ROM, Somatic Dysfunction And Barriers (Lab And Lecture) Flashcards
Which one is greater, passive ROM or active ROM?
Passive
What type of barrier is the limit of active motion?
Physiologic barrier
What type of barrier is the range between the physiologic and anatomic barrier (end of passive motion)?
Elastic barrier
What type of barrier is the limit imposed by a structure?
Anatomic barrier
What type of barrier is the functional limit that abnormally diminishes the normal physiologic ROM?
Restrictive barrier
What types of motion occur in a sagittal plane?
Flexion/extension
What types of motion occur in a frontal (coronal) plane?
Sidebending
What types of motion occur in a horizontal (transverse) plane?
Rotation
[also horizontal adduction and horizondal abduction of shoulder joint]
The type of joint dictates the type of motion (structure/function interrelationship). What are the 3 types of joints defined in OS?
Fibrous
Cartilaginous
Synovial
What type of joints are the skull articulations?
Fibrous
What type of joints are the discs between vertebrae?
Cartilaginous
What types of joints are commonly found in the extremities?
Synovial
What are the 6 types of synovial joints?
Pivot (between C1/C2) Hinge (elbow) Saddle (thumb) Ball and socket (hip) Condyloid (radius and wrist) Plane (between tarsals)
Motion has what 3 major components?
Direction (flexion, extension, etc.)
Range (actual degrees)
Quality (smooth, ratcheting, restricted)
What type of end-feel is like a rubber-band?
Elastic
What type of end feel is found in osteoarthritis, or a hinge joint?
Abrupt
What type of end-feel is found in somatic dysfunction?
Hard end-feel
What type of end-feel stops due to guarding (patient doesn’t allow motion due to pain)
Empty
What end-feel involves involuntary muscle guarding as in a pinched nerve?
Crisp
________ 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
Flexibility
What are the two major types of flexibility?
Static
Dynamic
What type of flexibility is characterized by the ROM an athlete can produce and the speed at which they can produce it?
Dynamic flexibility
What type of flexibility is characterized by the maximal ROM a joint can achieve with an externally applied force?
Static flexibility
_______ is a term used to describe reduced flexibility in ROM of a joint or group of joints
Stiffness
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 _________ _________
Coupled motion
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?
Two vertebrae, their associated disc, neurovascular and other soft tissues
[functional spinal unit = aka vertebral motion segment]
Which area of the spine displays some of the greatest motion?
Cervical spine
What is the concept of coupled motion, especially as it applies to the spine?
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
__________ refers to the relationship of joint mechanics with surrounding structures, meaning that specific joint assessment requires joint isolation for accurate measurement and evaluation
Linkage
Someone with a vitamin C deficiency might be diagnosed with what condition?
Scurvy
A patient presenting with blue sclera and a history of multiple fractures might be diagnosed with what condition?
Osteogenesis imperfecta
A patient presenting with collagen dysfunction, joint hypermobility, and stretchy skin might be diagnosed with what condition?
Ehler Danlos syndrome
A patient presenting with deafness, kidney dysfunction, and pre-auricular skin tags might be diagnosed with what condition?
Alport syndrome
A patient presenting with a copper deficiency resulting in kinky hair, growth failure, and deterioration of nervous system might be diagnosed with what condition?
Menkes disease
The ________ score and the ________ criteria are required for the diagnosis of Ehlers Danlos syndrome
Beighton; brighton
What are the major Brighton criteria for Ehlers Danlos?
Beighton score of >4
Arthralgia for >3 months in 4+ joints
What are the minor Brighton criteria for Ehlers Danlos?
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
What are the requirements for diagnosis of Ehler Danlos using the Brighton Criteria?
2 major criteria OR -
1 major + 2 minor OR -
4 minor OR -
2 minor and an affected first degree relative
What are 3 potential therapies/plans for a patient diagnosed with Ehler Danlos?
Physical therapy for joint stabilization
Medications for pain
Surgery to repair joints as needed
