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PT 661 > Physical Therapists and Diagnosis > Flashcards

Physical Therapists and Diagnosis Flashcards

1
Q

Why bother with “diagnosis?”

A

Should direct treatment
helps to develop prognosis

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2
Q

Do PTs diagnose?

A

yes within the limits of our practice

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3
Q

what is a Pathoanatomic diagnosis?

A

anatomically based
pathology based
pathology drives prescription

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4
Q

What is a Movement Diagnosis?

A

Impairment based
what is/ are the primary impairments (s)? what is causing them?
Impairment drives prescription
based on assumption that impairments relate to limitations in function, activity and participation

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5
Q

What is the purpose of Pathoanatomy?

A

to direct general treatment approach and informs prognosis
the “ball park”

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6
Q

What is the purpose of impairments?

A

to dictate what we actually do with a patient
the “row and seat”

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7
Q

What is the Cyriax approach?

A

Diagnosis by selective tissue tension

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8
Q

what does inert mean?

A

incapable of producing movement on its own; capable of producing pain and symptoms

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9
Q

What can not be a direct source of symptoms?

A

Cartilage because it is not innervated

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10
Q

What parts of the body are contractile?

A

Muscle
Tendon
Tenoperiosteal junction

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11
Q

What parts of the body are inert?

A

Capsule
ligament
menisci
bone
bursa

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12
Q

What tissue had the lesion?

A

Shoulder
Knee

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13
Q

What is the steps to cyriax approach?

A
  1. AROM
    2.PROM
  2. Isometric Resistance
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14
Q

what is a comparable sign?

A

reproduction of the patient’s chief complaint
asterisk on exam findings

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15
Q

What do you do when irritability high?

A

this means pain is prior resistance so treat the pain

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16
Q

What do you do when irritability is low?

A

this means resistance prior to pain so treat the limitation

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17
Q

What is a capsular pattern?

A

predictable pattern of decreased PROM for a specific joint; suggests involvement of entire joint capsule/ synovium

18
Q

What is an example of capsular pattern?

A

arthritis, snyovitis, capsulitis (all synonymous)

19
Q

What is a non-capsular pattern?

A

something other than entire joint capsule/ synovium

20
Q

What an example a non-capsular pattern?

A

isolated ligament adhesion. internal derangement (meniscus tear), extra particular tissue

21
Q

What is a capsular end feel?

A

Normal

22
Q

What is a spasm end feel?

A

abrupt muscle contraction because of fear or pain

23
Q

What is an empty end feel?

A

PROM and no physical restriction but you see patient is in intense pain; serious condition

24
Q

What is an bony end feel?

A

abrupt stop to movement without that give that would be consistent with capsular ex: elbow extension

25
Q

What is an tissue approximnation end feel?

A

elbow flexion; flex elbow forearm bumps into biceps

26
Q

what is a springy block end feel?

A

motion stops abnormally and there is a kind of spring like quality to it; common for meniscal lesions or intra articular derangements`

27
Q

What is it called when AROM is less than PROM?

A

Lag

28
Q

What does it indicate when AROM is less than PROM?

A

indicates a problem with force production

29
Q

What is midrange?

A

minimize stress to inert structures

30
Q

What does strong/painless mean?

A

normal

31
Q

What does strong/painful mean?

A

minor lesion in contractile unit
usually tendinitis
minor muscle strain

32
Q

What does weak/painless mean?

A

complete tear
neurologic spinal (nerve root)
peripheral nerve

33
Q

What does weak/painful mean?

A

partial tear
occult fracture
other

34
Q

What does AROM mean?

A

ability/willingness to move

35
Q

what does PROM mean?

A

Passive tension inert and contractile

36
Q

what is high irritability?

A

severe pain
symptoms easily provoked
no control of symptoms
acute trauma

37
Q

What is low irritability?

A

less pain
symptoms controlled
symptoms more predictable

38
Q

What does irritability reflect?

A

The degree of inflammatory active present
The tissue’s ability to handle physical stress

39
Q

What are the treatment goals of high irritability?

A

control symptoms
stress relief
no end range

40
Q

what are the treatment goals of low irritability?

A

adress impairments
stretching
strengthening

41
Q

what are examples of special test?

A

joint play (accessory motion)
imaging EMG
other clinical exam

PT 661 (11 decks)

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