Musculoskeletal Part Eighteen Flashcards
differential diagnosis for complex regional pain syndrome
trophic changes in the skin, bones, joints
is morning stiffness present with DJD
no not usually
SLR tests what nerve root
L4-S1
tripces DTR nerve root
C7
what is posterior innominate
unilateral iliosacral joint dysfunction in which the PSIS is down and posterior and the ASIS is up
biceps DTR nerve root
C5-C6
when is pain at its worst for gout/gouty arthritis
night with warmth
femoral nerve is tested via ____ for neural tension
prone knee bend
slump test order
sitting with back straight
slump into lumbar and thoracic flexion
flex neck and extend one leg
DF extended leg
what should be used daily with gout/gouty arthritis
colchicine
what is anterior innominate
unilateral iliosacral joint dysfunction where PSIS is up and anterior
ASIS is down compared to the opposite side
test for lateral epicondylitis
tennis elbow test
Mill’s
procedure for vertebral artery test
extend head
rotate head
hold position for 10 seconds
two best tests for UMN lesion
clonus
babinski
spinal dura is tested via __ for neural tension
passive neck flexion
passive SLR tests what nerve
sciatic
quadrant test (Spurling’s) is used for
if c-spine is contributing to UE symptoms
what is complex regional pain syndrome
abnormal sympathetic reflex resulting from a persistent painful lesion
stiffness from DJD may be relieved with…
exercise
symptoms of gouty arthritis
severe joint pain at night with warmth
erythema
extreme tenderness/hypersensitivity
most common areas affected with gout/gouty arthritis
feet (as a whole)
great toe
ankle
mid-foot
tests for Cubital tunnel syndrome
pressure provocative test
flexion test
Tinel
procedure for standing flexion test for lumbar spine
palpates both PSISs
tells them to bend forward
how is erythrocyte sedimentation rate (ESR) affected with DJD
it is not affected
interpretation of Gillet’s test
the blocked or dysfunctioning joint will not move while the normal joint will move inferiorly
how to interpret standing flexion test for the lumbar spine
the PSIS that moves cranially first or farthest is the blocked or positive side
what is fibromyalgia
immune system disorder of unknown origin that results in tenderness, pain, and stiffness in the muscles
brachioradialis DTR nerve root
C6
heel walking tests what nerve roots and nerve
L4-L5
deep fibular nerve
positive result for Spurling’s Test
reproduction of UE symptoms
what is gout/gouty arthritis
metabolic disease marked by elevated level of serum uric acid and deposition of urate crystals in joints, soft tissue, kidneys
for hyperuricemia for gout, what should be used
Allopurinol
“a migraine headache of the muscles” describes
fibromyalgia
toe raises test what nerve root and nerve
S1
tibial nerve
procedure for Spurling’s test
cervical extension, rotation, ipsilateral side-bend with overpressure
positive result of slump test
reproduction of radiciular pain after DF
symptoms of arthrogryposis
rigid joints (usually symmetrical)
sausage-shapeless limbs
weak/nonfunctioning muscles
patellar tendon DTR
L3-L4
quandrant test aka
Spurling’s Test
procedure of Gillet’s test
palpate PSIS
patient stands on one leg
pulls opposite knee toward chest
how much force should be applied with the Distraction Test
14 pounds
what is upslip
vertical shear of an entire innominate in which the ASIS and iliac crest are up in comparison to the other side
purpose of standing flexion test for the lumbar spine
tests iliosacral motion and determines if there is a joint dysfunction and the side of involvement
achilles tendon DTR
S1-S2
what results with arthrogryposis
hip dislocations
hip contractures (ABD, flexion, ER)
shoulder contracture (ADD, IR)
club feet
should manual lymphatic drainage be used for CRPS
yes
resisted thumb extension tests what nerve root
C8
resisted finger ABD tests what nerve root
T1
purpose of Gillet’s test
SI dysfunction
for fibromyalgia, how many tender point areas need to be in pain
11 of 18
how does the hand/wrist look after a Colles’ Fracture
distal radius goes dorsally
radial shift of wrist and hand
