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CFS > The Evaluation, Functional Tests > Flashcards

The Evaluation, Functional Tests Flashcards

1
Q

Which portion of the evaluation is considered by the CFS authors to be one of the most comprehensive components of a back care program?

A

The Subjective Evaluation

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2
Q

What are the purposes to a subjective evaluation?

A

Establish a rapport with the patient
Gain information about the patient’s functional status, lifestyle, symptoms, etc.
Assist the patient in self assessment and becoming responsible for his/her problem

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3
Q

When should objective data be graded?

A

As often as possible

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4
Q

What questions should be asked about a patient’s pain each time they are seen to determine progress and current presenting symptoms?

A

Location of pain
Frequency of pain
Duration of pain
Intensity of pain

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5
Q

Immediate onset of pain is typical of pain that is ________ in nature

A

Mechanical

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6
Q

Delayed onset of pain is typical of pain that is _________ in nature

A

Inflammatory

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7
Q

Pain with an immediate onset can be linked to _____________

A

A specific movement, activity, or posture

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8
Q

Pain with an immediate onset can or cannot be monitored by a patient during treatment and exercise?

A

Can

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9
Q

When a patient is not able to determine what aggravated their symptoms this is most likely due to a _________ onset of pain

A

Delayed.

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10
Q

A therapist can minimize the problems that a delayed onset of symptoms can created by _______

A

Limiting the treatment performed.

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11
Q

Patients with delayed onset of pain need to be placed on a _____________

A

Progressive Exercise Program.

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12
Q

Questions related to ADL response that are important for therapists building corefirst strategies are:

A

Aggravating activities

Easing activities

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13
Q

It can be helpful to classify functionally a patient into one of the following categories related to activity based pain:

A

Load Sensitive
Pressure Sensitive
Position Sensitive
Stasis Sensitive

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14
Q

The person who came up with functional classifications in pain was _____________

A

Eileen Volowitiz

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15
Q

The Saliba functional classification is a ratio of two components, the first is the ___________ the second is the _____________

A

Thoracic block position over the pelvis

Angulation of the thoracic block.

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16
Q

Efficient alignment in the saliba postural classification lines up the _________ over the __________

A

Diaphragm

Pelvic Floor

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17
Q

When confirming a vertical/posterior posture by VCT will cause __________________

A

Accentuated extension in T/L region and upper lumbar region

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18
Q

When confirming a posterior/posterior posture by VCT will cause __________________

A

Accentuated extension in lumbar spine coupled with a forward shear of the pelvis

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19
Q

When confirming a posterior/anterior posture by VCT will cause __________________

A

Slight flexion in the thoracic and upper lumbar spine coupled with a forward shear of the pelvis.

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20
Q

When confirming an anterior posterior posture by VCT will cause __________________

A

Extension in the upper/mid lumbar and posterior shear of the pelvis.

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21
Q

When confirming an anterior posterior posture by VCT will cause __________________

A

Overall flexion of the trunk

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22
Q

Using a vertical compression test as a pre test allows the therapist to:

A

Demonstrate the effect of mechanical, neuromuscular, or motor control dysfunctions on ACE and strength to patient
Gather objective data related to the patients structural and functional strategies

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23
Q

Using Vertical Compression as a post test allows the therapist to:

A

Demonstrate to the patient the effect of efficient structure on alignment and ACE.

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24
Q

The purpose of the vertical compression test is:

A

To use vertical loading on the system to confirm the Saliba Postural Classification System and Identify Mechanical Stress Points

25
Q

During a vertical compression test the therapist is evaluating and recording:

A

The translation of the applied force through the kinetic chain and into the base of support.

26
Q

The patient’s position during the VCT is

A

Any weight bearing position

In standing the patient is asked to stand in a neutral position and relax everything but the knees.

