Midterm Flashcards
Fisher and Yakura
1993: Movement Analysis
- Treatment Goals: functional movement
- Components: BOS, alignment, sequence, mob/stab
- Systems: percep/cognition, muskuloskel, automatic
Bogduk and Govind
2009: CGHA Dx, tests, and tx
Mechanism: C1-3 afferents trigeminalcervical nucleus
Diff Dx: aneurysms, posterior cranial fossa
Panel 1: unilat, neck involvement, fluctuating, moderate non-throbbing, neck to oculofrontotemp, blocks help, n&v/dizzy/phon/phot/etc.
Panel 2 (International HA society): includes clinical lab dx of neck lesion, resolves after 3 mo of tx to lesion
Matthew and Garza
2011: Headache Seminar
Risk Factors: >50, worst of life, SAME side, not responding to tx, trauma, systemic/neuro signs
Primary HAs: rule out secondary first
Migraine
Trigeminal autonomic cephalgia (unilateral, autonom)
Cluster (male>F, unilat, autonom, every day)
TT (F>M, bilat, aspirin helps)
Med overuse (>15 days, worse with meds)
Wainner and Fritz
2003: Reliability/Dx Accuracy C/Radic
Cluster: Rot <60, distraction, spurling, ULTTA
3 of 4= 65%; 4 of 4=90%
Rule out: ULTTA
Landel
2002: Dizziness Screening
Determine if appropriate first
Cardiac RF: syncope, pallor, light-headed, comorb, etc
Brainstem ischemia
Evolving CNS lesions
Determine Peripheral vs. central
If nothing: CGD if with neck pain also
Wrisley and Sparto
2000: CGD Dx and Tx
Presentation: flexion/extension injuries, possible postural imbalance, neck pain, limited ROM, HA
Pathology: abdnormal input in vestibular nuclei from upper c/s proprioceptors
Dx: exclusion
- closer termporal relationship
- previous neck injury/pathology
- elimination of other causes
Tx: manual, sensory balance input, eye exercises
Plewa and Delinger
1998: False-positive TOS Maneuvers
Tests: Adson, CCM, EAST, SCP
Don’t go off of pulse alterations
EAST most sensitive
Highest Dx accuracy:
EAST stopped to pain
Pain in same arm with 2 or more maneuvers
Any sx in same arm with 3 or more maneuvers
Hooper
2010: Exam, Dx, Tx
Dx of exclusion:
Arterial: pain, numbness, non-radicular, cool, pale
Venous: excruciating deep, heavy, cyanosis, edema
Neuro True: objective findings, day pain, C8-T1
Disputed: night pain, no objective
Assesment: non radicular, cluster test, posture/container mobility, scalenes, etc.
Tx: sx reduction- pain first, sleep adjustment, nerve mob, outlet modification
Schafer
2011 Subgroups LBP and leg pain
Groups:
Neuropathic sensitization (paresthesia, paroxysmal, burning, hyperalgesia)
Denervation (2+ reflex, mmt, pin prick, light touch)
Peripheral nerve sensitization (SLR, PKB, active flexion, nerve palpation)
Muskuloskelatal (non of above)
Coppieters
2009 Gliding Excursion
Sliders have longest excursion and less aggressive
Elbow extension better than neck
American Geriatric Society CPG
2010 Fall Prevention Guideline
Screening ?s: two or more? acute? difficulty with balance?
Single fall with gait/balance abnormalities
Assess: history, medication, balance, vision, neuro signs, strength, HR, hypotension, footware, environment
Tx: meds, exercise, vision, HR, Vit D, footware, education
Lee
2004: Pronator and AINS
CTS: 3.5 digits, nocturnal, 1/2 loaf, +tinel/phalen
PS: 3.5/palm, no nocturnal, 1/2loaf, FDP, PQ, FCR, +tinel pronator
AIN: no sensory/nocturnal, FPL, FDP, PQ
MacDermid
2004: CTS Dx
Phalen and Carpal Comression best accuracy
Look at sensory light touch, vibration, 2pnt discrim
Horng
2011
Tendon gliding!
Belling and Sorrenson
2000: Secondary Impingement
Population; athletes <35 overhead activity
Pure impingement: neer, hawkin
Secondary impingement with instability
Pure instability: apprehension, sulcus
4 P’s: protectors, pivoters, positioners, propellers
Kebaste and McClure
1999 T/S position effect on GHJ
23 degrees more abduction
More force in abduction
Kibler
2012: Scap dyskinesis
McFarland
2006: Impingement Evaluation
98% full RC tear: >60, weak in abduction, +Neer or Hawkin
Tests: Neer (86% Sn) for RC tear ER lag: supra/infra Drop sign: suscap Lift off Belly press: fullthic subscap Relocation: SLAP/anterior instability- can cause impingement
Tests:
Neer (87%sn)
Smith
2011: Fibro Background
Likelihood: family history, female, psych distress
Sxs: pain, fatigue, sleep distorubance, sexual function, etc.
Dx: 8 pts on regional pain scale, 6cm on fatigue VAS
Lotze and Moseley
2007: Distorted Body Image
Disorted image/S1 reorganization and M1
2point discrimination associated with increased S1 reorg
Bowering
2013: GMI
L/R judgement: no evidence
Motor imagery: pain worse
Mirror therapy: effective
GMI: in order best
Hayse
2002: Shoulder instability management
2nd or 6th decade post-trauma usually or atrumatic if older
70% recurrent sublux with younger age
Tx: activity restrict, UR exercises, surgery
