from both ends

A

tension restriction (inelasticity)

46
Q

dural mobility - symptoms increased from one end but relieved from the other

A

gliding restriction (adhesion)

47
Q

pathological reflexes - abnormal finding

A

specific to individual reflex - indicates UMN condition

DPT MSK - fall 22 (18 decks)

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