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Ortho Exam 1 > Evaluation - 3 > Flashcards

Evaluation - 3 Flashcards

objective: observing the sources of the sxs

1
Q

what do we use to observe the sxs

A

ROM

tissue characteristics

special tests

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2
Q

ROM

A

selective tissue tension testing

PROM

AROM

resistive

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3
Q

PROM –> ROM

A

cardinal planes of movement

accessory movements/joint play

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4
Q

generic options for dx

A

musculotendinous

capsulo-ligamentous

intra-articular

extra-articular

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5
Q

selective tissue testing includes

A

resistive, AROM, passive accessory and passive physiologic ROM

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6
Q

what do we consider when assessing ROM

A

3 Rs

reactivity

range

resistance

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7
Q

reactivity –> 3 Rs

A

does it hurt

comparable signs

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8
Q

range –> 3 Rs

A

too much

just right

too little

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9
Q

resistance –> 3 Rs

A

quality good v. bad

end feel

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10
Q

AROM range

A

more important is patterns of loss

capsular patterns

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11
Q

AROM reactivity

A

how easily is it aggravated?

how quickly does it settle down?

does it effect activity/participation?

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12
Q

pain is a –> AROM reactivity

A

comparable sign

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13
Q

AROM reactivity –> pain location and behavior

A

painful arc

end range pain

through the range pain

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14
Q

AROM resistance –> quality

A

smooth at all speeds

antagonists relax

no restraint to movement

no compensations

no joint noise

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15
Q

physiologic ROM

A

osteokinematic

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16
Q

what is physiologic ROM

A

bone motion (volitional)

generally rolling of bone

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17
Q

accessory ROM

A

arthrokinematics

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18
Q

what is accessory ROM

A

gliding, distraction and spinning

not volitional

assess after physiologic

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19
Q

how do we assess ROM

A

active

physiologic (PROM)

accessory (PROM)

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20
Q

how is physiologic done

A

through the range

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21
Q

what does physiologic eliminate

A

muscle contraction

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22
Q

how is passive physiologic graded

A

over pressure at end range

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23
Q

grading –> passive physiologic

A

easy <–> medium <–> hard

end feel (resistance)

reactive

range

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24
Q

big picture –> range

A

hypo

normal

hyper

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25
Q

big picture –> resistance

A

normal end feel

abnormal end feel

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26
Q

big picture –> reactivity

A

No or yes

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27
Q

assessing range

A

angles can be measures

what needs to be measured

compare with AROM

28
Q

Passive movement

A

normal

dysfxnal

29
Q

normal passive movement

A

PROM > AROM

no joint noise

all muscles relax

pain free

30
Q

dysfxnal passive movement

A

PROM = AROM

joint noise

muscle guarding

painful

31
Q

reactivity words

A

pain?

where?

comparable?

32
Q

assessing reactivity –> pain before resistance

A

high reactive

33
Q

assessing reactivity –> pain w/ resistance

A

moderate reactive

34
Q

assessing reactivity –> pain after resistance

A

low reactive

35
Q

what is reactivity during PROM testing often d/t

A

tension

36
Q

assessing location of reactivity

A

capsulo-ligamentous

musculo-tendinous

extra-articular

intra-articular

37
Q

assessing resistance quality

A

types of end feels

38
Q

types of end feels

A

normal

pathologic

39
Q

normal end feels

A

bony

soft tissue

muscular

capsular

40
Q

pathologic end feels

A

muscle spasm

boggy

empty

springy

41
Q

accessory motion exam

A

gliding and distraction

42
Q

gliding and distraction –> accessory motion exam

A

tx plane

open pack or resting position

pt relaxed (pt should not hold)

external stabilization

force applied close to joint

43
Q

tx plane –> gliding and distraction –> accessory motion exam

A

gliding –> parallel

distraction –> perpendicular

44
Q

quick screen for accessory motion

A

3 R’s

-range
-resistance
-reactivity

45
Q

quick screen for accessory motion –> range

A

less

normal

more

46
Q

quick screen for accessory motion –> resistance

A

soft

normal

hard

47
Q

quick screen for accessory motion –> reactivity

A

pain

location

comp

48
Q

assessing range using

A

descriptive score and paris score

49
Q

assessing range –> ankylosed

A

paris score: 0

descriptive score: no movement

50
Q

assessing range -> considerable limitation

A

paris score: 1

descriptive score: major motion loss

51
Q

assessing range –> slight limitation

A

paris score: 2

descriptive score: minor motion loss

52
Q

assessing range –> normal

A

paris score: 3

descriptive score: normal

53
Q

assessing range –> slight increase

A

paris score: 4

descriptive score: minor hypermobility

54
Q

assessing range –> considerable increase

A

paris score: 5

descriptive score: major hypermobility

55
Q

assessing range –> pathological increase

A

paris score: 6

descriptive score: unstable

56
Q

resistance to movement =

A

end feel

57
Q

what is resistive tesing

A

not an MMT

not intended to score their strength

snapshot strong or weak

snapshot pain or pain free

58
Q

keys to resistive testing

A

isolate

isometric

increase (ramp up, light –> max)

59
Q

where should we isolate –> resistive testings

A

in mid range

one joint at a time

60
Q

how should we do resistive tests

A

in one position

61
Q

how should we increase resistance

A

slowly

start easy –> resist harder –> work to maximal contraction

62
Q

when should we stop the resistive test

A

until it hurts

once a contraction is painful

63
Q

STTT helps us identify

A

the source of the sxs

64
Q

musculotendinous and bursa general guidelines

A

somatic pain

pain w/ contraction and stretch

65
Q

capsuloligamentous general guidelines

A

somatic pain

worse at ends of range/stretch

accessory PROM –> end feel

ligamentous stress test

active ROM = passive ROM

66
Q

intra-articular general guidelines

A

somatic pain

locking and clicking

end feel –> springy

special tests

67
Q

extra-articular general guidelines

A

neurogenic pain

stirs up easy, hard to ease

pain w/ tension

neurodynamic testing

Ortho Exam 1 (17 decks)

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