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CATS 200 > Practical#4 > Flashcards

Practical#4 Flashcards

1
Q

Which nerve roots are affected in Erb’s Palsy

A

C5-C6

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2
Q

Positioning for Erb’s Palsy

A

Supine: Place pillow under arm to open it up a bit and to move it closer into resting position for the GH PJM

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3
Q

Hydro for Acute Erb’s Palsy

A

Cool compress on Pec Major

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4
Q

Techniques for Acute Erb’s Palsy

A

Light Fascial on Pec Major
Fine Vibes
Tapotement to stimulate Biceps

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5
Q

Techniques for Chronic Erb’s Palsy

A

Fascial & Petrissage on Pec Major
Petrissage on C/S
GTO on Coracoid Process for Pec Minor
Tapotement to stimulate Biceps

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6
Q

What structures are affected in Erb’s Palsy

A

Chronic deformity due to unopposed contracture of the wrist flexors
GH Joint is Adducted & Internally Rotated
Elbow/Forearm Extended & Pronated
Wrist/Finger are in Flexion

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7
Q

Treatment of Erb’s Palsy

A

Neck & Shoulder Girdle to reduce HT due to compensatory & holding patterns

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8
Q

PJM for Erb’s Palsy

A

State you are working within client’s range, therefore not able to get them completely in resting position, but try to open the GH up a bit with a pillow
Acute: Grade 1-2 to decrease pain
Chronic: Grade 3: GH anterior glide to increase external rotation

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9
Q

REMEX for Erb’s Palsy Homecare

A

Stretch: Pec’s, Pronator Teres, Triceps, Forearm Flexors

Strengthen: Gentle, progressive resistance exercises to increase strength and functionality of weakened mm: Rhomboids, Biceps, Lev Scapula, Deltoids, Supraspinatus

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10
Q

Positioning for Sacral Plexus Injury

A

Prone

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11
Q

Hydro for Acute Sacral Plexus Injury

A

Cool Compress on L/S

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12
Q

Techniques for Acute Sacral Plexus Injury

A

Light Fascial, Light stroking, Fine vibes on QL’s, Erectors and into Gluteus
Or instead of Fascial, do tapotement down dermatomal pattern on leg

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13
Q

Hydro for Chronic Sacral Plexus Injury

A

Hydrocollator on L/S

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14
Q

Techniques for Chronic Sacral Plexus Injury

A

Petrissage, mm stripping on low back, stimulatory over dermatomal pattern or straight leg raise in supine (b/w 35-70 degrees where tissue resistance is felt: hold for 1 minute, you want a slight increase sx’s but px should decrease after 1 minute

GTO, MLD, MTP

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15
Q

PJM for Sacral Plexus Injury

A

Acute: Grade 2 lumbar traction to decrease pain
Chronic: Lumbar PACVP

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16
Q

REMEX for Sacral Plexus Injury Homecare

A

Stretch: Cat stretch, client on the floor, on hands and knees & arch back

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17
Q

Positioning for TOS

A

Supine

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18
Q

Hydro for TOS

A

Acute: Cool compress
Chronic: Warm compress

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19
Q

Techniques for Acute TOS

A

MLD, Fine Vibes
Tapotement to stimulate tingling pattern in arm

GTO, MTP

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20
Q

Techniques for Chronic TOS

A

Petrissage, mm stripping, and tapotement to stimulate tingling pattern in arm

GTO, MTP

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21
Q

PJM for TOS

A

Acute: Grade 1-2 C/S distraction to decrease pain
Chronic: Grade 3 SC glides - stabilize sternum with one hands glide the joint with the other (inferior of anterior glide)

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22
Q

REMEX for TOS Homecare

A

Stretch: Pec minor, Anterior Scalene, Pec major, Suboccipitals
Strengthen: Rhomboids or Traps

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23
Q

Techniques & Hydro for Anterior/Posterior Compartment Syndrome

A

Acute: Cool compress, MLD, Light Fascial, Vibes on Anterior/Posterior leg
Chronic: Warm compress, Fascial, Petrissage, mm stripping on Anterior/Posterior leg

GTO, MTP, Tapotement

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24
Q

PJMs for Anterior/Posterior Compartment Syndrome

A

Anterior: Posterior glide to increase Dorsiflexion
Posterior: Anterior glide to increase Plantar Flexion

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25
Q

REMEX for Anterior/Posterior Compartment Syndrome

A

Strengthen
Anterior: Gastrocnemius (heel raises)
Posterior: Tibialis Anterior

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26
Q

Techniques & Hydro for Piriformis Syndrome

A

Acute: Cool compress, MLD, fine vibes, light stroking on Glutes & Hamstrings
Chronic: Hydrocollator on Glutes, Fascial, Petrissage, mm stripping on Glutes, GTO at Greater Trochanter

