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assessment > final > Flashcards

final Flashcards

1
Q

when do you use joint play?

A

when a joint has decreased range

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2
Q

what percentage is the swing phase

A

**35-40%

stance is 60-65%

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3
Q

during gait cycle how many times do you get a double leg stance

A

two times

during initial contact and terminal pre swing

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4
Q

capsular pattern of restriction for Gh joint

A

lateral rotation
abduction
medial rotation

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5
Q

what is contractile tissue

A

consists of mm’s, tendons, attachments and nerves

transmit force in contraction process

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6
Q

what is inert tissue

A

may get moved during the process of joint motion but do not actively produce contraction forces

bone, ligament capsule, bursa, periosteum, cartilage, fascia

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7
Q

myotome for C1-C2

A

neck flexion

C1-C2 LOOK AT YOUR SHOE

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8
Q

myotome for C3

A

neck side flexion

C3 FALLING TREE

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9
Q

C4

A

shoulder elevation

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10
Q

C5

A

shoulder abduction

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11
Q

C6

A

elbow flexion and wrist extension

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12
Q

C7

A

elbow extension and wrist flexion

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13
Q

C8

A

thumb extension and ulnar deviation

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14
Q

T1

A

finger abduction

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15
Q

L2

A

hip flexion

lift my shoe

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16
Q

L3

A

knee extension

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17
Q

L4

A

ankle dorsiflexion

stop the door

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18
Q

L5 toe to sky

A

big toe extension

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19
Q

S1 lift a tonne

A

ankle plantar flexion, eversion
hip extension

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20
Q

S2

A

knee flexion

KNEE BACK TO YOU

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21
Q

rules of joint play

A

pt must be relaxed / fully supported

therapist must b relaxed, firm comfortable grasp

1 joint examined at a time

1 mvment at a time

unaffected side first

one articular surface is stabilized, while other is moved

mvments must be normal and not forced

ax of a joint should always be in loose packed or resting

mvments should not cause undue discomfort

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22
Q

in Trendelenburg - what is the part of gait cycle you need

A

hip stability - load response in mid swing phase

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23
Q

CI’s for joint play

A

hypermobility
inflammation
joint effusion
neoplasm/ cancer
recent fracture
excessive pain
acute inflamm disease
joint sepsis
bacterial infection
joint replacements
previous dislocation
systemic CT diseases (RA)
elderly w weakened CT

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24
Q

absolute CI for joint play

A

cancer

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25
Q

causes of joint dysfucntion

A

intra articular adhesions or pericapsular stiffness

shortened mm groups around joint

mm weakness and imbalance around joint

pain

nerve root adhesions

soft tissue restrictions

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26
Q

what is a dermatome

A

sensory distribution of each nerve root

defined by the area of skin supplied by a single nerve root

connect each spinal level to a specific section of skin

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27
Q

reflex of achilles tendon

A

plantar flexion of foot

28
Q

what way would you not use a special test

A

cant use it as a diagnoses but to understand a difficult sign or symptom

29
Q

dermatomes C5

A

level of clavicles

30
Q

C5,C6 DERMATOME

A

lateral sides of upper limbs

31
Q

C8-T1 dermatome

A

medial sides of upper limbs

32
Q

C6dermatome

A

digit 1

33
Q

C6,7,8 dermatome

A

digits IV and V

ring and little finger

34
Q

T4 dermatome

A

nipples

35
Q

T10 dermatome

A

umbilicus

36
Q

L1 dermatome

A

inguinal region

37
Q

L1-L4 dermatome

A

anterior and medial surfaces of lower limbs

38
Q

L4-L5,S1dermatome

A

foot

39
Q

L4 dermatome

A

medial side digit 1

40
Q

L5, S1-S2

A

lateral and posterior surfaces of lower limbs

41
Q

S1 dermatomes

A

lateral margin of foot and digit IV (little toe)

42
Q

S2-S4 dermatome

A

perineum

43
Q

ataxic gait **

A

poor balance, broad base

irregular jerky , weaving gait

44
Q

steppage gait **

A

weak/paralyzed dorsiflex mm’s = drop foot

pt’s knee is lifted higher than normal to compensate for dragging toes

45
Q

Trendelenburg gait

A

weak glute med/min
stabilizing effect of these mm’s during stance phase is lost and the pt exhibits an excessive lateral list

thorax is thrust laterally to keep center of gravity over stance leg

46
Q

antalgic gait

A

self protective gait results from injury to pelvis, hip, knee, ankle, foot

STANCE PHASE ON AFFECTED SIDE IS SHORTER

shorter step length on uninvolved side
decreased walking velocity and decreased cadence

47
Q

equinus gait (toe walking)

A

childhood gait - club foot

weight bearing is on dorsolateral edge of foot

48
Q

glute max gait

A

thorax is thrust posteriorly at initial contact to maintain hip ext

backward lurch of trunk

49
Q

hemiplegic gait

A

leg swings outward and ahead in a circle
affected upper limb is carried across trunk for balance

50
Q

parkinson gait

A

neck, trunk, knees flexed
shuffling/short rapid steps
leaning forward, walks progressively faster, unable to stop

51
Q

closed pack position of talocrural joint

A

maximum dorsiflexion

52
Q

jaw reflex and normal response to it

A

mouth closing

53
Q

what is peripheral sensitization

A

local phenomenon that occurs when tissue has been damaged and inflammation occurs resulting in localized pain

primary hyperalgesiace

54
Q

what is central sensitization

A

central process involving brain and spinal cord, occurs if injury doesnt follow a normal healing pathway and becomes chronic

secondary hyperalgesia

55
Q

initial contact =

A

heel strike

weight loading, one foot off floor while other is accepting body weight

56
Q

load response

A

foot flat

40% of gait cycle
one leg carries body weight while other goes through swing phase

57
Q

midstance

A

single leg stance

58
Q

terminal stance

A

heel off

weight unloading period
10% of gait cycle
preparing for swing phase

59
Q

preswing

A

toe off

60
Q

what is a myotome

A

group of mm’s supplied by a single nerve root

61
Q

full range shoulder flexion

A

160-180

62
Q

positions of empty can supraspinatus test

A

pt’s arm abducted to 90 degrees in neutral
resistance applied by therapist

shoulder is then medially rotated
angled forward 30 degrees (empty can position)
patients thumb are pointing toward floor
resistance is applied again

63
Q

myotome for shoulder abduction

A

C5

64
Q

normal range dorsiflexion in ankle

A

20 degrees

65
Q

myotome for dorsiflexion

A

L4

assessment (7 decks)

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