Lecture 4: motion dynamics Flashcards

1
Q

Somatic Dysfunction

A
is
defined as the impaired or
altered function of related
components of the
somatic (bodywork)
system including: the
skeletal, arthrodial, and
myofascial structures, and
their related vascular,
lymphatic, and neural
elements.
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2
Q

TART

A
  • Tissue texture changes
  • Asymmetry
  • Restriction of motion
  • Tenderness
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3
Q

Active ROM

A

patient does the moving

–Patient is Active

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4
Q

Passive ROM

A

doctor does the moving

–Patient is Passive

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5
Q

what is the limit of active range of motion?

A

physiologic barrier

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6
Q

what is the limit of passive range of motion?

A

anatomic barrier

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7
Q

elastic range

A

between physiologic barrier and anatomic barrier (increased by stretching)
-end of passive motion

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8
Q

sagittal plane

A
  • right left axis

- flexion and extension

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9
Q

frontal (coronal) plane

A
  • anterior posterior axis

- sidebending

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10
Q

horizontal (transverse) plane

A
  • superior inferior axis

- rotation

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11
Q

fibrous joint

A

-skull articulations

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12
Q

cartilaginous joints

A

discs between vertebrae

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13
Q

synovial joints (6 types)

A
  • extremities
    1) pivot
    2) hinge
    3) saddle
    4) ball and socket
    5) condyloid
    6) plane
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14
Q

what are the 3 aspects of motion?

A
  • direction
  • range
  • quality
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15
Q

types of quality of motion

A
  • Smooth – normal
  • Ratcheting – ex. Parkinson’s disease
  • Restricted – contracture or somatic dysfunction
  • Exhibiting resistance to the motion induced – cerebral palsy
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16
Q

elastic end feel

A

like a rubber band

17
Q

abrupt end feel

A

osteoarthritis or hinge joint

18
Q

hard end feel

A

somatic dysfunction

19
Q

empty end feel

A

stops due to guarding (patient

doesn’t allow the motion due to pain)

20
Q

crisp end feel

A

involuntary muscle guarding as

in pinched nerve

21
Q

static flexibility

A

maximal ROM a joint
can achieve with an
externally applied force (like passive ROM

22
Q

dynamic flexibility

A

ROM an athlete
can produce and speed at
which he/she can produce it

23
Q

stiffness

A

reduced
ROM of a joint or
group of joints

24
Q

functional unit of spine

A

two vertebrae, their associated

disc, neurovascular, and other soft tissues

25
which part of spine displays greatest range of motion?
Cervical Spine
26
coupled motion
``` consistent association of a motion along or about one axis, with another motion about or along a second axis. The principle motion cannot be produced without the associated motion occurring as well. ```
27
what is an example of coupled motion?
the spine
28
what does linkage do?
increases ROM
29
what does a specific joint assessment require?
joint isolation for accurate measurement and evaluation
30
what is used to diagnose Ehlers-Danlos syndrome?
beighton score +brighton criteria
31
menkes disease
Copper deficiency –Kinky hair, growth failure, deterioration of nervous system
32
alport syndrome
* Deafness | * Kidney dysfunction
33
Ehler-Danlos | syndrome
* Collagen dysfunction * Joint hypermobility * Stretchy skin
34
Osteogenesis | Imperfecta
Blue Sclera | Multiple Fractures
35
Scurvy
Vitamin C deficiency
36
Requirement for Ehrler Danlos diagnosis
``` •Any one of the following: –Two major criteria –One major plus two minor criteria –Four minor criteria –Two minor criteria and unequivocally affected first degree relative in family history ```
37
what is the major criteria for Ehrler Danlos diagnosis?
* Beighton score of >4 | * Arthralgia for longer than 3 months in 4 or more joints