day eight: tendonpathies ii Flashcards

(59 cards)

1
Q

tendinopathies fall in the category of

A

CTI: cumulative trauma injury or RSI: repetitive strain injuries

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2
Q

tendinopathies can affect

A

tendons and or the nerves

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3
Q

list four causes of tendinopathy:

A

trauma induce
decrease blood flow
poor posture
poor proximal stability

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4
Q

itis means

A

inflammation

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5
Q

osis means

A

scar tissues

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6
Q

algia

A

nerve irritation

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7
Q

tendinitis

A

inflammatory process

cells found in tissue

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8
Q

tendinosis

A

degenerative process with fibrosis decreased circulation

fibrosis found in the tissue

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9
Q

tendonalgia

A

pain
neurogenic in nature
free nerve endings are irritated and signaling “pain” to the brain.neurotransmitter

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10
Q

tenosynovitis

A

the synovial sheath the tendon runs through is also inflamed

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11
Q

tendinopathy secondary to an RSI means that

A

there is repetitive use against resistance
repetitive sheering
extremes postures for long time
carrying resistance when muscles are stretched

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12
Q

lateral epicondylitis is known as

A

tennis elbow

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13
Q

lateral epicondylitis def:

A

inflammation of the tendon fibers that attach the forearm extensor muscles to the lateral epicondyle

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14
Q

specific muscle of lateral epicondylitis:

A

ECRB

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15
Q

in lateral epicondylitis the ECRB rubs against the

A

radial head with the elbow in extension

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16
Q

the muscle tends to get stuck in ______ w/ tennis elbow

A

fiboplasia

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17
Q

lateral epicondyle is the origin for:

A

ECRB
EDC
ECU
ECRL

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18
Q

LE is not usually what

A

an inflammatory condition

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19
Q

histological studies show component

A

immuno-reactive neurogenic component

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20
Q

this conditions sometimes happens with LE?

A

radial tunnel

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21
Q

what direction should you treat?

A

proximal to distal

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22
Q

what else should you correct with LE?

A

posture and strengthen core

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23
Q

if its inflammatory its called:

A

tendonitis

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24
Q

counterforce splinting is only appropriate in

A

final stages of rehab with return to heavier activity

25
counter force strap seves as a
TENS unit effect | - tactile cue for behavior modification
26
chronic tennis elbow needs
blood flow and remodeling
27
with chronic tennis elbow you can use
heat modalities
28
with lat epicondylitis the splint would put the elbow in
35/40 degrees of flexion
29
extreme flexion can put
stress on the extensor origin
30
ultrasound is effective for
short term effects
31
what has the most evidence backing it
exercise
32
what type of training exercises should you do?
eccentric
33
cortisone injection can lead to what bad things?
cell death and atrophy | inhibits collagen synthesis
34
PRP or Protein Rich Plasma does what?
induces healing by providing cellular mediators
35
top six EBP treatments:
1. stretching. 2. HEP 3. risk factors edu 4. activity modficaiton 5. ergonomic training 6. pain management
36
tx for acute LE
ultrasound ice iontophoresis
37
chronic
education rest heat strength
38
prognostic indicators
pt occupation duration of symptoms previous history
39
to return to work prognostic indicators:
compliance w/ HEP modify work jobs pt occupation
40
what level should pain be at to begin resistance training?
resolved or minimal
41
good stretch to include w/ LE : accordingly to EBP
ulnar deviation independent o f forearm rotation
42
eccentric exercises where found to
decrease pain and improve grip in the long term
43
you should start with this method for exercises:
non composite
44
you move your exercises from ______ to ________
non composite to composite
45
how many reps do you have to do before resistance training?
3 sets of 10
46
beneficial exercise examples for LE include:
radial nerve glides EDC exercises w/ rubber ands putty etc. isometric contraction of abdominals
47
medial epicondylitis:
golfers elbow
48
medial epicondylitis results from
repetitive wrist and finger flexion or repetitive motion against resistance
49
what nerve gets inflamed with medial epicondylitis?
ulnar nerve
50
what would you palpate to assess ME
the medial epicondyle clear ulnar nerve at the cubital tunnel
51
you would want to clear the ulnar nerve at the
cubital tunnel
52
trigger finger occurs where?
A1 pulley
53
trigger finger is technically a
tenosynovitis
54
A2 and A4 are necessary for ____ and prevents ____
finger mechanics | prevents bowstringing
55
main pt symptoms of trigger finger:
finger clicks when trying to straighten | finger gets stuck
56
grade 1 of trigger
pain and tenderness at a1 pulley
57
grade 2 of trigger
catching of digit
58
grade 3 of trigger
locking of digit which is passively correctable
59
grade 4
fixed locked digit