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MSK 2 > EXAM 2: set 2 > Flashcards

EXAM 2: set 2 Flashcards

1
Q

stage 1

A

get sym under-control

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2
Q

stage 2

A

sym under control

nor working on functional impairments

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3
Q

stage 3

A

sym resolved

impairments are slight

function endurance remains the issue - return to sport activities

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4
Q

what is the capsular pattern representing

A

degenerative/arthritic changes

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5
Q

what is the capsular pattern movement diagram

A

sym restriction of SB and rot
restricted ext
normal flexion

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6
Q

is a capuslar pattern seen at one segment or multible segments

A

multiple segments involved

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7
Q

normal presentation of capsular pattern

A

restrict movement
soreness, stiffness, and ahcing
boney or firm end feel

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8
Q

Traumatic event neck presentation

A

something happened to the pt they are now restricted in all directions
o Fracture or dislocation

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9
Q

Acute synovitis neck presentation

A

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

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10
Q

slept on it wrong pattern

A
  • 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
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11
Q

Arthritis def

A

umbrella term

used to describe several conditions that cause inflammation in your joints
OA and RA

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12
Q

Arthrosis def

A

another name for OA

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13
Q

is OA sym

A

no one sided

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14
Q

athrosis presentation in the neck

A

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

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15
Q

what movement is effected with arthrosis

A

rot is preserved normally - AA is not effected

suck in flexion

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16
Q

treatment of arthosis neck

A

not malleable

Aggressively working on restoring motion will not typically work

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17
Q

reasons for restricted flexion

A

o Acute trauma synovitis
o Painful discogenic structure
o Mechanical dysfunction in the CT upper thoracic spine

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18
Q

what tells you that the issues is Mechanical dysfunction in the CT upper thoracic spine

A

restricted flexion

 Pain in the axial skeleton – middle of neck

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19
Q

what do you do if you have a mech dysfunction of the CT

A

manual therapy

Seated thoracic distraction

seated CT distraction

mid thoracic thrust

20
Q

Seated CT distraction segments

A

Believed to be more specific: C7 - T2

21
Q

contradictions for seated CT distraction

A

shoulder issues

22
Q

seated thoracic distraction segments

A

More general: T1-T4

23
Q

Mid-thoracic thrust

A

mid thorax – T4 -T8

24
Q

Painful discogenic structure presentation

A

 Pain will peri (scapula) – high level of pain

 Does not respond to manual therapy

25
Q

follow up after cervial resitricted flexion interventions

A

cervical protraction and retraction

anything that promotes thoracic extension - laying on pillow/foam

winged arm breathing

26
Q

follow up for extension pattern

A

Retraction cervical
three finger sweep
hand collar
towel mobilization

27
Q

what is cervical radioulopathy

A

UE sym that have their origin in the cervical spine
- head movements reproduce radiating sym
- sharp intense sever pain
- associated parathesis

28
Q

does any cervical radio follow dermatonal patterns

A

yes

C5, C6, C7 are the most common

29
Q

do you need imaging for radiculopathy

A

no it is a clinical diagnosis

30
Q

what is wainner’s cluster used for

A

ruling in cervical radiculopathy

31
Q

what is included in wainners cluster

A

distraction
spurling
cervical rotation - less then 60-degrees
ULTTA - median nerve tension testing

32
Q

what is the treatment of choice for radiculopathy

A

traction

33
Q

what kind of herniation do we see in the lumbar spine

A

disc protrusion, rearrangement, the disc change

The structure at the disc is most likely to contact the nerve root

34
Q

Cervical herniation

A

We can get degenerative change in the foramen over time

35
Q

spurling pt position

A

SB and ext head in sitting

36
Q

Positive shoulder ABD test: C7

A

better when hand is on opposit should

this is taking away the tension on the nerve root

37
Q

Positive shoulder ABD test: C6

A

better when arm in on head

38
Q

Positive shoulder ABD test: C5

A

better when arm in on abdomen

39
Q

Upper limb tension test (ULTT) – focus on the median nerve arm movements

A

90 abd
arm ER
supination
ext of tumb, pointer, and wrist
then ext the elbow from this position

40
Q

what kind of pain is seen with a flexion patterns

A

stretch pain
when I lean to my left my right side hurts

41
Q

what are the intervention of r flexion pattern

A
  • Upper ribs (1st and 2nd) – look at the 2nd one first
  • Breathing pattern: do not use their diaphragm, contributes to hypertonicity
  • CT/upper thoracic spine
  • Mid C-spine flexion mobility
  • Anterior neck flex activation: motor control, retraction
  • Shoulder/shoulder girdle
  • Soft tissue mobilization
  • Stretching
42
Q

Upper cervical presentation/symptoms

A
  • Suboccipital pain/tenderness (AO)
  • Headaches (cervicogenic)
  • Dizziness
  • Nausea
  • Fatigue and lethargy
43
Q

movement pattern for AA

A

rot and contralleral SB are restricted and pain ful

44
Q

movement patteren for AO

A

ext and SB are restricted and painful

45
Q

Painful discogenic structure

A

nerve receptors located in the outer part of the annulus are irritated by inflammation or other conditions

MSK 2 (15 decks)

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