Centralization And Directional Preference Flashcards

1
Q

Chemical pain

A

Nociceptors become activated by damage causing high concentration of irritating chemicals

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2
Q

How can chemical pain be reduced?

A

By movement by mechanoreceptor modulation but does not remain reduced

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3
Q

What can not abolish chemical pain?

A

Repeated motion

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4
Q

Mechanical pain

A

Nociceptors become activated by force, stress, deformity, or damage

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5
Q

How can mechanical pain be reduced?

A

Repeated motion

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6
Q

Centralization

A

Pain moving from distal to proximal due to repeated movement or sustained position (pain moves from spread to one area)

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7
Q

Peripheralization

A

Pain is going from proximal to distal due to specific repeated movement or sustained position (pain goes from localized to spread)

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8
Q

What are the three Mckenzie system classifications?

A

Postural (normal knee movie sign)

Dysfunction (knee flexion contracture)

Derangement (meniscal tear)

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9
Q

Postural syndrome

A

End range stress on normal tissue (no loss of motion)
(No pain during movement)

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10
Q

Dysfunction syndrome

A

End range stress on shortened tissue (pain at end range and loss of motion)

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11
Q

What are the classes of dysfunction syndrome?

A

Flexion

Extension

Lateral

Nerve root adherence

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12
Q

Derangement syndrome

A

Clinical presentation associated with a mechanical obstruction of an affect joint

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13
Q

What occurs with derangement syndrome?

A

Pain during movement and loss of motion

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14
Q

Directional preference

A

Specific direction of repeated movements or sustained position results in bettering of symptoms

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15
Q

What is an essential feature of derangement syndrome?

A

Directional preference

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16
Q

When is a lateral shift present?

A

Upper body shifted to one side

Onset of shift occurred with back pain

Unable to fix shift voluntarily

17
Q

Where do those with a lateral shift deviate to?

A

Away from symptom side

18
Q

What is the progression of movement for loaded and unloaded for flexion and extension?

A

Loaded (standing repeat 10x)

Unloaded (lying down repeat 10x)