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27
Q

PJMs for Piriformis Syndrome

A

Acute: Grade 1-2 Long Axis Hip Traction to decrease pain
Chronic: Grade 3 Long Axis Hip traction to increase mobility

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28
Q

REMEX for Piriformis Syndrome Homecare

A

Stretch
Piriformis: Client lies on back with both knees and hips flexed, cross one foot over the other knee and pull it towards the opposite shoulder

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29
Q

Techniques & Hydro for Intervertebral Disc Herniation

A

*Usually has hyperlordosis posture - similar treatment

Acute: Cool compress (not directly on site), MLD, Vibes, light stroking on back around the affected area
Chronic: Hydrocollator on L/S, Fascial, Petrissage, mm stripping to QL’s

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30
Q

PJMs for Acute & Chronic Intervertebral Disc Herniation

A

Acute: Grade 1 spinal traction (like hip traction but leg is Adducted and held over top the other one, positional tractioning for hypomobile vertebrae, or SI Joint mobs
Chronic: TVP, PACVP

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31
Q

REMEX for Intervertebral Disc Herniation Homecare

A

Strengthen

Extension exercise - Lift themselves up by getting on their elbows

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32
Q

Techniques & Hydro for Acute/Chronic C/S Facet Dysfunction

A

Supine
Acute: Cool compress, MLD, Vibes, Light fascial, O&I, GTO to Lev Scapula or SCM
Hypermobile side of neck: Tapotement to stimulate

Chronic: Hydrocollator, Petrissage, mm stripping, O&I to SCM, Subboccipital release
Hypermobile side of neck: Tapotement to stimulate SCM, Scalenes

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33
Q

Techniques & Hydro for Acute/Chronic L/S Facet Dysfunction

A

Prone
Acute: Cool compress, MLD, Light stroking

Chronic: Hypomobile side: Hydrocollator, Fascial, Petrissage, mm stripping
Hypermobile side: Tapotement to stimulate

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34
Q

PJM for C/S Facet Dysfunction

A

Positional tractioning, Flexion, Side Bend to unaffected side then Rotate neck to affected side, apply slight traction for 7-10 seconds

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35
Q

PJM for L/S Facet Dysfunction

A

TVP to hypomobile side

36
Q

REMEX for C/S Facet Dysfunction Homecare

A

Scalenes - client sits on chair; holds bottom of it with hand on affected side of neck, Side bend C/S toward other side, and extend if needed

37
Q

REMEX for L/S Facet Dysfunction Homecare

A

Childs pose to stretch Latissimus Dorsi but walk hands over to the hypermobile side to stretch the Hypomobile side

38
Q

Techniques & Hydro for DDD

A

Early stage: Warm compress, Fascial, Petrissage, mm stripping on affected area

Late stage: Cool compress, MLD, Light fascial, fine vibes

39
Q

PJMs for DDD

A

Early stage: Grade 3 traction to increase ROM

Late stage: Grade 1-2 traction to decrease pain

40
Q

REMEX for DDD Homecare

A

Late stage: mm setting

41
Q

Techniques & Hydro for Osteoarthritis

A

Early stage: Warm compress, Fascial, Petrissage, mm stripping on Thenar eminence as well as forearm flexors and extensors

Late stage: Cool compress, MLD, light fascial, fine vibes

42
Q

PJM’s for Osteoarthitis

A

Early stage: Grade 3 traction of thumb saddle joint to increase ROM

Late stage: Grade 1-2 traction to decrease pain

43
Q

REMEX for Osteoarthritis Homecare

A

Early stage: Squeeze an exercise ball in affected hand

Late stage: mm setting of Thenar eminence

44
Q

Common Carotid

A

Mm structures: SCM, Thyroid cartilage

Palpation: Palpate between SCM & thyroid cartilage at level of C6

45
Q

External Carotid

A

Mm structures: SCM, Angle of Mandible

Palpation: Palpate Anterior to SCM at level of angle of mandible

46
Q

Proximal Brachial

A

Mm structures: Coracobrachialis

Palpation: Palpate medial aspect of brachium posterior to Coracobrachialis

47
Q

Distal Brachial

A

Mm structures: Bicipital tendon, cubital fossa

Palpation: Palpate medial side of bicipital tendon at medial cubital fossa

48
Q

Radial

A

Mm structures: Flexor carpi Radialis tendon, snuffbox

Palpation: Palpate lateral to flexor carpi Radialis at wrist (can also be palpated in snuffbox)

