Chapter 3 Flashcards

1
Q

What are epimysium, endomysium and perimysium made of?

A

connective tissue

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2
Q

tendons connect to

A

muscle to bone

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3
Q

contributing factor to trigger points

A

pain-spasm-ischemia cycle

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4
Q

best description of a myofascial trigger point

A

area of hyper-toxicity has local & referred pain

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5
Q

Most common cause for myositis ossificans

A

injury by blunt trauma

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6
Q

Who most likely to develop mysoistis ossificans

A

spinal cord injury survivors

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7
Q

Injury most commonly associated with shin splints

A

medial tibial stress syndrome

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8
Q

What feature of lower leg construction contributes to risk of shin splints

A

4 tough fascial compartments that separate the lower leg muscles

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9
Q

What phase requires immediate medical intervention

A

acute

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10
Q

Do to muscles in spasm as part of splinting mechanism

A

locally avoid massage until subacute or postacute stage

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11
Q

Associated with exercise-associated muscle cramping

A

dehydration, hyperthermia, overstimulation

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12
Q

most effective treatment for a strain

A

controlling inflammation & rehabilitation of damaged tissues

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13
Q

calcium is pulled off bones faster than it is deposited

A

osteoporosis

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14
Q

What bones are most vulnerable to osteoporosis

A

femur & vertebrae

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15
Q

Why women more prone to osteoporosis

A

child bearing, breast feeding, and smaller bones

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16
Q

Paget disease

A

bone is reabsorbed faster than normal & replaced with fibrous connective tissue

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17
Q

hyperkyphosis

A

humpback

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18
Q

structural postural deviation

A

soft tissue pulls vertebrae & ribs into permanent distortion

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19
Q

subluxation

A

bones are out of optimal alignment

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20
Q

formation of uric acid crystals around joints

A

gout

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21
Q

joint most likely to be affected by gout

A

1st metatarsal & proximal phalanx

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22
Q

why does gout tend to occur in the feet

A

gravity & lower temperature of extremities

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23
Q

lyme disease

A

bacterial infection caused by tick bite

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24
Q

symptoms associated with Lyme disease

A

bull’s eye rash

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25
Q

degenerative joint disease

A

osteoarthritis

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26
Q

leading risk factor for osteoarthritis

A

age, wear & tear & overweight

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27
Q

how does osteoarthritis usually begin

A

damage to articular cartilage

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28
Q

factors contribute to patellofemoral syndrome

A

overuse & poor alignment

29
Q

dependable symptom of patellafemoral syndrome

A

crepitus at the knee

30
Q

influence of massage for patellafemoral syndrome

A

helps with alignment issues, but can’t directly access the damaged tissue

31
Q

key feature of spondylosis

A

ostephytic growths

32
Q

most serious complication of spondylosis

A

spinal cord pressure

33
Q

ruptured anterior talo-fibular ligament is a

A

3rd degree sprain

34
Q

recommended self-care for acute sprains

A

RICE (rest, ice, compression, elevation)

35
Q

temporomandibular joint disorder

A

collection of injuries to the jaw

36
Q

bruxism

A

teeth grinding

37
Q

what does dystrophin do

A

protein that converts fat or glycogen to fuel for muscles

38
Q

role of massage for muscular dystrophy

A

indicated with caution because sensation is intact

39
Q

Baker’s cyst

A

pouch at posterior aspect of the knee

40
Q

If Baker cyst client has calf different temp than other what should therapist suspect

A

blood clot distal to the cyst

41
Q

hallux valgus

A

bunions

42
Q

contributing factor for bunions

A

high heels & narrow-toed shoes

43
Q

most common location for bursitis

A

subacromial bursae

44
Q

symptom for bursitis

A

pain on passive & active movement

45
Q

Dupuytren contracture

A

palmar fasciitis

46
Q

ganglion cysts

A

connective tissue pouches filled with fluid from tenosynovial sheaths

47
Q

massage for client with ganglion cyst

A

locally contraindicated - LEAVE IT ALONE

48
Q

hiatal hernia damages this structure

A

the diaphragm

49
Q

men experience this hernia

A

Indirect inguinal hernia

epigastric hernia

50
Q

increases risk of abdominal hernia

A

lifting & twisting

51
Q

Osgood-Schlatter disease etiology

A

in teens femur & tibia grow faster than soft tissue creates tension at tibial tuberosity

52
Q

long-term consequence of Osgood-Schlatter disease

A

An enlarged tibial tuberosity

53
Q

pes cavas

A

jammed arches

54
Q

plantar fasciitis

A

fibers are frayed and disorganized on plantar fascia

55
Q

symptoms and signs of Plantar fasciitis

A

pain in sole of feet distal to calcaneous - more pain in morning

56
Q

Scleroderma

A

fibroblasts near small blood vessels that produce abnormal amounts of collagen

57
Q

tendinosis

A

Long-term degeneration-collagen fibers disrupted & discontinuous - tendon heals with poor collagen quality and alignment

58
Q

tendinopathies long-term recovery treatment options

A

combination of rest, ice, stretching & carefully gauged exercise

59
Q

difficulty extending 2 fingers & gritty sensation may be

A

tenosynovitis

60
Q

common location for tenosynovitis

A

Palmer wrist or hand

61
Q

whiplash

A

cervical acceleration-deceleration CAD

62
Q

what is irritated with carpal tunnel syndrome

A

median nerve

63
Q

symptoms of carpal tunnel syndrome occur where

A

lateral hand

64
Q

degenerative disc disease

A

Small tears in the annulus accumulated over many years - decreased disc height & dehydration of nucleus

65
Q

discs usually bulge this direction

A

posteriolaterally

66
Q

which nerve roots are most at risk for compression with thoracic outlet syndrome

A

C8 & T1

67
Q

client wakes at night with arm and hand feeling painful and tingly with periods of numbness, reduced sensation, and weakness in affected arm may have

A

thoracic outlet syndrome

68
Q

3 typical stages of adhesive capsulitis

A

freezing-frozen-thawing