day eight: tendonpathies ii Flashcards

1
Q

tendinopathies fall in the category of

A

CTI: cumulative trauma injury or RSI: repetitive strain injuries

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2
Q

tendinopathies can affect

A

tendons and or the nerves

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3
Q

list four causes of tendinopathy:

A

trauma induce
decrease blood flow
poor posture
poor proximal stability

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4
Q

itis means

A

inflammation

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5
Q

osis means

A

scar tissues

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6
Q

algia

A

nerve irritation

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7
Q

tendinitis

A

inflammatory process

cells found in tissue

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8
Q

tendinosis

A

degenerative process with fibrosis decreased circulation

fibrosis found in the tissue

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9
Q

tendonalgia

A

pain
neurogenic in nature
free nerve endings are irritated and signaling “pain” to the brain.neurotransmitter

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10
Q

tenosynovitis

A

the synovial sheath the tendon runs through is also inflamed

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11
Q

tendinopathy secondary to an RSI means that

A

there is repetitive use against resistance
repetitive sheering
extremes postures for long time
carrying resistance when muscles are stretched

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12
Q

lateral epicondylitis is known as

A

tennis elbow

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13
Q

lateral epicondylitis def:

A

inflammation of the tendon fibers that attach the forearm extensor muscles to the lateral epicondyle

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14
Q

specific muscle of lateral epicondylitis:

A

ECRB

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15
Q

in lateral epicondylitis the ECRB rubs against the

A

radial head with the elbow in extension

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16
Q

the muscle tends to get stuck in ______ w/ tennis elbow

A

fiboplasia

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17
Q

lateral epicondyle is the origin for:

A

ECRB
EDC
ECU
ECRL

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18
Q

LE is not usually what

A

an inflammatory condition

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19
Q

histological studies show component

A

immuno-reactive neurogenic component

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20
Q

this conditions sometimes happens with LE?

A

radial tunnel

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21
Q

what direction should you treat?

A

proximal to distal

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22
Q

what else should you correct with LE?

A

posture and strengthen core

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23
Q

if its inflammatory its called:

A

tendonitis

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24
Q

counterforce splinting is only appropriate in

A

final stages of rehab with return to heavier activity

25
Q

counter force strap seves as a

A

TENS unit effect

- tactile cue for behavior modification

26
Q

chronic tennis elbow needs

A

blood flow and remodeling

27
Q

with chronic tennis elbow you can use

A

heat modalities

28
Q

with lat epicondylitis the splint would put the elbow in

A

35/40 degrees of flexion

29
Q

extreme flexion can put

A

stress on the extensor origin

30
Q

ultrasound is effective for

A

short term effects

31
Q

what has the most evidence backing it

A

exercise

32
Q

what type of training exercises should you do?

A

eccentric

33
Q

cortisone injection can lead to what bad things?

A

cell death and atrophy

inhibits collagen synthesis

34
Q

PRP or Protein Rich Plasma does what?

A

induces healing by providing cellular mediators

35
Q

top six EBP treatments:

A
  1. stretching.
  2. HEP
  3. risk factors edu
  4. activity modficaiton
  5. ergonomic training
  6. pain management
36
Q

tx for acute LE

A

ultrasound
ice
iontophoresis

37
Q

chronic

A

education
rest
heat strength

38
Q

prognostic indicators

A

pt occupation
duration of symptoms
previous history

39
Q

to return to work prognostic indicators:

A

compliance w/ HEP
modify work jobs
pt occupation

40
Q

what level should pain be at to begin resistance training?

A

resolved or minimal

41
Q

good stretch to include w/ LE : accordingly to EBP

A

ulnar deviation independent o f forearm rotation

42
Q

eccentric exercises where found to

A

decrease pain and improve grip in the long term

43
Q

you should start with this method for exercises:

A

non composite

44
Q

you move your exercises from ______ to ________

A

non composite
to
composite

45
Q

how many reps do you have to do before resistance training?

A

3 sets of 10

46
Q

beneficial exercise examples for LE include:

A

radial nerve glides
EDC exercises w/ rubber ands putty etc.
isometric contraction of abdominals

47
Q

medial epicondylitis:

A

golfers elbow

48
Q

medial epicondylitis results from

A

repetitive wrist and finger flexion or repetitive motion against resistance

49
Q

what nerve gets inflamed with medial epicondylitis?

A

ulnar nerve

50
Q

what would you palpate to assess ME

A

the medial epicondyle clear ulnar nerve at the cubital tunnel

51
Q

you would want to clear the ulnar nerve at the

A

cubital tunnel

52
Q

trigger finger occurs where?

A

A1 pulley

53
Q

trigger finger is technically a

A

tenosynovitis

54
Q

A2 and A4 are necessary for ____ and prevents ____

A

finger mechanics

prevents bowstringing

55
Q

main pt symptoms of trigger finger:

A

finger clicks when trying to straighten

finger gets stuck

56
Q

grade 1 of trigger

A

pain and tenderness at a1 pulley

57
Q

grade 2 of trigger

A

catching of digit

58
Q

grade 3 of trigger

A

locking of digit which is passively correctable

59
Q

grade 4

A

fixed locked digit