Brainscape's Knowledge GenomeTM

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


See full index

Treatments II > Midterm Review > Flashcards

Midterm Review Flashcards

1
Q

Condition Overview : Shoulder Impingement

A
  • Pain with flexion and/or abduction of GH jt, typically at 90-160 decrees
  • Repetitive motion of overhead arm movement
  • “Pinching, numbness/tingling, sharp pain at joint line of gh
  • Supraspinatus or biceps muscle specifically
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Shoulder Impingement : Ax, Mx, Hx

A

Ax :
1. Shoulder ROM
- Limited in flexion/abduction
2. Neer’s Impingement
Mx :
- Prone : bolster under shoulder
MFR, Kneading, Stripping, Manual Stretch, Squeezing of up traps, O+I biceps tendon/supraspinatus, GTO release
Hx :
1. Around the worlds 3x10
2. Weighted pendelums

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

Condition Overview : Stage 1 Adhesive Capsulitis

A
  • Less than 3 months
  • Limited in external rotation
  • Pain present with movement / night / loss of external rotation
  • Tender d/t lack of use, ht mm
  • Decrease ht in rotator cuff
  • Promote circulation & encourage movement as we can
  • Focus in on external rotators (infraspinatus, teres minor)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Adhesive Capsulitis (Stage 1) : Ax, Mx, Hx

A

Ax :
1. Pain free ROM
2. Apley’s Scratch Test
Mx :
- Eff, kneading, stripping, squeezing, O+I, heat w/ barrier
Hx :
1. Pendelums
2. Wall walks

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

Condition Overview : Adhesive Capsulitis (Freezing Stage)

A
  • 3-9 months
  • Intense pain (even at rest)
  • Limited ROM every direction
  • Tender throughout shoulder girdle, HT/adhesions in rotator cuff
  • Focus on reduce pain (release TrP, increase circulation, comp mm)
  • Encourage any movement in the joint w/o larger movements (inferior tractions)
  • Rotator cuff may be too sensitive, work on surrounding then back towards them
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Adhesive Capsulitis (Freezing Stage)

A

3-9 Months
Ax :
- Pain free aROM
- Apley’s scratch test
Mx :
- Heat w/ barrier on rot cuff while working on surrounding mm
- Eff
- Knead
- Squeeze
- O+I
Hx :
1. Pendelums
2. Wall walks

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

Condition Overview : Adhesive Capsulitis (Frozen Stage)

A
  • 9-15 months
  • Pain ONLY with movement
  • Limited gh ROM, increase scapulothoracic mvmt
  • Adh, atrophy, TrP in rot cuff
  • Focus on maintaining tissue health/engaging muscular tissue how we can, increase circulation, decrease HT
  • Encourage movement in the joint
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Adhesive Capsulitis (Frozen Stage)

A
  • 9-15 months
    Ax :
  • Px free aROM
  • Apley’s scratch test
    Mx :
  • Heat w/ barrier
  • Eff to increase circulation
  • MFR
  • Stripping
  • Kneading
  • Squeezing
  • O+I
    Hx
    1. Heat w/ barrier 10m
    2. Pendelums
    3. Wall slides
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Condition Overview : Adhesive Capsulitis (Thawing)

A
  • 15-24 months
  • Minimal pain, but significant capsular restriction
  • Recovering from atrophy, still present around joint
  • Tenderness throughout rotator cuff
  • Focus on maintaining tissue health/engaging muscular tissue, increase circulation, encourage movement with higher grades of joint play
  • Rotator cuff should be good to work/focus on.
  • Adding strength back into the joint
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Adhesive Capsulitis : Ax, Mx, Hx

A

Ax :
- Pain free aROM
- Apley’s scratch test
Mx :
- MFR
- Knead
- Strip
- Squeeze
- MET/PNF? Joint play?
- Active/ Passive assisted ROM
Hx :
- Pec stretch
- External rotation isometric holds

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

Condition Overview : ITB Contracture

A
  • Pain along the full ITB, firm ITB to touch
  • HT in TFL, vastus lateral, biceps femoris, hip flexors
  • Weakness in glute med, vastus medialis and adductors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ITB Contracture : Ax, Mx, Hx

A

Ax :
1. Gait
- Leaning towards unaffected side
- Increased pronation
- Hip drops
- Shorter stride length
2. Ober’s test
Mx :
- MFR
- Kneading & Stripping lat stuctures
- O+I hip flexors (rec fem)
- Tapotement medial strcutures
Hx :
- Hip flexor stretch (90-90)
- Clam shells, sidelying abductions for glute med

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

Condition Overview : ITB Friction

A
  • Pain at the LATERAL FEMORAL CONDYLE, can radiate up and down the leg
  • Firm ITB to touch, ropey “cord like” distal end
  • Inflammation at the femoral condyle, heat and swelling
  • HT in TFL, vastus lateralis, rectus femoris, hip flexors
  • Weak in glute med, vastus medialis and adductors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ITB Friction : Ax, Mx, Hx

A

Ax :
1. Gait
- Leaning towards unaffected side
- Increased pronation
- Hip drops
- Shorter stride length
Mx :
- MFR itb
- Kneading/Stripping lat. structures
- O+I hip flexors
- Tapotement med. l structures
- MET/PNF quads
- Long. Str
Hx :
- Hip flexor str. (90-90)
- Clamshells

