Clinical Science 2 Flashcards

(62 cards)

1
Q

Petrissage Technique:

A

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

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2
Q

What dermatome shares the Obturator Nerve Sensory distribution?

A

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

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3
Q

What is a positive Babinski sign? (In adults)

A

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

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4
Q

Possible Scoliosis Postural Modifications:

A
....if one humerus is shorter than the other:
Adjust arm on chair
Avoid side bending
Ears at shoulders 
Shoe insoles
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5
Q

Description of Quadrant Test:

A
  • 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
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6
Q

Describe “Direct Fascial Technique”:

A

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

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7
Q

Bell’s Palsy (Lesion of Cranial Nerve VII)

A

Unable to wink, (can’t close eye on affected side)

Unable to make an “O” with mouth

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8
Q

Tx protocol for Acute Edema

A

Distal + Onsite work is CI’d

Elevate limb, lymph drainage performed proximally, ice

Swedish to compensatory side

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9
Q

Why is lymph drainage indicated?

A

To reduce pain and congestion

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10
Q

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

A

Tight Erector Spinae, quads, psoas

Weak Abdominals and Gluts Max, hamstrings

Check Magee

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11
Q

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

A

1st Trimester: Prone, Supine, Sidelying

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

Sidelying on Left side relieves pressure

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12
Q

Duchenes Dystrophy:

A

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

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13
Q

Depuytren Contracture:

A

Idiopathic contracture of Palmer Fascia

= Flexion deformity of the fingers

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14
Q

Treating Spasticity

A

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

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15
Q

Special Test for Sciatica: Straight Leg Raise Test =

A

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

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16
Q

Golgi Tendon Organs (GTO)

A

Senses changes in mm tension

Proprioceptive sensory receptor organ that is at the Origin and Insertion of skeletal mm fibres

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17
Q

Slump Test=

A

Positive if the client feels Pain along the spine

sometimes down limb is experienced at level of the lesion

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18
Q

Diabetes Mellitus Type 2:

A

Can be controlled by diet and exersize in early stages

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19
Q

Ligament condition that is not present with a mm pathology

A

Ligamentous Laxity

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20
Q

Migraine Tx:

A

Gentle massage to hands and feet

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21
Q

Questions for Client with Asthma Inhaler:

A

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

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22
Q

In the 2nd Trimester….

A

General Petrissage is indicated

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23
Q

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

A

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

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24
Q

Joint Mob to increase Elbow Flexion:

A

Anterior glide at Humerulnar Joint

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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