Final Exam Notes Flashcards

1
Q

Anterior Rotated Innominate MOI

A

Tight RF
Weak hamstrings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Posterior Rotated Innominate MOI

A

Tight Hamstrings
Weak RF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pelvic Inflare MOI

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pelvic out flare MOI

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Inferior Pubic Sublux

A

Tight adductors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Superior pubic Sublux

A

Weak adductors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Axis of sacral rotation is the ________ of seated flexion results

A

opposite.
positive RT seated flexion = LT axis of rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Sacral Sulcus palpation tells the therapist

A

The Rotation of the sacrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Palpate for rotation

A

sacral sulcus
sacral ILA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Standing sacrum/SI assessments

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Seated sacrum/SI assessments

A

active lumbar ROMs
Slump
seated flexion test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Prone sacrum/SI assessments

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

ART acronum

A

A: asymmetry
R: ROM
T: tissue texture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Two Key Findings to watch for while assessing:

A

Pain
Asymmetry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Extrinsic treatment of hypertonicity in the hamstrings

A

LCF
Stripping
triggerpoints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Extrinsic treatment of RF

A

Stripping
LCF
Trigger points
GCF
Strain-counter strain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

valgus

A

pushes medial
MCL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Varus

A

puches lateral
LCL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Collateral ligament tests

A

Apleys distraction
Valgus and varus stress test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Crucitare ligament tests

A

Drawer
apleys distraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Meniscus

A

Apleys compression
McMurrays
bounce (if no bounce, its a sign of muslce garding)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Petella-femoral articulation

A

Petellar grind

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

IT band

A

Noble’s compression
Ober’s (tightness, contraction, inflammation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

DVT, pain in the calf/numbness/coldness of the foot

A

Homan’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Scap assessment standing posture

A
  • Posterior note the level of the acromion and inferior angle height and motion.
  • anterior AC joint motion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Scap Elevators
Agonists
would restrict ____
if tight?

A

Upper trap
Levator scap
(RH minor less)
would restrict depression if tight.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Scap Depressors
Agonists
would restrict ____
if tight?

A

Lower trap
Pec minor
Lower seratus ant.
would restrict elevation if tight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Scap Protractors
agonist
would restrict ____
if tight?

A

serratus ant.
(Pec Maj)
would restrict retraction
if tight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Scap Retractors
would restrict ____
if tight?

A

Rhomboids
middle trap
would restrict protraction
if tight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Upward scap rotators
would restrict ____
if tight?

A

Upper trap
Lower trap
Lower Serratus Ant.
would restrict downward rotation if tight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Downward scap rotators
would restrict ____
if tight?

A

Rhomboids
Lev Scap
Pec minor
would restrict upward rotationif tight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Scap Ant. tilters
would restrict ____
if tight?

A

Pec minor
would restrict elevation and upward rotation if tight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Scap ant. tilt can be restricted do to

A

Weak pec minor
or
tight Ant. serratus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

GH flexors

A

Pec maj (cavicular)
LH bicep (FA supinator)
Ant. Delt
Coracobrachialis (secondary)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

GH Extensors

A

Lat dorsi
Post. delt
Teres maj
LH triceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

GH ABductors

A

Supraspinatus
Middle Deltoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

GH Horizontal ABduction

A

Post delt
LH tricep
Lat dorsi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

GH horizontal ADduction

A

Ant. delt
Pec maj
Ant. delt
LH bicep (secondary)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

GH external/lateral rotators

A

Infraspinatus
Teres minor
posterior delt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

GH internal/medial rotators

A

subscapularis
pec maj
Lat dorsi
Teres maj
ant. delt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

In acute flare ups_____ should be avoided

A

Rheumatoid arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Elbow flexors

A

Biceps
brachialis
brachioradialis

55
Q

Elbow extensors

A

Triceps
anconeus

56
Q

Forarm Supinators

A

Biceps LH
Supinator

57
Q

Forarm pronation

A

Pronator teres
pronator quad

58
Q

Wrist flexors

A

FCU
Palmaris longus
FCR

59
Q

Wrist extensors

A

ECRL
ECRB
ECU

60
Q

Speeds

A

tendonitis of the LH bicep

61
Q

Yeargonsons

A

Bicipital tendonitis
posative pain
if “clicking” + transvers lig issues

62
Q

addsons

A

anterior scalene

63
Q

Travells

A

middle scalene

64
Q

Tinels

A

Tap index to elbow
+ nero symptoms
carpaltunnel/median N

65
Q

drop arm (full can/empty can)

A

supraspinatus tendonitis
Bursitis (subarcomial)

66
Q

Ankle dorsi flexors

A

Tib ant.
EDL
EHL

67
Q

Ankle plantar flexion

A

Gastroc
Soleus
(some Tib. post and FDL)

68
Q

Slight adduction of the foot occurs with

A

Plantar flexion

69
Q

Slight abduction of the foot occurs with

A

dorsiflexion

70
Q

Ankle inversion/supination

A

SUBTALAR joint
Tib. Ant.
Tib. Post

71
Q

Ankle Eversion/Pronation

A

SUBTALAR joint
Peroneus longus/brev

72
Q

Knee flexors

A

Hamstrings
(some gastroc)

73
Q

Knee extensors

A

Quads

74
Q

Popliteus cause _____ when it contracts

A

slight medial rotation of the tibia on the femur

75
Q

military brace

A

TOS.
costal calvicular space
subclavis or costalcoracoid ligament
scap retraction/depression
monitor pulse and patient symptoms
Add inhalation to go further

