Week 6 Lectures Flashcards
Pain is considered the ___________.
Fifth vital sign
Physiological and behavioral signs of pain (increased HR, BP, or grimacing) are neither _______ nor _______ for pain but can be a sign of need for further assessment.
sensitive nor specific
3 components of pain
Sensory
Emotional
Cognitive
Affects all components of the ICF Model
Objective vs Subjective pain experience
Objective
-Physiological tissue damage
Subjective
- Perceptual
- Affective
- Cognitive
- Behavioral
What are the 4 pain categories?
- Acute
- Chronic
- Referred
- Central
Pain history involves what?
Observation Origin Position Pattern Quality Quantity Radiation Signs/Symptoms Treatment Visceral Symptoms
By the age of __, most children can quantify pain using any of the tools.
8
Approximately __ percent of adults are unable to quantify their pain
10%
Order of pain intensity measurements
- Pieces of Hurt (3-7)
- Facial scales (4-12)
- Visual Analog scales (7+)
- Numerical rating scales (8+)
Poor Coping: Patterns in Chronic Pain
- Pain catastrophizing
- Misdirected Problem Solving
- Low Self Efficacy
Depression screening percentages?
-Pre-test probability of depression= 24.5%
- If both yes= 59.9%
- If one yes= 47.2%
GONIO
GONIO
Parts of the goniometer
- Body
- Stationary Arm
- Moving Arm
Shoulder ROM vs Glenohumeral ROM for flexion?
Shoulder= 180°
Glenohumeral=115°
Shoulder and GH testing position?
- Supine, hook lying
- Elbow extended
- Neutral shoulder rotation
- Neutral sup/pronation (palm facing body)
Stabilization of shoulder and GH flexion?
- Shoulder- stabilize thorax to prevent spinal extension
- Glenohumeral- stabilize lateral scapula to prevent scapular posterior tilting
Shoulder ROM vs Glenohumeral ROM for extension?
Shoulder= 60° Glenohumeral= 20°
Shoulder and GH extension testing position?
- Prone, face turned away
- Neutral shoulder ab/add (rotation)
- Neutral pro/supination
- Slight elbow flexion
Stabilization of shoulder and GH extension?
- Shoulder-Weight of trunk/table
- GH–stabilize at inferior angle of scapula
What is the end feel of both shoulder and GH flexion and extension?
All 4 are FIRM end feels
Stationary, Moving, and Fulcrum of Shoulder and GH extension and flexion?
- Stationary- midaxillary line of thorax
- Moving- lateral midline of humerus
- Fulcrum- greater tubercle
Shoulder ROM vs Glenohumeral ROM for abduction?
Shoulder-180°
GH-120-125°
Shoulder and GH testing position for abduction?
- Supine, neutral shoulder flexion/extension
- Supination
- Elbow extended
Shoulder and GH stabilization for abduction?
- Shoulder- stabilize thorax, prevent lateral flexion of spine
- GH- stabilize scapula, prevent scapular upward rotation
Shoulder and GH abduction end feel is?
FIRM
Alignment of shoulder and GH in abduction?
- Stationary- parallel to midline of sternum
- Moving- midline of humerus, medial epicondyle
- Fulcrum- acromial process
INTRO TO GONIO
INTRO TO GONIO
Goniometry definition?
measurement of angles created by human
When is active ROM not done?
Post surgery for tendon or muscle repair
Full passive ROM but limited active ROM could mean what?
weakness or pain
6 types of synovial joints?
Plane Saddle Hinge Pivot Ball-and-Socket Ellipsoid
What is kinematics?
Study of motion without regard to the forces that create the motion
Motions involving bony segments?
Translatory- slide
Rotary- spin
OR a combo of the 2
What is arthrokinematics?
Movement of joint surfaces
What is osteokinematics?
Gross movements of the shaft of the bones
Motion occurs in planes for Osteokinematics
Arthrokinematics movements?
Slide
Spin
Roll
If you have a convex on concave, the SLIDE will be the _______ of the ROLL.
If you have a concave on convex, the SLIDE will be the ______ as ROLL.
Opposite
Same
There are a couple exceptions
What are the movements in Sagittal Plane?
Frontal Plane?
Transverse Plane?
Flexion/extension
Ab/adduction
Rotation, In/External
What is motion degrees of freedom and what are examples?
Motion of degrees of freedom= the number of planes the joint can move in.
1 degree of freedom= IP joints
2 degrees of freedom= Knee Joint
3 degrees of freedom= Hip Joint
Difference between active and passive ROM?
Active- completed by a subjeect unassisted
Passive ROM- attained by examiner without assistance of subject
Is AROM or PROM usually greater?
PROM
What does a PROM include?
measurement of end-feel
Anatomical position is the starting point of all ROM except for what?
Rotation
ROM End Feel differences?
-Soft- soft tissue approximation (bouncy)
-Firm- muscular/
capsular/ligamentous
-Hard- bone to bone
What is an abnormal end feel?
When it occurs earlier or later than expected for that joint
Capsular pattern of restricted ROM for:
GH Joint
Hip Joint
Knee Joint
GH=ER>ABD>IR
Hip=IR & FLEX>ABD>EXT
Knee=FLEX>EXT