27
Q

During a vertical compression test the therapist must ensure that their forearms are _______ to the floor at all times

A

Vertical

28
Q

During a vertical compression test in standing the hands are placed on the patient’s shoulders between the _______ and the _______

A

Acromion

First Rib Insertion

29
Q

For a vertical compression test in sitting the hands may be placed on the hands or on the ______ to determine its position for sitting

A

Pelvis

30
Q

When performing a VCT you should not lean on the patient as this will __________

A

Pre Activate a response

31
Q

A grade of 1 on a VCT is the amount of pressure needed to:

A

Feel the pressure of the patient’s bony surfaces through the soft tissue covering the carpal ridge.

32
Q

A score of three on a VCT is _________ times the pressure of a grade of one

A

Three

33
Q

An efficient response on a VCT is on in which the pressure applied by the therapist translates evenly into the __________

A

Base of support

34
Q

An efficient end feel for a vertical compression test is _________

A

Springy

35
Q

The base of support that should be felt during a vertical compression is __________ for standing and ________ for sitting

A

The arch of the foot into the second ray

The pelvic floor

36
Q

An inefficient response for a vertical compression test causes the spine to ________ or is a _________ end feel

A

Move

Hard

37
Q

During a vertical compression test a hard end feel of the whole body indicates:

A

A holding pattern

38
Q

When a vertical compression test is graded the grade is the level at which

A

The dysfunction or failure is noted

39
Q

As well as the grade, ___________ should be included with documentation of a vertical compression test

A

Description of the associated compensatory dysfunction

40
Q

PHIT during functional testing stands for:

A

Position
Hover
Instruct
Test

41
Q

The purpose of the Elbow Flexion Test is

A

To test the proper timing of core and global muscles in response to an external load through the forearms and confirm findings of the CoreFirst Based Postural Classification System

42
Q

When Evaluating an Elbow Flexion Test the therapist looks for firing in this sequence of muscles

A

Core
Scapular Stabilizers
Global Arm Muscles
Global Balance Response

43
Q

During an elbow flexion test the patient’s arms are flexed to ______ degrees and the patients forearms are __________

A

90

Supinated (Loose packed position)

44
Q

During an elbow flexion test the patient’s arms are positioned with the humerus _________ to the floor

A

Perpendicular

45
Q

During an elbow flexion test the patient is not allowed to use __________ to assist in stabilization

A

Shoulder adduction

46
Q

When testing an elbow flexion test the therapists arms must be ____________

A

Perpendicular to the floor or Vertical

47
Q

The verbal command given when performing an elbow flexion test is:

A

Don’t let me straighten your elbows.

48
Q

A grade of one on the elbow flexion test is defined as:

A

The amount of pressure required to feel the bones of your hands on the bones of the patient’s forearms

49
Q

An Efficient state for the elbow flexion test is one in which the patient can

A

Maintain the elbow position through automatic engagement of core, rotator cuff, shoulder girdle, and global shoulder and arm muscles

50
Q

In the inefficient state during the EFT the patient will attempt to maintain the position with _______ muscles, will give at the ___________ or will lose their __________

A

Global
Arms, shoulder girdle, or spine
Balance

51
Q

The purpose of the Lumbar Protective Mechanism is to:

A

Determine the patient’s automatic trunk response to external force

52
Q

The components of the lumbar protective mechanism to be evaluated are

A

Initiation
Strength
Endurance

53
Q

When testing a patient’s lumbar protective mechanism it is best to stand in the ________ of movement

A

Diagonal

54
Q

When testing a lumbar protective mechanism the hands are placed on the anterior aspect of the patient’s ________ region just below the ___________

A

Shoulder

Coracoid process

55
Q

When placing hands for a lumbar protective mechanism a _______ grip is used

A

Lumbrical

56
Q

During testing of an LPM the core can only respond with slow pressure, the test is then graded as ________ initiation

A

Sluggish

57
Q

Endurance for the LPM is tested up to _______ seconds

A

30

58
Q

During an LPM the patient is allowed to give at the ___________ but not the trunk or hips

A

Ankles

CFS (5 decks)

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