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Orthopedic Treatment > Final Oh Pee > Flashcards

Final Oh Pee Flashcards

1
Q

Order of questioning

A
  1. Current complaint
  2. Tx for current complaint
  3. Overall health history
  4. How ADL’s were affected
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2
Q

Current complaint questions?

A
  1. What happened
  2. When did it occur
  3. Current symptoms
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3
Q

Treatment for current complaint questions

A
  1. Was there any first aid done/what was done at time
  2. Any medications?
  3. Numbness/tingling/swelling
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4
Q

Overall health history questioning

A
  1. Underlying medical conditions
  2. History of injuries
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5
Q

Important contusion question?

A

Able to continue with activity after?

Will indicate:
mild - yes
moderate - yes with pain and some swelling, but pain later
Severe - No, immediate swelling/pain

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6
Q

Late subacute contusion tx

A
  • cold/warm hydro & elevated
  • Proximal limb
  • On-site work: vibrations, stroking, fingertip kneading
  • Frictions
  • Stretch
  • Jt play to prox/distal jts
  • Passive RROM
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7
Q

Chronic contusion tx

A
  • heat hydro
  • compensating structures
  • proximal limb
  • Frictions
  • Passive RROM
  • Distal limb effleurage/pettrisage
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8
Q

Late subacutre strain tx

A
  • hot/cold hydro
  • trunk/unaffected limb
  • Reduce edema (proximal limb)
  • Adhesions (skin rolling, frictions)
  • Passive stretch
  • Passive RROM
  • Effleurage/pettrisage distally
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9
Q

Chronic strain tx

A
  • Hot hydro
  • Unaffected limb
  • Proximal limb
  • Frictions
  • Passive RROM
  • Distal limb
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10
Q

Sprain/strain important questions?

A

Continue with activity afterwards?

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11
Q

Late subacute sprain tx

A
  • Cold hot hydro
  • compensating structures
  • reduce edema (proximal limb)
  • Frictions
  • Jt play distal and proximal
  • Pain free passive ROM with affected range LAST
  • Distal limb
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12
Q

Chronic sprain tx

A
  • Hot hydro
  • Compensating structures
  • Proximal limb
  • Reduce adhesions
  • Frictions
  • Jt play proximal/distal
  • Passive ROM
  • Distal limb
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13
Q

Fracture immobilization removed TX

A
  • hydro contrast or heat (depends on time)
  • Compensating structures
  • Proximal limb
  • Light techniques for tissue health
  • Pain free passive RROM
  • Mobilize hypomobile joints
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14
Q

Tendonitis tx

A
  • Hydro
  • compensatory structures
  • Proximal limb
  • skin rolling, rhythmic techniques
  • Reduce adhesions (skin rolling, fascial stripping, before frictions
  • Passive ROM
  • Passive stretch to antagonist/affected mm
  • distal limb treated
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15
Q

acute bursitis tx

A
  • Cold hydro
  • Elevation
  • Proximal limb treated
  • GTO and O+I
  • Grade 1 and 2 joint plaiy
  • Passive ROM
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16
Q

Chronic bursitis tx

A
  • heat hydro
  • trunk and proximal limb
  • Frictions
  • Jt play
  • Passive relaxed ROM of affected jt
17
Q

OA Tx goals

A
  • Reduce stiffness, pain, edema, spasm, increase ROM, reduce inflammation if present

Early stage: relieve compressing forces
Later stage: tissue health/symptomatic relief

18
Q

Early stage OA TX

A
  • Heat
  • Pain free rhythmic: rocking, shaking
  • Compensatory structures
  • Proximal to distal affected limb
  • Gentle passive stretching
  • Passive ROM interspersed
  • Jt play to encourage nutrition
19
Q

Later stage OA

A
  • Heat
  • Pain free rhythmic: rocking, shaking
  • Compensatory structures
  • Proximal to distal affected limb
  • Gentle passive stretching
  • Passive ROM interspersed
  • Jt play to encourage nutrition

With acutre inflammation, COLD hydro

20
Q

RA B/w flare up Tx

A
  • Heat hydro
  • Pain free rhythmic: rocking/shaking
  • Contralateral/compensatory structures
  • Prox to distal on affected area mfr, swedish
  • ROM
  • RROM for strengthening
21
Q
A
21
Q

RA flare up treatment

A
  • cold
  • relaxation
  • unaffected areas
22
Q

AS tx

A
  • Heat b/w flareups
  • MFR anterior thorax, intercostals, pecs
  • Swedish hip flexors, pec maj and min, scalenes, SCM intercostals, rotator cuff
  • Jt play - vertebrae, scapulothoracic, sternoclavicular
  • Rolled towel along spine
23
Q

AS important questions

A

Are you in flare up right now?
Do you know level of fusion

24
Q

AS tx

A
  • Cross hands on hips
  • (Bend knee for approximation)
  • Long and slow sink in to hip flexors
  • Slowly slide leg down and up while pressing on hip flexors
  • Abdominal (full sun/half moon)
  • Sink into ribcage/diaphragm area
  • Posterior sternum glide, clavicle
    *

Be as slow as possible - not pushing into abdominal tissues

Sink slowly into tissue

25
Q

Late subacute dislocation Tx

A
  • Contrast
  • compensating structures
  • Proximal limb
  • Adhesions repetitive petrissage
  • Frictions
  • Joint play in opposite of injury direction
  • Gentle ROM
  • Distal circulation
26
Q

Chronic dislocation tx

A
  • heat
  • compensating structures
  • Proximal
  • Cross hands
  • Adhesions (frictions w/ice after)
  • ROM (range in which injury occured avoided in unstable limbs)
  • Distal limb
27
Q

OA questions

A
  • What joints affected?
  • Pain/stiffnes in the morning
  • Does it disappear after use
  • Other treatments?
  • Previous injury to joint?
28
Q

RA questions

A

Frequency of acute attacks?
Most recent flare up
Surrent symptoms?
Which joints affected?

Orthopedic Treatment (2 decks)

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