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Final Exam Notes Flashcards

1
Q

Anterior Rotated Innominate MOI

A

Tight RF
Weak hamstrings

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2
Q

Posterior Rotated Innominate MOI

A

Tight Hamstrings
Weak RF

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3
Q

Pelvic Inflare MOI

A

Tight Iliacus/weak glute med
Tight internal obliques/weak glute min,TFL

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4
Q

Pelvic out flare MOI

A

Tight glute min,med,TFL
Weak Iliacus, internal oblique

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5
Q

Inferior Pubic Sublux

A

Tight adductors

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6
Q

Superior pubic Sublux

A

Weak adductors

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7
Q

Axis of sacral rotation is the ________ of seated flexion results

A

opposite.
positive RT seated flexion = LT axis of rotation

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8
Q

Sacral Sulcus palpation tells the therapist

A

The Rotation of the sacrum

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9
Q

what position is the sacrum in a Rt on Rt

A

rotated right on a right oblique axis.
the sacrum is flexed/anterior

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10
Q

What position is the sacrum in a Lt on Lt

A

Rotated left on a left oblique axis.
the sacrum is flexed/anterior

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11
Q

What position is the sacrum in a Rt on Lt

A

Rotated right on a left Oblique axis.
The sacrum is extended/posterior

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12
Q

What position is the sacrum in a Lt on Rt

A

Rotated left on a right oblique axis.
the sacrum is extended/posterior

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13
Q

The MOI of a RT on RT
multif has 2 actions here

A

Rt multif - extends the lumbar and rotates it Lt resulting in right sacral rotation and flexion
Lt piriformis - supports the Rt oblique axis when the sacrum is flexed.
Rt psoas - rotates the lumbar to the Lt causing the sacrum to rotate Rt.
Lt QL - extends the lumbar and rotates it to the left, flexing the sacrum and causing Rt sacrum rotation

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14
Q

The MOI of a LT on LT
Multif has 2 actions here

A

Lt multif - extends the lumbar and rotates it Rt resulting in left sacral rotation and flexion
Rt piriformis - supports the Lt oblique axis when the sacrum is flexed.
Lt psoas - rotates the lumbar to the Rt causing the sacrum to rotate Lt.
Rt QL- extends the lumbar and rotates it to the right, flexing the sacrum and causing Lt sacrum rotation

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15
Q

The MOI of a Rt on Lt
Pirformis has 2 actions here

A

Lt piriformis - rotates the sacrum to the right in extension and pulls it onto a left oblique axis
Rt multif - rotate the lumbar left resulting in right sacral rotation.
Rt psoas - flexes the lumbar and rotes it left, resulting in right sacrum rotation and sacral extension
Lt QL - rotates the lumbar left resulting in right sacral rotation

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16
Q

The MOI of a Left on RT
Piriformis has 2 actions here

A

Rt piriformis - rotates the sacrum to the left in extension and pulls it onto a Rt oblique axis
Lt multif - rotates lumbar Rt resulting in left sacral rotation.
Lt Psoas - flexes the lumbar and rotates it Right, resulting in Left sacrum rotation and sacral extension
Rt QL - rotates the lumbar left resulting in right sacral rotation.

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17
Q

Palpate for rotation

A

sacral sulcus
sacral ILA

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18
Q

Standing sacrum/SI assessments

A

Posture (static & dynamic)
active hip ROM
Standing Flexion
Trendelenburg

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19
Q

Seated sacrum/SI assessments

A

active lumbar ROMs
Slump
seated flexion test

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20
Q

Supine sacral/SI assessments

A

Assess for tight hamstings causing a false + standing flexion
Assess tight/weak adductors
SLWL
Palpate ASIS for rotation and flairs
Check for apparent short leg

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21
Q

Prone sacrum/SI assessments

A

Sacral Sulcus for Rotation
Sacral ILA for rotation
Springy lumbar for sacral extension. (check)

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22
Q

SIM is when

A

the therapist uses the clients muscle action to make adjustments to their dysfunctional side.
ex. using their RF to anteriorly rotate the innominate.

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23
Q

Consultation questions

A

What brings you in today?
Any new injuries to that area?
Any old injuries to that area?
Have you seen a Dr. in regards to your pain, and or gotten any imaging done or received a diagnosis?
Are you on pain medication?
Can you describe your pain?
On a scale from 1 to 10, 10 being that absolute worst in your life, what would you rate your current pain and does the number change depending on activity or time of day?
Medical history?

