Final: Special Populations Lab Flashcards

1
Q

Spencers Technique

A
  1. Extension (every)
  2. Flexion (fine)
  3. Compression Circumduction (cat)
  4. Traction Circumduction (takes)
    5a. ADduction and ER (an)
    5b. ABduction (an)
  5. IR (indoor)
  6. Pump (traction w Inferior glide) (pee/tinkle)
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2
Q

What can you do for spencers techniques to make it so you have more leverage while pt is sitting?

A

Brace pt with knee

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3
Q

Subscapularis CS

A

Anterior lateral boarder of scapula

E IR, with traction

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4
Q

Biceps Brachii (long head) CS

A

Over tendon in Biceps groove

F ABd IR

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5
Q

Biceps Brachii (short head) CS

A

Inferiolateral coricoid process

F ADD IR

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6
Q

Pec Minor CS

A

Inferior and Medial to coricoid process

f-F ADD

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7
Q

Seated Innominate BLT/LAS

A

Start w stool low to ground, grab pts achillnes and calcaneus

  • Add traction
  • have pts rotate hips to both sides
  • add compression
  • Move legs (IR/ER)
  • hold until release
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8
Q

Three steps of LAS

A
  1. Disengagement
  2. Exaggeration
  3. Balance and maintain balance until release
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9
Q

For a posterior innominate BLT/LAS, which way does pt rotate? What about anterior innominate BLT/LAS?

A

Towards the side (P rhymes w T)

Anterior=Away (A’s)

Then add compression/traction to enhance balance

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10
Q

MET Upper Thoracic Type 1 SD, seated

A

Pt seated, physician behind monitoring TP
-pt leaning on docs knee to induce SB opposite

Place other hand on pts head, take into neutral then induce ROT into direct barrier

Instruct pt to return to neutral for 3-5s w 3-5lbs of force

  • Wait 1-2s, then take to next barrier
  • -do 3-5x, return and reassess
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11
Q

MET Upper Thoracic Type 2 SD, seated

A

Pt seated, physician behind monitoring TP

Place other hand on pts head, take into F/E then induce SB and ROT into direct barrier

Instruct pt to return to neutral for 3-5s w 3-5lbs of force

  • Wait 1-2s, then take to next barrier
  • -do 3-5x, return and reassess
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12
Q

MET Lower Thoracic (both Type 1 and Type 2)

A

Pt with hand behind head on PTP side, other hand on elbow and doc monitoring PTP

  • Type 1=over one arm and below the other
  • Type 2=over both arms

Induce SB, Rot and F/E (if type 2) and have pt return to neutral for 3-5s

  • wait 1-2s, take to next barrier
  • -repeat 3-5x, reassess
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13
Q

FPR: Thoracic Seated steps

A
  1. Flatten the curve by having pt extend spine (sit up straight)
  2. Compress to segment
  3. Indirect position
  4. Hold for 3-5s
  5. Return and reassess
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14
Q

Stills: lower thoracic steps

A
  1. Place indirect
  2. Compress
  3. move from indirect to direct barrier
  4. return to neutral
  5. reassess
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15
Q

Lower thoracic BLT steps

A
  1. Place in indirect
  2. have pt inhale and exhale
    - note which one is best
  3. Have pt hold breath until air hunger/tissue creep
  4. Reassess
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16
Q

MET Lumbar Seated (both type 1 and type 2)

A

Pt with hand behind head on PTP side, other hand on elbow and doc monitoring PTP

  • Type 1=over one arm and below the other
  • Type 2=over both arms

Induce SB, Rot and F/E (if type 2) and have pt return to neutral for 3-5s

  • wait 1-2s, take to next barrier
  • -repeat 3-5x, reassess
17
Q

BLT Lumbar Seated Steps

A
  1. Place in indirect
  2. have pt inhale and exhale
    - note which one is best
  3. Have pt hold breath until air hunger/tissue creep
  4. Reassess
18
Q

Rib FPR Techniques Steps

A
  1. Flatten the Curve (have pt sit up tall)
  2. Indirect positioning (where it likes to go)
  3. Activating force
  4. hold for 3-5s
  5. Return to neutral
19
Q

Seated FPR: INH/EX Rib SD

A
  1. Grip rib (posteriorly and anteriolaterally)
  2. Have pt lean into you (indirect position), rot head away, and inh/ex to ease
  3. Activating force
  4. Hold for 3-5s and reassess
20
Q

Still Technique for Posterior Rib

A
  1. Pt seated, graps elbow and abduct ipsi arm until feel motion at rib
  2. Add compression
  3. Move through barrier by ADduction, while maintaining compression
  4. Release compression and return to neutral
  5. Reassess
21
Q

If pt has a posterior radial head, how do you set up for MET?

A

Pt has a Posterior Radial Head SD
-Do not like to supinate

Engage supination RB and instruct pt to pronate
-3-5lbs of force, hold for 3-5s

After 1-2s take to next supination barrier, repeat 3-5 times and reassess

22
Q

If pt has an anterior radial head, how do you set up for MET?

A

Pt has a Anterior Radial Head SD
-Do not like to pronate

Engage pronation RB and instruct pt to supinate
-3-5lbs of force, hold for 3-5s

After 1-2s take to next pronation barrier, repeat 3-5 times and reassess

23
Q

Wrist Isotonic MET

A

Doc has thumbs crossed, contacting pisoform and trapezium, respectively
-pt flexes as doc resists, slowly letting them flex down

Return to neutral, do 2-3 times until dysfunction is alleviated