Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Ortho Final > MCKENZIE > Flashcards

MCKENZIE Flashcards

1
Q

With age what effects happen to the nucleus pulposus: _ in _ content, and loss of _ due to _ over time.

A

DECLINE in water CONTENT

Loss of HEIGHT due to PRESSURE/ GRAVITY over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Aging of IV disc: after 3rd decade gradual loss of _ and concomitant _ _ of the nucleus

A

Gradual loss of FLUID, and concomitant FIBROUS REPLACEMENT of the nucleus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Aging of the IV disc: by 6th decade: nucleus has become?

A

Has become FIBROCARTILAGE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

With disc deformities you usually see a _ deformity of the annulus pulposus due to?

A

LATERAL DEFORMITY due to POSTERIOR LONGITUDINAL LIGAMENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

With Mckenzie treatments: therapist techniques is only applied when?

A

When the patients own movements do not yield improvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Patients most likely to respond to Mckenzie are those with _ _ which may be referred to the _ or into the _ above the _.

A

Those with NECK PAIN which may be referred to the SCAPULA or into the ARM ABOVE THE ELBOW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Patient with constant pain and/ or numbness below the elbow where no position or movement can be found to reduce or _ symptoms are _ for this type of treatment.

A

No position/ movement can be found to reduce or CENTRALIZE symptoms are INAPPROPRIATE for this type of treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If patient presents with _ _ _ without radiation treatment may not be _ _

A

Presents with SEVERE NECK PAIN without radiation treatment may not be SAFEY INITIATED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

3 Mckenzie diagnostic catagories

A

PDD

Postural syndrome, dysfunction syndrome, and derangement syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Postural syndrome is due to _ _ on _ _. Usually found in those _ _ of _ with sedentary _ or who don’t _

A

Due to SUSTAINED STRETCH on NORMAL TISSUE

Usually found in those UNDER AGE OF 30, with sedentary JOBS or who don’t EXERCISE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Postural syndrome: Pain appears _, _ to midline. Pain is _ _ by movement, is _ _ and is _ _.

A

Pain appears LOCALLY, ADJACENT to midline

Pain is NEVER INDUCED by movement, is NEVER REFERRED, and is NEVER CONSTANT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Postural syndrome: Pain usually goes away with _ _ or _. Best to assess?

A

Postural adjustments or moving

Best to assess poor posture in waiting room

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Postural syndrome: pain can arise from the _ _ _ to the vertebral segments and is most likely _ in _

A

Arise from the SOFT TISSUES ADJACENT to the vertebral segments and is most likely LIGAMENTOUS in origin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dysfunction syndrome: is due to _ _ _ of _ _. Seen in those _ _ years old who exhibit _ _ and are _ _.

A

Is due to END RAGE STRETCH of SHORTENED TISSUE.

Seen in those OVER 30 years old who exhibit POOR POSTURE AND ARE UNDER EXERCISED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Dysfunction syndrome: Pain develops _ and _, _ to midline due to _ _ _.

A

Pain develops INSIDIOUSLY and LOCALLY, ADJACENT to midline due to PROLONGED POOR POSTURE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Dysfunction syndrome: Pain is provoked by _ _. Pain is _ felt at _ _, _ felt _ the movement except for _ _ _ pain. Pain is _ _.

A

Pain is provoked by FULL MOVEMENT

Pain is ALWAYS felt at END ROM, NEVER felt DURING movement except for ADHERENT NERVE ROOT PAIN.

Pain is NEVER REFERRED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Dysfunction syndrome: loss of _ in dysfunction syndrome is from_ _ during the_ of life. Loss in _ plane._ Limitations

A

Loss of MOVEMENT in dysfunction syndrome is from POOR POSTURE HABITS during the FIRST DECADE OF LIFE

Loss in SAGITTAL PLANE

SYMMETRICAL limitations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Dysfunction syndrome can be caused by _ of _ _ _ _ during repair following trauma (such as MVA). Pain from _ _ appears at end of range. _ limitations.

A

Can be caused by CONTRACTURE of FIBROUS COLLAGENOUS SCAR TISSUE during repair following trauma. Pain from STRETCHING SCAR appears at end of range.

ASYMMETRICAL LIMITATIONS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Dysfunction syndrome: Not always possible to? Pain of dysfunction is produced _ by _ _ of _ tissues

A

Not always possible to identify the structure causing pain

Pain of dysfunction is produced IMMEDIATELY by OVER STRETCHING of SHORTENED TISSUES.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

2 Catagories of dysfunction syndrome and general characteristics. Which is most common with each (upper or lower cervical)?

A

Extension dysfunction: pain and limitations in extension
-LOWER CERVICAL is most common

Flexion dysfunction: pain and limitations seen in flexion
-UPPER CERVICAL is most common

21
Q

Derangement syndromes usually involve _ _, and can include a _ _.

A

Usually involve DISC PATHOLOGY and can include a LATERAL DEFORMITY

22
Q

Lateral deformity will depend on? Patient will be _ _ _ _. Cannot _ _, or _ _ symptoms

A

Depend on HOW DISC IS DISPLACED

Patient will be UNABLE TO CORRECT VOLUNATARILY

Cannot MAINTAIN CORRECTION, or CORRECTION CHANGES SYMPTOMS

23
Q

Treatment for lateral deformity is?

A

Distraction/ traction with shift towards midline

24
Q

Derangement syndrome: occurs in ages -, due to _ _ _, pain may occur _ and usually for _ _ _.

A

Ages 20-55, due to POOR SITTING POSTURE

Pain may occur SUDDENLY usually for no APPARENT REASON

25
Q

Symptoms associated with derangement syndrome include? Can be?