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24
Q

When there is an ACUTE injury how does massage help

A

Massage above and below the site of the injury may reduce swelling, prevent excessive splinting by surrounding muscles, and speed the healing process

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25
ART acronum
A: asymmetry R: ROM T: tissue texture
26
Two Key Findings to watch for while assessing:
Pain Asymmetry
27
Extrinsic treatment of hypertonicity in the hamstrings
LCF Stripping triggerpoints
28
Extrinsic treatment of RF
Stripping LCF Trigger points GCF Strain-counter strain
29
valgus
pushes medial MCL
30
Varus
puches lateral LCL
31
Collateral ligament tests
Apleys distraction Valgus and varus stress test
32
Crucitare ligament tests
Drawer apleys distraction
33
Meniscus
Apleys compression McMurrays bounce (if no bounce, its a sign of muslce garding)
34
Petella-femoral articulation
Petellar grind
35
IT band
Noble's compression Ober's (tightness, contraction, inflammation)
36
DVT, pain in the calf/numbness/coldness of the foot
Homan's sign
37
Scap assessment standing posture
- Posterior note the level of the acromion and inferior angle height and motion. - anterior AC joint motion
38
Scap Elevators Agonists would restrict ____ if tight?
Upper trap Levator scap (RH minor less) would restrict depression if tight.
39
Scap Depressors Agonists would restrict ____ if tight?
Lower trap Pec minor Lower seratus ant. would restrict elevation if tight
40
Scap Protractors agonist would restrict ____ if tight?
serratus ant. (Pec Maj) would restrict retraction if tight
41
Scap Retractors would restrict ____ if tight?
Rhomboids middle trap would restrict protraction if tight
42
Upward scap rotators would restrict ____ if tight?
Upper trap Lower trap Lower Serratus Ant. would restrict downward rotation if tight
43
Downward scap rotators would restrict ____ if tight?
Rhomboids Lev Scap Pec minor would restrict upward rotationif tight
44
Scap Ant. tilters would restrict ____ if tight?
Pec minor would restrict elevation and upward rotation if tight
45
Scap ant. tilt can be restricted do to
Weak pec minor or tight Ant. serratus.
46
GH flexors
Pec maj (cavicular) LH bicep (FA supinator) Ant. Delt Coracobrachialis (secondary)
47
GH Extensors
Lat dorsi Post. delt Teres maj LH triceps
48
GH ABductors
Supraspinatus Middle Deltoid
49
GH Horizontal ABduction
Post delt LH tricep Lat dorsi
50
GH horizontal ADduction
Ant. delt Pec maj Ant. delt LH bicep (secondary)
51
GH external/lateral rotators
Infraspinatus Teres minor posterior delt
52
GH internal/medial rotators
subscapularis pec maj Lat dorsi Teres maj ant. delt
53
In acute flare ups_____ should be avoided
Rheumatoid arthritis
54
Elbow flexors
Biceps brachialis brachioradialis
55
Elbow extensors
Triceps anconeus
56
Forarm Supinators
Biceps LH Supinator
57
Forarm pronation
Pronator teres pronator quad
58
Wrist flexors
FCU Palmaris longus FCR
59
Wrist extensors
ECRL ECRB ECU
60
Speeds
tendonitis of the LH bicep
61
Yeargonsons
Bicipital tendonitis posative pain if "clicking" + transvers lig issues
62
addsons
anterior scalene
63
Travells
middle scalene
64
Tinels
Tap index to elbow + nero symptoms carpaltunnel/median N
65
drop arm (full can/empty can)
supraspinatus tendonitis Bursitis (subarcomial)
66
Ankle dorsi flexors
Tib ant. EDL EHL
67
Ankle plantar flexion
Gastroc Soleus (some Tib. post and FDL)
68
Slight adduction of the foot occurs with
Plantar flexion
69
Slight abduction of the foot occurs with
dorsiflexion
70
Ankle inversion/supination
SUBTALAR joint Tib. Ant. Tib. Post
71
Ankle Eversion/Pronation
SUBTALAR joint Peroneus longus/brev
72
Knee flexors
Hamstrings (some gastroc)
73
Knee extensors
Quads
74
Popliteus cause _____ when it contracts
slight medial rotation of the tibia on the femur
75
military brace
TOS. costal calvicular space subclavis or costalcoracoid ligament scap retraction/depression monitor pulse and patient symptoms Add inhalation to go further
76
Wrights's
TOS Pecminor causeing impingment
77
Halsteads
neuro tension test
78
Phalen's
Back of the hands together carpal tunnel syndrome numbness/tingle in tumb,2,3,1/2of 4
79
Faber
hip flexion/Abduction/rotation quality/quantity
80
Patrick
SI inflamation, Faber + ankle over femur, adding posterior/medial pressure into SI joint
81
Obers
IT band Tight ness/contracture support pelvis
82
GH a/p glide
GH laxity
83
VBI
vertebral basilar blood flow insufficiency to the hind brain cervical extension+rotation (posterior neck pain, severer headache) + funny taste or smell/dizzy/nausious/blurred or double vision/trouble swallowing/involuntary eye movement
84
ACROM
Active cervical range of motion
85
Cervical compression/distration
Nerve root impingement + new or worsening + recreation or relief