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

Condition Overview : Patellofemoral Syndrome

A
  • Pain along lateral leg
  • Firm ITB
  • HT in TFL, vastus lateralis, rectus femoris, hip flexors
  • Weakness in glute med, vastus medialis, adductors
  • Patella that sits medially at rest, but lateral tracking with movement
  • Adhesions around patella
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Patellofemoral Syndrome : Ax, Mx, Hx

A

Ax :
1. Gait
- Leaning towards unaffected side
- Increased pronation
- Hyperextended knees
- Trendelenburg
2. Waldron’s
Mx :
- MFR
- Kneading / Stripping med. structures
- ATK around patella
- O+I rec fem
- Tapotement medial structures
- MET/PNF
- Long. str

17
Q

Condition Overview : Dupuytren’s Contracture

A
  • Thickening of palmar fascia - development of palmar nodules, tender to palpate
  • Flexion deformity in the 4th & 5th digits @ MCP and IP joints
  • HT, TrP and adhesions in to flexors of forearm
  • Extreme or no limitation in 4th & 5th digits
18
Q

Dupuytren’s Contracture : Ax, Mx, Hx

A

Ax :
1. aROM
- Limited in extension
2. Palpation
- Nodules in palm of hand
- Tight, taut, rope like, thickened
- Tender
- Cooler d/t reduce blood flow
Mx
- MFR
- Kneading
- Stripping
- aROM
- O+I
- Jt. Mob @ IP’s of digits
- TrP
Hx :
1. Palmaris longus stretch
2. Prayer hands stretch

18
Q

Surgery (Moderate protection)
- Scar tissue mobilization, fascial restriction, adhesions
- NO hydro over hardware

A

Ax :
1. ADL
2. Gait (if lower)
3. aROM
4. Muscle length and/or strentgh
Mx :
- Heat proximal to injury site
- MFR
- Stripping/kneading
- Frictions on scar tissue
- O+I, GTO
Hx :
Location dependant
Hip replacement
- Sit/Stand exercises
- Standing hip abduction
Tibia
- Seated tib ant stretch
- Self mx
- Calf raises
Slap Lesion
- Pendulum exercises
- Isometric shoulder exercises
- Wall angels
- Scapular retraction
MCL rupture & reconstruction
- Towel stretch for hamstrings
- Single leg stand
- Standing hamstring curls

19
Q

Surgery : Minimum Protection

A

Ax :
- ADL
- Gait (if lower)
- aROM
- Muscle length and/or strength
Mx :
- Heat proximal to injury site to move circulation
- MFR
- Stripping
- Kneading
- Squeezing
- Frictions on scar tissue
- O+I, GTO
- MET/PNF
Hx :
Location dependant
Hip replacement
- Sit/Stand exercises
- Standing hip abduction
Tibia
- Seated tib ant stretch
- Self mx
- Calf raises
Slap Lesion
- Pendulum exercises
- Isometric shoulder exercises
- Wall angels
- Scapular retraction
MCL rupture & reconstruction
- Towel stretch for hamstrings
- Single leg stand
- Standing hamstring curls

20
Q

Condition Overview : Osteoarthritis

A
  • Chronic degenerative disorder primarily affecting the articular cartilage of synovial joints
  • Px in mornings
  • Typical presentation seen in the hands, knees, hips and spine
  • Joint enlargement
  • Bouchard’s and Heberden’s nodes
21
Q

Osteoarthritis : Ax, Mx, Hx

A

Ax :
1. ADL (sit/stand for low body), ADL (grip strength for upper)
2. Range of motion
Mx :
- MFR
- Kneading
- Stripping
- Passive stretch
- O+I
- Heat w/ barrier
- MET/PNF

22
Q

Condition Overview : Rheumatoid Arthritis

A
  • Autoimmune, chronic, inflammatory, systemic disease, affecting the synovial lining joint
  • Swelling and signs of inflammation
  • Loss of ROM d/t weakness
  • Joint stiffness
  • Bilateral and symmetrical symptom presentation
  • Swan neck deformity
23
Q

Rheumatoid Arthritis : Ax, Mx, Hx

A

Ax :
1. aROM (Wrist/fingers)
2. ADL’s (grip strength)
Mx :
Additional bolsters under hands/feet to create positional drainage
Eff
MFR
Kneading
Stripping
Ice mx
Compressions
Hydro : Contrast for circulation
Hx :
Hands
- Passive ROM of wrist flexion and extension
- Finger spreads with bands
- Isometric hand exercises
- Hydro contrast for circulation
- Ankle alphabet
- Marble pickups

24
Q

Condition Overview : Ankylosing Spondylitis

A
  • Progressive inflammatory arthritis of the spine (bamboo spine)
  • Joints between and around the vertebrae can become permanently infused
25
Q

Ankylosing Spondylitis : Ax, Mx, Hx

A

Ax :
1. aROM of hip
- limited in most/all ranges - especially flexion and extension
2. Posture
- flex contracture in hips
- flat lordotic curve
- posterior tilts
- head/shoulders are forward
- hyperkyphotic curve
Mx :
- Heat pack
- Stripping
- Kneading
- MFR
- Manual stretch
- Tapotement to relax
Hx :
Cat/cows
Wall t/s rot
Heat to increase circulation

Treatments II (4 decks)

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