Memory 1 Flashcards
Closed pack position
Position of a joint when it’s Articular surfaces are most closely congruent. Join is the most stable, no movement is possible.
Joint Mobs are CI’d as they would damage intra/extra Articular structures
Contraindication of Joint Mobs;
Neoplasm or at Dx'd lesion Bacterial infection Recent fracture Acute/active inflammatory and infective arthritis, (RA) Joint ankylosis Joint in closed pack postion Joint hyper mobility
Grades of Joint mobs associated to stage of healing
Grade 1 - ACUTE
Grade 2 - SUBACUTE
Grade 3 - CHRONIC
Grade 4 - CHRONIC
Heat Exhaustion vs Heat Stroked
Heat Exhaustion: (aka heat sycope)
- extreme physical fatigue from heat exposure
- profuse sweating, body temp normal
- decreased BP, Pulse, Resp rate
- cool, clammy skin, pallor
- decrease vasomotor tone, blood pooling in
Periphery, hypotension, cerebral anoxia
Heat Stroke: ** Medical emergency **
- body temp greater than 40*
- CNS disturbance
- dizzy, blurred vision, confusion, nausea, irritability
- HOT, DRY, RED SKIN
- Rapid pulse
Sunburn degrees
1st = mild redness 2nd = redness with blisters 3rd = redness, ulceration
Heat cramp
Strong involuntary mm contractions due to loss of fluids, electrolytes, or dehydration
Gait cycle:
Heel strike of one foot to heel strike of the same foot
Motor vs cognitive
Motor skills = quality of mvmt, Olympic power lifter
Cognitive skills = quality of decision making, coaching a team
When describing environmental predictability in relation to sport:
Open Skills vs Closed Skills
Open skills = performed in an unpredictable/variable
Environment. Ex: outdoor race, ski race, wrestling
Opponent
Closed skills = performed in a stable environment. Ex: gymnasium,
Swimming pool, indoor stadium (variables are at a
Controlled level)
Range of Motion (Ch 3 of THEX)
Define:
Full motion between two bones or at joint
Osteokinematic mvmt
AROM
AAROM if needed
PROM - will not prevent atrophy
POP passive over pressure is used to asses the END FEEL of a jt
RROM - CI’s in acute phase - recommended for chronic stage of healing
Active Range of Motion gives the therapist in of on:
Mm strength
Nerve innervation
Coordination
Passive Range of Motion gives the therapist in of on:
Integrity of Articular surfaces
Extensibility of joint capsule
Ligaments
Mms
Reliability definition:
The greater the predictability of the test, the greater the reliability of the test results
Intra-tester reliability
Results are compared by the SAME THERAPIST
IntER- tester reliability:
Results are compared by different testers
A prolonged application of cold to a sprain to the Achilles’ tendon would have the following affect:
- Sedative effect
- Decrease nerve conduction velocity (numbing, decrease Pain)
- Decrease motor Neuron impulses and mm spindle sensitivity = decreased spasm
- decrease elasticity of collagen fibres so tissues will become less pliable
Inverse Square Law
E=I/D2
E= Illumination density I = Intensity of lamp D = Distance from source
Ex: by reducing the distance btw the lamp and client by half, it would increase the intensity/dosage of UV light by 400%
CI’s for UV Light Therapy
Actinotherapy
TB Heart Disease Arteriosclerosis Puss pockets Extreme fever Diabetic gangrene
Grades for manual mm testing (0-5)
5 - Normal - can maintain max isometric resistance for atleast 5 seconds (break test)
4 - Good - can maintain, but yields to break test
3 - Fair - can move against gravity ( must establish this before doing break test )
2 - Poor - can move with assistance
1 - Trace - only evidence of neural pathway, no mvmt
0 - No mvmt
3 Stages of Inflam S/Sx and duration:
1 - Acute, 24-48 hrs post injury 5 Cardinal signs: “SHARP”
( Swelling, Heat, Acute Inflam, Redness, Pain)
2 - Subacute 72 hrs - 3 wks
Regenerating phase, wound repairm dismissed Inflam, colou changes, ROM begins to increase but P with tissue resistance
3- Chronic, scar tissue and healing phase
Decreased visible sign of Inflam, ROM still affected but can now begin to work through
Hypoxia
Inadequate O2 to tissue
What does “SOAP” stand for?
