Unit 1 Flashcards
What is the convex concave Rule
Concave on convex - roll and glide go in the same direction (elbow)
Convex on concave - roll and glide go in opposite direction (shoulder)
What is Tissue reactivity
Tissue irritability
Determined by passively and maximally stressing a tissue
What are the common TR classifications
Low - no pain with stressing of the tissue
Moderate - pain with stressing - pain at end
Hight - cannot tolerate stressing of tissue - pain before end feel
TR based on PFT
Pain with superficial - High
Pain with moderate or deep - Moderate
No pain with deep depth - Low
What is the sequence of tests for TR of Joint capsule
Best test PROM A
What is the sequence of tests for TR for Ligaments
Special test, PROM A, PFT
What is the sequence of tests for TR for Muscles
MLT, PROM C (opposite to muscle action), PFT
In impairment presentation when is it contractile or inert
Contractile - AROM and PROM opposite directions
Inert - AROM and PROM same direction
In impairment presentation when is it cartilage or bursa
Cartilage - hard end feel
Bursa - soft end feel
What is the sequence of the patient/client management model
examination evaluation diagnosis prognosis intervention outcomes
what is in the examination portion
observation history systems review scanning / screening test and measures diagnostic imaging
what is in the evaluation portion
diagnosis
prognosis
plan of care
when will MLT be deferred
- PROM C shoulder and/or elbow flexion are limited due to edema/swelling under PFC
- PROM Accessory: Anterior glide of radial head and/or posterior glide of the humerus is limited due to capsular hypomobility – tightness, adhesion, effusion
- MSTT: If shoulder and/or elbow extension are weak and painful (partial tear)
What happens in “observation”
observe how the patient moves an and structural issues they may have
watch for sitting posture
how they move
What happens in “History”
information is received relating to demographics, medications, ICF model, current conditions, ect
also pain assessment
What happens in “system review”
rule out serious pathology
quarter scanning
above and below specific joints
What happens in “tests and measures”
1.Structural Inspection –Posture
2. Palpation for Condition (PFC)
3. AROM
4. PROM-Classical + Accessory
5. Muscle Performance- MSTTs,
MMTs (resistive tests)
6. Flexibility- MLT
7. Special Tests
8. Neurovascular
9. Palpation for specific tenderness
(PFT)
10. Movement Analysis (functional
assessment/tasks)
What happens in “diagnostic imaging”
correlate image to clinical findings
What happens in “structural inspection”
scanning for posture
no touching
What happens in “PFC”
broad hand contact
looking for
- skin - raised or lowered temp, moist or dry, scars or wounds
- subcutaneous tissue - edema, measured with girth measurements
- muscle - guarding
What happens in “AROM”
looking for
- quality of motion
- ROM
- pain
- compensations
What happens in “PROM”
looking for
- end feels
- guarding
- quality
- symptoms
What happens in “MSTT and MMT”
MSTT - to detect contractile pathology
MMT - to measure muscle strength
What happens in “MLT”
determine of normal, limited or excessive length
