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NBCOT Study > UE eval and intervention > Flashcards

UE eval and intervention Flashcards

1
Q

What is the 10% rule when testing hand strength

A

Dominant hand possesses 10% greater grip strength than the nondominant hand

-mostly in R handed people

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2
Q

which soft tissues are contractile

A

-muscle
-tendon

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3
Q

which soft tissues are inert

A

-capsule
-ligament
-bursa
-fascia
-dura mater
-nerve

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4
Q

sequencing of pain with PROM assessment

A

-pain before end-range = acute irritation
-pain at end range = subacute irritation
-pain with overpressure- chronic irritation

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5
Q

At which point in the pain sequence is it indicated the tissue is ready for stress

A

chronic irritation

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6
Q

Describe acute pain

A

-0-4 days
-inflammatory stage of healing
-anti-inflammatory treatments

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7
Q

RICE

A

rest
ice
compression
elevation

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8
Q

Describe Subacute pain

A
  • 4 days - 3 months
    -body starts to repair itself, often with medical intervention
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9
Q

Describe chronic pain

A
  • 3 months or longer
  • substantial tissue damage
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10
Q

Acute on chronic pain

A

acute re-exacerbation of long-standing chronic condition

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11
Q

Joint capsule

A

outer fibrous layer or membrane enclosing a joint

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12
Q

capsular pattern

A

loss of motion in a predictable pattern for that joint

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13
Q

Shoulder joint capsular pattern

A

loss in ER, ABD, and IR or flexion

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14
Q

wrist capsular pattern

A

supination and/or extension, and flexion

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15
Q

with isometric contraction what does a strong and painless reaction indicate?

A

normal

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16
Q

with isometric contraction what does a strong and painful reaction indicate?

A

minor lesion in contractile unit

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17
Q

with isometric contraction what does a weak and painless reaction indicate?

A
  • major lesion
  • complete tear with neurologic involvement
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18
Q

with isometric contraction what does a weak and painful reaction indicate?

A
  • major lesion
  • partial muscle tear or fracture
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19
Q

intrinsic vs extrinsic muscles

A

intrinsic - origin and insertion are within the hand
extrinsic - origin is not within the hand

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20
Q

Lag vs contracture

A

lag- PROM normal, AROM limitation
Contracture- PROM limitation of joint

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21
Q

Touch awareness testing

A

light vs deep pressure
can they feel any pressure

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22
Q

testing temperature awareness

A

warm vs cool temps

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23
Q

proprioceptive sensation

A

-movement awareness
-joint position awareness

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24
Q

cortical sensory function testing

A

-stereognosis and graphesthesia

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25
Q

two-point discrimination testing

A

static and moving two points

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26
Q

Describe desensitization

A
  • to build tolerance or stimulation
    -for hypersensitivity
    -use variety of textures upgrading to tougher
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27
Q

describe sensory re-education

A
  • learn to interpret abnormal sensory impulses
  • for losses in sensation
  • begin when the client can feel protective sensations
28
Q

Edema vs Lymphedema

A

Edema- normal consequence of trauma
Lymphedema- condition caused by inadequate drainage or lymphatic fluid

29
Q

Describe the purpose and technique of retrograde massage

A

Purpose- decrease edema in affected area following acute trauma
Technique- elevation with distal to proximal massage

30
Q

When is retrograde massage more effective?

A

with dependent edema

31
Q

what is dependent edema

A

edema that responds to elevation/gravity

32
Q

Contraindications of manual edema mobilization

A

infection, blood clots, active cancer, CHF, CKD, inflammation in acute wound healing

33
Q

Indication for cross friction massage

A

chronic soft tissue conditions in tendons, muscles, ligaments

34
Q

indication and process of scar massage

A

indicated when scar tissue is well healed and can withstand friction

firmly massaging over scar perpendicular to orientation of fibrous elements or in circular pattern

