MIDTERM Flashcards

1
Q

4 T’s of palpation

A

TEMPERATURE
TEXTURE
TENDERNESS
TONE

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2
Q

LANDMARKS - anterior view

A

-check medial longitudinal arches
-compare levels of superior surfaces of both patellae
-check level of ASIS
-check level of iliac crest
-check levels & angles of clavicles
-assess position of head
-check levels of both external auditory meatus

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3
Q

LANDMARKS - posterior view

A

-compare levels of medial malleoli
-compare levels of fibular heads
-check levels of both greater trochanters
-check level of PSIS
-check level of iliac crests
-assess levels of inferior borders of scapula & compare distance from medial borders & spinous processes
-check levels of acromioclavicular joints
-check levels of both external auditory meatus

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4
Q

LANDMARKS - lateral view

A

lateral malleolus (slightly anterior)
head of fibula (slightly anterior)
greater trochanter
acromion
external auditory meatus
level of PSIS & ASIS → pelvic angle

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5
Q

ANATOMICAL barrier

A

-farthest a joint can move structurally
-barrier never reached -> risk of injury to joint

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6
Q

PHYSIOLOGICAL barrier

A

normal barriers / soft & pliable end feels to ROM

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7
Q

PATHOLOGICAL barrier

A

-adaptation in physiological barrier that causes protective function to limit ROM
-stiffness, pain, a “catch”

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8
Q

C-SPINE degrees of ROM

A

-flexion: 80-90
-extension: 70
-side flexion: 20-45
-rotation: 70-90

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9
Q

ELBOW degrees of ROM

A

-flexion: 140-150
-extension: 0-10
-supination: 90
-pronation: 80-90

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10
Q

GH degrees of ROM

A

-flexion: 160-180
-extension: 50-60
-ABD: 170-180
-ADD: 50-75
-external rotation: 80-90
-internal rotation: 60-100
-horizontal ABD/ADD: 130

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11
Q

capsular pattern - GH joint

A

-lateral rotation
-ABDuction
-medial rotation

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12
Q

capsular pattern - HIP joint

A

-flexion
-ABDuction
-medial rotation

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13
Q

pelvic angles - male vs. female

A

FEMALE: 5-15 degrees
MALE: 0-5 degrees

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14
Q

examples of “SPRINGY” end feels

A

bounce & spring in joints with menisci (knee internal derangement/ meniscus tears)
-rebound effect that occurs earlier than expected

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15
Q

examples of “BONE TO BONE” end feels

A

normal & abnormal
-hard, non-giving (elbow extension)
-painful/ hard (osteophytes, anklyosis)

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16
Q

normal end feels - TISSUE STRETCH

A

hard/ firm quality with slight give, movement limited by tension in muscle fascia (cervical lateral flexion)

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17
Q

normal end feels - LIGAMENTOUS

A

hard/ firm, limited by tension in ligaments (knee extension)

18
Q

normal end feels - SOFT TISSUE APPROXIMATION

A

squeezing quality, soft tissue compression prevents further motion (elbow flexion)

19
Q

normal end feels - BONE TO BONE

A

hard, non giving (elbow extension)

20
Q

muscle grading chart (0-5)

A

5: normal (100%) -> can maintain position against resistance
4: good (75%) -> can maintain position against gravity & resistance
3: fair (50%) -> movement against gravity but NOT against resistance
2: poor (25%) -> movement possible, NOT against gravity
1: trace (5%) -> slight contraction, little or no joint motion (twitch)
0: 0% -> no contraction (flaccid)

21
Q

strength findings - STRONG & PAIN FREE

A

no lesion of contractile unit being tested / nervous tissue supplying that contractile unit

22
Q

strength findings - STRONG & PAINFUL

A

local lesion of muscle / tendon
(muscle strain)

23
Q

strength findings - WEAK & PAINFUL

A

severe lesion around joint
(fracture)

24
Q

strength findings - WEAK & PAIN FREE

A

rupture of a muscle (3rd degree strain) or its tendon/ involvement of peripheral nerve or nerve root supply that muscle

25
Q

types of pain - BONE PAIN

A

deep, boring, localized

26
Q

types of pain - VASCULAR PAIN

A

hard to localize, dull & achy, often aggravated by injury, may be referred to other areas

27
Q

types of pain - RADICULAR PAIN

A

nerve root compression, sharp, shooting pain -> neurological signs / muscle weakness

28
Q

types of pain - CUTANEOUS PAIN

A

from superficial tissue damage -> sharp, bright, burning, well-localized

29
Q

types of pain - DEEP SOMATIC

A

from muscles, tendons, joints & periosteum -> more diffuse than cutaneous, can refer to other areas of body

30
Q

types of pain - VISCERAL PAIN

A

visceral distension or ischemia, or strong, abnormal GI contractions, often diffuse

31
Q

STRUCTURAL vs. FUNCTIONAL DEFORMITIES

A

STRUCTURAL: present even at rest -> fracture, scoliosis, kyphosis
FUNCTIONAL: result of assumed posture & disappear when posture is changed -> scoliosis due to short leg, flat foot on weight bearing vs. non-weight bearing

32
Q

purpose of interview

A

help patient communicate health history & understand goal for massage = INFORMED CONSENT

33
Q

OPEN ENDED vs. CLOSED ENDED questions

A

OPEN: encourage conversation, patient gives more detail
CLOSED: one answer, should be avoided

34
Q

RED FLAGS vs. YELLOW FLAGS

A

RED: signs & symptoms indicated problem is NOT musculoskeletal one / more serious that should be referred out
YELLOW: problem may involve extensive examination

35
Q

S.O.A.P

A

S - subjective: client reports
O - objective: what you see/ do
A: - assessment: how session went/ clients response
P - plan: plan for client, things to remember

36
Q

PALPATION

A

always performed bilaterally, starting with unaffected side first

37
Q

CONTRACTILE vs. INERT tissue

A

CONTRACTILE: muscles/ fascia
INERT: ligaments, joint capsules, bursa = not contractile or neurological

38
Q

PASSIVE ROM

A

slight overpressure is added to obtain end feel

39
Q

PASSIVE vs ACTIVE INSUFFICIENCY

A

PASSIVE: shortness of two-joint (or multi-joint) muscle, not allowing normal elongation over both joints simultaneously
ACTIVE: inability of multi-joint muscle to generate effective force when placed in fully shortened position

40
Q

ADAPTIVE SHORTENING vs. POSITIONAL WEAKNESS

A

ADAPTIVE SHORTENING: tightness that results from muscles remaining in shortened position
POSITIONAL WEAKNESS: results from muscles remaining in elongated position

41
Q

examiner OBSERVATIONS - muscle test

A

-whether or not contraction causes PAIN
-STRENGTH of contraction (grade 0-5)
-TYPE of contraction
-any SUBSTITUTIONS (cheating)