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Flashcards in Clinical Science 2 Deck (62):
1

Petrissage Technique:

Mm squeezing, mm stripping, wringing, picking up, skin rolling, kneading

2

What dermatome shares the Obturator Nerve Sensory distribution?

Sensory distribution to medial thigh
L2 - upper med thigh
L3 - lower med thigh around med Condyle of knee

3

What is a positive Babinski sign? (In adults)

EXT of big toe when foot is stroked ( in adults)

Tests for upper motor Neuron lesion if positive on both sides; lower motor Neuron lesion if positive on only one side

4

Possible Scoliosis Postural Modifications:

....if one humerus is shorter than the other:
Adjust arm on chair
Avoid side bending
Ears at shoulders
Shoe insoles

5

Description of Quadrant Test:

- Instruct standing client to extend, side bend, and rotate the lumbar spine to the affected side

- Apply an Inferiorly directed over pressure to the shoulder on the affected side

- Assessment may also be performed with the client seated

*when performed on C-spine it's called Spurlings test

6

Describe "Direct Fascial Technique":

Direct fascial techniques take the fascia TOWARDS the restriction / adhesion. This engages the tissue barrier which can them carefully be taken beyond the barrier which breaks down the bonds between the connective tissue fibres

Pg 45 Rattray

7

Bell's Palsy (Lesion of Cranial Nerve VII)

Unable to wink, (can't close eye on affected side)
Unable to make an "O" with mouth

8

Tx protocol for Acute Edema

Distal + Onsite work is CI'd

Elevate limb, lymph drainage performed proximally, ice

Swedish to compensatory side

9

Why is lymph drainage indicated?

To reduce pain and congestion

10

In crossed pelvic syndrom; which mms are lengthened, and are taut?

Tight Erector Spinae, quads, psoas

Weak Abdominals and Gluts Max, hamstrings

Check Magee

11

Positioning during pregnancy: (1st, 2nd, 3rd trimesters)

1st Trimester: Prone, Supine, Sidelying

2nd: Sidelying, Supine with pillow under Right hip, Seated/semifowler

Sidelying on Left side relieves pressure

12

Duchenes Dystrophy:

A rare recessive X-linked form of muscular dystrophy
Early childhood onset affecting all voluntary mms
Involves heart and breathing mms in late stage
Life expectancy is aprox 25 yrs

13

Depuytren Contracture:

Idiopathic contracture of Palmer Fascia
= Flexion deformity of the fingers

14

Treating Spasticity

Slow rhythmical Swedish techniques (stroking, palmar kneading, vibrations, etc.)
GTO release
Stimulation of the Antagonist

15

Special Test for Sciatica: Straight Leg Raise Test =

Radiating leg Pain at 30 - 70*,
then back off 10% and Dorsi FLX foot (Braggards Test)

Straight Leg Raise with ADDuction + Int Rot so positive sign for short piriformis mm

16

Golgi Tendon Organs (GTO)

Senses changes in mm tension
Proprioceptive sensory receptor organ that is at the Origin and Insertion of skeletal mm fibres

17

Slump Test=

Positive if the client feels Pain along the spine
(sometimes down limb is experienced at level of the lesion)

18

Diabetes Mellitus Type 2:

Can be controlled by diet and exersize in early stages

19

Ligament condition that is not present with a mm pathology

Ligamentous Laxity

20

Migraine Tx:

Gentle massage to hands and feet

21

Questions for Client with Asthma Inhaler:

Where is it?
When did you last use it?
What is it for?

22

In the 2nd Trimester....

General Petrissage is indicated

23

When a client [resents with one leg longer than the other:

The longer leg is held in ADDuction with tight Adductor mms in Stance Phase

24

Joint Mob to increase Elbow Flexion:

Anterior glide at Humerulnar Joint

25

Joint mob to increase hip Flexion:

Inferior Glide ( through transverse plane)

26

Joint Mob to increase Ankle Dorsiflexion

Posterior glide of Talus on Tibia

27

Slow Amplitude / Low Velocity Oscillations creates:

An Anesthetic Response

28

Capsular pattern of the GH jt:

External Rot > ABduction > Internal Rot

29

Capsular pattern of the elbow:

Flexion > Extension

30

Capsular Pattern of the Wrist

Equal Flexion / Extension
Equal ulnar / radial deviation

31

Capsular pattern of the hip (AF jt):

FLABIR > EXT, ADD, Ext Rot

32

Capsular pattern of the knee

Flex > Ext

33

Capsular pattern of the Ankle:

Plantar FLX > Dorsiflx

34

Axial traction (Distraction) of the hip resulting in Pain =

Inguinal Hernia
Or
Femoral neck Fracture

35

Fractioning the lower cervical facets:

Patients neck is placed into Flexion

36

When neck is side flexed:

The vertebral bodies translate to OPP side
+
Rotate to the same side

37

Movements of Quadrant Test:

EXT + Side FLX + ipsilat Rot

38

Whiplash grading (WAD):

0 = No Complaints
1= Pain, tenderness, stiffness
2= Tender to touch + loss of AROM
3= Decreased deep reflex, weakness, sensory deficits
4= Fracture or Dislocation

39

Degenerative Arthritis of the C-spine is found:

At C4 - C5

40

3rd Class Levers

Increase Speed and decrease mm size

( ex biceps lifting weight in hand, tweezers)

41

Example of a 1st class lever:

Atlanta-Occipital Joint

42

Empty end feel=

Acute Bursitis

43

Push-ups strengthen:

Serratus Ant

44

Shrugging the shoulders strengthens:

Upper Traps

45

Colles Fx often leads to:

Reflux Sympathetic Dystrophy

46

Pronation of foot=

Eversion + Dorsiflx +ABduct

47

Compression of joints aids in:

Extension

48

Distraction of joints aids in:

Flexion

49

Multiple Sclerosis :

Often Assoc. with emotional liability
Euphoria
Depression

50

Supine to Sit test:

Leg from short to Long = Post pelvic Rot

(SLoP)

51

Luminous infrared Penetration Depth

5 - 10mm

52

Inverse Square Law (light source):

1/4 of the distance is 16x the intensity

53

Ultraviolet CI's:

- Diabetic Gangrene
- TB
- Heart Disease

54

Pre Central Gyrus controls:

Voluntary Contractions

55

Joint Play

All accessory movements (slide/glide, Spin, Roll)

56

When checking reflexes:

You must do 5 repetitions per tendon before grading a reflex "Abnormal"

57

A "normal" reflex grade:

Grade 2

58

Myotome for Inversion / Plantar Flexion

S1/S2

59

Temperature to make fascia pliable:

37 - 38 degrees

60

How do you administer emergency nitroglycerine?

Sublingually

61

Define Pharmacokinetics

How drugs enter the body
Reach their site of action
And make their exit

62

Four stages of preganancy:

1 - Stage of Dialation
2 - Stage of Expulsion
3 - Placental Stage
4 - Recovery Phase