86
ERS is found in
Flexion
87
FRS is found in
Extension
88
Type 2 dysfunction
segmental
89
Type 1 dysfunction
GROUP NRS neutral mechanics limbar and thoracic only
90
NRS is found (TYPE I)
3 or more of the same segmental dysfunction in a group
91
FRS is an extension restriction due to
the muscle above and opposite the PTP "stuck open"/"stuck flexed"
92
PTP is
Prominant TP
93
ERS is a flexion restriction due to
the muscles below and on the same side as the PTP "stuck closed"/"stuck extended"
94
Contraindication to treating Multifidi or doing spint intrinsics
+ disk path slump SLWL Valsalva
95
sacral sulcus =
shallow/more prominate side is the side of rotation
96
medial epicondylitis test
golfers elbow extend elbow and wrist while adding pressure on the medial humoral epicondyle + pain
97
lateral epicondylitis test
tenis elbow palpate lateral epicondyle extend elbow/flex wrist + pain
98
Cervical Myotomes
C1/C2 - CO flexion C3 - lateral flexion C4 - shoulder elevation C5- shoulder abduction C6- elbow extension/wrist flexion C7- elbow extension/wrist fexion C8- thumb extension unlnar deviation T1- hand intrinsics
99
Myotome L1-S2
L1/L2 - hip flexion L3 - Knee extension L4 - ankle dorsi flexion L5 - toe extension S1 - myotome ankle plantar flexion S2 - knee flexion
100
Allens's test
Blood Circulation Ulnar and radial vein + pale/slow
101
Finklestein
inflamation of the pollis tendons ulnar over the side of the table + pain at styloid process
102
Posture
Static an dynamic gross assymetry of alignment
103
gait
gross asymetry quality and quantity of motion
104
standing flexion
SI dysfunction side that moves first and further sacral axis of rotation (opposite of +) tight hamstrings on the opposite side of posative
105
seated flexion
SI restriction (+ moves first and furthest) Axis of sacral rotation Rule out hamstrings
106
Trendelenberg
weak glute med
107
Lumbar ROM
Restricted motions Quality and quantity of motion
108
Slump
Disc Vs nerve pathology
109
apparent short leg vs anatomical
visual vs measure medial mallioli to ASIS
110
Springy lumbar
Ridgid = extended sacrum springy = -
111
Lumbar ROMs
Rotation flexion extension lateral flexion
112
Rib assessments
1+ 2 pump handles 3 - 5 pump (Bucket) handle 6 - 10 bucket handle 11-12 caliper
113
Rib MOI
scalenes pecminor serratus ant. external oblique internal oblique (rotation) Q.L. (side bend)
114
NRS stands for
Neutral Rotated Side bent
115
In and NRS dysfunction rotation and side beings happen in the _____ directions
Opposite
116
Guys to research for ex rehab
stewart Mcgill Philip greenmen
117
Tight Iliacus / Internal oblique
pelvic inflare
118
Weak TFL/Glute Med
Pelvic inflare
119
Tight Glute med/min/TFL
pelvic out flare
120
weak internal oblique/illiacus
Pelvic out flare
121
Weak adductors
superior sublux of the pubic symphysis
122
Tight adductors
Inferior sublux of the pubic symphysis
123
Tight right multifidi Tight life piriformis tight Right Psoas tight Lt QL could all be leading to what sacral dysfuntion
RT on Rt flexed/anterior
124
Tight left multifidi tight right pirifromis tight left psoas tight right QL could all be leading to what sacral dysfunction
Lt on Lt Flexed/anterior
125
tight Left piriformis tight right Multifid tight right Psoas tight Left QL could all lead to what sacral dysfunction
Rt on Lt Extended/posterior
126
Tight right pirformis tight left multifidi tight left psoas tight right QL could all leade to what sacral dysfunction
Lt on Rt extended/posterior
127
acute SOH
Hot/cold for pain pain free ROM Mild isometric muscle setting RICE prevent further loss of function treat muscles above and below leave muscle guarding alone
128
Sub acute SOH
Release muscle guarding functional scar formation ex rehab to build back to ADL including progressive overload rest and recovery
129
chronic SOH
focus on ADL return to function reassess increase/build
130
7 second test
sensitivity test Apply direct pressure to tissue -what pressure or depth does it hurt to a 7 on the pain scale hold=pain worse - acute Hold = pain better - sub acute
131
Informed consent
what the therapist is going to do why what the paitient might experience what are the alternatives is that ok
132
Lumbar Strain
Active Movement - Limited range of motion Resisted isometric movements - Pain on muscle contraction (often minimal pain) Myotomes normal Special tests - Neurological tests negative Sensation - Normal Reflexes - Normal Joint play - Muscle guarding
133
Lumbar disc issue
Limited range of motion Minimal pain unless large protrusion L5-S1 myotomes may be affected SLR and slump often positive L5-S1 dermatomes may be affected L5-S1 reflexes may be affected Muscle guarding

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