Test Flashcards

1
Q

Dorsal Compartment I

A

APL

EPB

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2
Q

Dorsal Compartment II

A

ECRL

ECRB

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3
Q

Dorsal Compartment III

A

EPL

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4
Q

Dorsal Compartment IV

A

ED

EI

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5
Q

Dorsal Compartment V

A

EDM

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6
Q

Dorsal Compartment VI

A

ECU

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7
Q

TAM

A

(MP+PIP+DIP flex) - (MP+PIP+DIP ext loss)

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8
Q

grip tests (3)

A

standard
5 level
rapid exchange

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9
Q

pinch tests (3)

A

lateral
3 point
2 point

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10
Q

Wound Assessment (6)

A

SCOTDD

size color odor temp depth drainage

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11
Q

Lateral Epicondylosis

A
ERCB most common (EDC 2nd)
night ache morning stiffness
pain w/ grip
decreased grip w/ elbow ext
tightness in extrinsic extensors
orthoses: 35 deg ext
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12
Q

Cozen’s Test

A
for lateral epicodylosis
examiner's thumb on lat epicondyle
forearm pronated, fist, wrist ext, radial deviation
apply resistance
\+ w/ pain
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13
Q

Mill’s Elbow Test

A

for lateral epicondylosis
palpate most tender aspect
pronate, wrist full flex while moving elbow to flex/ext
+ w/ pain

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14
Q

Middle Finger Test

A

for lateral epicondylosis
extend elbow and hand and apply resistance to tip of the middle finger
+ = Radial Tunnel instead of Lat Epicondylosis

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15
Q

Medial Epicondylosis

A

PT, FCR, PL (FCU/FDS)
less common than lat
pain over medial epicondyle
orthoses: wrist neutral

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16
Q

DeQuervain’s

A

APL/EPB
pain over radial styloid w/ resistive thumb ext/abd
4x more common in women

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17
Q

Finkelstein’s Test

A

for DeQuervain’s
fist over thumb, press to ulnar deviation
+ w/ pain

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18
Q

Treatment: Lateral Epicondylosis

A

Non Operative
ACUTE: orthoses 35 deg wrist ext, heat, ice, friction massage, AROM, gentle isometrics, short arc movements ECRB, prox distal strengthening
RESTORATIVE: flexibility, strength, endurance, graded conditioning, ergonomics, increased isometrics, add eccentric

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19
Q

Treatment: Medial Epicondylosis

A

Non Operative
ACUTE: orthoses wrist neutral, heat, ice, friction massage, AROM, gentle isometrics, short arc movements PT/FCR/PL, prox distal strengthening
RESTORATIVE: flexibility, strength, endurance, graded conditioning, ergonomics, increased isometrics, add eccentric

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20
Q

Treatment: DeQuervain’s

A

Non Operative
thumb spica - IP free
isometrics of ADL and EPB, short arc AROM, isolated wrist flex/ext, isolated thumb IP flex/ext
add strengthening, eccentric ex w/ caution

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21
Q

Digital Stenosisning Tenosynovitis

A

Trigger Finger

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22
Q

Trigger Finger

A

thickening of flexor tendon preventing gliding through a pulley
A1 pulley most common (volar to MP joint)
ring and thumb most common

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23
Q

Treatment: Trigger Finger

A
Non Operative
refrain from aggravating activities
orthosis
modalities
tissue massage (ASTYM,SASTM)
taping
Operative: surgical release of pulley
most do not need therapy
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24
Q

Cervical Screen

A

ROM Testing
Repeated Motion Testing
Cervical Radiculopathy Test Cluster

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25
Q

Cervical Radiculopathy Test Cluster (4)

A

Spurling’s
Cervical Distraction
Cervical Rotation ROM
Upper Limb Neurodynamic Test

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26
Q

Spurling’s Test

A

for cervical radiculopathy
lateral cervical flexion to end range and apply 7 kg axial compression
+ w/ pain

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27
Q

Cervical Distraction Test

A

for cervical radiculopathy
patient supine head neutral
place hand under chin and base of skull and distract C - spine
+ w/ relief/decrease symptoms

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28
Q

Cervical Rotation ROM

A

for cervical radiculopathy
measure with goni
+ w/ 60> deg ROM toward involved side

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29
Q

Upper Limb Neurodynamic Test

A

for cervical radiculopathy

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30
Q

Thoracic Outlet Syndrome Regions (4)

A

sternocostovertebral space
scalene triangle
costoclavicular space
pectoralis minor space

31
Q

Proximal Humerus Fx

A

most common fx of the humerus

may involve articular surface, greater tubercle, lesser tuberosity, or surgical neck

32
Q

Precautions: Proximal Humerus Fx

A

RC injuries often overlooked
high risk for adhesive capsulitis
many have concurrent axillary nerve or brachial plexus injury so screen at eval

33
Q

Adhesive Capsulitis

A

frozen shoulder

primary: idiopathic secondary: precipitates event

34
Q

Freezing Phase

A

shoulder pain interrupting sleep
pain w/ ADLs
pain at rest
ROM close to full with pain before end range
nonspecific tenderness at ant, lat, and post aspects
over 2-9 months pain subsides and turns to typical FS pain at end range

35
Q

Frozen Phase

A

may last up to 1 year
distinct movement patterns as client attempts to substitute ST motion to compensate for lack of GH mobility
pain with stretching joint capsule at end range

