UE Presentations Flashcards

1
Q

3 risk factors of tennis elbow

A

activities w wrist ext
pronation/supination during manual labour

repetitive movements +2hrs

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2
Q

T/F majority of tennis elbow injuries are tennis players

A

no

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3
Q

clinical presentation of tennis elbow

A

pain on palpation, with resisted wrist extension, long finger ext

decreased grip

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4
Q

is ROM effected with tennis elbow

A

not usually

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5
Q

Clinical tests for tennis elbow

A

cozen
polk
mills
grip strength

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6
Q

T/f clinical presentation and one diagnostic test is needed to identify tennis elbow

A

false, clinical presentation and multiple diagnostic tests

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7
Q

outcome measures for tennis elbow

A

grip strength
VAS
Patient rated tennis elbow eval

UEFS

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8
Q

VAS measures

A

overall pain

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9
Q

Imaging for tennis elbow

A

arthroscopy is the gold standard

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10
Q

Exercise for tennis elbow

A

eccentrics - but unclear

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11
Q

Electromodals for tennis elbow

A

ultrasound
friction massage
laser

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12
Q

do joint mobes help tennis elbow

A

yes

mobes with movement and mills manip

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13
Q

does taping help with tennis elbow

A

YES

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14
Q

purpose of modalities in tennis elbow

A

reduce pain

inc strength and quality of life

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15
Q

frozen shoulder definiation

A

restriction in AROM and PROM without a known intrinsic shoulder disorder

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16
Q

can frozen shoulder be primary or secondary to shoulder trauma

A

yes can be either

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17
Q

5 risk factors for frozen shoulder

A
female
40-60
adhesive capsulitis in contralateral arm
diabetes mellitus
thyroid disease
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18
Q

clinical features of frozen shoulder

A

global pain >1 month at rest or in motion
Gradual progressive loss
Impaired static and dynamic shoulder stability structures

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19
Q

Three phases of frozen shoulder

A
freezing phase (sharp pain at end range)
frozen phase (loss of ROM due to pain)
thawing phase (decreasing pain levels)
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20
Q

Diagnostics tests for frozen shoulder

A

AROM/PROM
joints/glides for restriction
ULNT

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21
Q

why ULNT

A

if shoulder pain goes up or down during this , its not frozen shoulder

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22
Q

T/F special tests help diagnose frozen shoulder

A

FALSE impingenment tests and MMT are inclusive

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23
Q

Outcome measures for frozen shoulder

A

DASH

SPADI

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24
Q

T/F simple shoulder test (SST) is good outcome measure for frozen shoulder

A

false

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25
Q

Treatment for freezing phase

A

corticosteroid injection
education
pain management
mobility/stretching

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26
Q

does deep breathing help frozen shoulder

A

yeea

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27
Q

treatment for frozen hase

A

stretch

strength

28
Q

treatment thawing phase

A

stretch
dynamic strength
functional rehab

29
Q

T/f is diabetes incase risk for frozen shoulder

A

t

30
Q

cause of carpal tunnel syndrome

A

median nerve compression at wrist by transverse carpal ligament

31
Q

factors impacting carpal tunnel

A
obesity
diabetes
thyroid disease
alchyyy
arthritis
32
Q

most common pathology of carpal tunnel

A

tenosynovitis (causes swelling, causing pressure on nerve)

33
Q

clinical features of carpal tunnel

A
paresthesia
proprioceptive alterations
weakness
clumsiness
\+tinel
atrophy of thenar eminence
urge to shake hands
34
Q

T/f palm is effected by carpal tunnel

A

no cus this is superficial sensory of median

35
Q

key diagnostic tests for carpal tunnel

A

ultrasound

nerve conduction

36
Q

key outcome measures for carpal tunnel

A

Boston carpel tunnel questionnaire

UEFS

37
Q

treatment for carpal tunnel

A

conservative or surgical

38
Q

types of conservation management for carpal tunnel

A
splint
meds
trigger point release
ultrasound
TENS
stretch
exercise 
median nerve glide
39
Q

is conservative or surgical better for carpal tunnel

A

surgery but if conservation is helping it, keep going

40
Q

does physio help carpal tunnel short mid or long term

A

short n mid

41
Q

cervical radiculopathy

A

UE pain and sensorimotor symptoms caused by compression of a nerve root

42
Q

who gets cervical radiculopathy

A

those working in hospital and offices

43
Q

etiology of cervical radiculopathy

A
direct compression
non compressive (diabetes, infection, demyelination)
44
Q

risk factors for cervical radiculopathy

A

axial load bearing
cigarette smoking
prior lumbar radiculopathy

45
Q

pathology of c6 radiculopathy

A
compression
localized ischemia
inflammatory cascade
irritation of nerve
sensitization and increased pain
46
Q

clinical features of c6 radiculopathy

A

mm weakness in wrist ext, elbow flexion, pronation

decrease UL reflexes
impaired dermatomes

47
Q

diagnostic tests for c6 radiculopathy

A
myotomes (elbow flexion, supination, wrist extension)
Spurling
Distraction
dermatomes
reflexes
Hoffman sign
48
Q

whats Hoffman sign show

A

UMN lesion

49
Q

c6 does what

A

elbow flexion
wrist extension
supination

50
Q

outcome measures for c6 radiculopathy

A

DASH

NDI (neck disability index)

51
Q

surgery or conservation for radiculopathy

A

no difference

52
Q

conservative treatment in c6 radiculapathy

A

Manual therapy (mechanical traction, slider glides)

Exercise

53
Q

T/f multimodal approach is best for cervical radiculopathy

A

t

54
Q

example exercises for cervical radiculopathy

A

deep neck flexors
isometric neck ext
postural exercises
contratlateral neck rotation

55
Q

altman diagnostic criteria is for what

A

osteoarthritis of CMC

56
Q

altman diagnostic criteria

A

head pain and any of the three

enlargement
deformity of DIP or PIP joints

57
Q

etiology of osteoarthritis of CMC

A

mechanical (trauma, malalignment)
biological
aging

58
Q

T/F regardless of cause, osteoarthritis of CMC biological progression is the same

A

t

59
Q

pathology of osteoarthritis of CMC

A

cartilage degeneration

bone degeneration

60
Q

signs of osteoarthritis of CMC

A

ROM limits
Crepitus
joint effusion
joint defomity

61
Q

symptoms of osteoarthritis symptoms

A

joint pain
morning stiffness
buckling
loss of function

62
Q

risk factors for osteoarthritis of CMC

A

occupation
sports
weight
previous joint injury

63
Q

key diagnostic tests

A
dynamometer
CMC grind test
Lever test
palpation
xray
64
Q

gold standard diagnosic test of CMC

A

xray

65
Q

outcome measure for osteoarthritis of CMC

A

Functional index of OA for the hand
FIHOA
DASH

66
Q

treating OA of CMC

A

manual therapy
exercise
heat
splinting