35
Q

what are the phases of wound healing

A
  • hemostasis
  • inflamation
  • proliferation
  • remodeling or maturation
36
Q

describe the hemostasis phase of wound healing

A

immediate
bleeding and blood clot formation

37
Q

describe the inflammatory phase of wound healing

A

days 1-4
edema, inflammation, bacteria removal, white blood cells

38
Q

What is OTs role in the inflammatory stage of wound healing

A

immobilize and protect affected joints

keep joints in antideformity positions

39
Q

describe the proliferative phase of wound healing

A

day 4-21
wound contracts and new tissues are built

40
Q

what is OTs role during the proliferative stage of wound healing

A

weeks 1-3- immobilize and protect affected joints

weeks 3-6- progressive mobilization of joints

41
Q

describe the remodeling/maturation stage of wound healing

A

collagen remodeling and increasing tensile tissue strength

day 21 - 2 years

42
Q

what is OTs role in the remodeling stage of wound healing

A

mobilize joints and use orthoses to counteract tensile strength

43
Q

definition and purpose of joint mobilizations

A

def- passive motion to the ligamentous system

purpose- introduce stress/stretch to ligaments and restore accessory motions

44
Q

Contraindications to joint mobilization

A
  • unstable or recent fracture
  • hypermobility
  • active infection
    -bone tumor
    -marked demineralization
  • joint inflammation
    -osteoporosis
    -ligament repair
45
Q

describe low grade joint mobilizations

A

used for pain modulation
distraction/oscillation occurs at the beginning of the range

46
Q

describe high grade joint moblization

A

used for high stress delivery
distraction/oscillation occurs at end of range

47
Q

Describe a static/resting splint

A
  • Supportive
    -Corrective
    -Protective
48
Q

Describe serial static splint

A

holds tissue in end range until it adapts to its new length to increase ROM

49
Q

Describe a dropout splint

A
  • allows motion in one direction while blocking motion while blocking motion in another
  • regains lost ROM while preventing poor posture
50
Q

describe dynamic splints

A

-static portion with a level, spring or traction device to prevent progressive deformity, assist weakened muscles, increase ROM, minimize formation of adhesions

51
Q

static progressive splints

A

apply a low-load prolonged stress at end-range that advances to increase ROM and correct soft tissue contractures

52
Q

Hard end-feel

A

bone on bone

53
Q

soft end feel

A

muscle or fat stops movement

54
Q

firm end feel

A

springy (normal)

55
Q

spasm end feel

A

pt has pain and muscle stops movement

56
Q

empty end feel

A

end range not achieved d/t anticipated pain from pt.

57
Q

describe Tinel’s test

A
  • tapping on nerve
    -used for carpal or cubital tunnel
58
Q

Finkelstein test

A
  • wrap fingers around thumb, ulnar deviate wrist
    -De Quervain’s
59
Q

Phalen’s test

A
  • place palms together and bring elbows out. hold for 1 minute
  • carpal tunnel
60
Q

CMC grind test

A
  • grind thumb MC joint on carpal bones
  • CMC OA
61
Q

Elbow flexion test

A
  • hold arm to shoulder for 5 minutes
  • cubital tunnel
62
Q

Golfer’s elbow test

A
  • supinate, extend elbow, wrist and fingers
  • medial epicondylitis
63
Q

Reverse Cozen’s test

A
  • supinate, make fist, ulnar deviate, flex wrist, provide resistance
    -medial epicondylitis
64
Q

Polk’s test

A
  • supinate and flex elbow
  • medial epicondylitis
65
Q

Mills test

A

-elbow flextion, palpate lateral epicondyle, passively pronate arm, flex wrist and extend elbow
- lateral epicondylitis

66
Q

Maudsley’s test

A

-palpate lateral epicondyle, pronate forearm, have ct resist extension of D3 distal to proximal IP joint
-Lateral epicondilytis

67
Q

Cozen’s test

A

-arm in extension, forearm pronated, wrist in radial deviation, palpate ECRB insertion, make fist and apply pressure
-lateral epicondylitis

NBCOT Study (9 decks)

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