ROM, Somatic Dysfunction And Barriers (Lab And Lecture) Flashcards

1
Q

Which one is greater, passive ROM or active ROM?

A

Passive

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2
Q

What type of barrier is the limit of active motion?

A

Physiologic barrier

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3
Q

What type of barrier is the range between the physiologic and anatomic barrier (end of passive motion)?

A

Elastic barrier

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4
Q

What type of barrier is the limit imposed by a structure?

A

Anatomic barrier

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5
Q

What type of barrier is the functional limit that abnormally diminishes the normal physiologic ROM?

A

Restrictive barrier

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6
Q

What types of motion occur in a sagittal plane?

A

Flexion/extension

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7
Q

What types of motion occur in a frontal (coronal) plane?

A

Sidebending

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8
Q

What types of motion occur in a horizontal (transverse) plane?

A

Rotation

[also horizontal adduction and horizondal abduction of shoulder joint]

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9
Q

The type of joint dictates the type of motion (structure/function interrelationship). What are the 3 types of joints defined in OS?

A

Fibrous
Cartilaginous
Synovial

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10
Q

What type of joints are the skull articulations?

A

Fibrous

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11
Q

What type of joints are the discs between vertebrae?

A

Cartilaginous

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12
Q

What types of joints are commonly found in the extremities?

A

Synovial

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13
Q

What are the 6 types of synovial joints?

A
Pivot (between C1/C2)
Hinge (elbow)
Saddle (thumb)
Ball and socket (hip)
Condyloid (radius and wrist)
Plane (between tarsals)
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14
Q

Motion has what 3 major components?

A

Direction (flexion, extension, etc.)
Range (actual degrees)
Quality (smooth, ratcheting, restricted)

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15
Q

What type of end-feel is like a rubber-band?

A

Elastic

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16
Q

What type of end feel is found in osteoarthritis, or a hinge joint?

A

Abrupt

17
Q

What type of end-feel is found in somatic dysfunction?

A

Hard end-feel

18
Q

What type of end-feel stops due to guarding (patient doesn’t allow motion due to pain)

A

Empty

19
Q

What end-feel involves involuntary muscle guarding as in a pinched nerve?

A

Crisp

20
Q

________ refers to the range of motion in a joint or group of joints, or the ability to move joints effectively through a complete range of motion

A

Flexibility

21
Q

What are the two major types of flexibility?

A

Static

Dynamic

22
Q

What type of flexibility is characterized by the ROM an athlete can produce and the speed at which they can produce it?

A

Dynamic flexibility

23
Q

What type of flexibility is characterized by the maximal ROM a joint can achieve with an externally applied force?

A

Static flexibility

24
Q

_______ is a term used to describe reduced flexibility in ROM of a joint or group of joints

A

Stiffness

25
Q

ROM of the spine involves a complicated system of articulations and bony segments that serve to protect the spinal cord while providing a basic support axis for the upper body. An important concept here is _________ _________

A

Coupled motion

26
Q

The structure and motion of spinal segments differ substantially over the entirety of the spinal column. What makes up one functional unit of the spine?

A

Two vertebrae, their associated disc, neurovascular and other soft tissues

[functional spinal unit = aka vertebral motion segment]

27
Q

Which area of the spine displays some of the greatest motion?

A

Cervical spine

28
Q

What is the concept of coupled motion, especially as it applies to the spine?

A

Consistent association of motion along or about one axis, with another motion about or along a second axis.

The principle motion cannot be produced without the associated motion occuring as well

29
Q

__________ refers to the relationship of joint mechanics with surrounding structures, meaning that specific joint assessment requires joint isolation for accurate measurement and evaluation

A

Linkage

30
Q

Someone with a vitamin C deficiency might be diagnosed with what condition?

A

Scurvy

31
Q

A patient presenting with blue sclera and a history of multiple fractures might be diagnosed with what condition?

A

Osteogenesis imperfecta

32
Q

A patient presenting with collagen dysfunction, joint hypermobility, and stretchy skin might be diagnosed with what condition?

A

Ehler Danlos syndrome

33
Q

A patient presenting with deafness, kidney dysfunction, and pre-auricular skin tags might be diagnosed with what condition?

A

Alport syndrome

34
Q

A patient presenting with a copper deficiency resulting in kinky hair, growth failure, and deterioration of nervous system might be diagnosed with what condition?

A

Menkes disease

35
Q

The ________ score and the ________ criteria are required for the diagnosis of Ehlers Danlos syndrome

A

Beighton; brighton

36
Q

What are the major Brighton criteria for Ehlers Danlos?

A

Beighton score of >4

Arthralgia for >3 months in 4+ joints

37
Q

What are the minor Brighton criteria for Ehlers Danlos?

A

Beighton score of 1, 2, or 3
Arthralgia in 1-3 joints or back pain
Dislocation in 1+ joint on multiple occasions
3+ soft tissue lesions
Marfanoid habitus
Skin striae, hyperextensibility, thin skin
Ocular signs (drooping eyelids, myopia, antimongoloid slant)
Varicose veins, hernia, uterine or rectal prolapse
Mitral valve prolapse

38
Q

What are the requirements for diagnosis of Ehler Danlos using the Brighton Criteria?

A

2 major criteria OR -

1 major + 2 minor OR -

4 minor OR -

2 minor and an affected first degree relative

39
Q

What are 3 potential therapies/plans for a patient diagnosed with Ehler Danlos?

A

Physical therapy for joint stabilization

Medications for pain

Surgery to repair joints as needed