Clinical Science 2 Flashcards
Petrissage Technique:
Mm squeezing, mm stripping, wringing, picking up, skin rolling, kneading
What dermatome shares the Obturator Nerve Sensory distribution?
Sensory distribution to medial thigh
L2 - upper med thigh
L3 - lower med thigh around med Condyle of knee
What is a positive Babinski sign? (In adults)
EXT of big toe when foot is stroked ( in adults)
Tests for upper motor Neuron lesion if positive on both sides; lower motor Neuron lesion if positive on only one side
Possible Scoliosis Postural Modifications:
....if one humerus is shorter than the other: Adjust arm on chair Avoid side bending Ears at shoulders Shoe insoles
Description of Quadrant Test:
- Instruct standing client to extend, side bend, and rotate the lumbar spine to the affected side
- Apply an Inferiorly directed over pressure to the shoulder on the affected side
- Assessment may also be performed with the client seated
- when performed on C-spine it’s called Spurlings test
Describe “Direct Fascial Technique”:
Direct fascial techniques take the fascia TOWARDS the restriction / adhesion. This engages the tissue barrier which can them carefully be taken beyond the barrier which breaks down the bonds between the connective tissue fibres
Pg 45 Rattray
Bell’s Palsy (Lesion of Cranial Nerve VII)
Unable to wink, (can’t close eye on affected side)
Unable to make an “O” with mouth
Tx protocol for Acute Edema
Distal + Onsite work is CI’d
Elevate limb, lymph drainage performed proximally, ice
Swedish to compensatory side
Why is lymph drainage indicated?
To reduce pain and congestion
In crossed pelvic syndrom; which mms are lengthened, and are taut?
Tight Erector Spinae, quads, psoas
Weak Abdominals and Gluts Max, hamstrings
Check Magee
Positioning during pregnancy: (1st, 2nd, 3rd trimesters)
1st Trimester: Prone, Supine, Sidelying
2nd: Sidelying, Supine with pillow under Right hip, Seated/semifowler
Sidelying on Left side relieves pressure
Duchenes Dystrophy:
A rare recessive X-linked form of muscular dystrophy
Early childhood onset affecting all voluntary mms
Involves heart and breathing mms in late stage
Life expectancy is aprox 25 yrs
Depuytren Contracture:
Idiopathic contracture of Palmer Fascia
= Flexion deformity of the fingers
Treating Spasticity
Slow rhythmical Swedish techniques (stroking, palmar kneading, vibrations, etc.)
GTO release
Stimulation of the Antagonist
Special Test for Sciatica: Straight Leg Raise Test =
Radiating leg Pain at 30 - 70*,
then back off 10% and Dorsi FLX foot (Braggards Test)
Straight Leg Raise with ADDuction + Int Rot so positive sign for short piriformis mm
Golgi Tendon Organs (GTO)
Senses changes in mm tension
Proprioceptive sensory receptor organ that is at the Origin and Insertion of skeletal mm fibres
Slump Test=
Positive if the client feels Pain along the spine
sometimes down limb is experienced at level of the lesion
Diabetes Mellitus Type 2:
Can be controlled by diet and exersize in early stages
Ligament condition that is not present with a mm pathology
Ligamentous Laxity
Migraine Tx:
Gentle massage to hands and feet
Questions for Client with Asthma Inhaler:
Where is it?
When did you last use it?
What is it for?
In the 2nd Trimester….
General Petrissage is indicated
When a client [resents with one leg longer than the other:
The longer leg is held in ADDuction with tight Adductor mms in Stance Phase
Joint Mob to increase Elbow Flexion:
Anterior glide at Humerulnar Joint
Joint mob to increase hip Flexion:
Inferior Glide ( through transverse plane)
Joint Mob to increase Ankle Dorsiflexion
Posterior glide of Talus on Tibia
Slow Amplitude / Low Velocity Oscillations creates:
An Anesthetic Response
Capsular pattern of the GH jt:
External Rot > ABduction > Internal Rot
Capsular pattern of the elbow:
Flexion > Extension
Capsular Pattern of the Wrist
Equal Flexion / Extension
Equal ulnar / radial deviation
Capsular pattern of the hip (AF jt):
FLABIR > EXT, ADD, Ext Rot
Capsular pattern of the knee
Flex > Ext
Capsular pattern of the Ankle:
Plantar FLX > Dorsiflx
Axial traction (Distraction) of the hip resulting in Pain =
Inguinal Hernia
Or
Femoral neck Fracture
Fractioning the lower cervical facets:
Patients neck is placed into Flexion
When neck is side flexed:
The vertebral bodies translate to OPP side
+
Rotate to the same side
Movements of Quadrant Test:
EXT + Side FLX + ipsilat Rot
Whiplash grading (WAD):
0 = No Complaints 1= Pain, tenderness, stiffness 2= Tender to touch + loss of AROM 3= Decreased deep reflex, weakness, sensory deficits 4= Fracture or Dislocation
Degenerative Arthritis of the C-spine is found:
At C4 - C5
3rd Class Levers
Increase Speed and decrease mm size
ex biceps lifting weight in hand, tweezers
Example of a 1st class lever:
Atlanta-Occipital Joint
Empty end feel=
Acute Bursitis
Push-ups strengthen:
Serratus Ant
Shrugging the shoulders strengthens:
Upper Traps
Colles Fx often leads to:
Reflux Sympathetic Dystrophy
Pronation of foot=
Eversion + Dorsiflx +ABduct
Compression of joints aids in:
Extension
Distraction of joints aids in:
Flexion
Multiple Sclerosis :
Often Assoc. with emotional liability
Euphoria
Depression
Supine to Sit test:
Leg from short to Long = Post pelvic Rot
SLoP
Luminous infrared Penetration Depth
5 - 10mm
Inverse Square Law (light source):
1/4 of the distance is 16x the intensity
Ultraviolet CI’s:
- Diabetic Gangrene
- TB
- Heart Disease
Pre Central Gyrus controls:
Voluntary Contractions
Joint Play
All accessory movements (slide/glide, Spin, Roll)
When checking reflexes:
You must do 5 repetitions per tendon before grading a reflex “Abnormal”
A “normal” reflex grade:
Grade 2
Myotome for Inversion / Plantar Flexion
S1/S2
Temperature to make fascia pliable:
37 - 38 degrees
How do you administer emergency nitroglycerine?
Sublingually
Define Pharmacokinetics
How drugs enter the body
Reach their site of action
And make their exit
Four stages of preganancy:
1 - Stage of Dialation
2 - Stage of Expulsion
3 - Placental Stage
4 - Recovery Phase
