Flashcards in Clinical Science Deck (61):
Order of Stance Phase:
Initial Contact (heel strike)
Load Response (foot flat)
Mid stance (push off)
Terminal Stance (acceleration)
Pre -Swing (toe off)
Mid swing (swing through)
Terminal swing (deceleration)
What disease can case all types of gait pathology?
What is Erb's Palsy
Traction injury to upper brachial plexus
C5 - C6 nerve root
(Shoulder Add and int rot, elbow EXT, wrist and finger FLX)
What runs under the 5th Metatarsal (styloid process of foot)?
ABductor Digiti Minimi
How is Osteoporosis Diagnosed?
Heel ultrasound (check bone density)
How is Hyper Tension diagnosed?
Blood pressure reading
On 2 - 3 occasions during a 4 week period
What's the function of a Halo?
To stabilize the cervical spine after a traumatic injury to the neck/spinal injury
Define a Cohort Study
Observational Study / developing evidence
Outcome has not yet occurred
Members are observed for a long period of time
A review of literature and hypotheses:
CI for contact dermatitis:
No work over affected areas (open lesions, blisters)
irritating substances are avoided
CI for psoriasis:
Massage is NOT CI'd UNLESS there is open lesions
It's uncomfortable for the client
Special Test for Medial Meniscus:
Apley's Compression Test with Lateral Rot
(Bragard's sign can also point to Med, meniscus injury)
How to differentiate meniscus tear:
Apley's Compress (meniscus)
Apley's distraction (collateral ligaments)
ITB Friction Syndrom
Inflam + P where ITB crosses Lat Femoral Condyle
Caused by running/cycling, over use, Ant pelvic tilt, HT TFL
P felt along Lat thigh and into Lat knee
TPs in TFL, hip flexors, and Rec Fem
+ Nobles Test
Tx = stretch ITB adn TFL + hot hydro (or ice if inflamed)
Last Layer of skin:
Largest Carpal Bone
Systemic Lupus Erythematous (Chronic)
Tx = decreasing P, HT, TPs to
maintain thoracic lumbar mobility and respiratory function.
Prevent/reduce postural changes
Educate client about correct posture (stress reduc + hyperkyphosis tx)
Maintain mobility, strength erectors, increase post pelvic tilt
Diaphragmatic breathing into Lat ribs
Effect of hydrotherapy on Abdomen:
Cold wash stimulates bowel mvmts
Found in R lower Quadrant btw small and large intestine
Prevents material from flowing back into the small intestine
A referred P pattern over the right shoulder could be caused by:
Liver or Gallbladder
(Inflam, irritation, disease)
T12 refferred P could be from:
Lower Abdomen & Groin region
Parathesia over the anatomical stuff box involves:
ABductor Pollicis Longus
EXT Pollicis Longus
Achilles Tendonitis S/Sx:
P felt along tendon btw gastrocnemius/soles complex & calcaneus
Caused by running on a prorated foot or HT calves)
(Boards question asks the effect of cryotherapy on the injury adn how long you should leave on the cold txt and what the outcome/affect is)
Definition of a Strain
Sudden overstretch injury to musculotendinous unit resulting in Pain at the lesson site
What causes Trendelenburgs Gate?
Weak Glut Med on STANDING leg
What ligament does the gapping test target?
Anterior Sacroiliac Ligamens
To get the hamstrings out of the equation when trying to assess the SI joint, you will need to:
Flex the knees
A posterior glide of the femur at hip improves:
The contract relax technique stretches the:
What causes hyperlordosis?
Ant pelvic tilt / rot
Tight Hip flexors
A winged scapula:
Protrudes off the back / rib cage
Rhomboids are innervates by what nerve?
Describe the Supraspinatous Impingement Test:
(Hawkins - Kennedy)
Pt stands while TH Flexes the arm to 90* adn then forcibly medically rotates the shoulder
How would you perform the Lateral Epicondylitis test?
TH applies pressure to Lat epicondyle
Flexes + ulnar deviates the wrist
Which PNF stretch do you hold for 30 seconds?
What indicates a positive apprehension test?
Pt pulling away, or making facial expression
Test to asses cervical instability
Alar ligament Test
Test used to asses Atlanto-Axial jt:
Atlanta-Axial shear test
Chronic Compartment Syndrome is treat by:
What stage is healing would it be considered if an injury is 7 days with no improvements/changes in symptoms?
Still considered Acute stage
how would you design your treatment of a patient walked in with Acute. Frozen Shoulder?
Reduce pain, address HT & TPs around shoulder
Subscap + pecs
Joint play of SPs
AROM of shoulder
Lymph drainage, MFR, stretch upper traps + lev scap
Characteristics of Trigger Points
A hyper irritable spot in a taught band of muscle with a predictable pattern of referral
A Marathon Runner uses what type of muscles cells?
Type 1 - slow twitch - Aerobic/Oxidative
Smooth Muscle is:
Slower contracting + Longer lasting
What special get would you perform to test the hip for arthritis?
Only use if un Dx'd by their doctor
** Faber is also indicated
Test for Posteriorly Rotated Ilium:
Supine to Sit Test
Short to Long = Post Rot Ilium
Common superficial site of compassion for the ulnar nerve:
Special Test for an Inversion Ankle Sprain
Anterior Talofib Ligament Test
What attached to the Lat lip of the bicipital groove?
Indications for Tx for a patient with MS:
Indication for Fibromyalgia / identify the correct statement:
Daily mild exersize even if it causes discomfort
When applying frictions for Tenosinovitis, which position should the tendon be?
What are visible involuntary mm contractions called?
Symptom of a Posteriorly Fixed Ilium:
Weak hip Flexors and Errectors
Tight Gluts & Hamstings
Define "Active Trigger Point":
Painful at rest or with movement of the mm
Reduced strength / length
Referral Pain in predictable pattern
Latent Trigger Point =
Only painful when palpated
Capsular pattern of restriction for Facet Joints:
Side FLX and Rot > EXT
Group of mms that a specific nerve root innervates
(Also part of a soviet that develops into mm during embryonic stage)
An area of skin that a specific nerve root Innervates