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Ortho Exam 1 > Evaluation - 3 > Flashcards

Evaluation - 3 Flashcards

objective: observing the sources of the sxs (67 cards)

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1
Q

what do we use to observe the sxs

A

ROM

tissue characteristics

special tests

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2
Q

ROM

A

selective tissue tension testing

PROM

AROM

resistive

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3
Q

PROM –> ROM

A

cardinal planes of movement

accessory movements/joint play

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4
Q

generic options for dx

A

musculotendinous

capsulo-ligamentous

intra-articular

extra-articular

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5
Q

selective tissue testing includes

A

resistive, AROM, passive accessory and passive physiologic ROM

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6
Q

what do we consider when assessing ROM

A

3 Rs

reactivity

range

resistance

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7
Q

reactivity –> 3 Rs

A

does it hurt

comparable signs

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8
Q

range –> 3 Rs

A

too much

just right

too little

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9
Q

resistance –> 3 Rs

A

quality good v. bad

end feel

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10
Q

AROM range

A

more important is patterns of loss

capsular patterns

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11
Q

AROM reactivity

A

how easily is it aggravated?

how quickly does it settle down?

does it effect activity/participation?

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12
Q

pain is a –> AROM reactivity

A

comparable sign

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13
Q

AROM reactivity –> pain location and behavior

A

painful arc

end range pain

through the range pain

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14
Q

AROM resistance –> quality

A

smooth at all speeds

antagonists relax

no restraint to movement

no compensations

no joint noise

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15
Q

physiologic ROM

A

osteokinematic

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16
Q

what is physiologic ROM

A

bone motion (volitional)

generally rolling of bone

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17
Q

accessory ROM

A

arthrokinematics

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18
Q

what is accessory ROM

A

gliding, distraction and spinning

not volitional

assess after physiologic

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19
Q

how do we assess ROM

A

active

physiologic (PROM)

accessory (PROM)

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20
Q

how is physiologic done

A

through the range

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21
Q

what does physiologic eliminate

A

muscle contraction

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22
Q

how is passive physiologic graded

A

over pressure at end range

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23
Q

grading –> passive physiologic

A

easy <–> medium <–> hard

end feel (resistance)

reactive

range

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24
Q

big picture –> range

A

hypo

normal

hyper

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25
big picture --> resistance
normal end feel abnormal end feel
26
big picture --> reactivity
No or yes
27
assessing range
angles can be measures what needs to be measured compare with AROM
28
Passive movement
normal dysfxnal
29
normal passive movement
PROM > AROM no joint noise all muscles relax pain free
30
dysfxnal passive movement
PROM = AROM joint noise muscle guarding painful
31
reactivity words
pain? where? comparable?
32
assessing reactivity --> pain before resistance
high reactive
33
assessing reactivity --> pain w/ resistance
moderate reactive
34
assessing reactivity --> pain after resistance
low reactive
35
what is reactivity during PROM testing often d/t
tension
36
assessing location of reactivity
capsulo-ligamentous musculo-tendinous extra-articular intra-articular
37
assessing resistance quality
types of end feels
38
types of end feels
normal pathologic
39
normal end feels
bony soft tissue muscular capsular
40
pathologic end feels
muscle spasm boggy empty springy
41
accessory motion exam
gliding and distraction
42
gliding and distraction --> accessory motion exam
tx plane open pack or resting position pt relaxed (pt should not hold) external stabilization force applied close to joint
43
tx plane --> gliding and distraction --> accessory motion exam
gliding --> parallel distraction --> perpendicular
44
quick screen for accessory motion
3 R's -range -resistance -reactivity
45
quick screen for accessory motion --> range
less normal more
46
quick screen for accessory motion --> resistance
soft normal hard
47
quick screen for accessory motion --> reactivity
pain location comp
48
assessing range using
descriptive score and paris score
49
assessing range --> ankylosed
paris score: 0 descriptive score: no movement
50
assessing range -> considerable limitation
paris score: 1 descriptive score: major motion loss
51
assessing range --> slight limitation
paris score: 2 descriptive score: minor motion loss
52
assessing range --> normal
paris score: 3 descriptive score: normal
53
assessing range --> slight increase
paris score: 4 descriptive score: minor hypermobility
54
assessing range --> considerable increase
paris score: 5 descriptive score: major hypermobility
55
assessing range --> pathological increase
paris score: 6 descriptive score: unstable
56
resistance to movement =
end feel
57
what is resistive tesing
not an MMT not intended to score their strength snapshot strong or weak snapshot pain or pain free
58
keys to resistive testing
isolate isometric increase (ramp up, light --> max)
59
where should we isolate --> resistive testings
in mid range one joint at a time
60
how should we do resistive tests
in one position
61
how should we increase resistance
slowly start easy --> resist harder --> work to maximal contraction
62
when should we stop the resistive test
until it hurts once a contraction is painful
63
STTT helps us identify
the source of the sxs
64
musculotendinous and bursa general guidelines
somatic pain pain w/ contraction and stretch
65
capsuloligamentous general guidelines
somatic pain worse at ends of range/stretch accessory PROM --> end feel ligamentous stress test active ROM = passive ROM
66
intra-articular general guidelines
somatic pain locking and clicking end feel --> springy special tests
67
extra-articular general guidelines
neurogenic pain stirs up easy, hard to ease pain w/ tension neurodynamic testing

Ortho Exam 1 (17 decks)

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