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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
two-point discrimination testing
static and moving two points
26
Describe desensitization
- to build tolerance or stimulation -for hypersensitivity -use variety of textures upgrading to tougher
27
describe sensory re-education
- learn to interpret abnormal sensory impulses - for losses in sensation - begin when the client can feel protective sensations
28
Edema vs Lymphedema
Edema- normal consequence of trauma Lymphedema- condition caused by inadequate drainage or lymphatic fluid
29
Describe the purpose and technique of retrograde massage
Purpose- decrease edema in affected area following acute trauma Technique- elevation with distal to proximal massage
30
When is retrograde massage more effective?
with dependent edema
31
what is dependent edema
edema that responds to elevation/gravity
32
Contraindications of manual edema mobilization
infection, blood clots, active cancer, CHF, CKD, inflammation in acute wound healing
33
Indication for cross friction massage
chronic soft tissue conditions in tendons, muscles, ligaments
34
indication and process of scar massage
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
what are the phases of wound healing
- hemostasis - inflamation - proliferation - remodeling or maturation
36
describe the hemostasis phase of wound healing
immediate bleeding and blood clot formation
37
describe the inflammatory phase of wound healing
days 1-4 edema, inflammation, bacteria removal, white blood cells
38
What is OTs role in the inflammatory stage of wound healing
immobilize and protect affected joints keep joints in antideformity positions
39
describe the proliferative phase of wound healing
day 4-21 wound contracts and new tissues are built
40
what is OTs role during the proliferative stage of wound healing
weeks 1-3- immobilize and protect affected joints weeks 3-6- progressive mobilization of joints
41
describe the remodeling/maturation stage of wound healing
collagen remodeling and increasing tensile tissue strength day 21 - 2 years
42
what is OTs role in the remodeling stage of wound healing
mobilize joints and use orthoses to counteract tensile strength
43
definition and purpose of joint mobilizations
def- passive motion to the ligamentous system purpose- introduce stress/stretch to ligaments and restore accessory motions
44
Contraindications to joint mobilization
- unstable or recent fracture - hypermobility - active infection -bone tumor -marked demineralization - joint inflammation -osteoporosis -ligament repair
45
describe low grade joint mobilizations
used for pain modulation distraction/oscillation occurs at the beginning of the range
46
describe high grade joint moblization
used for high stress delivery distraction/oscillation occurs at end of range
47
Describe a static/resting splint
- Supportive -Corrective -Protective
48
Describe serial static splint
holds tissue in end range until it adapts to its new length to increase ROM
49
Describe a dropout splint
- allows motion in one direction while blocking motion while blocking motion in another - regains lost ROM while preventing poor posture
50
describe dynamic splints
-static portion with a level, spring or traction device to prevent progressive deformity, assist weakened muscles, increase ROM, minimize formation of adhesions
51
static progressive splints
apply a low-load prolonged stress at end-range that advances to increase ROM and correct soft tissue contractures
52
Hard end-feel
bone on bone
53
soft end feel
muscle or fat stops movement
54
firm end feel
springy (normal)
55
spasm end feel
pt has pain and muscle stops movement
56
empty end feel
end range not achieved d/t anticipated pain from pt.
57
describe Tinel's test
- tapping on nerve -used for carpal or cubital tunnel
58
Finkelstein test
- wrap fingers around thumb, ulnar deviate wrist -De Quervain's
59
Phalen's test
- place palms together and bring elbows out. hold for 1 minute - carpal tunnel
60
CMC grind test
- grind thumb MC joint on carpal bones - CMC OA
61
Elbow flexion test
- hold arm to shoulder for 5 minutes - cubital tunnel
62
Golfer's elbow test
- supinate, extend elbow, wrist and fingers - medial epicondylitis
63
Reverse Cozen's test
- supinate, make fist, ulnar deviate, flex wrist, provide resistance -medial epicondylitis
64
Polk's test
- supinate and flex elbow - medial epicondylitis
65
Mills test
-elbow flextion, palpate lateral epicondyle, passively pronate arm, flex wrist and extend elbow - lateral epicondylitis
66
Maudsley's test
-palpate lateral epicondyle, pronate forearm, have ct resist extension of D3 distal to proximal IP joint -Lateral epicondilytis
67
Cozen's test
-arm in extension, forearm pronated, wrist in radial deviation, palpate ECRB insertion, make fist and apply pressure -lateral epicondylitis

NBCOT Study (22 decks)

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