A

Pain, parathesia, and numbness

Can be local or referred/ radiating

26
Q

Pain with derangement syndrome is _ _, _ _ provides relief. Often described as an _, which is made _ by certain movements and _ with others.

A

Pain is FREQUENTLY CONSTANT, NO POSITION provides complete relief.

Often described as an ACHE, which is made BETTER by certain movements and WORSE with others

27
Q

With derangement syndrome severe _ _ _ may occur. If occurs in person under 50 usually due to? Which disturbs?

A

Severe LOSS OF MOVEMENT may occur

If under 50, usually due to displacement of disc which disturbs normal resting position of adjacent vertebrae

28
Q

Which derangement syndromes have lateral deformity?

A

Evens (2,4,6)

29
Q

Which derangement syndrome is described: central or symmetrical pain across C/S, rarely scapula or shoulder pain, no deformity? Same but with OR without scapula and/ or shoulder pain and lateral deformity

A

Derangement 1

Derangement 2

30
Q

Derangement syndrome described: unilateral or asymmetrical pain across C/S with or without scapula or shoulder pain, no deformity? Same but with deformity>

A

Derangement 3

Derangement 4

31
Q

Which derangement is being described: unilateral or asymmetrical pain across C/S, with/ without scapula or upper arm pain, arm pain extending beyond the elbow, with no deformity? Same but with deformity?

A

Derangement 5

Derangement 6

32
Q

Derangement 7 is _ or _ pain around C/C, pain occasionally referred to _ and _, with problems _. Symptoms are worse with _ and better with _.

A

SYMMETRICAL OR ASYMMETRICAL PAIN around the C/S, pain occasionally referred to the ANTERO-LATERAL NECK AND THROAT, with problems SWALLOWING.

Symptoms are WORSE WITH FLEXION, and BETTER WITH EXTENSION

33
Q

With derangement 7 constant pain below the elbow indicates? (2)

A

Indicates more failures and that Slow recovery is likely

34
Q

If there is a lateral deformity always _ before?

A

Always address first before performing Sagittal plane motions

35
Q

Derangement SYNDROME: Repeated motions that produce greater deformation will _ or _ _. Repeated motions in opposite direction will _ _ and _.

A

Motions that produce greater deformation will PERIPHERALIZE OR INCREASE SYMPTOMS

Motions in opposite direction will DECREASE OR CENTRALIZE SYMPTOMS

36
Q

Dysfunction syndrome: Repeated movements on _ _ structures will cause _ _ _, pain from repeated motions will _ once _ _

A

Repeated movements on ADAPTIVELY SHORTENED structures will cause END RANGE PAIN, pain from repeated motions will CEASE once MOTION STOPS

37
Q

Postural syndrome: _ _ with repeated motions, no loss of _, but _ _ can bring _ _.

A

NO PAIN with repeated motions, no loss of ROM, but SUSTAINED MOTIONS can bring ON SYMPTOMS

38
Q

Static testing is only used when? Testing procedure?

A

Only used when repeated test motions do NOT produce symptoms

Have patient sustain position and apply OP

39
Q

Neurological exam, ULNT tests, TO tests, clearing tests of the shoulder or TMJ are all?

A

Additional testing that may be performed

40
Q

_ is not classified with the Mckenzie system

A

HEADACHE PAIN

41
Q

Treatment for postural syndrome: correct _, _, and _ _

A

Correct SITTING, STANDING AND SUPINE POSTURE

42
Q

Treatment of dysfunction syndrome: _ adaptively _ _, find _ _ _ and _, include _. Pain from _ should stop _ _ _, if it persists _ was _ _.

A

STRETCH adaptively SHORTENED TISSUES, find END OF RANGE and STRETCH, include MOBILIZATIONS.

Pain from STRETCH should stop SHORTLY AFTER TREATMENT, if it persists TREATMENT was TOO AGGRESSIVE

43
Q

Philosophy of Derangement syndrome treatment: _ indicates improvement, _ indicates progression of derangement. Treat with?

A

CENTRALIZATION indicates improvement, PERIPHERALIZATION indicates progression of derangement

Treat with whatever movement makes symptoms centralize and reduce.

44
Q

4 stages of treatment for derangement: 1- _ of derangement, 2- _ of _ (avoid _ _), 3- Recovery of _, 4- _, prevent _ (patient _)

A

1- REDUCTION of derangement
2- MAINTENANCE of REDUCTION (avoid AGGRAVATING FACTORS)
3- Recovery of FUNCTION
4- PROPHYLAXIS, prevent RECURRENCE (patient EDUCATION)

45
Q

_ % of derangement patients will respond to extension

A

60%

46
Q

You should continue technique for - _, if no change occurs then?

A

Continue for 24-48 HOURS, if no change occurs then TRY A DIFFERENT TECHNIQUE

47
Q

Any pain from scapular border up is _, unless proven otherwise. Pain below elbow is associated with _ _ _ and _ _. When pain doesn’t change as expected, may be _.

A

Any pain from scapular border up is CERVICAL .. .

Pain below elbow is associated with HIGHER FAILURE RATE, and SLOW RECOVERY

When pain doesn’t change as expected it may be FACET

48
Q

Nerve root irritation is associated with _ reflexes, nerve root compression is associated with _ reflexes.

A

Irritation- HYPERSENSITIVE reflexes

Compression- HYPO/ DIMINISHED reflexes

49
Q

3 R’s of Mckenzie treatment

A

Reeducation of posture
Remodeling of dysfunction
Reduction of derangement

Ortho Final (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions