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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
rate or irritation greater than rate of recovery is
SAID principle (specific adaptation to imposed demand)
26
what tear is intracapsular
primary
27
what tear is extracapsular
secondary
28
joint responsible for the majority of proprioception of upper extremit
S/C
29
S/C articulation is most overlooked region of upper extremity what is second?
scapulothorasic articulation
30
medial epicondulitis or golfers elbow typically produces
PM ulna
31
Medial epicondylitis is observed when there is weakness of
Flexor carpi ulnaris
32
Lateral epicondylitis or tennis elbow is observed when there is weakness of
Extensor carpi radialis brevis
33
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.
spreading injury
34
spreading injury you would perform what ortho test
bracelets test increase pain =RA
35
sphenoid articulates with how many other cranial bones
12
36
The TMJ is unique because it is a synovial joint, but the surfaces are covered by this type of cartilage.
fribrocartilage
37
This source for pain and synovial effusion in a TMJ related issue consists of a venous plexus covered with a synovial membrane.
retrodiscal tissue
38
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.
anterior
39
Which direction of movement is more common in a Costal Angle subluxation?
superior
40
At the 5th rib, the costo-chondral junction is approximately located at the __________.
mid-clavicular line
41
40 Costo-Sternal or Chondro-Sternal subluxations apply to which ribs?
upper 6 ribs
42
another name for anterior dorsalis is
pottinger saucer
43
what else has biconcave disc aside from S/C joint
TMJ
44
what is the condition regarding grinding of the teeth at night
bruxism
45
ribs typically articulate with the disc and bodies of vertebrae above and below except?
1, 10, 11, 12
46
musculature that suspends the scapula are innervated by
lower cervicals
47
trigger point type of pain between the scapula and upper traps/levator scap is evidence of
dysfunction and symptomatic referred pain
48
primary function of shoulder
place upper extremity in space
49
list dynamic stabilizers
``` levator scap pec min rhomboid serratus anterior trap ```
50
most dynamic stabilizers are
under used
51
dynamic stabilizers attach
shoulder to spine
52
what are compensatory stabilizers
biceps and supraspinatus
53
compensatory stabilizers are often
over used
54
what do ligaments do
connect the chain
55
osseous pivot of upper extremity
SC
56
AC joint is ____ mobile that the SC. however, it is often ______d/t restrictions and fixations of the
less, hypermobile, SC joint
57
what is sulcus sign
interior and anterior instability of GH joint
58
GH joint most often affected by
rotator cuff dysfunction | long head of biceps
59
what is sacrificed for movement
stability
60
measure to demonstrate unstable shoulder
1.5cm/15mm
61
most commonly overlooked subluxation
sc joint
62
second most over looked subluxation
scapulothorasic
63
what is the arm position called for scaption
roo's/Allens position
64
third way to check for scapulothoracic subluxation
subscapularis, bursae, serratus anterior
65
what is the ratio to determine GH efficacy
2 degrees of GH movement vs 1 degree of scapula movement
66
which joint is the intersection of forces with little force dissipation options
elbow
67
biomechanical responder
wrist/carpels
68
positive ortho test provide_____info
stability
69
muscle tests are used to check for
subluxation
70
what is hiltons law
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
ortho test for any joint in body
O'Donohuges
72
mc injuries seen in chiro office
grade 1 or mild grade 2
73
serious grade 2 and grade 3 require
medical referral
74
except in case of _____ the spine is always considered first
direct trauma
75
proper hydrohynamics occur during
weight bearing intermittent muscle activity full ROM of joint and capsule
76
contact for GH distraction
interlocking fingers
77
joint play is found
at the end of passive ROM
78
based on the mechanoreceptor theory, muscles functioning across a misaligned joint are _____ d/t______ originating from mechanoreceptors surrounding a joint
inhibited, reflex signals
79
MC subluxation of GH joint
A/I 95%of time
80
challenge for AC joint
dugas
81
SCP for biceps tendon
2 inches inferior to the bicepital tubercle
82
if chronic injury check for
instability then subluxation
83
MC ulnar subluxation
PM 80% of the time
84
what ulna subluxation occurs 20% of the time
PL
85
MC radial subluxation
PL
86
SCP for PL Radius
lateral ridge of radius 1/4"distal to jt
87
how adjust carpal bones
reinforced thumbs PA glide
88
what tennis elbow and what is the subluxation commonly associated with it
lateral epicondylitis, PL radius
89
what is golfers elbow and what is the subluxation associated with it
medial epicondyle, PM ulna
90
retraction of the scapula is called
winging
91
winging happens because
weak serratus anterior
92
we tend to over use what
flexor muscles
93
we under use what
extensor muscles
94
upon extension of the wrist carpals move
diagonal and anterior
95
upon flexion the wrist carpal move
posterior

extremity adjusting (1 decks)

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