36
Q

Thawing Phase

A

gradual return of motion

last up to 26 months

37
Q

Precautions: Adhesive Capsulitis

A

don’t push ROM during freezing phase to point that lasts beyond a few minutes–will enhance inflammatory/fibrosing process
self-imposed immobilization by client

38
Q

Glenohumeral Instability - TUBS

A
"torn loose"
T raumatic etiology
U nidirectional instability
B ankhart lesion
S urgery required
39
Q

Glenohumeral Instability - AMBRII

A
"born loose"
A traumatic or microtrauma
M ulitdirectional instabilty
B ilateral symptoms
R ehab is treatment of choice
I nferior capsular shift
I nterval between supraspinatus and subscapularis closed surgically if conservative measures fail
40
Q

SLAP Lesion

A

Superior Labrum Anterior to Posterior

41
Q

Treatment: GH Instability NonOP

A

strengthen RC and subscap stabilization

42
Q

Treatment: GH Instability Op

A

in AMBRII - only after 3 month rehab failed
most common: Open Inferior Capsular Shift or Arthroscopic Capsular Plication
less common: Thermal Capsulorrhaphy

43
Q

Precautions: GH Instability

A

do not perform end range or grade IV joint mobs/stretches on client with MDI
clients w/ anterior instability need posterior capsule stretched - avoid anterior stretch
pay close attention to ROM restrictions for postop patients

44
Q

Rotator Cuff Disease

A

70% shoulder disorders related to RC disease

structures involved: muscles of RC, long head of biceps tendon, subdeltoid-subacromial bursa, and CA arch

45
Q

Extrinsic RC Lesions

A

result from repeated impingement of RC tendon against different structures of GH joint

46
Q

Intrinsic RC Lesions

A

result from age-related degeneration of RC tendon

related to vascularization of RC cuff and are on articular side of tendon

47
Q

Neer’s Three-Stage Classification of Impingement Syndrome

A

Stage I: 40 years old, bone spurs and tears of RC and long head of biceps tendon

48
Q

Precautions: Rotator Cuff Disease

A

watch for tight posterior capsule
if showing impingement signs, take care to avoid impinging shoulder during overhead motions
monitor for excessive scapular elevation
discourage clients from sleeping on involved side

49
Q

Elbow Fx (3)

A

radial head
olecranon
distal humeral

50
Q

Radial Head Fx

A

FOOSH

most common in adults

51
Q

Olecranon Fx

A

relatively common in adults
result from fall onto bent elbow or direct blow
majority are displaced
most require operative care

52
Q

Distal Humeral Fx

A

relatively uncommon (2%)
most frequent in young males or females over 80
associated with higher velocity injuries in younger individuals
can occur from simple fall in older individuals with poor bone stock

53
Q

Heterotrophic Ossicifcation

A

bone in nonosseous tissues

may develoop following fx to distal humerus

54
Q

Precautions: Elbow Dislocation

A

avoid combining end range elbow extension and supination for first 6 weeks

55
Q

Varus Elbow Instability

A

lateral collateral ligament insufficiency

usually results from elbow dislocation

56
Q

Valgus Elbow Instability

A

medial collateral ligament insufficiency

usually chronic resulting from repetitive stresses such as overhead throwing

57
Q

Precautions: Elbow Instability

A

avoid elbow ext with sup for at least 8 weeks
avoid shoulder abd with IR for at least 12 weeks following varus LCL repair
be alert for nerve symptoms

58
Q

Stiff Elbow

A

frequent complication of elbow dislocation, fraction, head injury, and burns
multiple contributing factors

59
Q

Seddon’s Classification - PN (3)

A

neuropraxia
axonotmesis
neurotmesis

60
Q

Neruopraxia

A

injury - mild

recovery

61
Q

Axonotmesis

A

injury - severe
regeneration - 1mm/day
recovery

62
Q

Neurotmesis

A

injury
degeneration
neuroma formation

63
Q

Sunderland’s Classification PN - Degree 1

A

structures remain intact

local conduction block and dymyelination

64
Q

Sunderland’s Classification PN - Degree 2

A

axonal disruption with distal (Wallerian) degeneration

65
Q

Sunderland’s Classification PN - Degree 3

A

disruption of axons and endoneurial tubes

fascicles remain intact

66
Q

Sunderland’s Classification PN - Degree 4

A

disruption of axons, endoneurial tubes

only epineurium intact

67
Q

Sunderland’s Classification PN - Degree 5

A

complete nerve transection

68
Q

Radial Nerve Palsy

A

most commonly injured peripheral nerve
fx of humerus (1:10 have radial nerve complications)
elbow dislocation
Monteggia fx-dislocation

69
Q

High Radial Nerve (4)

A

triceps
anconeus
brachioradialis
ECRL

70
Q

Low Radial Nerve (9)

A
ECRB
supination
EDC
EDM
ECU
APL
EPL
EPB
EIP
71
Q

High Median Nerve (7)

A
PT
FCR
PL
FDS
FDP (index and long)
FPL
PQ
72
Q

Low Median Nerve (4)

A

OP
FPB (superficial head)
APB
Lumbricals (index and long)

73
Q

High Ulnar Nerve (2)

A

FCU

FDP (ring and small)

74
Q

Low Ulnar Nerve (8)

A
ADM
ODM
FDM
Lumbricals (4 and 3)
3 palmar interossei
4 dorsal interossei
FPB (deep head)
Add Pol