Subjective
Objective
Assessment
PLan
Client is stuck in a lower limb extensor pattern. How would you pillow on treatment table for comfort?
THe knee is brought FWRD into Flexion and with pillow
Extensor pattern for the lower body:
ADD Int Rot Ext of hip Ext of knee Planar FLX Inversion of ankle
Client is experiencing Headache around tempers, behind eyes, and around the jaw. This is a common TP referral pattern for what mm?
Trapezius
4 stages of inflammation
1 - changes in circulation
2- changes in vessel permeability
3 - release of soluble mediators
4 - cellular events = emigration of leukocytes
Osteokinematic mvmt
Mvmt between two bones
Arthokinematic mvmt
Mvmt between my surfaces
How is osteoporosis Dx’d?
X-Ray (density entry) Heel Ultrasound (checks bone density)
What disease can cause all types of gait?
Cerebral Palsy
Traction injury to the upper brachial plexus C5, C6
Erb’s palsy
Waiters Tip
ADD of arm
Int Rot of Humerus
Ext of elbow
FLX of wrist and fingers
What runs under the 5th metatarsal (styloid process of foot)?
ABd digiti minimi
Fibularis Longus
ABd DM
Fib Long
How is Hypertension Dx’d
Blood pressure reading 140 over 90 on 2-3 occasion during a 4 weeks period
type of medical research used to investigate the causes of disease, establishing links between risk factors and health outcomes. Cohort studies are usually forward-looking - that is, they are “prospective” studies, or planned in advance and carried out over a future period of time
Cohort Study
What is the function of a Halo?
To stabilize the cervical spine after traumatic injury to neck, or after spinal surgery
Review of literature and hypothesis:
Abstract
Contraindication for contact Dermatitis:
No work over affected areas
Open lesion, blisters, irritating substances are avoided
Contraindications for Psoariosis:
Massage is not CI’d
Only avoid area if open lesions are present or if client is experiencing discomfort
What special test would you perform for the Medial Meniscus?
Appley’s Compression Test with LATERAL ROT
Braggards sign can also point to med meniscus injury
A differential Diagnosis for a Mexicans tear would be to perform the following tests:
Appley’s Compression - is for Menicus
Apley’s DISTRACTION - tests collateral ligaments
THe last layer of skin:
Epidermis
Layer of skin that holds the vasculature, glands, etc.
Dermis
Largest Carpal bone
Capitate
Applying cool hydrotherapy to the Abdominals will have what effect?
Stimulating
Increase bowel mvmts
Encourages contraction of underlying tissues
Iliececal valve is found:
RLQ
Btw the large and small intestine
Prevents material from back flowing into sm intestine
Referral pain over the right shoulder could be cause by visceral inflammation in:
Gallbladder
Liver
T12 Pain referral pattern show up in:
Lower Abdomen and Groin Region
Parathesia over the anatomical stuff box involves:
EPL
EPB
ABd P
Ext pollicis Longus
Ext pollicis Brevis
ABd pollicis
Pain felt along tendon btw calf and calcaneus:
Achille Tendonitis
Cause by running on pronated feet or Tight calves
A Strain is:
A sudden overstretch injury to a musculotendinous unit resulting in pain at the lesion site
WHen performing Trendelenburgs gate, you’re testing which side for glut med weakness?
The standing leg
Though you are watching the opp side to see if it moves
The “GAPPING” test targets which ligaments?
Anterior Sacro Illiac ligaments
While assessing the SI jt, to remove the hamstrings from the equation you need to :
FLX the knee(s)
