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Musculoskeletal Rehab PT 514 > Management of Patient's with Musculo Pathology > Flashcards

Management of Patient's with Musculo Pathology Flashcards

1
Q

A fundamental, guiding sense of the requirements and obligations of right conduct

A

Principles

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2
Q

To take charge, control or care of

A

Management

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3
Q

Individual’s who are recipients of PT management who have a disease, disorder, condition, impairment, functional limitation, and/or disability

A

Patient

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4
Q

Individuals who engage the services of a PT and who can benefit from the PT’s consultation, professional advice, prevention services or services promoting health, wellness, and fitness

A

Client

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5
Q

Elements of a PT Examination

A

History Examination including ROS
Physical Examination including Systems Review
Specific Tests and Measures

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6
Q

Review of systems

A

Included in history

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7
Q

Systems Review

A

Deciding tests and measures

Screens bodily systems

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8
Q

History

A

Systematic gathering of data used to form initial hypothesis of diagnosis and strategy
-Which structures; impairment; Disability

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9
Q

Data generated from history

A 
Demographic profile
Social/Family history
Occupation/employment
Living, working, playing environment
Health history
Functional status
Prior interventions
Current complaints
Patient expectations
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10
Q

Open-Ended Interview approach

A

Guides but doesnt restrict discussion;
Patient expresses important info
Enhances rapport building

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11
Q

Closed-Ended Interview

A

Direct question approach
List of predetermined questions
Answers fall into categories

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12
Q

Interview Sequence

A
  1. Introductions
  2. Why did the patient come?
  3. Symptoms; Location; constant/intermittent
  4. Onset; B/W/S since onset
  5. Movements or activities that relieve
  6. Previous related injuries
  7. Functional status
  8. Medical management
  9. General health/co-morbidities
  10. Residual thoughts/goals
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13
Q

Referred pain

A

Within a scleratome; emmanates from deep somatic tissue

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14
Q

Radicular/Radiating Pain

A

Within scleratome, myotome, or dermatome; emmanates from afferent nerve pathways

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15
Q

Sclerotome

A

Area of deep somatic tissue supplied by a single nerve root

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16
Q

Dermatome

A

Area of skin supplied by a single nerve root

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17
Q

PMH

A

Past Medical History

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18
Q

PSH

A

Past surgical history

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19
Q

Scanning Examination

A

Upper/Lower Quarter Screen
Subset of the System Review that emphasizes joints
Rule out referral of symptoms

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20
Q

When to use a scan or screen examination

A
  1. No history of trauma
  2. Suspect referred or radicular symptoms
  3. Doubt about location of pathology
  4. Altered sensation (Para/dysasthesia)
  5. Unusual pattern or collection of symptoms
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21
Q

Tests & Measures

A

Conducted after history and system review
Generate data regarding impairments and functional limitations
Prioritized

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22
Q

Rom Examination

A

Determines:
Quantity of AROM/PROM
Quality of ROM
Symptom provocation

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23
Q

Documentation of ROM

A
  1. Type of ROM
  2. Quantity of AROM/PROM
  3. Quality
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24
Q

Quality of ROM

A

Smoothness
Capsular Pattern
Symptom provocation/End Feel

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25
Q

James Cyriax

A

Developed contractile-inert testing screen
AROM
PROM (End Feels/patterns)
Resisted isometric testing

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26
Q

Limitation of AROM could mean

A

Active Muscle Dysfunction
Passive Motion Restriction
Joint Stability

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27
Q

Active Muscle Dysfunction

A

“Organic” weakness
Reflex inhibition due to pain or effusion
Abnormal Motor recruitment

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28
Q

Abnormal Motor recruitment

A

Antagonists guard or splint
Synergists substitute
Abnormal temporal characteristics

29
Q

Limitation of PROM could mean

A

Passive Insufficiency
Intrarticular Obstruction
Muscle Guarding or Splinting

30
Q

Capsular Pattern

A

Pattern of presentation of a capsular obstruction

AROM/PROM

31
Q

If Pain w/ ROM

A

Compressive Load Intolerance?

