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Active Care > Review powerpoint > Flashcards

Review powerpoint Flashcards

1
Q

What are the big extensors of the cervicothoracic spine

A

semispinalis capitis
splenius capitis
splenius cervicis

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2
Q

What are the big (deep) extensors of the thoracolumbar spine?

A

multifidi
longissimus thoracis
iliocostalis lumborum

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3
Q

What are the big (superficial) extensors of the thoracolumbar spine

A

latissimus dorsi

fascia

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4
Q

what happens when areas of the body have excessive motion?

A

leads to traumatic patterns, pain

lumbars and cervicals are more likely

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5
Q

pain alters ____ and that stresses ____

A

pain alters mechanics and that stresses ill adapted tissues

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6
Q

The thoracic spine is…

A

more stable, therefore is less prone to aberrant motion and a degenerative cycle

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7
Q

what are usually tight in upper extremity movement dysfunction?

A 
pec major/minir
anterior deltoid
subscapularis
latissimus dorsi
levator scapulae
upper trap
teres major
SCM
scalenes
rectus capitis
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8
Q

what are usually weak in the upper extremity movement dysfunction?

A 
rhomboids
lower traps
posterior deltoid
teres minor
infraspinatus
serratus anterior
longus coli
longus capitis
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9
Q

What are some easy interventions for helping thoracic spine movement?

A

posture
breathing exercises
weight free/gravity free exercises

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10
Q

hyperkyphosis decreases?

A

scapular stability
cervical motion
respiration

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11
Q

hyperkyphosis leads to..?

A

shoulder pain
narrowing of joint space for movement
excess load on the ligaments in the shoulder
decreased shoulder strength

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12
Q

paradoxical breathing

A

use shoulders to breathe

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13
Q

diaphragmatic breathing

A

no overactivity of upper body muscles

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14
Q

what motor control exercises could we have a patient do?

A

trunk stability pushup

quadruped rollback

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15
Q

what functional pattern exercises are helpful for upper body mobility?

A

deep squat
in-line lunge
chop/lift

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16
Q

what are some in office ways to help with thoracic and UE mobility?

A 
active ROM
wall angel
passive ROM
assess P-A mobility
mobilize spine 
adjust
17
Q

what are some ways to have your patient do thoracic extension at home?

A

foam roller

cat/camel

18
Q

posture

A

difficult but possible to change

need patient compliance (conscious effort to rain an unconscious behavior

19
Q

common postural errors?

A

excessive lumbar extension
rib flare
upper thoracic sinking
full scapula retraction

20
Q

does a direct blow to the head have to happen to get a concussion?

A

no

21
Q

what does a concussion typically result in?

A

rapid onset of short-lived impairment of neurological function that resolves spontaneously

22
Q

what are some things that can be done to prevent atheltic concussions?

A

sportsmanship
keep athletes hydrated
protective gear
preventative exercises

23
Q

who are more prone to concuss?

A

female athletes

24
Q

what are the steps to get an athlete back to the game?

A 
no activity
light aerobic exercise
sport specific exercise
non-contact training drills
full contact training drills
return to play
25
Q

concussion signs and symptoms

A 
headache, mental fog
somatic (headache)
cognitive (feeling in a fog)
emotional (changes in personality or mood)
loss of consciousness/amnesia
irritability
slow reaction times
sleep distrubances
26
Q

what is the SCAT 5?

A

a standardized tool for evaluating concussions designed for use by physicians and liscensed healthcare professionals

27
Q

red flags according to SCAT 5

A 
neck pain or tenderness
double vision
weakness or tingling/burning in arms or legs
severe or increasing headache
seizure or convulsion
loss of consciousness
deteriorating conscious state
vomiting
increasingly restless, agitated or combative
28
Q

steps in the first part of SCAT5

A 
red flags
observable signs
memory assessment (maddocks questions)
examination (glasgow coma scale)
cervical spine assessment
29
Q

should the SCAT5 be used as a stand-alone method to diagnose a concussion?

A

no

30
Q

if a glosgow method is over 15, what do you do?

A

stop examination, start emergency procedure

31
Q

neurophychological assessment SCAT5

A

baseline testing not mandatory
most cases, symptom and cognitive recovery will overlap
some cases, symptoms recover earlier while with others cognitive recovers earlier
should be considere for return to play
ideally would be performed by trained neuropsyphologist

32
Q

should a concussion be graded?

A

no

33
Q

what should you identify if you suspect a concussion?

A

symptoms, not signs
loss of consciousness doesn’t predict outcome
amnesia poorly predicts outcome
seizures do not predict the outcome

Active Care (13 decks)

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