UE Presentations Flashcards
3 risk factors of tennis elbow
activities w wrist ext
pronation/supination during manual labour
repetitive movements +2hrs
T/F majority of tennis elbow injuries are tennis players
no
clinical presentation of tennis elbow
pain on palpation, with resisted wrist extension, long finger ext
decreased grip
is ROM effected with tennis elbow
not usually
Clinical tests for tennis elbow
cozen
polk
mills
grip strength
T/f clinical presentation and one diagnostic test is needed to identify tennis elbow
false, clinical presentation and multiple diagnostic tests
outcome measures for tennis elbow
grip strength
VAS
Patient rated tennis elbow eval
UEFS
VAS measures
overall pain
Imaging for tennis elbow
arthroscopy is the gold standard
Exercise for tennis elbow
eccentrics - but unclear
Electromodals for tennis elbow
ultrasound
friction massage
laser
do joint mobes help tennis elbow
yes
mobes with movement and mills manip
does taping help with tennis elbow
YES
purpose of modalities in tennis elbow
reduce pain
inc strength and quality of life
frozen shoulder definiation
restriction in AROM and PROM without a known intrinsic shoulder disorder
can frozen shoulder be primary or secondary to shoulder trauma
yes can be either
5 risk factors for frozen shoulder
female 40-60 adhesive capsulitis in contralateral arm diabetes mellitus thyroid disease
clinical features of frozen shoulder
global pain >1 month at rest or in motion
Gradual progressive loss
Impaired static and dynamic shoulder stability structures
Three phases of frozen shoulder
freezing phase (sharp pain at end range) frozen phase (loss of ROM due to pain) thawing phase (decreasing pain levels)
Diagnostics tests for frozen shoulder
AROM/PROM
joints/glides for restriction
ULNT
why ULNT
if shoulder pain goes up or down during this , its not frozen shoulder
T/F special tests help diagnose frozen shoulder
FALSE impingenment tests and MMT are inclusive
Outcome measures for frozen shoulder
DASH
SPADI
T/F simple shoulder test (SST) is good outcome measure for frozen shoulder
false
Treatment for freezing phase
corticosteroid injection
education
pain management
mobility/stretching
does deep breathing help frozen shoulder
yeea
treatment for frozen hase
stretch
strength
treatment thawing phase
stretch
dynamic strength
functional rehab
T/f is diabetes incase risk for frozen shoulder
t
cause of carpal tunnel syndrome
median nerve compression at wrist by transverse carpal ligament
factors impacting carpal tunnel
obesity diabetes thyroid disease alchyyy arthritis
most common pathology of carpal tunnel
tenosynovitis (causes swelling, causing pressure on nerve)
clinical features of carpal tunnel
paresthesia proprioceptive alterations weakness clumsiness \+tinel atrophy of thenar eminence urge to shake hands
T/f palm is effected by carpal tunnel
no cus this is superficial sensory of median
key diagnostic tests for carpal tunnel
ultrasound
nerve conduction
key outcome measures for carpal tunnel
Boston carpel tunnel questionnaire
UEFS
treatment for carpal tunnel
conservative or surgical
types of conservation management for carpal tunnel
splint meds trigger point release ultrasound TENS stretch exercise median nerve glide
is conservative or surgical better for carpal tunnel
surgery but if conservation is helping it, keep going
does physio help carpal tunnel short mid or long term
short n mid
cervical radiculopathy
UE pain and sensorimotor symptoms caused by compression of a nerve root
who gets cervical radiculopathy
those working in hospital and offices
etiology of cervical radiculopathy
direct compression non compressive (diabetes, infection, demyelination)
risk factors for cervical radiculopathy
axial load bearing
cigarette smoking
prior lumbar radiculopathy
pathology of c6 radiculopathy
compression localized ischemia inflammatory cascade irritation of nerve sensitization and increased pain
clinical features of c6 radiculopathy
mm weakness in wrist ext, elbow flexion, pronation
decrease UL reflexes
impaired dermatomes
diagnostic tests for c6 radiculopathy
myotomes (elbow flexion, supination, wrist extension) Spurling Distraction dermatomes reflexes Hoffman sign
whats Hoffman sign show
UMN lesion
c6 does what
elbow flexion
wrist extension
supination
outcome measures for c6 radiculopathy
DASH
NDI (neck disability index)
surgery or conservation for radiculopathy
no difference
conservative treatment in c6 radiculapathy
Manual therapy (mechanical traction, slider glides)
Exercise
T/f multimodal approach is best for cervical radiculopathy
t
example exercises for cervical radiculopathy
deep neck flexors
isometric neck ext
postural exercises
contratlateral neck rotation
altman diagnostic criteria is for what
osteoarthritis of CMC
altman diagnostic criteria
head pain and any of the three
enlargement
deformity of DIP or PIP joints
etiology of osteoarthritis of CMC
mechanical (trauma, malalignment)
biological
aging
T/F regardless of cause, osteoarthritis of CMC biological progression is the same
t
pathology of osteoarthritis of CMC
cartilage degeneration
bone degeneration
signs of osteoarthritis of CMC
ROM limits
Crepitus
joint effusion
joint defomity
symptoms of osteoarthritis symptoms
joint pain
morning stiffness
buckling
loss of function
risk factors for osteoarthritis of CMC
occupation
sports
weight
previous joint injury
key diagnostic tests
dynamometer CMC grind test Lever test palpation xray
gold standard diagnosic test of CMC
xray
outcome measure for osteoarthritis of CMC
Functional index of OA for the hand
FIHOA
DASH
treating OA of CMC
manual therapy
exercise
heat
splinting
