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exam 2 Flashcards

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1
Q

somatic S&S of a concussion

A

headache

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2
Q

cognitive S&S of a concussion

A

feeling in a fog

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3
Q

emotional symptoms of a concussion

A

changes in personality or mood

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4
Q

on-field assessment red flags

A

midline neck pain or tenderness, double vision, weakness or tingling/burning, severe or increasing headache, seizure or convulsion, loss of consciousness, deteriorating conscious state, vomiting, increasingly restless

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5
Q

observable signs of a concussion

A

lying motionless, balance issues, disorientation or confusion, blank look, facial injury

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6
Q

what tests memory assessment

A

maddock’s score

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7
Q

what is the Glasgow coma scale

A

eye response, verbal response, motor response

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8
Q

tests for cognitive screening

A

immediate memory, digits backwards, months in reverse

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9
Q

steps of the return to play protocol

A 
symptom-limited activity
light aerobic exercise
sport specific exercise
non-contact training drills
full contact practice
return to sport
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10
Q

symptom-limited activity

A

24-48 hours

daily activities that do not provoke symptoms

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11
Q

light aerobic exercise

A

walking, running, swimming, running, stationary bike
avoid resistance training
raise the HR

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12
Q

sport specific exercise

A

no concussion symptoms
movements without much decision making
no head impact activities
movement with increased HR

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13
Q

non-contact training drills

A

complex physical and cognitive demand
resistance training
exercise, cognition, coordination

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14
Q

full contact practice

A

normal team training activites

coaches assess for full return

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15
Q

return to replay

A

ready for return to play

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16
Q

return to school strategy

A

daily activities that do not recreate symptoms
school activities
return to school part time
return to school full time

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17
Q

daily activities that do not recreate symptoms

A

avoid screen time, reading and texting

gradual return to typical activities

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18
Q

school activities

A

homework, reading, other cognitive activities outside of classroom

increase tolerance to cognitive work

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19
Q

return to school part-time

A

gradual introduction

increase academic activities

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20
Q

return to school full-time

A

gradual process until a full day can be tolerated

return to full academic activities and catch up on missed work

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21
Q

what CNs are susceptible to trauma

A

3,4 and 8

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22
Q

how to begin a proprioception exam

A

distal to proximal

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23
Q

who recovers the quickest from concussions

A

professional athletes

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24
Q

symptoms of high school football players

A

migraine symptom cluster, reaction time, visual memory, verbal memory, dizziness

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25
what is the 4th leading cause of mortality and chronic disability
cervical spine pain
26
risk factors for neck pain development
workplace psychosocial factors, high job strain with low support, self-perceived muscular tension
27
diffuse neck pain exacerbated by movements
mechanical neck pain, facet syndrome, muscle strain or sprain
28
pain in certain postures alleviated by positional change
upper cross postural syndromes
29
traumatic mechanism of injury, non-specific symptoms exacerbated by upright position and relieved when head and neck are supported
cervical instability
30
nonspecific neck pain with radiating symptoms into one arm
cervical radiculopathy
31
neck pain, bilateral upper extremity symptoms with occasional balance disturbance or coordination deficits
cervical myelopathy
32
disc derangement
end range loading, antalgia based criteria
33
joint dysfunction
palpation, extension-rotation, flexion-rotation
34
radiculopathy
brachial plexus tension, cervical rotation, distraction, foraminal compression
35
myofascial trigger point
palpation
36
ROM of cervical spine
flexion: 60 extension: 75 rotation: 80 lateral flexion: 45
37
non-neural contributors to stability
musculature
38
___ muscles inhibited in upper cross
intrinsic
39
___ muscles facilitated in upper cross
extrinsic
40
flexion: extension strength ration
60%
41
what is correlated with neck pain
reduced neck strength
42
what muscle supports the curve against the weight of the head
longus coli
43
what muscle is most injured in whiplash
longus coli
44
imbalanced muscles lead to tissue changes that my result in ___
inappropriate patterns of movement
45
common joint dysfunction
sternoclavicular joint, AC joint, thoracic and cervical facets
46
possible injuries of UE movement dysfunction
rotator cuff, shoulder instability, bicep tendonitis, TOS, headaches
47
movement evaluation
functional pattering, motor control, mobility
48
management
mobility, motor control, functional patterning
49
rounded shoulders
facilitated pecs
50
anterior head carriage
facilitated SCM
51
head extension
facilitated suboccipitals
52
elevation of shoulders
facilitated upper trap and levator scap
53
winging scap
inhibited serrates anterior
54
cervical flexion motor pattern fail
chin protrusion, overactive SCM, shaking
55
quadruped rockback muscles
levator scap, upper traps
56
corrective exercise continuum
inhibit techniques, lengthen techniques, activate techniques, integration techniques
57
inhibit techniques
self-myofascial release
58
lengthen techniques
static stretching, neuromuscular stretching
59
activate techniques
positional isometrics, isolated strengthening
60
integration techniques
integrated dynamic movements
61
increase in ___ degrees increases collagen formation
4
62
what is the George Costanza method
do the opposite of what you find
63
cervical extension syndrome
anterior head carriage, pain with extension, weak intrinsic flexors, HA in suboccipital region
64
cervical flexion syndrome
cervical hypolordosis, thoracic hypokyphosis, decreased flexion
65
mobility restrictions
ankle, hip, thoracic, GH, upper cervicals
66
stability limitations
knee, lumbar, scapula, lower cervicals
67
tight or overactive UE
pecs, deltoid, subscap, lat, levator scap, upper trap, teres major, SCM, scalenes, rectus capitits
68
weak or underactive UE
rhomboids, lower traps, teres minor, infraspinatus, serratus anterior, longus coli, longus capitis
69
tight or overactive LE
fibularis, gastroc, soleus, IT band, hamstring, adductor, psoas
70
weak or underactive LE
tibialis, flexors, vastus medialis, gracilis, sartorius, semitendinosus, glut max, external rotators, hip stabilizers
71
common LE joint dysfunction
MTP, subtalar, talocrural, prox tib/fib, SI, lumbar facets
72
possible LE movement injuries
plantar fasciitis, tendonitis, knee pain, LBP
73
thoracic spine thrust provides improvement in ___
mechanical neck pain
74
what is paradoxical breathing
elevating shoulders and relying on accessory muscles
75
what is diaphragm breathing
ribs move laterally
76
thoracic mobility tests
shoulder mobility, thoracic rotation, T4 wall angel
77
thoracic motor control tests
trunk stability push-up, quadruped rockback
78
thoracic functional patterning
deep squat, in-line lunge, chop/lift
79
wall angel
fail if thoracolumbar junction doesn't flatten
80
wall slide
lat and pec stretching
81
arm elevation
hypertoned lats and pecs pulls into hyperextension
82
what does FIT stand for
frequency, intensity, time
83
thoracic extension mobilization
chair, ball, cat-camel, foam roller
84
quadruped rockback involves what muscle
levator scap
85
who invented the "cog wheel" model of posture
Brugger

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