EXAM 2: set 2 Flashcards
(45 cards)
stage 1
get sym under-control
stage 2
sym under control
nor working on functional impairments
stage 3
sym resolved
impairments are slight
function endurance remains the issue - return to sport activities
what is the capsular pattern representing
degenerative/arthritic changes
what is the capsular pattern movement diagram
sym restriction of SB and rot
restricted ext
normal flexion
is a capuslar pattern seen at one segment or multible segments
multiple segments involved
normal presentation of capsular pattern
restrict movement
soreness, stiffness, and ahcing
boney or firm end feel
Traumatic event neck presentation
something happened to the pt they are now restricted in all directions
o Fracture or dislocation
Acute synovitis neck presentation
o This is a rapid alternation of the pt condition due to some mechanical probation
o This can be a pain-inflammatory reaction
o This pt needs active rest -72 hours
o This could be an adverse reaction to treatment of neck pain
slept on it wrong pattern
- The neck got held in a certain position of sometime and the facet joints/capsules are now holding you in that position
- This person is very inflamed – we do not want to mobilize these pt
- Active rest with palliative measures
Arthritis def
umbrella term
used to describe several conditions that cause inflammation in your joints
OA and RA
Arthrosis def
another name for OA
is OA sym
no one sided
athrosis presentation in the neck
Not acute, older individuals, have a history of prolonged neck issues
Old man in the park with his hand on his back with forward flexion
Hands on back – to preserve balance
stuck in flexion
what movement is effected with arthrosis
rot is preserved normally - AA is not effected
suck in flexion
treatment of arthosis neck
not malleable
Aggressively working on restoring motion will not typically work
reasons for restricted flexion
o Acute trauma synovitis
o Painful discogenic structure
o Mechanical dysfunction in the CT upper thoracic spine
what tells you that the issues is Mechanical dysfunction in the CT upper thoracic spine
restricted flexion
Pain in the axial skeleton – middle of neck
what do you do if you have a mech dysfunction of the CT
manual therapy
Seated thoracic distraction
seated CT distraction
mid thoracic thrust
Seated CT distraction segments
Believed to be more specific: C7 - T2
contradictions for seated CT distraction
shoulder issues
seated thoracic distraction segments
More general: T1-T4
Mid-thoracic thrust
mid thorax – T4 -T8
Painful discogenic structure presentation
Pain will peri (scapula) – high level of pain
Does not respond to manual therapy
