exam 2 Flashcards

1
Q

somatic S&S of a concussion

A

headache

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2
Q

cognitive S&S of a concussion

A

feeling in a fog

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3
Q

emotional symptoms of a concussion

A

changes in personality or mood

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4
Q

on-field assessment red flags

A

midline neck pain or tenderness, double vision, weakness or tingling/burning, severe or increasing headache, seizure or convulsion, loss of consciousness, deteriorating conscious state, vomiting, increasingly restless

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5
Q

observable signs of a concussion

A

lying motionless, balance issues, disorientation or confusion, blank look, facial injury

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6
Q

what tests memory assessment

A

maddock’s score

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7
Q

what is the Glasgow coma scale

A

eye response, verbal response, motor response

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8
Q

tests for cognitive screening

A

immediate memory, digits backwards, months in reverse

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9
Q

steps of the return to play protocol

A
symptom-limited activity
light aerobic exercise
sport specific exercise
non-contact training drills
full contact practice
return to sport
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10
Q

symptom-limited activity

A

24-48 hours

daily activities that do not provoke symptoms

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11
Q

light aerobic exercise

A

walking, running, swimming, running, stationary bike
avoid resistance training
raise the HR

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12
Q

sport specific exercise

A

no concussion symptoms
movements without much decision making
no head impact activities
movement with increased HR

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13
Q

non-contact training drills

A

complex physical and cognitive demand
resistance training
exercise, cognition, coordination

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14
Q

full contact practice

A

normal team training activites

coaches assess for full return

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15
Q

return to replay

A

ready for return to play

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16
Q

return to school strategy

A

daily activities that do not recreate symptoms
school activities
return to school part time
return to school full time

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17
Q

daily activities that do not recreate symptoms

A

avoid screen time, reading and texting

gradual return to typical activities

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18
Q

school activities

A

homework, reading, other cognitive activities outside of classroom

increase tolerance to cognitive work

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19
Q

return to school part-time

A

gradual introduction

increase academic activities

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20
Q

return to school full-time

A

gradual process until a full day can be tolerated

return to full academic activities and catch up on missed work

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21
Q

what CNs are susceptible to trauma

A

3,4 and 8

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22
Q

how to begin a proprioception exam

A

distal to proximal

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23
Q

who recovers the quickest from concussions

A

professional athletes

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24
Q

symptoms of high school football players

A

migraine symptom cluster, reaction time, visual memory, verbal memory, dizziness

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25
Q

what is the 4th leading cause of mortality and chronic disability

A

cervical spine pain

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26
Q

risk factors for neck pain development

A

workplace psychosocial factors, high job strain with low support, self-perceived muscular tension

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27
Q

diffuse neck pain exacerbated by movements

A

mechanical neck pain, facet syndrome, muscle strain or sprain

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28
Q

pain in certain postures alleviated by positional change

A

upper cross postural syndromes

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29
Q

traumatic mechanism of injury, non-specific symptoms exacerbated by upright position and relieved when head and neck are supported

A

cervical instability

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30
Q

nonspecific neck pain with radiating symptoms into one arm

A

cervical radiculopathy

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31
Q

neck pain, bilateral upper extremity symptoms with occasional balance disturbance or coordination deficits