Tensile Load Intolerance?

32
Q

AROM is full & pain free

A

May often choose not to perform PROM

33
Q

AROM<PROM

A

Difference may be active muscle dysfunction; tensile load intolerance; patient reluctance

34
Q

AROM limitation = PROM limitation

A

Passive insufficiency
Obstruction
Guarding

35
Q

If AROM > PROM

A

Patient is stopping you

36
Q

Strength

A

More reps

37
Q

Power

A

1 RM

38
Q

Endurance

A

Length of time you can perform

39
Q

Concentric Contraction

A

Shortening of the muscle

40
Q

Eccentric Contraction

A

Controlled Lengthening

41
Q

Isometric Contraction

A

No motion, but the muscle is still contracting

42
Q

Cyriax Classifications of Resisted Isometric Tests

A

Strong/Painful
Weak/Painful
Strong/Painless
Weak/Painless

43
Q

Break Testing

A

Assesses integrity of nerve roots, not strength

44
Q

Isometric Testing Procedure

A

Test position is a neutral joint position
Kept still
Meet my resistance
If pain, do FTPO

45
Q

Strong/Painless Break Test

A

Normal Contractile Unit

46
Q

Strong/Painful

A

Minor involvement in muscle or tendon

47
Q

Weak/Painful

A

More severe muscle or tendon lesion

48
Q

Weak/Painless

A

Complete muscle or tendon rupture or neurologic problem

49
Q

Mennell’s Rules for Joint Play Testing

A 
Fully relaxed and supported
One joint at a time
One movement at a time
Unaffected joint first
One articular surface is stabilized while the other is moved
Normal movements
Should not cause undue discomfort
50
Q

Increased Tissue Temp

A

Inflammation, decreased sympathetic activity

51
Q

Decreased Tissue Temp

A

Decreased vascularity; increased sympathetic activity

52
Q

Moist & Smooth skin

A

Increased sympathetic activity

53
Q

Dry & Scaly Skin

A

Decreased sympathetic

54
Q

Tenderness

A

Inflammation; trigger sites

55
Q

Grade I palpable tenderness

A

Patient complains of pain

56
Q

Grade II Palpable tenderness

A

Patient complains of pain and winces

57
Q

Grade III Palpable tenderness

A

Patient winces and withdraws

58
Q

Grade IV Palpable tenderness

A

Patient will not allow palpation of the joint

59
Q

Reflex Integrity

A

Used to determine excitability of the nervous system and the integrity of the neuromuscular system

  • Developmental reflexes
  • Pathological reflexes (Not normally present)
  • Muscle stretch reflexes/ Deep tendon reflexes
60
Q

MSR

A

Muscle Stretch Reflex

61
Q

DTR

A

Deep Tendon Reflex

62
Q

Common DTRs

A

Jaw; Bicep; Brachioradialis; Triceps; Patella; Medial Hamstrings; Lateral Hamstrings; Tibialis Posterior; Achilles

63
Q

Jaw DTR

A

Site of Stim: Mandible
Response: Mouth closes
Nerve: CN V

64
Q

Biceps DTR

A

Site: Biceps tendon
Response: Biceps contraction
Nerve: C5

65
Q

Brachioradialis DTR

A

Site: Brachioradialis tendon
Response: Pronation of forearm
Nerve: C6

66
Q

Triceps DTR

A

Site: Distal triceps tendon
Response: elbow extension/contraction
Nerve: C7/C8

67
Q

Anthropomorphic

A

Describes human body characteristics including muscle atrophy & Edema

68
Q

Special Test Uses

A 
Confirm a tentative diagnosis
Make a differential diagnosis
Differentiate between structures
Understand unusual signs
Unravel difficult signs and symptoms

Musculoskeletal Rehab PT 514 (11 decks)

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