Fundamentals of PTA Week 1 Lab Flashcards
How many vertebrae are in the cervical?
C1-C7
How many vertebrae are in the thoracic?
T1-T12
How many vertebrae are in the lumbar?
L1-L5
How many vertebrae are in the sacrum?
S1-S5
How many vertebrae are in the coccyx?
Co1-Co4
What are C1 and C2 called?
C1- Atlas
C2 - Axis
What two cervical joints articulate superiorly with atlas and axis in the cervical?
AO joint and AA joint
AO joint is short for…
and does…
Atlanto-occipital joint
Flexion and extension
AA joint is short for…
and does…
Atlanto axial joint
no (40-50% of rotation)
What do you call the space between each pair of vertebrae? What does it do?
Intervertebral foramen
Allows blood vessels, spinal nerves and meningeal nerves to pass through to and from the spinal cord.
What do you call the center hole in the vertebrae
Vertebral foramen
What passes through the transverse foramen in the cervical?
The vertebral artery, vein, and sympathetic nerves pass through. Wraps around atlas.
Where are nerve roots located in the vertebrae?
They enter above the levels of C1-C7; C8 nerve root is located below C7.
From T1, they enter below the levels.
How many pairs of spinal nerves are in total?
31
What is a Quadrant Test?
Cervical rotation, side bend, and extension to compress the nerves and arteries.
What are 5 D’s?
Diplopia - double vision
Dysphasia - difficulty swallowing
Dysarthria - difficulty speaking
Drop attacks - fainting
Dizziness
What are 3 N’s?
Nystagmus - rapid eye movement
Nausea
Numbness
Lordosis is …. of the spine
Concave (↑ extension)
Kyphosis is ….. of the spine
Convex
HNP stands for…
Herniated Nucleus Pulposus
What is the mechanism of injury for HNP?
Flexion and rotation
What is peripheralization and centralization?
Peripherization - Pain moves away from its origin and into an extremity, such as the arm or leg — increased pressure placed on nerves.
Centralization - Pain moves from a distant location back to its origin, such as pulling sciatica-type symptoms up towards the spine. This can mean less pain, improved function, and a reduced range of movement—decreased pressure on the nerves.
What is McKenzie’s Extension?
Cervical retraction (axial extension) for the C-spine and PPU for the L -spine
What is William’s Flexion?
- PPT
- PPT with R KTC
- PPT with L KTC
- PPT with DKTC
Where in the vertebrae herniated discs occur most commonly?
C5-C6 and C6-C7
L4-L5 and L5-S1
What is Sprengel’s Deformity?
Congenital undescended scapula
What is scapular winging?
Weakness of serratus anterior muscle causing one or both shoulder blades to stick out from the back instead of lying flat.
What does the tightness of pec minor cause?
Causes the shoulder blade to tilt forward and rotate inward, which can lead to pain and dysfunction in the shoulder joint.
What’s the muscle of mastication that originates from the zygomatic arch?
Masseter
What’s the muscle for the elevation of the mandible (closing the mouth) by the temporal bone?
Anterior temporalis muscle
What’s the muscle of mastication that helps elevate the mandible and attaches to the medial surface of the angle of the mandible?
Medial pterygoid muscle
What is the test that helps determine if the Achilles tendon is torn
Thompson’s test
What are the carpal bones?
SLTPTTCH
Scaphoid
Lunate
Triquetrum
Pisiform
Trapezium
Trapezoid
Capitate
Hamate
Rationale for positioning
- Prevent soft tissue/joint contractures
- Comfort/modesty
- Support/stability
- Easy access for treatment
- Exposure of areas to be treated
- Efficient function of organ systems
- Positional chances/prevent prolonged pressure to all structures
Rationale for draping
- Protect patient’s modesty
- Maintain comfortable body temperature
- Be sensitive to cultural, religious beliefs
- Have access to body parts being treated while protecting other areas
- Protect patient’s clothing while working on area
- With LE, may need to provide “in between sheet”
Precautions with positioning
- Smooth out linens and clothes to avoid folds
- Be observant of skin (prior to, during and after treatment)
- Do not let ext. hang beyond supporting surface
- Avoid prolonged positioning
- Use caution with pts. who are unable to comprehend