Motion restrictions and Muscle Tone Abnormalities Flashcards

1
Q

What level do modalities work at

A

Impairment level

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2
Q

What is an adhesion

A

Abnormal joining of something to something else that results from disuse and loss of ground substance

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3
Q

What is a contracture

A

Typically forms from fibrosis after an injury

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4
Q

What is intraarticular edema

A

Joint effusion or excessive fluid in a joint capsule

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5
Q

What is extraarticular edema

A

Accumulation of fluid outside a joint

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6
Q

True or False:

Nerves are very haphazardly laid down

A

True

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7
Q

Why are nerves haphazardly laid down

A

So the nerve is able to lengthen without being damaged

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8
Q

What helps extraneural tension more sliders or tensioners

A

Sliders

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9
Q

What helps intraneural tension more sliders or tensioners

A

Tensioners

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10
Q

What does strain counterstrain do

A

De-activates muscle spindle decreasing muscle tone

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11
Q

What does myofascial release do

A

De-activates muscle spindle via functional movement patterns which decreases tone

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12
Q

What activates the golgi tendon organ

A

Slow stretch

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13
Q

What does the golgi tendon organ cause the muscle to do

A

relax

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14
Q

What activates a muscle spindle

A

Fast stretch

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15
Q

What does a muscle spindle cause the muscle to do

A

Contract

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16
Q

When using thermotherapy how much do you want to increase the tissue temperature

A

4C

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17
Q

When an area is numbed electrically can the body perceive new pain

A

No

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18
Q

When an area is numbed using ice can the body perceive new pain

19
Q

At what temperature does the skin start to burn

20
Q

What type of current do you use for motor nerves

A

AC current

21
Q

What type of current do you use for muscle directly

A

DC current

22
Q

What is flaccidity

A

Total lack of tone or no resistance to passive stretch

23
Q

What can cause flaccidity

A

Motor nerve has been cut or damaged

24
Q

What is hypotonicity

A

Decreased resistance to stretch

25
What is hypertonicity
Increased resistance to stretch
26
What are 2 types of hypertonicity
1. Spastic | 2. Rigid
27
What is spastic hypertonicity
Velocity dependent, quick stretch, flailing motions
28
What is rigid hypertonicity
Resistance to stretch not dependent on velocity of stretch
29
What detect tone in muscles
Muscle spindles
30
What resets the muscle spindle
Gamma motor neuron
31
what does muscle spindles sense
Length and velocity of stretch
32
What is clonus
Multiple rhythmic oscillations or beat in the resistance of a muscle responding to quick stretch
33
What is a muscle spasm
Involuntary contraction of a muscle usually associated with a painful state
34
What is dyskinesia
Abnormal movement that is involuntary and has no purpose
35
What causes low tone
Loss of normal alpha motor neuron input to normal muscle
36
What causes high tone (2)
1. Peripheral stimulation due to pain, cold, stress | 2. Loss of inhibitory control centers in the CNS
37
What is the big consequence of abnormally low tone
Poor posture
38
What are the consequences of poor posture (3)
1. Ligaments must perform work of muscles 2. Appearance changes 3. Pain
39
What are treatments for low muscle tone (10)
1. Hydrotherapy 2. Quick ice 3. E-stim 4. Biofeedback 5. Light touch 6. Tapping 7. Resistive exercises 8. ROM exercises 9. Functional training 10. Orthotics
40
What are some consequences of abnormally high muscle tone (7)
1. Discomfort or pain 2. Contractures 3. Abnormal posture 4. Skin breakdown 5. Increased effort by caregivers 6. Development of specific movement patterns 7. Inhibit function
41
Treatment for high muscle tone due to pain, cold, stress (8)
1. Remove source 2. Relaxation techniques 3. EMG biofeedback 4. Neutral warmth 5. Heat 6. Hydrotherapy 7. Cold towels 8. Stimulation of antagonists
42
Treatment for high muscle tone due to spinal cord injury (8)
1. Selective ROM 2. Prolonged stretch 3. Positioning 4. Orthotics 5. Meds 6. Surgery 7. Heat 8. Prolonged heat
43
Treatment for high muscle tone due to cerebral lesions (8)
1. Prolonged ice 2. Inhibitory pressure 3. Prolonged stretch 4. Inhibitory casting 5. Positioning 6. Reeducation of voluntary movement 7. Soft tissue mobilization to contralateral muscle 8. General relaxation techniques
44
Treatment for high muscle tone dues to rigidity (8)
1. Positioning 2. ROM exercises 3. Orthotics 4. Serial casting 5. Heat 6. Medication 7. General relaxation techniques 8. Soft tissue mobilization to contralateral muscle