Massage is NOT CI'd UNLESS there is open lesions Or It's uncomfortable for the client

Clinical Science Flashcards by Joji Berries

Order of Stance Phase:

Initial Contact (heel strike)
Load Response (foot flat)
Mid stance (push off)
Terminal Stance (acceleration)

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Swing Phase:

Pre -Swing (toe off)
Mid swing (swing through)
Terminal swing (deceleration)

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What disease can case all types of gait pathology?

Cerebral Palsy

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What is Erb’s Palsy

Traction injury to upper brachial plexus
C5 - C6 nerve root
Waiter’s tip
(Shoulder Add and int rot, elbow EXT, wrist and finger FLX)

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What runs under the 5th Metatarsal (styloid process of foot)?

ABductor Digiti Minimi

Fibularis Longus

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How is Osteoporosis Diagnosed?

X-rays (densitometry)
Heel ultrasound (check bone density)

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How is Hyper Tension diagnosed?

Blood pressure reading
Above 140/90
On 2 - 3 occasions during a 4 week period

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What’s the function of a Halo?

To stabilize the cervical spine after a traumatic injury to the neck/spinal injury

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Define a Cohort Study

Observational Study / developing evidence

Outcome has not yet occurred
Members are observed for a long period of time

High Attrition

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A review of literature and hypotheses:

An Abstract

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CI for contact dermatitis:

No work over affected areas (open lesions, blisters)

irritating substances are avoided

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CI for psoriasis:

Massage is NOT CI’d UNLESS there is open lesions

It’s uncomfortable for the client

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Special Test for Medial Meniscus:

Apley’s Compression Test with Lateral Rot

Bragard’s sign can also point to Med, meniscus injury

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How to differentiate meniscus tear:

Apley’s Compress (meniscus)

Vs.

Apley’s distraction (collateral ligaments)

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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)

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Last Layer of skin:

Epidermis

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Largest Carpal Bone

Capitate

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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

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Effect of hydrotherapy on Abdomen:

Cold wash stimulates bowel mvmts

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Ilieocecal Valve

Found in R lower Quadrant btw small and large intestine

Prevents material from flowing back into the small intestine

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A referred P pattern over the right shoulder could be caused by:

Liver or Gallbladder

Inflam, irritation, disease

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T12 refferred P could be from:

Lower Abdomen & Groin region

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Parathesia over the anatomical stuff box involves:

ABductor Pollicis Longus

EXT Pollicis Longus

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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)

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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:

Hip FLX + Int Rot

The contract relax technique stretches the:

Antagonist

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?

Dorsal Scapular

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 Extends elbow

Which PNF stretch do you hold for 30 seconds?

Hold Relax

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:

Rest Limit Activity Stretching

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?

Scouring Test Only use if un Dx'd by their doctor ** Faber is also indicated

Test for Posteriorly Rotated Ilium:

Supine to Sit Test **SLOP Short to Long = Post Rot Ilium

Common superficial site of compassion for the ulnar nerve:

Cubical tunnel

Special Test for an Inversion Ankle Sprain

Anterior Talofib Ligament Test

What attached to the Lat lip of the bicipital groove?

Pec Major

Indications for Tx for a patient with MS:

Shorter Tx | Decrease SNS

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?

Taut

What are visible involuntary mm contractions called?

Fasciculation

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

Myotome:

Group of mms that a specific nerve root innervates | Also part of a soviet that develops into mm during embryonic stage

Dermatome:

An area of skin that a specific nerve root Innervates

What Cranial Nerve has a dermatomal pattern?

Trigeminal nerve CN V

Clinical Science Flashcards

(61 cards)