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Flashcards in Final Exam Notes Deck (13)
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1
Q

TMJ

Osteoarthritis main finding

A

crepitus

2
Q

Afferent pain fibers from C1-C4 have projections through the _________ as it coordinates sensation from the ophthalmic, maxillary and mandibular portions

A

spinal nucleus of the trigeminal nerve

3
Q

Internal Derangement:

A
  • Clicks present ‼️
  • Functional dislocation of the disc anteriorly with reduction
  • Functional dislocation without reduction (clicks not present, limitation of motion to rotation, no translation, motion limited to 25mm opening
4
Q

Psychological TMJ disorder main findings:

A
  • Up-regulation of central nervous system, trigeminal nucleus
  • Those with TMJ tend to be over-reactive to their environment
  • Anxiety, depression, anger, fear all tend to increase with chronicity and may contribute to increased pain
5
Q

Lumbar Spine

Internal Derangement Disc Dysfunction:

Stage I

A
  • disc slightly anterior
  • inconsistent click
  • mild or no pain
6
Q

Internal Derangement Disc Dysfunction:

Stage II

A
  • disc anterior reciprocal click
  • painful
7
Q

Internal Derangement Disc Dysfunction:

Stage III

A

reciprocal click, now later during opening and earlier during closing, most painful stage

8
Q

Internal Derangement Disc Dysfunction:

Stage IV

A

click rare, disc no longer relocates, stays anterior, pain rare

9
Q

TMJ

Is there a C-shaped? or an S-shaped? deviation to movement?

A
  • C-shaped: hypomobility on side of direction
  • S-shaped: motor control problem
10
Q

Atlanto-occipital joint primary motions:

A
  • Extension 10 deg
  • Flexion 5 deg
  • Small SB: 5 deg
  • no axial rotation
11
Q

Atlanto-axial joint primary motions

A
  • Axial rotation 35-40 deg
  • Extension 10 deg
  • Flexion 5 deg
  • no SB
12
Q

Lumbar Spine

the best test to rule in lumbar radiculopathy

A

Crossed Straight Leg Raise (Sp 95%)

13
Q

the best test to rule out lumbar radiculopathy

A

Straight Leg Raise (Sn: 97%)