UQ Interventions Framework Flashcards

1
Q

C-spine manipulation criteria

A
  • Symptoms <38 days
  • Side to side rotation difference >10º
  • Pain with PA spring testing mid C-spine (C3-C7)
  • Positive expectation manipulation would help
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2
Q

Describe the effects of a grade I-II mobilization

A
  • Firing of articular mechanoreceptors & proprioceptors
  • Firing of cutaneous & muscle receptors
  • Altered nociception
  • Synovial fluid movement
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3
Q

Describe the effects of a grade III-IV mobilization

A
  • Stretching of joint restrictions & adhesions
  • Change positional relationships
  • Diminish/eliminate barriers to normal motion
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4
Q

What are the 3 categories of corrective exercise

A
  • Mobility: target basic freedom movement
  • Stability: targets basic motor control
  • Movement pattern retraining: targets functional movement patterns utilizing both mobility & stability
  • Corrective exercises are performed to provide a functional base when dysfunction, limitation, for asymmetry is noted
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5
Q

What are the 2 categories of functional exercise

A
  • General: exercise that complements fundamental human movement patterns
  • Specific: exercises that complements specific skills or specialized activities poor athletics
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6
Q

What is the progression of functional exercises

A
  • Breathing
  • gripping
  • Head-eye tracking (Cervical)
  • Limb movements
  • Rolling
  • Crawling
  • Transitional movements
  • Upright movements FE positions: non-weight bearing, quadruped, kneeling, & standing
  • Supine
  • Prone
  • Half kneeling
  • Tall kneeling
  • Lunge
  • Split stance
  • Normal
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7
Q

Describe the SFMA 4x4 Matrix

A
  • Lying (prone/supine), Quadruped, kneeling, standing
  • No resistance with PA (pattern assistance), No resistance, resistance with PA, resistance
  • Goal is to guide you through the correction of a stability problem
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8
Q

Describe Gray Cook concept of 3 R’s

A
  • Reset = manual therapy techniques
  • Reinforcement = protective & corrective
  • Reload = corrective type exercise that changes the movement pattern for the future
  • Feedback: sue of Test, Treat, Re-test
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9
Q

What are the 4 resistance types of 4x4 Matrix

A
  • 1) No resistance with Pattern Assist (PA)
  • 2) No resistance (except gravity & body weight)
  • 3) Resistance with PA
  • 4) Resistance
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10
Q

Where does the oblique capitis inferior/superior refer to/trigger point referral

A
  • Horizontal line from back of ear to eye
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11
Q

Where does sternocleidomastoid refer to/trigger post referral

A
  • Posterior head on unilateral side
  • C-shape from temple around to the medial eyebrow
  • Top of the head, unilateral tip of chin, and unilateral area around mastoid
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12
Q

Where does the upper traps refer to/trigger point referral

A
  • Tip of mastoid
  • Hot spot along lateral eyebrow but not at temple
  • Smaller rams horn pattern
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13
Q

Normal value for deep neck flexor endurance test

A
  • 30 secs
  • Tuck chin & lift head off table only 1 inch and hold
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14
Q

What are the 3 levels of nerve compression

A
  • Neuropraxia
  • Axonotmesis
  • Neurotmesis
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15
Q

Describe neuropraxia

A
  • Temporary compression
  • Axon intact
  • Myelin disrupted
  • Conduction slows but still intact as the nerve is whole
  • No Tinel’s sign
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16
Q

Describe axonotmesis

A
  • Axon disrupted
  • Endoneurium intact & serves as a tube for the axon to re-grow
  • Positive Tinel’s sign
  • EMG & NCV changes
  • Cause: stretch injury like humeral dislocation stretching the axillary nerve
  • Expect complete recovery gif motor point its <12 inches away
17
Q

Describe neurotmesis

A
  • Complete transection of the axon & the tube
  • EMG & NCV changes
  • Spontaneous recovery NOT possible: requires surgical repair/grafting
  • Cause: traction injury, laceration injection into the nerve
18
Q

When is blood flow restricted to nerves

A
  • Stretch/elongation by 10-15% takes all blood flow away
  • 30mmHg externally restricts blood flow
19
Q

What do nerves need

A
  • Blood flow
  • Movement
  • Space
20
Q

Tests for thoracic outlet syndrome

A
  • Positive test for all = change in radial pulse (reduction) or complains of paresthesia
  • Adson’s: shoulder ABD 15º, inhale & hold breath, C-ext. & rotation to ips side being tested
  • Costoclavicular: seated with straight chest out & shoulders back
  • Roos: shoulder ABD 90º+ER & 90º elbow flexion, then make a fist & open for 3 min
  • Hyerabduction (Wright test): just like Adson’s but lateral flexion & rotate away contralateral to side being tested
21
Q

Describe the shoulder abduction test/sign

A
  • Test for cervical radiculopathy
  • Positive = relief or reduction of neural symptoms
  • Implicates disc herniation or nerve root compression
  • Have patient place hand on top of head and ask about changes in their symptoms
22
Q
A