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Clinical Practice > Week 6 Lectures > Flashcards

Week 6 Lectures Flashcards

1
Q

Pain is considered the ___________.

A

Fifth vital sign

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2
Q

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.

A

sensitive nor specific

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3
Q

3 components of pain

A

Sensory
Emotional
Cognitive

Affects all components of the ICF Model

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4
Q

Objective vs Subjective pain experience

A

Objective
-Physiological tissue damage

Subjective

  • Perceptual
  • Affective
  • Cognitive
  • Behavioral
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5
Q

What are the 4 pain categories?

A
  • Acute
  • Chronic
  • Referred
  • Central
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6
Q

Pain history involves what?

A 
Observation
Origin
Position
Pattern
Quality
Quantity
Radiation
Signs/Symptoms
Treatment
Visceral Symptoms
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7
Q

By the age of __, most children can quantify pain using any of the tools.

A

8

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8
Q

Approximately __ percent of adults are unable to quantify their pain

A

10%

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9
Q

Order of pain intensity measurements

A
  • Pieces of Hurt (3-7)
  • Facial scales (4-12)
  • Visual Analog scales (7+)
  • Numerical rating scales (8+)
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10
Q

Poor Coping: Patterns in Chronic Pain

A
  • Pain catastrophizing
  • Misdirected Problem Solving
  • Low Self Efficacy
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11
Q

Depression screening percentages?

A

-Pre-test probability of depression= 24.5%

  • If both yes= 59.9%
  • If one yes= 47.2%
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12
Q

GONIO

A

GONIO

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13
Q

Parts of the goniometer

A
  • Body
  • Stationary Arm
  • Moving Arm
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14
Q

Shoulder ROM vs Glenohumeral ROM for flexion?

A

Shoulder= 180°

Glenohumeral=115°

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15
Q

Shoulder and GH testing position?

A
  • Supine, hook lying
  • Elbow extended
  • Neutral shoulder rotation
  • Neutral sup/pronation (palm facing body)
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16
Q

Stabilization of shoulder and GH flexion?

A
  • Shoulder- stabilize thorax to prevent spinal extension

- Glenohumeral- stabilize lateral scapula to prevent scapular posterior tilting

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17
Q

Shoulder ROM vs Glenohumeral ROM for extension?

A 
Shoulder= 60°
Glenohumeral= 20°
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18
Q

Shoulder and GH extension testing position?

A
  • Prone, face turned away
  • Neutral shoulder ab/add (rotation)
  • Neutral pro/supination
  • Slight elbow flexion
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19
Q

Stabilization of shoulder and GH extension?

A
  • Shoulder-Weight of trunk/table

- GH–stabilize at inferior angle of scapula

20
Q

What is the end feel of both shoulder and GH flexion and extension?

A

All 4 are FIRM end feels

21
Q

Stationary, Moving, and Fulcrum of Shoulder and GH extension and flexion?

A
  • Stationary- midaxillary line of thorax
  • Moving- lateral midline of humerus
  • Fulcrum- greater tubercle
22
Q

Shoulder ROM vs Glenohumeral ROM for abduction?

A

Shoulder-180°

GH-120-125°

23
Q

Shoulder and GH testing position for abduction?

A
  • Supine, neutral shoulder flexion/extension
  • Supination
  • Elbow extended
24
Q

Shoulder and GH stabilization for abduction?

A
  • Shoulder- stabilize thorax, prevent lateral flexion of spine
  • GH- stabilize scapula, prevent scapular upward rotation
25
Q

Shoulder and GH abduction end feel is?

A

FIRM

26
Q

Alignment of shoulder and GH in abduction?

A
  • Stationary- parallel to midline of sternum
  • Moving- midline of humerus, medial epicondyle
  • Fulcrum- acromial process
27
Q

INTRO TO GONIO

A

INTRO TO GONIO

28
Q

Goniometry definition?

A

measurement of angles created by human

29
Q

When is active ROM not done?

A

Post surgery for tendon or muscle repair

30
Q

Full passive ROM but limited active ROM could mean what?

A

weakness or pain

31
Q

6 types of synovial joints?

A 
Plane
Saddle
Hinge
Pivot
Ball-and-Socket
Ellipsoid
32
Q

What is kinematics?

A

Study of motion without regard to the forces that create the motion

33
Q

Motions involving bony segments?

A

Translatory- slide
Rotary- spin
OR a combo of the 2

34
Q

What is arthrokinematics?

A

Movement of joint surfaces

35
Q

What is osteokinematics?

A

Gross movements of the shaft of the bones

Motion occurs in planes for Osteokinematics

36
Q

Arthrokinematics movements?

A

Slide
Spin
Roll

37
Q

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.

A

Opposite

Same

There are a couple exceptions

38
Q

What are the movements in Sagittal Plane?
Frontal Plane?
Transverse Plane?

A

Flexion/extension
Ab/adduction
Rotation, In/External

39
Q

What is motion degrees of freedom and what are examples?

A

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

40
Q

Difference between active and passive ROM?

A

Active- completed by a subjeect unassisted

Passive ROM- attained by examiner without assistance of subject

41
Q

Is AROM or PROM usually greater?

A

PROM

42
Q

What does a PROM include?

A

measurement of end-feel

43
Q

Anatomical position is the starting point of all ROM except for what?

A

Rotation

44
Q

ROM End Feel differences?

A

-Soft- soft tissue approximation (bouncy)
-Firm- muscular/
capsular/ligamentous
-Hard- bone to bone

45
Q

What is an abnormal end feel?

A

When it occurs earlier or later than expected for that joint

46
Q

Capsular pattern of restricted ROM for:
GH Joint
Hip Joint
Knee Joint

A

GH=ER>ABD>IR
Hip=IR & FLEX>ABD>EXT
Knee=FLEX>EXT

Clinical Practice (6 decks)

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