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MSK 1 > End Feels > Flashcards

End Feels Flashcards

1
Q

bone/ cartilage

A

hard (rigid, sudden stop)

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2
Q

muscle/elastic

A

firm (elastic)

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3
Q

soft tissue approximation

A

soft (spongy)

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4
Q

capsule

A

firm (CREEP)

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5
Q

ligament

A

firm (no creep)

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6
Q

capsular tightness

A

firm

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7
Q

joint adhesion

A

firm

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8
Q

abnormal muscle

A

firm (tight muscle, increased tone)

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9
Q

bony block

A

hard (sudden, rigid stop)

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10
Q

abnormal cartilage/bone

A

hard (rough grating)

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11
Q

displaced meniscus

A

hard (springy rebound, bouncing back)

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12
Q

pannus

A

soft (crunchy)

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13
Q

ligamentous/ capsular laxity

A

firm (increased movement without firm arrest)

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14
Q

swelling

A

soft (boggy from effusion or edema)

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15
Q

empty

A

no real end feel (patient guarding or muscle spasm)

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16
Q

tests and measures sequence for extremity examination

A
  1. structural inspection (posture/position)
  2. palpation for condition (PFC)
  3. AROM
  4. PROM- C and A
  5. Muscle performance (MSTT, then MMT)
  6. Flexibility (MLT)
  7. Special tests
  8. Neurovascular
  9. Palpation for (specific) tenderness (PFT)
  10. Movement Analysis
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17
Q

sequence for MSK management

A 
I. Examination
a. Observation
b. History (Interview, Pain assessment, Outcome measures)
c. Systems Review 
d. Scanning/screening
e. Tests and measures 
f. Imaging 
II. Evaluation 
a. diagnosis 
b. prognosis 
c. plan of care (interventions)
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18
Q

MSTT strong and painless

A

unremarkable, move onto MMT

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19
Q

MSTT strong and painful

A

tendinopathy, tendinosis, tendinitis, defer MMT but perform MLT

20
Q

MSTT weak and painless

A

fully torn muscle, can do MMT and MLT

21
Q

MSTT weak and painful

A

partially torn muscle, defer MMT and MLT

22
Q

effects of CFM

A

traumatic hyperemia- enhanced blood supply
movement of tissue- prevention or breakdown of adhesions, improved collagen alignment
increased tissue perfusion- improved blood flow
mechanoreceptor stimulation- less pain

23
Q

CFM contraindications

A 
inflammation from bacterial infections
traumatic arthritis 
ossifications in soft tissues
bursitis
RA 
over neural tissue
24
Q

what should you do post- CFM?

A

muscle contraction without overstraining damaged area. (AROM, AAROM or PROM)

appropriate isotonic loading for degenerative tendinopathy to encourage gliding between tendon fibers

functional activity

25
Q

traction

A

application of force

26
Q

distraction

A

application of force

joint separation

27
Q

effects of manipulation

A

psychological
mechanical
neurophysiological
biochemical

28
Q

contraindications of manipulation

A

none

29
Q

manipulation variables

A 
force
duration
type of manipulation
temperature
amplitude
velocity
30
Q

manipulation criteria

A 
patient position
therapist position
loose pack position
joint alignment
stabilizing hand
mobilizing hand 
direction of force
amount of force
31
Q

TR ligament

A

special test
prom A
PFT

32
Q

TR tendon and muscle

A

MLT
prom C (must look at prom A to clear capsule)
PFT

33
Q

TR bursa/edema

A

PFT

34
Q

TR effusion

A

PROM A

35
Q

intervention categories

A

palliative
preparatory
corrective
supportive

36
Q

palliative intervention

A

treat high pain levels
consider tissue reactivity

PRICE

37
Q

preparatory intervention

A

prepare tissue/patient
enhance corrective
makes corrective more effective

massage, oscillations, modalities

38
Q

corrective treatments

A

fix/ improve problem
mechanical gains

manipulation, distraction, exercises, transverse friction, ultrasound

39
Q

supportive treatments

A

ensure rollover for next treatment
patient education
HEP

40
Q

inert tissue impairment presentation

A

active and passive classical limited in same direction

41
Q

non-inert tissue impairment presentation

A

active and passive classical limited in opposite direction

42
Q

which manipulations produce psychological effects

A

all
grade 1-3 distraction
grade 1-4 glide

43
Q

which manips produce mechanical effects

A

grade 2 and 3 distraction

grade 3 and 4 glide

44
Q

which manips produce neurophysiological effects

A

all

45
Q

biochemical effects

A

all

MSK 1 (3 decks)

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