1- 1b] Dx. Tx, Joint Mobs, Sensory

Question 1

Constant, nocturnal
Disturbs sleep
AM stiffness > 2 hours
Unaffected by rest

Answer 1

Systemic pain

Question 2

Intermittent
AM stiffness less than few min
Eased by rest
No sleep disturbance

Answer 2

Mechanical pain

Question 3

Radicular (radiating) pain is secondary to ? And typically ?

Answer 3

Spinal segment/nerve

Dermatomal

Question 4

Throbbing pain with systolic increase
Vascular headache
Arteritis

Answer 4

Arterial pain

Question 5

Neoplasms
Compressive neuropathies
Tendon tears (rotator cuff)
Burning or acute throb

Answer 5

Pain at rest

Question 6

P’s for PVD

Answer 6

Pallor
Pulsenessness
Paraesthesia
Paralysis

Question 7

Ischemic pain: sharp or dull

Answer 7

Vascular claudication

Question 8

Angina- visceral lesion

Answer 8

Typically 5-10 min after activity

Question 9

Angina- MSK problem

Answer 9

Pain during activity

Question 10

Goals of movement assessment exam

Answer 10

To reproduce symptoms and to determine impairments

Question 11

3 types of selective tissue tensions exam

Answer 11

Contractile vs non contractile
Contractile
Non contractile

Question 12

What is contractile vs non contractile

Answer 12

Active ROM
Passive ROM
Isometric testing

Question 13

Contractile tissue

Answer 13

Muscles
Tendons
Tenoperiosteal insertion

Question 14

Non contractile tissue

Answer 14

Ligaments/capsules
Bursa
Fascia

Question 15

How to develop a differential diagnosis list

Answer 15

Begin broad, then focus.

Rule in, rule out.

Question 16

Types of normal end feels

Answer 16

Bony
Capsular
Soft tissue approximation
Elastic/muscular

Question 17

Bony end feel example

Answer 17

Elbow extension

Question 18

Soft tissue approx example end feel

Answer 18

Elbow flexion

Knee flexion

Question 19

Elastic end feel example

Answer 19

Wrist flex with finger flex
SLR
Ankle DF with knee extension

Question 20

Capsular end feel examples

Answer 20

Soft wrist flexion
Medium supination elbow flexion
Hard knee extension

Question 21

Springy end feel example

Answer 21

Knee flex/ext with displaced meniscus

Question 22

Boggy end feel example

Answer 22

Hemarthrosis at knee

Question 23

Spasm end feel example

Answer 23

Arthritis
Hypermobility
Grade II muscle tears

Question 24

Empty end feel examples

Answer 24

Acute bursitis

Sign of buttock

Question 25

Capsular pattern is limited ROM in?

Answer 25

Fixed proportion

Question 26

Non capsular pattern is?

Answer 26

Any other pattern

Question 27

Capsular pattern for shoulder

Answer 27

ER > ABD > IR

Question 28

Capsular patterns go in order of ?

Answer 28

whichever motion they have the least of first

Question 29

Non capsular pattern for shoulder

Answer 29

Flex > ER

Question 30

Contractile tissue pain with?

Answer 30

AROM in same | A/PROM in opposite

Question 31

Non-contractile tissue pain? No pain?

Answer 31

NO pain with AROM same | Pain with A/PROM in opposite

Question 32

Spinal vs peripheral. | Spinal has?

Answer 32

Motion, contraction, position impacts CC. Dermatomal pattern of pain. Myotomal pattern of weakness.

Question 33

Spinal vs peripheral. | Peripheral?

Answer 33

NO impact on CC NON dermatomal pattern NON myotomal pattern

Question 34

Joint mob indications (7)

Answer 34

``` Increase ROM and strength Decrease pain Muscle relax Joint nutrition Correct position Eliminate meniscoid impingement Physio, psycho, placebo effects ```

Question 35

Contraindications for joint mobs (8)

Answer 35

``` Unhealed Fx Hypermobile Ankylosis Acute inflammation Hemarthrosis Acute arthritis Osteomyelitis Spinal cord compression ```

Question 36

Grade 1 joint mob

Answer 36

Small amp osc at beginning of range

Question 37

Grade 2 joint mob

Answer 37

Large amp osc from beg to mid range

Question 38

Grade 3 joint mob

Answer 38

Large amp osc from mid to end range

Question 39

Grade 4 joint mob

Answer 39

Small amp osc at end range

Question 40

Grade 5 joint mob

Answer 40

high velocity, small amp thrust at end range

Question 41

Grade 1 distraction

Answer 41

Loosening

Question 42

Grade 2 distraction

Answer 42

Tightening | First stop at tissue resistance/end feel

Question 43

Grade 3 distraction

Answer 43

Stretching | After slack is taken up

Question 44

Process of transmission of the stimulus event from receptors to the cortex

Answer 44

Sensation

Question 45

Interpretation of and meaning attached to a stimulus

Answer 45

Perception

Question 46

Sensory loss of entire distal segment (foot or hand) is?

Answer 46

Stocking or glove sensory loss

Question 47

Abnormal responses to sensation testing (5)

Answer 47

``` Decreased sensation Exaggerated response (hyperaesthesia) Absence Incorrectly identify Inconsistent response to stimulus ```

Question 48

What type of sensation is examined first?

Answer 48

Superficial sensation

Question 49

Stereognosis

Answer 49

Object recognition

Question 50

What is myotome for heel walking?

Answer 50

L4 - L5

Question 51

What is myotome for toe walking?

Answer 51

S1

Question 52

What do myotomes start at for UE and LE?

Answer 52

UE is C3 cervical lateral flexion | LE is L2 hip flexion