49
Q

Ulnar

A

Mm structures: Flexor carpi Ulnaris tendon

Palpation: Palpate lateral to flexor carpi Ulnaris tendon at wrist

50
Q

Abdominal Aorta

A

Mm structures: Umbilicus

Palpation: Palpate left of the midline superior to umbilicus

51
Q

Femoral

A

Mm structures: Inguinal ligament, femoral triangle

Palpation: Palpate midway along Inguinal ligament in femoral triangle

52
Q

Popliteal

A

Mm structures: Popliteal fossa

Palpation: Palpate deep on medial side, flex the knee to facilitate deeper palpation

53
Q

Posterior Tibial

A

Mm structures: Flexor digitorum tendon, medial malleolus

Palpation: Palpate posterior to flexor digitorum tendon, posterior to medial malleolus

54
Q

Dorsalis Pedis

A

Mm structures: Extensor Hallucis Longus & extensor digitorum longus tendons
Palpation: Palpate between Extensor Hallucis longus & extensor digitorum longus tendons, over proximal dorsal foot

55
Q

Attachments of Supraspinous Ligament

A

Between the tips of SP’s from C7 - Sacrum

56
Q

Function of Supraspinsous Ligament

A

Limits flexion of vertebral column

57
Q

Attachments of Medial Collateral Ligament of Wrist

A
  • Ulnar styloid Process

- Pisiform & Triquetrum

58
Q

Function of Medial Collateral Ligament

A

Limits Radial deviation of the wrist

59
Q

Starting landmark for Medial collateral ligament of wrist

A

Styloid process of radius

60
Q

Attachments of Lateral collateral ligament of wrist

A
  • Styloid process of radius

- Scaphoid & Trapezium

61
Q

Function of Lateral collateral ligament of wrist

A

Limits Ulnar deviation of the wrist

62
Q

Starting landmark for Lateral collateral ligament of wrist

A

Ulnar styloid process

63
Q

Attachments of (Radial) Annular Ligament

A
  • Anterior & Posterior Radial Notches
64
Q

Function of (radial) Annular ligament

A

Supports head of radius in radial notch of ulna

65
Q

Attachments of Transverse Humeral Ligament

A
  • Greater tubercle of humerus

- Lesser tubercle of humerus

66
Q

Function of Transverse Humeral Ligament

A

Stabilizes long head of biceps brachii

67
Q

Attachments of Coracoacromial ligament

A
  • Lateral border of coracoid process

- Edge of Acromion

68
Q

Function of coracoacromial ligament

A

Prevents superior displacement of humeral head

69
Q

Attachments of Sacrotuberous ligament

A
  • Dorsal surface of sacrum, coccyx, PSIS

- Ischial Tuberosity

70
Q

Function of Sacrotuberous Ligament

A

Forms greater sciatic notch

71
Q

Attachments of Iliolumbar ligament

A
  • Tip of L5 TVP

- Iliac Crest

72
Q

Function of Iliolumbar ligament

A

Limits rotation on sacrum, prevents anterior gliding of L/S on sacrum

73
Q

Attachments of Medial Collateral Ligament of Knee

A
  • Medial femoral condyle

- Medial tibial condyle

74
Q

Function of Medial collateral ligament of knee

A

Protects against valgus stress

75
Q

Starting landmark for Medial Collateral ligament of knee

A

Apex of Patella

76
Q

Attachments of Lateral collateral ligament of Knee

A
  • Lateral femoral condyle

- Fibular head

77
Q

Function of Lateral collateral ligament of knee

A

Protects against varus stress of knee

78
Q

Starting landmark for Lateral collateral ligament of knee

A

Apex of patella

79
Q

Attachments of Deltoid Ligament

A
  • Medial malleolus

- Talus, Calcaneus, Navicular

80
Q

Function of Deltoid ligament

A

Limits Eversion

81
Q

Starting landmark for Deltoid ligament

A

Lateral malleolus

82
Q

Attachments for Anterior Talofibular ligament

A
  • Neck of talus

- Lateral malleolus

83
Q

Function of Anterior Talofibular ligament

A

Limits inversion

84
Q

Starting landmark of Anterior Talofibular ligament

A

Medial Malleolus

85
Q

Attachments of Posterior Talofibular ligament

A
  • Lateral tubercle of talus

- Distal fibula

86
Q

Function of Posterior Talofibular ligament

A

Limits inversion

87
Q

Starting landmark of Posterior talofibular ligament

A

Lateral malleolus

CATS 200 (15 decks)

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