Motion Dynamics Flashcards
somatic dysfunction
the impaired or altered function of related components of the somatic (bodywork) system including: the skeletal, arthroidal, and myofascial structures and their related vascular, lymphatic, and neural elements
active motion
patient is active
passive motion
doctor moves the patient
motions in the sagittal plane
flexion/extension
motion in frontal (coronal) plane
sidebending
motion in horizontal (transverse) plane
rotation
fibrous joint example
skull
cartilaginous joint example
IV discs
synovial joint example
extremities
what is range measured in?
degrees
examples of direction of joints
flexion, extension, sidebending, rotation
normal quality
smooth
What disease is ratcheting common in?
Parkinson’s disease
restricted quality
contracture or somatic dysfunction
What disease is exhibiting resistance to the motion induced common in?
cerebral palsy
elastic end feel
like rubber band
abrupt end feel
osteoarthritis or hinge joint
hard end feel
somatic dysfunction
empty end feel
stops due to guarding (patient doesn’t allow the motion due to pain)
crisp end feel
involuntary muscle guarding as a pinched nerve
flexibility
ROM in a joint or group of joints or the ability to move joints effectively through a complete range of motion
static flexibility
maximal ROM a joint can achieve with an externally applied force
dynamic flexibility
ROM an athlete can produce and speed at which he/she can produce it
stiffness
reduced ROM of a joint or group of joints
functional unit of spine
two vertebrae and their associated disc, neurovascular, and other soft tissues
Which section of the spine displays the greatest ROM
cervical spine
coupled motion
consistent association of a motion along or about one axis with another motion about or along a second axis
What does the coupled motion of the spine serve to protect?
spinal cord
linkage
relationship of joint mechanics with surrounding structures to get increased ROM
examples of linkage
shoulder-spine
spine-hip//pelvis
scurvy
vitamin C deficiency
osteogenesis imperfecta
blue sclera, multiple fractures
ehler-danlos syndrome
collagen dysfunction, joint hypermobility, stretchy skin
alport syndrome
deafness, kidney dysfunction
menkes disease
copper deficiency, kinky hair, growth failure, deterioration of nervous system
Brighton Criteria
used to diagnose ehler’s danlos
Brighton major criteria
beighton score of >=4
arthralgia for longer than 3 months in 4 or more joints
Brighton minor criteria
Beighton score of 1,2,or3
arthralgia in one to two joints or back pain for >3 months or spondylosis, spondylolysis, spondylolithesis
dislocation or subluxation in more than one joint, or in one joint on more than one occasion
3 or more soft tissue lesions
marfanoid habitus
skin striae, hyperextensibility, thin skin, abnormal scarring
drooping eyelids, myopia, antimongologid slant
varicose veins, hernia, uterine or rectal prolapse
mitral valve prolapse
requirement for diagnosis of ehlers-danlos on Brighton Criteria
two major criteria
one major plus two minor criteria
four minor criteria
two minor criteria and first degree relative in family history
Beighton score
thumb little finger elbow knee touch ground with straight legs
treatment plan for ehler-danlos
physical therapy for joint stabilization
medications to control pain (non-narcotics)
surgery to repair joints
