Brainscape's Knowledge GenomeTM

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


See full index

Musculoskeletal II > Midterm > Flashcards

Midterm Flashcards

1
Q

What are the effects of joint mobilization?

A

Neurphysiological
Biomechanical
Psychological

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

What are the three sub-systems that contribute to stability in the spine?

A

passive
active
central nervous system

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

Passive system:

A

anatomical structures contributing to stability

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

Active system:

A

muscles, source of active stiffness

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

Central nervous system:

A

feedforward and feedback

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

Neutral zone:

A

region of laxity around the neutral resting position of a spinal segment
position of the segment in which minimal loading is occurring in the passive structure and active structures

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

Total vertebrae:

A

29 total
5 sacral
4 coccygeal and 3 joints and 2 facets

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

Alignment of upper cervical spine?

A

horizontal and 45 degrees in lower

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

Fryette’s First Law

A

when any part of the spine is in neutral position the side bending of the vertebrae will be to the opposite side as the rotation of the spine

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

Fryette’s Second Law

A

when any part of the spine is in a position of flexion or hyperextension the side bending of the vertebrae will be to the same side as the rotation of the spine

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

Fryette’s Third Law

A

If motion in one plane is introduced to the spine any motion occurring in another direction is thereby restricted

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

Can’t open restriction:

A

restriction of Flex/SB/Rot to the opposite side of pain

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

Can’t close restriction:

A

restriction of Ext/Sb/Rot to the same side of pain

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

Where does the majority of cervical rotation occur?

A

occipital atlanto region

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

Occipital atlanto flexion

A

15-20 degrees

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

Occipital atlanto side flexion

A

10 degrees

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

Atlanto-axial flexion/extension:

A

10 degrees

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

Atlanto-axial side flexion

A

5 degrees

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

Atlanto-axial rotation

A

50 degrees (primary motion)

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

4 parts of vertebral artery:

A

proximal
transverse
suboccipital
intracranial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

4 parts of suboccipital portion of vertebral artery:

A

within transverse foramen of C2
between C2 and C1
in the transverse foramen of C1
between the posterior arch of atlas and its entry into the foramen magnum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

5 D’s And 3 N’s

A 
dysarthria
Dysphagia
Drop attacks
Dizziness
Double Vision
Ataxia
Nausea
Numbness
Nystagmus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Clinical prediction rule for patients with neck pain likely to benefit from TJM to Cspine:

A

symptom duration less than 38 days
positive expectation that manipulation will help
side to side difference in cervical rotation ROM of 10 degrees or greater
pain with posteroanterior spring testing of the middle cervical spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Trauma patient order:

A 
VBI and trauma hx
C-spine rules and AROM screen
Progress to eval if clear
AROM, ROM, MRS
functional movement screen
special test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

No hx of trauma order:

A 
VBI screen
AROM, PROM, MRS
hypermobile vs. hypomobile
functional movement screening
special test
treatment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

C-spine:

A 
Cognitively intact?
Under 65?
45 d of rotation?
injury circumstances?
pain at rest in midline?
paresthesia in arms?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Positive findings for cervical instability clearing tests:

A

movement felt during passive translation
clunk
symptoms that were present during forward flexion are relieved

28
Q

Priority tests for cervical instability:

A

sharp purser
membrane test
alar ligament test

29
Q

Where does nodding occur?

A

upper C-spine C0-C1 during flexion

30
Q

What muscles are commonly implicated with headaches?

A

SCM
Upper trap
superior obliqus capitus

31
Q

Shoulder abduction relief test

A

C4-C5 or C5-C6

Bakody sign

32
Q

ULTT 1

A

median nerve, anterior interosseous C5-C7

33
Q

ULTT 2

A

median nerve, axillary musculocutaneous

34
Q

ULTT 3

A

radial

35
Q

UlTT 4

A

ulnar C8-T1

36
Q

Radiculopathy cervical prediction rule:

A

+ spurlings
+ ULTT median nerve (1)
+ cervical distraction
less than 60 degrees rotation in c-spine

37
Q

Clinical prediction rule for radiculopathy:

A 
spurlings
jackson's
MFCT
distraction
ULTT assymetrical
38
Q

Clinical prediction rule for neck pain and cervical traction:

