Flashcards in Assessment quiz 2 musculoskeletal Deck (34)
What is cartilage?
cushioning of bone
What is tendons?
Connects bone to muscle
What is ligaments?
Connect bone to bone
What are the 3 types of joints?
synovial, cartilaginous, and fibrous
What is the extent of movement in synovial joints and give an example?
Freely mobile, knee and shoulder
What is the extent of movement in Cartilaginous joints and example
slightly mobile, vertebral bodies of spine
What is the extent of movement of Fibrous joints and give an example?
What is the movement of spheroidal ball and socket and give an example
wide range flexion- shoulder and hip
What is the movement of hinge joints and give an example
motion in one plane, flexion, extension- elbow, joints of hands and feet
What is the movement of Condylar joints and give an example?
movement of two articulating surfaces- knee, temporal-mandibular joint
What are the common symptoms of the musculoskeletal?
low back pain, neck pain, mono-articular or poly-articlular pain, inflammatory pain, joint pain w/systemic complaints, and joint pain w/ symptoms of other body systems
What are some risk factors for musculoskeletal sys?
poor nutrition, lack or excessive exercise, low or high BMI, overuse syndrome, and fall risk
During a gait assessment, what are you assessing the body for?
asymmetry, guarding, and weakness
A person's gait should be?
smooth, symmetrical, strong and w/ equal fxn on both sides
What are the Morse Fall Risk Scores and Interventions?
No Risk- 0-24, Low Risk 25-50 Standard Fall Precaution, High Risk > 51 High Risk Fall Preventions
What are the two type of factors that contribute to Fall Risk?
Extrinsic and Intrinsic Factors
What are some examples of extrinsic factors?
Hazardous activities, time of day, external lighting, clutter, spills, and loose electrical cords
What are some examples of intrinsic factors?
muscle weakness, gait disorders, visual disturbances, visual disturbances, cognitive impairment, dizziness, age
What are some preventions of osteopenia and osteoporosis?
weight bearing exercise, diet of vit D and Ca, limit ETOH intake, and avoid use of corticosteroids.
When you assess joint pain, what are some of the things you are asking?
acute vs chronic, age, localized, diffuse, aggravating or relieving factors, current med use, edema, loss or reducing ROM.
When you inspect joints what do you look for?
symmetry, alignment, edema, deformities, ROM of active & passive joint, decreased ROM
What do you palpate for in joints?
muscle atrophy, edema, decrease ROM, and crepitus of joint w/ ROM
What are the normal ROM for neck?
flex ( chin to chest) Extension ( look up at ceiling), Rotation (look over each shoulder) and Lateral (ear to shoulder)
What are the normal ROM for back?
Flexion (touch toes) extension (arch back) rotate (rotate from hip) lateral beding ( bend side to side
What could cause shoulder abnormalites?
rotator cuff tears, sprains, tendinits, and post surgical
Which PTs are at increased risk of contractures of hands?
sensory loss, immobilized, or have suffered injury
What are you testing for in the grip strenght test?
Test the intrinsic muscles and joints of hands. Also, muscles of the forearm.
Describe the stance in gait
Stance is when the foot is on the ground and bears weight ( 60% of walking cycle)
Describe the swing in gait
Swing is when the foot moves forward and does not bear weight ( 40% of walking cycle)