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extremity adjusting > final > Flashcards

final Flashcards

1
Q

upper cross syndrome signs

A 
anterior head carriage
elevated, rounded shoulders
winging of scapulae
short pecs
kyphotic upper thorasic
short upper traps/levators
weak serrats ant and low/middle trap
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2
Q

lack of _____will cause dysfunction within the joint and may cause pain

A

joint play

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3
Q

Hydrodynamics = Essential for proper lubrication, transport of nutrients, and removal of waste

material from the articular surfaces. Proper hydrodynamic occur during:

A

Weight bearing, Intermittent muscle activity, Full range of motion

Running, sleeping, sitting, grade 2 muscle

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4
Q

Over time, scapulas tend to migrate ________ and ________ , making a shallow glenoid cavity more

shallow leading to more shoulder complaints.

A

superior and lateral

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5
Q

GH jt affected by______or the tendon of_______ biceps

A

rotator cuff dysfunction, long head

stability sacrificed for movement

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6
Q

lateral epycondylitis= tennis elbow. MC listing is ______radius

A

PL

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7
Q

An_____muscle test is good indicator of median N involvement

A

opponens pollicis

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8
Q

weakness of opponens pollicis with arm in _________ usually indicates median N pressure at the wrist carpel tunnel

A

supination

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9
Q

weakness with arm pronation usually indicates median N irritation at the elbow or

A

pronator teres syndrome

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10
Q

exercise for retraction of scap/GH joint

A

wall walks, wall angels

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11
Q

initial motion upon ____ occurs at the radiocarpal joint and secondary motion at the midcarpal and carpometacarpal joint

A

flexion

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12
Q

if there is pain at the beginning ROM of flexion of the wrist do what

A

check radiocarpal joint

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13
Q

which rib subluxations cause intercostal nuritis

A

costo-transverse, costo-vertebral, rib angle, anterior dorsals

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14
Q

muscles involved in jaw protrusion

A

lateral pterygoid and some medial pterygoid

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15
Q

muscles involved in jaw retraction

A

post temporalis
deep masseter
geniohyoid
digastric

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16
Q

muscles and jaw elevation

A

masseter
medial pterygoid
temporalis

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17
Q

muscles and jaw depression

A

digastric
geniohyoid
mylohyoid
gravity

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18
Q

MC s/c seperation

A

superior/ anterior

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19
Q

on xray space more than what between coracoid and clavicle indicates coracoclavicular ligamentous disruption

A

1.3cm 13mm

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20
Q

cross over maneuver presence of superior pain or discomfort in shoulder indicates

A

pathology of A/C joint

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21
Q

AP thorasic xray, height difference of ____ between inferior tips of scapulae indicates unstable shoulder

A

more than 15mm

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22
Q

common reason for reinjury of dislocated shoulder

A

failure to properly condition healed tissues

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23
Q

overuse is____ in tendonitis but _____ in tendonosis

A

rare, common

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24
Q

tennis elbow can have a long healing time

A

72 weeks

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25
Q

rate or irritation greater than rate of recovery is

A

SAID principle (specific adaptation to imposed demand)

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26
Q

what tear is intracapsular

A

primary

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27
Q

what tear is extracapsular

A

secondary

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28
Q

joint responsible for the majority of proprioception of upper extremit

A

S/C

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29
Q

S/C articulation is most overlooked region of upper extremity what is second?

A

scapulothorasic articulation

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30
Q

medial epicondulitis or golfers elbow typically produces

A

PM ulna

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31
Q

Medial epicondylitis is observed when there is weakness of

A

Flexor carpi ulnaris

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32
Q

Lateral epicondylitis or tennis elbow is observed when there is weakness of

A

Extensor carpi radialis brevis

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33
Q

If wrist pain is reduced or range of motion enhanced by applying mild pressure approximating distal ulna and radius - a_________ may have occurred via hyperextension or hyperflexion insult to the wrist.

A

spreading injury

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34
Q

spreading injury you would perform what ortho test

A

bracelets test
increase pain
=RA

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35
Q

sphenoid articulates with how many other cranial bones

A

12

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36
Q

The TMJ is unique because it is a synovial joint, but the surfaces are covered by this type of cartilage.

A

fribrocartilage

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37
Q

This source for pain and synovial effusion in a TMJ related issue consists of a venous plexus covered with a synovial membrane.

A

retrodiscal tissue

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38
Q

If a patient complains of locking, he can’t open his mouth fully this is called a closed lock. In this case the disc is_______ to the condyle.

A

anterior

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39
Q

Which direction of movement is more common in a Costal Angle subluxation?