76
Q

Wrights’s

A

TOS
Pecminor causeing impingment

77
Q

Halsteads

A

neuro tension test

78
Q

Phalen’s

A

Back of the hands together
carpal tunnel syndrome
numbness/tingle in tumb,2,3,1/2of 4

79
Q

Faber

A

hip flexion/Abduction/rotation
quality/quantity

80
Q

Patrick

A

SI inflamation,
Faber + ankle over femur, adding posterior/medial pressure into SI joint

81
Q

Obers

A

IT band Tight ness/contracture
support pelvis

82
Q

GH a/p glide

A

GH laxity

83
Q

VBI

A

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
Q

ACROM

A

Active cervical range of motion

85
Q

Cervical compression/distration

A

Nerve root impingement
+ new or worsening
+ recreation or relief

86
Q

ERS is found in

A

Flexion

87
Q

FRS is found in

A

Extension

88
Q

Type 2 dysfunction

A

segmental

89
Q

Type 1 dysfunction

A

GROUP NRS
neutral mechanics
limbar and thoracic only

90
Q

NRS is found
(TYPE I)

A

3 or more of the same segmental dysfunction in a group

91
Q

FRS is an extension restriction due to

A

the muscle above and opposite the PTP
“stuck open”/”stuck flexed”

92
Q

PTP is

A

Prominant TP

93
Q

ERS is a flexion restriction due to

A

the muscles below and on the same side as the PTP
“stuck closed”/”stuck extended”

94
Q

Contraindication to treating Multifidi or doing spint intrinsics

A

+ disk path
slump
SLWL
Valsalva

95
Q

sacral sulcus =

A

shallow/more prominate side is the side of rotation

96
Q

medial epicondylitis test

A

golfers elbow
extend elbow and wrist while adding pressure on the medial humoral epicondyle
+ pain

97
Q

lateral epicondylitis test

A

tenis elbow
palpate lateral epicondyle
extend elbow/flex wrist
+ pain

98
Q

Cervical Myotomes

A

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
Q

Myotome L1-S2

A

L1/L2 - hip flexion
L3 - Knee extension
L4 - ankle dorsi flexion
L5 - toe extension
S1 - myotome ankle plantar flexion
S2 - knee flexion

100
Q

Allens’s test

A

Blood Circulation
Ulnar and radial vein
+ pale/slow

101
Q

Finklestein

A

inflamation of the pollis tendons
ulnar over the side of the table
+ pain at styloid process

102
Q

Posture

A

Static an dynamic
gross assymetry of alignment

103
Q

gait

A

gross asymetry
quality and quantity of motion

104
Q

standing flexion

A

SI dysfunction side that moves first and further
sacral axis of rotation (opposite of +)
tight hamstrings on the opposite side of posative

105
Q

seated flexion

A

SI restriction (+ moves first and furthest)
Axis of sacral rotation
Rule out hamstrings

106
Q

Trendelenberg

A

weak glute med

107
Q

Lumbar ROM

A

Restricted motions
Quality and quantity of motion

108
Q

Slump

A

Disc Vs nerve pathology

109
Q

apparent short leg vs anatomical

A

visual vs measure
medial mallioli to ASIS

110
Q

Springy lumbar

A

Ridgid = extended sacrum
springy = -

111
Q

Lumbar ROMs

A

Rotation
flexion
extension
lateral flexion

112
Q

Rib assessments

A

1+ 2 pump handles
3 - 5 pump (Bucket) handle
6 - 10 bucket handle
11-12 caliper

113
Q

Rib MOI

A

scalenes
pecminor
serratus ant.
external oblique
internal oblique (rotation)
Q.L. (side bend)

114
Q

NRS stands for

A

Neutral
Rotated
Side bent

115
Q

In and NRS dysfunction rotation and side beings happen in the _____ directions

A

Opposite

116
Q

Guys to research for ex rehab

A

stewart Mcgill
Philip greenmen

117
Q

Tight Iliacus / Internal oblique

A

pelvic inflare

118
Q

Weak TFL/Glute Med

A

Pelvic inflare

119
Q

Tight Glute med/min/TFL

A

pelvic out flare

120
Q

weak internal oblique/illiacus

A

Pelvic out flare

121
Q

Weak adductors

A

superior sublux of the pubic symphysis

122
Q

Tight adductors

A

Inferior sublux of the pubic symphysis

123
Q

Tight right multifidi
Tight life piriformis
tight Right Psoas
tight Lt QL
could all be leading to what sacral dysfuntion

A

RT on Rt
flexed/anterior

124
Q

Tight left multifidi
tight right pirifromis
tight left psoas
tight right QL
could all be leading to what sacral dysfunction

A

Lt on Lt
Flexed/anterior

125
Q

tight Left piriformis
tight right Multifid
tight right Psoas
tight Left QL
could all lead to what sacral dysfunction

A

Rt on Lt
Extended/posterior

126
Q

Tight right pirformis
tight left multifidi
tight left psoas
tight right QL
could all leade to what sacral dysfunction

A

Lt on Rt
extended/posterior

127
Q

acute SOH

A

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
Q

Sub acute SOH

A

Release muscle guarding
functional scar formation
ex rehab to build back to ADL including progressive overload rest and recovery

129
Q

chronic SOH

A

focus on ADL
return to function
reassess
increase/build

130
Q

7 second test

A

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
Q

Informed consent

A

what the therapist is going to do
why
what the paitient might experience
what are the alternatives
is that ok

132
Q

Lumbar Strain

A

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
Q

Lumbar disc issue

A

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