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Extremities > Screening > Flashcards

Screening Flashcards

1
Q

When is systems review performed?

A

every pt seen

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2
Q

When is screening exam performed?

A

select pts only

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3
Q

What are components of screening exam?

A

active ROM
passive ROM
Resisted Isometrics (RI)
Neurologic exam

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4
Q

Neuro exam components

A
  • Dermatome -light touch and/or pain
  • Myotome-isometric contraction at mid range (4-6 second hold
  • Deep tendon reflexes
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5
Q

Active ROM components

A

symmetry

quality of motion

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6
Q

How is RI or RROM performed?

A

isometric contraction (4-6 second hold)

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7
Q

What intensity is used initially for RI and myotome testing?

A

25%

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8
Q

What response corresponds to positive RI or myotome test?

A

pain or wincing

stop the test

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9
Q

What’s the difference bw Myotome-isometric contraction and RI?

A

Position
Myotonic: mid range
RI: neutral/anatomical position

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10
Q

Examples of inert or Non-Contractile tissues?

A

ligament, bursa

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11
Q

Examples of contractile tissues?

A

muscle, tendon, the attachments to bone, and nervous tissue supplying the contractile tissue

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12
Q

When would you r/o contractile tissues as source of sx?

A

If muscles are strong and painless

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13
Q

What are you assessing with myotomal testing?

A

N. Root Integrity (weakness)

Assessed midrange - strongest point of motion/muscle

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14
Q

What are you assessing with dermotomal testing?

A
  • Assessing N. Root Integrity (sensory)
  • Assessing area of “pure” dermatome, thus only one aspect of dermatome
  • If altered - need to assess entire dermatome in order to r/o peripheral nerve problem
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15
Q

Upper quadrant reflex testing:

A
  • C5 - Biceps
  • C6 - Brachioradialis
  • C7 - Triceps
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16
Q

Strong and Painless?

A

R/O muscle-tendon unit; no pathology

17
Q

Strong and Painful?

A

Minor lesion in muscle-tendon unit; no neurological pathology

18
Q

Weak and Painless?

A

(some time after trauma)
Possible complete rupture of muscle-tendon unit
Possible neurological cause-either peripheral or nerve root origin

19
Q

Weak and paunful?

A

Possible Partial rupture of muscle -tendon unit
Possible Pain inhibition
Possible Concurrent neurologic pathology

20
Q

All movements hurt?

A

Medically incongruent pain; acute inflammation

Extremities (12 decks)

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