POM Block 2 Flashcards

0
Q

Eccentric

A

muscle attachment gets further apart

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1
Q

Concentric

A

muscle attachments become closer

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2
Q

Isometric

A

pt force= physician force

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3
Q

Isolytic

A

Physician force is greater than patient force

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4
Q

isotonic

A

patient force is greater than physician force

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5
Q

post isometric relaxation

A

After a muscle contracts isometrically, for a moment in time, after contraction ceases, it is refractory to continued stimulation, and relaxes

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6
Q

reciprocal inhibition

A

when the agonist muscle contracts, the antagonist reflexly relaxes

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7
Q

crossed extensor reflex

A

when the agonist muscle on one limb contracts, the agonist muscle on the opposite limb relaxes.

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8
Q

Oculocephalogyric reflex

A

the reflex by which the movements of the eye, the head, and the body are directed in the interest of visual attention

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9
Q

which ribs are pump handle action?

A

2-5

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10
Q

which ribs are bucket handle?

A

6-10

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11
Q

which ribs are caliper motion ribs?

A

11-12

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12
Q

which muscle acts on ribs 1-2?

A

scalenes

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13
Q

which muscle acts on ribs 2-5?

A

pectoralis major/minor

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14
Q

which muscle acts on ribs 5-9?

A

serratus anterior

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15
Q

what muscle acts on ribs 11-12?

A

latissimus dorsi and quadratus lumborum

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16
Q

An inhaled rib is locked where?

A

locked up

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17
Q

an exhaled rib is locked where?

A

locked down

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18
Q

what causes in patterning and out patterning of ribs?

A

fascial influences

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19
Q

which technique is the myofascial release of thoracic inlet?

A

hands around the neck, pt is supine, “driving the car”

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20
Q

which technique is the pectoral traction technique?

A

pulling the pectoralis major muscle from behind the patient

MAKE SURE THE PTs FINGERS ARE LACED

21
Q

what is the lumbosacral myofascial release?

A

hands criss- crossed; stretching the erector spinae muscles and the quadratus lumborum

22
Q

how would you correct the 11th and 12th ribs?

A

ask pt to lay on back with knees up; place one hand on the knees and other under the back and pull up on the muscle while pushing the knees away; once muscle is relaxed move over to the rib, pull up on it and push knees, ask pt to cough and then relax

23
Q

What does TART stand for?

A
T= tissue texture changes
A= asymmetry
R= restricted range of motion
T= tenderness
24
Q

the iliac crest is what level?

A

L4

25
Q

PSIS is what level?

A

L5

26
Q

spine of the scapula is what level?

A

T3

27
Q

Inferior angle of the scapula is what level?

A

T7

28
Q

what is cervical, thoracic, and lumbar superior facet orientation?

A

BUM- backward, upward, and medial
BUL- backward, upward, and lateral
BM- backward and medial

29
Q

what is the difference between active and passive techniques?

A

active- patient participates

passive- physician does everything

30
Q

what is the difference between an indirect and direct technique?

A

indirect- moves away from the restrictive barrier

direct- moves toward the restrictive barrier

31
Q

in a vertebral unit, what vertebrae is used to describe the motions of another?

A

the motions of the vertebrae are described in relation to the vertebrae immediately INFERIOR to it

32
Q

how does the posterior longitudinal ligament play a part in disc herniations?

A

It is in the anterior aspect of the vertebral foramen and gradually tapers distally
causes the disc to rupture posterolaterally

33
Q

What clinical condition can the ligamentum flavum cause?

A

central spinal stenosis

34
Q

what is sponylosis?

A

degenerative change in the vertebral body

35
Q

what is spondylolysis?

A

fracture of the pars interarticularis

36
Q

what is spondylolisthesis?

A

forward slip of one vertebrae relative to one another

37
Q

what clinical presentation would a psoas spasm present?

A

flexed, sidebent posture

38
Q

How is scoliosis named when convexity of the curve is on the right?

A

dextroscoliosis

39
Q

how is scoliosis named when the convexity of the curve is on the left?

A

levoscoliosis

40
Q

what movements occur in the sagittal plane?

A

flexion and extension

transverse axis

41
Q

what movements occur in the coronal and transverse planes?

A

coronal- sidebending (horizontal axis)

transverse-rotation (vertical axis)

42
Q

what is the difference between the physiological barrier and the elastic barrier?

A

the physiological barrier is reached ACTIVELY by the pt

the elastic barrier is reached PASSIVELY by the PHYSICIAN

43
Q

how do pump handle ribs work during inhalation?

A

increase the A-P diameter of the chest and the rotation is on the transverse axis

44
Q

how do bucket handle ribs work during inhalation?

A

the axis of motion is on the A-P axis and they increase the transverse diameter of the chest

45
Q

what is the respiratory action of the scalenes?

A

bring 1st and 2nd ribs up in inhalation

46
Q

what is the respiratory action of the pectoralis major?

A

pull ribs 2-5 up in inhalation

47
Q

what is the origin of the serratus anterior?

A

anterior aspect of the medial border of the scapula to ribs 1-9

48
Q

what is the respiratory action of the serratus anterior?

A

pulls ribs 5-9 up in inhalation

49
Q

what is the respiratory action of the latissimus dorsi?

A

pulls ribs 11-12 down in inhalation

50
Q

what does the quadratus lumborum do during inhalation?

A

anchors down the 11th-12th ribs for the diaphragm to contract against