A 
peripherlization with lower c-spine mobility
\+shoulder abduction test
age older than 54
\+ ULTT A
\+distraction
39
Q

Cervical Facet syndrome:

A

mild/moderate neck pain that is often long standing neuro symptoms into arm
not dermatomal

40
Q

Treatment of cervical facet syndrome:

A

Joint mobs, HVLA
traction
core strengthening with balance exercises
thoracic mobility

41
Q

Clinical prediction rile for cervical spine manipulation

A

inital scores on NDI less 11.50
presence of bilateral pattern of involvement
not performing sedentary work for more than 5 hours each day
feeling better when moving neck
not worse when extending neck
spondylosis without radiculopathy

42
Q

Alternative CPR for cervical manipulation:

A

symptoms for less than 38 days
positive attitude
side to side difference 10 degree or more cervical rotation
pain with PA spring test of mid cervical spine

43
Q

Cervical myelopathy, cervical stenosis, severe cervical arthritis

A

muscle weakness, possible muscle wasting at end stages
decreases reflexes or possible hypertonic reflexes
walking difficulity

44
Q

Cervical myelopathy, cervical stenosis, severe cervical arthritis treatment:

A 
nerve glides
thoracic spine mobility
segmental mobs for decreased mobility
postural re-ed
soft tissue/core strengthening for logus coli
45
Q

WAD

A

hyperflexion/hyperextension injury
stiffness/loss ROM in all planes
guarding

46
Q

WAD grade 1:

A

mild strain

47
Q

WAD grade 2:

A

neck pain and decreased ROM

48
Q

WAD grade 3:

A

neurological + msk

49
Q

WAD grade 4:

A

fracture/dislocation

50
Q

WAD treatment:

A

neuro exercises
gentle mobs
soft tissue/core strengthening and balance

51
Q

Myofascial disorders/Fibromyositis

A

hypermobility
lack of neuro symptoms
trigger points
repetitive trauma

52
Q

Myofascial disorders/Fibromyositis treatment:

A

trigger point
joint mobs
postural re-ed
thoracic spine mobility

53
Q

Adult torticolis:

A

painful SCM spasm with movement restricted in one plane worse than other

54
Q

Pseudotorticolis:

A

limited in all ROM, typically seen upon waking (no trauma)

55
Q

Treatment torticolis:

A 
strain-counterstrain
gentle mobs
trigger points
modalities
HVLA
56
Q

Cervicogenic HA:

A

worse with movement, cervical flexion/rotation test positive C1-C2 segment

57
Q

HA treatment:

A 
soft tissue
Joint mobs
trigger point
postural re-ed
stability
58
Q

CPR for patients who will respond to thoracic manipulation:

A 
duration of symptoms less than 30 days
no symptoms distal to shoulder
looking up does not aggravate symptoms
FABQ less than 12
diminshed upp t-spine kyphosis at T3-5
cervical extension ROM less than 30 d
excluded stenosis pts, red flags, WAD less than 6 weeks, CNS disorder, nerve root compression
59
Q

T-spine flexion/extension

A

20-45 degrees

60
Q

T-spine rotation:

A

35-50 degrees

61
Q

T-spine lateral flexion

A

20-40 degrees

62
Q

Wells Criteria:

A 
clinical S/S DVT
PE is as likely or more than alternative
pulse greater than 100
previous hx of DVT or PE
immobilization or major surgeries in past 4 weeks
hemophysis
active cancer within last 6 months
less than 2 =low, 2-6 moderate, greater than 3=high
63
Q

Compression or spinal fracture:

A 
more common in those osteoporosis
age greater than 70
steroid use
trauma
common in T11-L1
increased kyphosis
supine sign and percussion test
64
Q

Scoliosis rehab:

A

stretch concavity
strengthen convexity
strengthen rotation to opposite side of rib hump

65
Q

Sites of compression for thoracic outlet:

A

interscalene triangle
costoclavicular space
thoraco-coraco-pectoral space

66
Q

Onset for thoracic outlet:

A

repetitive trauma
insidious
unilateral or bilateral

67
Q

Thoracic outlet intervention:

A 
cyriax release 
1st rib mobilization
mobility for scalene/1st rib
mobilize AC and GH joints
pec stretching
scap muscle strengthening

Musculoskeletal II (14 decks)

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