Seminar Information Flashcards
Phases of assessment
Initial introduction, general assessments, screening tests, specific tests, verification tests
Initial introduction to the client
Patient history and consultation, visual inspection.
General assessments
Palpation, ROM end-feel and gait/posture analysis
Screening tests
Are used to determine whether or not the patient can withstand further testing.
Other name for screening tests
Integrity tests.
Screening test examples
Active ROM and neurological tests.
Specific tests
Focus on a specific muslce or joint.
Verification tests
Tests to follow up the specific tests. Help determine the reasons for limitations.
APR
Active, passive, resisted testing. Can test for a weak agonist, tight antagonist or joint dysfunction.
Exercise rehab
Includes client aftercase instructions
Intent
The immediate goals of a technique.
Therapeutic goal
The long term treatment goal
Extrinsic technique
Techniques performed by the therapist on the client.
Examples of extrinsic techniques
Effleurage, petrissage, ischemic compression, strain counterstrain, muscle stripping, MLD, myofascial work and goading
Goading
Passive stretching through a neurological reflex.
Intrinsic techniques
Techniques in which the client is an active participant.
Intrinsic technique examples
Muscle energy techniques, PNF, isometric intrinsic mobilization, assisted and facilitated stretching.
Exercise rehab technique examples
RICE, ROM, static strength and endurance, adjustment of ADLs.
ADL
Activities of daily living
PNF
Proprioceptive neuromuscular facilitation
Muscle energy techniques
Any technique which utilizes muscular contraction.
Isometric intrinsic mobilization
Muslce is stretched to the first elastic barrier, then contracted for 10 seconds, then stretched further on the exhale.
Types of effects that massage can have on the body.
Mechanical or neurophysiological.
Examples of mechanical effects on the body
Disruption of adhesions
Progression from adhesions
Adhesions can develop into fibrosis and then scarring.
Examples of neurophysiological effects of massage
The stimulations of sense organs.
Preloaded cross fiber frction
Stretch the MT junction via muscular contraction, then friction at the MT junction.
Active ROM tests what?
The strength of the agonist, the lenth of the antagonist and the joint condition.
Passive ROM tests what?
The length of the antagonist and the joint condition.
Resisted ROM tests what?
The strength of the agonist and a bit on the joint condition.
Cervical ACROM
Observe flexion, extensions, lateral flexion and rotation. Observe for abnormalities.
What to watch for in flexion and extension in cervical ACROM
Any deviation from the sagittal plane.
What to watch for in rotation in cervical ACROM
Symmetry and smoothness
What to watch for in side bending in cervical ACROM
Symmetry between the two sides.
A positive test result in cervical ACROM
Pain in 3 or more ranges of motion.
Vertebral Basilar Insufficiency (VBI) test
Patient fully extends and fully rotates the neck. They hold this for 30 seconds and the therapist watches for neurological symptoms.
Vertebral basilar insufficiency
Neurological symptoms brought on by insufficient bloodflow to the brain.
Which arteries are tested in a VBI test?
Vertebral and carotid on both sides.
