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Conditions > Station 3 - Assessment > Flashcards

Station 3 - Assessment Flashcards

1
Q

Spasm Posture and Gait

A

Antalgic: a walking pattern that’s usually caused by pain

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2
Q

Spasm Palpation

A

Tone: HT in affected muscle, may also be in antagonists/synergists
Temp: hot if inflamed, cool if ischemic
Tender: in affected muscle
Texture: firm, dense, congested (spasmodic), hard fibrous (intrinsic)

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3
Q

Spasm ROM

A

ARROM: decreased in joint that is crossed by affected muscle, pain

PROM: decreased in joint that is crossed by affected muscle (spasm end feel), pain

ARROM: DO NOT DO WHEN MUSCLE IS IN ACUTE SPASM
>AR submaximal isometric: decreased strength with pain on contraction if intrinsic

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4
Q

Spasm Neuro

A

Not indicated

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5
Q

Spasm Special Tests

A

Confirmation:

Differentiate: Ramirez (DVT), Homan’s Sign (DVT)
local massage contraindicated if positive

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6
Q

Edema Posture/Gait

A

Possible Antalgic: a walking pattern that’s usually caused by pain

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7
Q

Edema Palpation

A

Temp: hot if trauma, cool/warm from congestion or chronic
Tone: firm in acute
Texture: Boggy or taut
Tenderness: Possible

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8
Q

Edema ROM

A

AFROM: reduced based on severity of edema

PROM: reduced based on severity of edema

ARROM: N/A

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9
Q

Edema Neuro

A

Not indicated

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10
Q

Edema Special Tests

A

Confirm: swelling/edema girth measurement compared to unaffected side

Differentiate:
Pitted Edema Test

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11
Q

Strain Posture & Gait

A

Antalgic: pattern of pain in affected limb with swelling/bruising near site, possible visible gap

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12
Q

Strain Palpation

A

Temp: heat (acute) diminishes to cool (chronic)
Text: thick, fibrous, possible adhesions or palpable gap (progressively less firm)
Tender: point tender proximal/local to injury site, may have referred pain
Tone: spasm (acute), HT/TP (subacute), disuse atrophy (chronic)

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13
Q

Strain ROM

A

AFROM: decreased with pain
PROM: decreased with pain, spasm or tissue stretch EF in ranges that stretch muscle
ARROM: mostly painless, normal strength (decrease with grade 3 from disuse)

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14
Q

Strain Neuro

A

Not indicated

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15
Q

Strain Special Tests

A
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16
Q

Sprain Posture and Gait

A

Antalgic: pattern of pain in affected limb with swelling/bruising proximal to site

17
Q

Sprain Palpation

A

Temp: heat in affected and surrounding tissue, diminishes to cool in chronic
Text: edema onsite/distally, decreases with each SOH from firm to boggy, possible adhesions in chronic
Tender: point tender local to injury/lesion
Tone: tone decreases with each SOH from spasm to HT to disuse atrophy, TPs locally and in compensatory

18
Q

Sprain ROM

A

AFROM: decreased with pain
PROM: decreased with pain, spasm or empty EF test injured range last
ARROM: isometric is strong and painless if purely ligament

19
Q

Sprain Neuro

A

Not indicated

20
Q

Sprain Special Tests

A
21
Q

Cruciate Posture & Gait

A

Posture: affected knee often in flexion
Gait: Antalgic (painful)

22
Q

Meniscus Posture & Gait

A

Posture: affected knee often in flexion
Gait: Antalgic (painful)

23
Q

Cruciate Palpation

A

Temp: heat in affected knee
Tender: painful TPs in hip flexors
Text: adhesions in surrounding muscles, boggy edema around knee
Tone: HT in surrounding muscles, possible mild spasm

24
Q

Meniscus Palpation

A

Temp: heat in affected knee
Tone: Ht in surrounding muscles, possible mild spasm
Tender: painful TPs in hip flexors
Texture: adhesions in surrounding muscles, boggy edema around knee

25
Q

Cruciate ROM

A

AFROM: ACL- decreased in extension, PCL-decreased in flexion
PRROM: ACL-decreased extension with tissue stretch or empty EF, PCL-decreased in flexion with tissue stretch or empty EF
ARROM: normal and pain free

26
Q

Cruciate Neuro

A

Not indicated

27
Q

Meniscus Neuro

A

Not indicated

28
Q

Meniscus ROM

A

AFROM: pain and decreased ROM in flexion and extension
PRROM: pain and decreased ROM in flexion and extension with spring block or spasm EF
ARROM: pain in flexion and extension

29
Q

Whiplash Posture and Gait

A

Posture: head forward position, shoulders elevated, bilateral muscle guarding
Gait: Antalgic - painful with decreased arm swing on affected side

30
Q

Whiplash Palpation

A

Tone: spasm (acute), HT/TP (subacute/chronic), possible disuse atrophy (chronic)
Temp: heat (acute) to cool (chronic)
Tender: local point tenderness
Text: firm edema (acute), adhesions (subacute)

31
Q

Whiplash ROM

A

AFROM: decreased with pain
PRROM: decreased with pain, empty or tissue stretch EF
ARROM: normal

32
Q

Whiplash Neuro

A

Cervical Indicated

33
Q

Whiplash Special Tests

A

Conditions (7 decks)

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