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upper extremity eval > intro to injury assessment > Flashcards

intro to injury assessment Flashcards

1
Q

define evaluation

A

a systematic process that allows for an assessment

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2
Q

define assesment

A

a procedure through which the clinician determines S.I.N.S

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3
Q

S.I.N.S

A

Severity
Intensity
Nature
Stage

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4
Q

what are the criteria for RTP

A
  • no P!
  • full ROM
  • full flexibility
  • good strength
  • good endurance
  • good proprioception
  • good agility and coordination
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5
Q

RTP qualification and criteria is based off of ____ ____ measurements

A

base line

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6
Q

what are the steps to the evaluation process

A

-History
-Observation
-Palpation
-Functional Assessment
-Ligamentous tests
-Neurological assessment
-Special tests

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7
Q

what are the two areas of observation/inspection

A

-total individual
-site of pathology

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8
Q

define comparable pain

A

complaints of pain during testing

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9
Q

a soft end feel to PROM is described as

A
  • occurs in a joint that normally has a hard/firm end feel (boggy)
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10
Q

soft end feel example

A

-soft tissue edema
-synovitis

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11
Q

a firm end feel to PROM can be described as

A

occuring in a joint that normally has a soft or hard end feel

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12
Q

firm end feel example

A

increased muscular tone, capsular, muscular, ligamentous shortening

osteoarthritis

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13
Q

a hard end feel can be described as

A

occuring in a joint that normally has a soft or firm end feel (bony/block)

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14
Q

hard end feel example

A

loose bodies in joint, heterotopic ossification, fracture

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15
Q

a spasm end feel can be described as

A

joint motion is stopped by involuntary or voluntary muscle contraction

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16
Q

a empty end feel can be described as

A

no real end feel, pain inhibits ROM, no resistance felt except for patient’s protective muscle

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17
Q

empty end feel example

A

-acute joint inflammation
-bursitis
-abscess
-fracture
-psychogenic origin

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18
Q

3 neurological assessment
dermatomes and myotomes

A
  • sensory
  • motor
  • reflex
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19
Q

0/5 MMT/RROM

A

no contraction is felt

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20
Q

1/5 MMT/RROM

A

patient cant produce movement , but a muscle contraction is palpable

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21
Q

2/5 MMT/PROM

A

patient can be moved in gravity-minimized position through full ROM

22
Q

3/5 MMT/RROM

A

patient can move body against gravity through full ROM

23
Q

4/5 MMT RROM

A

patient can resist against moderate pressure

24
Q

5/5 MMT RROM

A

patient can resist against maximal pressure and examiner is unable to overcome the patients resistance

25
Q

who made the “key for diagnosing is applying anatomy” quote

A

cyriax

26
Q

PEACE & LOVE

A

protection
elevation
avoid anti inflammatory
compression
education

load
optimism
vascularisation
exercise

27
Q

5 cardinal signs of inflammation

A
  • calor
  • tumor
  • dolor
  • rubor
  • functio laesa
28
Q

P.O.L.I.C.E

A
  • protection
  • optimal
  • loading
  • ice
  • compression
  • elevation
29
Q

steps to the physical examination process (

A

1) test normal side first
2) AROM, PROM, RROM
4) full AROM overpressure applied to determine end-feel
6) myotomes

30
Q

contractile tissue

A

muscles, tendons and their attachments into bone

31
Q

inert tissue

A

joint capsule, ligaments, bursa, blood vessels, nerves, cartilage

32
Q

abnormal signs of functional testing include

A
  • muscle spasm
  • capsular
  • bone to bone
  • empty
  • spring block
33
Q

the loss of tone and muscle mass is defined as a

A

nerve root lesion

34
Q

little sensory/autonomic, mainly motor involvement is defined as

A

peripheral nerve lesion

35
Q

abnormal sensation

A

paresthesia

36
Q

sensation of insects crawling on your skin (tingling, form of paresthesia

A

formication

37
Q

increased sensation

A

hyperesthesia

38
Q

decreased sensation

A

hypoesthesia

39
Q

area of skin innervated by a single nerve root

A

dermatome

40
Q

group of muscles supplied by a single nerve root

A

myotome

41
Q

are of bone or fascia supplied by a single nerve root

A

sclerotome

42
Q

absent or without sensation

A

anesthesia

43
Q

motor, sensory, or sympathetic?
- paralysis
- loss of reflexes
- atrophy

A

motor

44
Q

motor, sensory, or sympathetic?
- sensory loss
- skin changes

A

sensory

45
Q

motor, sensory, or sympathetic?
- loss of sweat secretions
- loss of pilomotor “goose bumps response”

A

sympathetic

46
Q

plexus lesion

A

plexopathy

47
Q

myelo

A

medulla oblongata

48
Q

pinched nerve, spinal nerve roots

A

radiculopathy

49
Q

peripheral nerve lesion characterised by 3 sub categories

A

neuropathy

50
Q

Seddon’s classifications of neuropathy

A
  • neurapraxia
  • axonotmesis
  • neurotmesis
51
Q

a lesion proximal to the anterior horn of the spinal cord that results in paralysis and loss of voluntary movement, spacity, sensory loss, and pathological reflexes

A

UMNL
upper motor neuron lesion

52
Q

a lesion of the anterior horn of the spinal cord, nerve roots, or peripheral nerves resulting in decreased reflexes, flaccid, paralysis, and atrophy

A

LMNL
lower motor neuron lesion

upper extremity eval (2 decks)

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