A

cervical myelopathy

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32
Q

disc derangement

A

end range loading, antalgia based criteria

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33
Q

joint dysfunction

A

palpation, extension-rotation, flexion-rotation

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34
Q

radiculopathy

A

brachial plexus tension, cervical rotation, distraction, foraminal compression

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35
Q

myofascial trigger point

A

palpation

36
Q

ROM of cervical spine

A

flexion: 60
extension: 75
rotation: 80
lateral flexion: 45

37
Q

non-neural contributors to stability

A

musculature

38
Q

___ muscles inhibited in upper cross

A

intrinsic

39
Q

___ muscles facilitated in upper cross

A

extrinsic

40
Q

flexion: extension strength ration

A

60%

41
Q

what is correlated with neck pain

A

reduced neck strength

42
Q

what muscle supports the curve against the weight of the head

A

longus coli

43
Q

what muscle is most injured in whiplash

A

longus coli

44
Q

imbalanced muscles lead to tissue changes that my result in ___

A

inappropriate patterns of movement

45
Q

common joint dysfunction

A

sternoclavicular joint, AC joint, thoracic and cervical facets

46
Q

possible injuries of UE movement dysfunction

A

rotator cuff, shoulder instability, bicep tendonitis, TOS, headaches

47
Q

movement evaluation

A

functional pattering, motor control, mobility

48
Q

management

A

mobility, motor control, functional patterning

49
Q

rounded shoulders

A

facilitated pecs

50
Q

anterior head carriage

A

facilitated SCM

51
Q

head extension

A

facilitated suboccipitals

52
Q

elevation of shoulders

A

facilitated upper trap and levator scap

53
Q

winging scap

A

inhibited serrates anterior

54
Q

cervical flexion motor pattern fail

A

chin protrusion, overactive SCM, shaking

55
Q

quadruped rockback muscles

A

levator scap, upper traps

56
Q

corrective exercise continuum

A

inhibit techniques, lengthen techniques, activate techniques, integration techniques

57
Q

inhibit techniques

A

self-myofascial release

58
Q

lengthen techniques

A

static stretching, neuromuscular stretching

59
Q

activate techniques

A

positional isometrics, isolated strengthening

60
Q

integration techniques

A

integrated dynamic movements

61
Q

increase in ___ degrees increases collagen formation

A

4

62
Q

what is the George Costanza method

A

do the opposite of what you find

63
Q

cervical extension syndrome

A

anterior head carriage, pain with extension, weak intrinsic flexors, HA in suboccipital region

64
Q

cervical flexion syndrome

A

cervical hypolordosis, thoracic hypokyphosis, decreased flexion

65
Q

mobility restrictions

A

ankle, hip, thoracic, GH, upper cervicals

66
Q

stability limitations

A

knee, lumbar, scapula, lower cervicals

67
Q

tight or overactive UE

A

pecs, deltoid, subscap, lat, levator scap, upper trap, teres major, SCM, scalenes, rectus capitits

68
Q

weak or underactive UE

A

rhomboids, lower traps, teres minor, infraspinatus, serratus anterior, longus coli, longus capitis

69
Q

tight or overactive LE

A

fibularis, gastroc, soleus, IT band, hamstring, adductor, psoas

70
Q

weak or underactive LE

A

tibialis, flexors, vastus medialis, gracilis, sartorius, semitendinosus, glut max, external rotators, hip stabilizers

71
Q

common LE joint dysfunction

A

MTP, subtalar, talocrural, prox tib/fib, SI, lumbar facets

72
Q

possible LE movement injuries

A

plantar fasciitis, tendonitis, knee pain, LBP

73
Q

thoracic spine thrust provides improvement in ___

A

mechanical neck pain

74
Q

what is paradoxical breathing

A

elevating shoulders and relying on accessory muscles

75
Q

what is diaphragm breathing

A

ribs move laterally

76
Q

thoracic mobility tests

A

shoulder mobility, thoracic rotation, T4 wall angel

77
Q

thoracic motor control tests

A

trunk stability push-up, quadruped rockback

78
Q

thoracic functional patterning

A

deep squat, in-line lunge, chop/lift

79
Q

wall angel

A

fail if thoracolumbar junction doesn’t flatten

80
Q

wall slide

A

lat and pec stretching

81
Q

arm elevation

A

hypertoned lats and pecs pulls into hyperextension

82
Q

what does FIT stand for

A

frequency, intensity, time

83
Q

thoracic extension mobilization

A

chair, ball, cat-camel, foam roller

84
Q

quadruped rockback involves what muscle

A

levator scap

85
Q

who invented the “cog wheel” model of posture

A

Brugger