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Kinesiology > Selective Tissue Tensioning > Flashcards

Selective Tissue Tensioning Flashcards

1
Q

what are the 5 principles of diagnosis for soft tissue injuries?

A
  1. look for “inherent likelihoods”
  2. look for objective physical signs
  3. Palpation
  4. selective tensionoing: non-contractile vs contractile tissue
  5. The “pain” is the pain for which the pt. is seeking treatment
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2
Q

T/F: palpation is helpful but can be unreliable

A

TRUE
some things are just naturally tender to palpate which can often be misinterpreted

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3
Q

list different types of contractile tissues

A
  1. tendons
  2. muscles
  3. musculotendinous junction
  4. bone adjacent to attachment of tendon
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4
Q

a contractile tissue will have stress with what 3 tests/things?

A
  1. isometric contraction
  2. stretching
  3. palpation
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5
Q

List different non-contractile tissues

A
  1. joint capsules
  2. ligaments
  3. bursae
  4. aponeuroses
  5. nerves
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6
Q

a non-contractile tissue will have stress with what?

A
  1. stretch
  2. palpation

*no increase in discomfort/stress with isometric contraction

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7
Q

when testing active and passive movements, what things should you observe/look for?

A
  1. pain
  2. ROM
  3. quality of movement
  4. willingness to move
  5. compare AROM, PROM, resistance testing and palation between involved and uninvolved side
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8
Q

T/F: you do not need to manually test a muscle through it’s full ROM

A

It depends

only to rule out/rule in a suspicous area

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9
Q

when palpating a stationary joint what things are you looking for?

A
  1. temperature
  2. swelling
  3. gaps
  4. tenderness
  5. pulsation
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10
Q

when palpating a moving joint what things are you looking for?

A
  1. crepitus
  2. clicks
  3. end-feel
  4. hypermobility
  5. hypomobility
  6. willingness to move
  7. pain
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11
Q

what can you use to help you make a decision/diagnosis when the pt is in severe or slight pain?

A
  1. pt. history
  2. functional testing - try to recreate their pain in a motion
  3. ask them to return when symptom returns
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12
Q

what AROM results should you expect for a muscle/tendon strain, tendonitis or possible small tear?

A

likely limited due to pain and/or weakness

may be able to move through full ROM but with pain

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13
Q

what PROM results should you expect from a muscle/tendon strain, tendonitis or possible small tear?

A

if truly passive: should have full pain free motion in all directions

EXCEPT

direction which stretches involved area may be limited due to pain (empty end feel)

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14
Q

what isometric/MMT results should you expect from a muscle/tendon strain, tendonitis or possible small tear?

A

likely weak and painful when testing involved area

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15
Q

what palpation results should you expect when testing a muscle/tendon strain, tendonitis or possible small tear?

A

involved area painful to palpation

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16
Q

what AROM results should you expect from a muscle or tendon complete tear?

A

very limited due to weakness

likely not as much pain as seen w/partial tear, but much more weakness

17
Q

what PROM results should you expect from a muscle or tendon complete tear?

A

if truly passive: full pain free motion in all directions

EXCEPT
direction that stretches involved area, may be limited due to pain (empty end feel) if a muscle is guarding in the area

18
Q

what isometric/MMT results should you expect from a muscle or tendon complete tear?

A

extremely weak

19
Q

what palpation results should you expect from a muscle or tendon complete tear?

A

involved area painful to palpation

20
Q

what AROM results should you expect to see from a joint capsule injury?

A

limited

possibly painful at end ranges

21
Q

what PROM results should you expect to see from a joint capsule injury?

A

limited in same direction as AROM with firm end feel

possibly painful at end ranges

22
Q

what Isometrics/MMT results should you expect to see in a joint capsule injury?

A

if done at mid range - shouldn’t produce sig pain and should be strong

may have pain due to compensation or guarding of surrounding muscles

23
Q

what Palpation results should you expect to see in joint capsule injury

A

depends on depth of joint capsule

most of the time, cannot palpate deep enough to feel joint capsule

surrounding structures may be inflammed and cause discomfort with palpation

24
Q

T/F: if the AROM or PROM loss doesn’t match the capsular pattern for that joint it is prob not an issue with the joint capsule

A

FALSE

can still be the joint capsule even if it doesn’f follow the capsular pattern.

25
Q

what AROM results should you expect to see in a ligament injury?

A

full but pain at end ranges that stretch the ligament

26
Q

what PROM results should you expect to see in a ligament injury?

A

full but pain at end range that stretches the ligament

27
Q

what Isometric/MMT results should you expect from a ligament injury?

A

strong and no pain when tested in mid range

UNLESS there is guarding in area

28
Q

What Palpation results should you expect to see in a ligament injury?

A

involved ligaments are painful to palpation

Kinesiology (13 decks)

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