extra Flashcards
if joint pain is worse in the AM what does that indicate
inflammatory (RA)
if joint pain is less in AM and worse with activity what does that indicate
degenerative (OA)
if back pain is worse in AM and better after a few hours and then worse again in PM what does that indicate
disc path
if you have constant , intense pain , worse in PM and wakes PT from sleep without relief what does that indicate
RED FLAG MALGINANCY
where is the referred pain for the spleen
left shoulder
where is the referred pain for the stomach
mid back and mid tummy
where is the referred pain for the pancreas
pain in left tummy and left lower back
where is the referred pain for the liver/galbladder
mid right back and right tummy
where is the referred pain for the appendix
lower right ab
where is the referred pain for the lungs and diaphragm
neck/shoulder area
where is the referred pain for the kidney
left lower ab and left lower back
if someone has clubbing in their hands what does that mean
chronic o2 deprivation
if someone has peripheral edema what does that indicate
HF
if someone has abdominal edema (ascites) then what does that indicate
liver disease
what is the most important thing in a PT evaluation
the patient goals
patient goals need to be …
functional
a tested measure should demonstrate what
test -retest stability
intra-rater reliability
inter-rater reliability
do these test go lower or higher with improving conditions:
LEFS
Harris hip score
qDASH
NDI
UEFI
Roland Morris
ODI
LEFS: higher
Harris hip score : higher
qDASH: lower
NDI: lower
UEFI : higher
Roland Morris: lower
ODI : lower
what are the 3 most common test for the spine and do they improve conditions by getting higher or lower
Oswestery disability index & lower
roland morris & lower
neck disabiliity index & lower
do these shoulder test go lower or higher with improving conditions:
*Shoulder pain and disability index
*scale of shoulder function flexilevel
*simple shoulder test
*UCLA shoulder scale
*Shoulder pain and disability index - lower
*scale of shoulder function flexilevel- higher
*simple shoulder test - lower
*UCLA shoulder scale - higher
what are the 3 simple test that predicts physical function difficulties in patients with knee OA ? and what score predicts they have knee OA
5 time site to stand - >12
gait speed - < 1.22
400 m walk test > 323 sec
does the stroke impact scale show improvements of conditions by a higher score or lower
higher
does the modified falls efficacy scale show improvements of conditions by a higher score or lower
higher
if someone has a dilated pupil , drooping eyelid and eye drifting lateral and down what would we suspect
oculomotor palsy
what sensory and motor loss will you have with bells palsy
sensory; loss of taste on anterior 2/3 of tongue on affected side
motor: paralysis of half of face same sife as affected nerve
what are the MMT grades
0-1-2-3-4-5
if someone completes full ROM against gravity with mod resistance
4
if someone can not get full ROM in an antigravity position then what is their grade automatically
2
when do you normally “clear the spine”
when the primary complaint is not the spine
what does clearing the spine help rule in or out
the spine as a contributing factor
how should the clavicle rest?
20 ° of elevation
which tendon is compressed by humerus and acromion with shoulder impingement
supraspinatus
if the shrugs sign is positive what does that indicate
torn supraspinatus
where does the SLAP lesion occur at on the labrum
12 and 1 oclock
what is the capsular pattern
ER>abduction>IR
does the alderson Mcgall hand function questionnaire show improvements of conditions by a higher score or lower
higher
which direction of arm motions will injure the ulnar nerve roots
overhead
where is the median nerve distribution in the hand
palmar aspect of thumb - radial half of 4th finger (an the finger tips of thos)
where is the radial nerve distribution in the hand
dorsum aspect of thumb- radian half of 4th finger
where is the ulnar nerve distribution in the hand
palmar and dorsal aspect of ulnar half of 4th finger and pinky
if the ucl ligament is avulsed what will present
little leaguers elbow
what is the casues of dequervains tenosynovitis
tenosynovitis between EPB and APL
if someone has a FOOSH , especially with wrist extension and pain in snuffbox what can we suspect
Scaphoid fx