A

superior

40
Q

At the 5th rib, the costo-chondral junction is approximately located at the __________.

A

mid-clavicular line

41
Q

40 Costo-Sternal or Chondro-Sternal subluxations apply to which ribs?

A

upper 6 ribs

42
Q

another name for anterior dorsalis is

A

pottinger saucer

43
Q

what else has biconcave disc aside from S/C joint

A

TMJ

44
Q

what is the condition regarding grinding of the teeth at night

A

bruxism

45
Q

ribs typically articulate with the disc and bodies of vertebrae above and below except?

A

1, 10, 11, 12

46
Q

musculature that suspends the scapula are innervated by

A

lower cervicals

47
Q

trigger point type of pain between the scapula and upper traps/levator scap is evidence of

A

dysfunction and symptomatic referred pain

48
Q

primary function of shoulder

A

place upper extremity in space

49
Q

list dynamic stabilizers

A 
levator scap
pec min
rhomboid
serratus anterior
trap
50
Q

most dynamic stabilizers are

A

under used

51
Q

dynamic stabilizers attach

A

shoulder to spine

52
Q

what are compensatory stabilizers

A

biceps and supraspinatus

53
Q

compensatory stabilizers are often

A

over used

54
Q

what do ligaments do

A

connect the chain

55
Q

osseous pivot of upper extremity

A

SC

56
Q

AC joint is ____ mobile that the SC. however, it is often ______d/t restrictions and fixations of the

A

less, hypermobile, SC joint

57
Q

what is sulcus sign

A

interior and anterior instability of GH joint

58
Q

GH joint most often affected by

A

rotator cuff dysfunction

long head of biceps

59
Q

what is sacrificed for movement

A

stability

60
Q

measure to demonstrate unstable shoulder

A

1.5cm/15mm

61
Q

most commonly overlooked subluxation

A

sc joint

62
Q

second most over looked subluxation

A

scapulothorasic

63
Q

what is the arm position called for scaption

A

roo’s/Allens position

64
Q

third way to check for scapulothoracic subluxation

A

subscapularis, bursae, serratus anterior

65
Q

what is the ratio to determine GH efficacy

A

2 degrees of GH movement vs 1 degree of scapula movement

66
Q

which joint is the intersection of forces with little force dissipation options

A

elbow

67
Q

biomechanical responder

A

wrist/carpels

68
Q

positive ortho test provide_____info

A

stability

69
Q

muscle tests are used to check for

A

subluxation

70
Q

what is hiltons law

A

same trunks of nerves whose branches supply groups of muscles moving a joint furnish a distribution of nerves to skin over the inseriotion of the same muscles and the interior the joint recieves its nerves from the same source

71
Q

ortho test for any joint in body

A

O’Donohuges

72
Q

mc injuries seen in chiro office

A

grade 1 or mild grade 2

73
Q

serious grade 2 and grade 3 require

A

medical referral

74
Q

except in case of _____ the spine is always considered first

A

direct trauma

75
Q

proper hydrohynamics occur during

A

weight bearing
intermittent muscle activity
full ROM of joint and capsule

76
Q

contact for GH distraction

A

interlocking fingers

77
Q

joint play is found

A

at the end of passive ROM

78
Q

based on the mechanoreceptor theory, muscles functioning across a misaligned joint are _____ d/t______ originating from mechanoreceptors surrounding a joint

A

inhibited, reflex signals

79
Q

MC subluxation of GH joint

A

A/I 95%of time

80
Q

challenge for AC joint

A

dugas

81
Q

SCP for biceps tendon

A

2 inches inferior to the bicepital tubercle

82
Q

if chronic injury check for

A

instability then subluxation

83
Q

MC ulnar subluxation

A

PM 80% of the time

84
Q

what ulna subluxation occurs 20% of the time

A

PL

85
Q

MC radial subluxation

A

PL

86
Q

SCP for PL Radius

A

lateral ridge of radius 1/4”distal to jt

87
Q

how adjust carpal bones

A

reinforced thumbs PA glide

88
Q

what tennis elbow and what is the subluxation commonly associated with it

A

lateral epicondylitis, PL radius

89
Q

what is golfers elbow and what is the subluxation associated with it

A

medial epicondyle, PM ulna

90
Q

retraction of the scapula is called

A

winging

91
Q

winging happens because

A

weak serratus anterior

92
Q

we tend to over use what

A

flexor muscles

93
Q

we under use what

A

extensor muscles

94
Q

upon extension of the wrist carpals move

A

diagonal and anterior

95
Q

upon flexion the wrist carpal move

A

posterior

extremity adjusting (1 decks)

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