Final Oh Pee Flashcards
Order of questioning
- Current complaint
- Tx for current complaint
- Overall health history
- How ADL’s were affected
Current complaint questions?
- What happened
- When did it occur
- Current symptoms
Treatment for current complaint questions
- Was there any first aid done/what was done at time
- Any medications?
- Numbness/tingling/swelling
Overall health history questioning
- Underlying medical conditions
- History of injuries
Important contusion question?
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
Late subacute contusion tx
- cold/warm hydro & elevated
- Proximal limb
- On-site work: vibrations, stroking, fingertip kneading
- Frictions
- Stretch
- Jt play to prox/distal jts
- Passive RROM
Chronic contusion tx
- heat hydro
- compensating structures
- proximal limb
- Frictions
- Passive RROM
- Distal limb effleurage/pettrisage
Late subacutre strain tx
- hot/cold hydro
- trunk/unaffected limb
- Reduce edema (proximal limb)
- Adhesions (skin rolling, frictions)
- Passive stretch
- Passive RROM
- Effleurage/pettrisage distally
Chronic strain tx
- Hot hydro
- Unaffected limb
- Proximal limb
- Frictions
- Passive RROM
- Distal limb
Sprain/strain important questions?
Continue with activity afterwards?
Late subacute sprain tx
- 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
Chronic sprain tx
- Hot hydro
- Compensating structures
- Proximal limb
- Reduce adhesions
- Frictions
- Jt play proximal/distal
- Passive ROM
- Distal limb
Fracture immobilization removed TX
- hydro contrast or heat (depends on time)
- Compensating structures
- Proximal limb
- Light techniques for tissue health
- Pain free passive RROM
- Mobilize hypomobile joints
Tendonitis tx
- 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
acute bursitis tx
- Cold hydro
- Elevation
- Proximal limb treated
- GTO and O+I
- Grade 1 and 2 joint plaiy
- Passive ROM
Chronic bursitis tx
- heat hydro
- trunk and proximal limb
- Frictions
- Jt play
- Passive relaxed ROM of affected jt
OA Tx goals
- Reduce stiffness, pain, edema, spasm, increase ROM, reduce inflammation if present
Early stage: relieve compressing forces
Later stage: tissue health/symptomatic relief
Early stage OA TX
- Heat
- Pain free rhythmic: rocking, shaking
- Compensatory structures
- Proximal to distal affected limb
- Gentle passive stretching
- Passive ROM interspersed
- Jt play to encourage nutrition
Later stage OA
- 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
RA B/w flare up Tx
- Heat hydro
- Pain free rhythmic: rocking/shaking
- Contralateral/compensatory structures
- Prox to distal on affected area mfr, swedish
- ROM
- RROM for strengthening
RA flare up treatment
- cold
- relaxation
- unaffected areas
AS tx
- 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
AS important questions
Are you in flare up right now?
Do you know level of fusion
AS tx
- 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
Late subacute dislocation Tx
- Contrast
- compensating structures
- Proximal limb
- Adhesions repetitive petrissage
- Frictions
- Joint play in opposite of injury direction
- Gentle ROM
- Distal circulation
Chronic dislocation tx
- heat
- compensating structures
- Proximal
- Cross hands
- Adhesions (frictions w/ice after)
- ROM (range in which injury occured avoided in unstable limbs)
- Distal limb
OA questions
- What joints affected?
- Pain/stiffnes in the morning
- Does it disappear after use
- Other treatments?
- Previous injury to joint?
RA questions
Frequency of acute attacks?
Most recent flare up
Surrent symptoms?
Which joints affected?
