final Flashcards

(49 cards)

1
Q

temple trigger point referral pattern comes from what mm’s

A

temporalis
splenius cervicis
semispinalis capitis

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2
Q

a common migraine is ….

A

a migraine w/o aura

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3
Q

a classic migraine is…

A

a migraine w aura

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4
Q

the frequency of migraines is…

A

barely greater then one per week

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5
Q

spasmodic torticollis

A
  • localized dystonia
  • idiopathic
  • CNS lesions

these ones are diff then the other types

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6
Q

acute acquired torticollis

A
  • apical / rapid breathing
  • sudden onset
  • may have tinnitus, nausea, tearing of eye
  • pt woke up w it
  • postural dysfunction
  • activation of latent TRPs
  • sublux of C1/C2
  • facet joint irritation
  • infection
  • disc related pain
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7
Q

congenital torticollis

A
  • tissue ischemia
  • cranial bone or membrane dysfunction
  • present from infancy
  • condition continues throughout life unless corrected
  • contracture of SCM
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8
Q

congential torticollis =

A

contracture

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9
Q

group of inherited disorders characterized by joint hypermobility , skin hyper-extensibility, increased bruising =

A

Ehlers Danlos Syndrome

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10
Q

inherited disorder w fragmentation of elastin, leading to joint hypermobility, elongated bones, aortal widening, mitral valve prolapse, changes in eye

A

Marfan’s Syndrome

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11
Q

special test for nerve root compression in C spine

A

Spurling’s

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12
Q

to differentiate vertigo or dizziness what test would you perform

A

Hauntant’s

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13
Q

other conditions that can lead to a pt presenting with TOS

A
  • carpal tunnel
  • tendonitits
  • compression of ulnar nerve
  • osteoarthritis
  • Raynauds
  • C spine spondylosis, radiculopathy, tumors
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14
Q

a localized sharp, posterior angulation from vertebral wedging =

A

Gibbus deformity

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15
Q

primary mm’s of inspiration

A
  • diaphragm
  • levator costorum
  • external intercostals
  • internal intercostals (anterior)
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16
Q

primary mm’s of expiration

A
  • internal obliques
  • external obliques
  • rectus abdominus
  • transverse abdominus
  • transverse thoracic
  • internal intercostals
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17
Q

ROM of T spine

A

flexion - 20-45
extension - 25-45
side flexion - 20-40
rotation - 35-70

costovertebral expansion - 3-7.5 cm

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18
Q

if a rib stops moving relative to the other ribs on exhalation =

A

elevated rib

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19
Q

if a rib stops moving relative to other ribs on inhalation =

A

depressed rib

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20
Q

what direction does the pump handle action of ribs 1-6 move the ribs most

A

superiorly-inferiorly

21
Q

What direction does bucket handle action of ribs 7-10 move to increase the infrasternal angle

IUBM

A

upward, backward, medially

(opposite for decreasing angle)

22
Q

to locate TVP of T9, what SP would be at the same level to landmark

23
Q

an increased thoracic kyphosis can cause

A

internally rotated GH

restricted rib mobility

TOS

inefficient breathing

24
Q

where does nodding primarily occur

A

upper C spine C1-C2 at atlanto occipital joint

25
what is the most mobile joint of the spine
atlanto axial joint
26
rotation is primary movement at atlanto axial
true atlanto occipital = principle motion is flexion and ext
27
what is the first palpable SP after the EOP
SP of C2
28
What are joints of Luschka
- The uncovertebral processes of the inferior vertebrae - Pseudo joint formed by weakness in annulus fibrosus
29
Greatest stresses are placed on the vertebral artery
- Where it enters the TVP of C6 - Within the bony canals of the vertebral TVPs - Between C1 and C2 - Between C1 and the occiput
30
TOS statements
- Main goal is to reduce the cause of compression - When treating Subclavius, it is important to address Pec Major first - When addressing anterior TVP for scalenes, SCM should be treated first - When addressing pec minor, pec major should be treated first - For all syndromes, address fascia of anterior neck, chest, shoulder
31
full peak acceleration occurs at what phase
phase II (vehicle and torso), phase III (head, neck)
32
full deceleration occurs at what phase
phase IV
33
In shoulder/upper crossed syndrome, mms that are short and tight
pecs, upper traps, subocc, lev scap
34
in shoulder/upper crossed syndrome, mms that are long and taut =
rhombs lower trap serratus ant deep neck flexors (longus colli, longus capitis, rectus capitis, longus cervicus
35
slump test
1. pt seated 2. pt flexes spine, and shoulders sag forward 3. pt moves neck into flexion 4. pt extends one knee 5. pt dorsiflexes foot
36
w hyperkyphosis which mms are taut and weak
middle traps, rhom + infrahyoids, suprahyoids
37
Place finger against the last upper molars and slide superiorly and posteriorly between the maxilla and coronoid process of mandible into the hollow at the roof of the cheek pouch - mm is isolated again by resisting mandibular depression
how to locate lateral pterygoid internally
38
Place finger on last lower molar, slide around to medial surface of molar and inferiorly past the gum towards the floor of the mouth
how to locate medial pterygoids internally
39
What mms bilaterally depress and retract the mandible and unilaterally move the mandible to the same side -
lateral pterygoid and digastric
40
on mandibular depression
rotation occurs before gliding
41
what ligament restrains movement of the lower part of the jaw
temporomandibular ligament aka lateral ligament
42
what type of joint is the TMJ
synovial condylar modified ovoid hinge
43
lateral flexion of spine towards concavity is ...
increased
44
ribs on convex side are more....
posterior and prominent - "rib humping"
45
SP's are rotated towards....
concavity
46
paraspinals are lengthened on....
convex side
47
scoliosis is named for the ....
major curve on convex side
48
gliding happens in which cavity (TMJ)
upper rotation happens in lower
49
what ligament prevents protrusion of jaw
stylomandibular