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MSK 3 > Final Practical > Flashcards

Final Practical Flashcards

1
Q

Frozen shoulder

A
  • ER ROM
  • Posterior glide of shoulder
  • Prone on elbow
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2
Q

RTC tear - Infraspinatus

A
  • Drop arm test or infraspinatus test (DIP tests)
  • Theraband pull apart ER
  • ER with scapular rows
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3
Q

RTC tear - Teres Minor or Subscapularis

A
  • Drop arm test or infraspinatus test (DIP Tests)
  • IR stregthening at 90
  • IR door with theraband
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4
Q

RTC tear- Supraspinatus

A
  • Drop arm test (DIP Tests)
  • Manual resistance to scaption
  • Scaption with a weight
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5
Q

Shoulder instability

A
  • Sulcus sign
  • Theraband pull apart for ER
  • ER with scapular rows
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6
Q

Labral Tear -work on ER

A
  • Anterior slide or Crank test
  • Theraband pull apart for ER
  • ER with scapular rows

***basically just want to manage the impairments with this. Motor control an option too

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7
Q

Labral Tear - work on Scapular retraining

A
  • Anterior slide or Crank test
  • Passively work on scapular movement with patient in sidelying facing you
  • Wall slides
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8
Q

Impingement

A
  • Hawkins Kennedy (HIP tests)
  • Long axis distraction of shoulder or posterior glide of shoulder
  • Prone on elbows
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9
Q

Torn LCL

A
  • Varus stress test (remember to test in full ext and in flex!!)
  • Wrist extension isometric
  • Wrist extension with theraband
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10
Q

Lateral epicondyalgia-strengthening

A
  • Maudsley’s test
  • Manual eccentrics for wrist extensors
  • Wrist extension with theraband
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11
Q

Lateral epicondylagia-stretching

A
  • Maudsley’s test
  • soft tissue work to the lateral epicondyle
  • Stretch into pronation/wrist flexion to stretch the extensors/supinators
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12
Q

Thoracic Outlet-first rib

A
  • Roo’s test
  • First rib mobilization
  • First rib self mobilization with towel
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13
Q

Thoracic Outlet-Scalene work

A
  • Roo’s test
  • Scalene contract relax
  • Scalene self stretch with OP
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14
Q

Thoracic Outlet-Pec minor work

A
  • Roo’s test
  • Soft tissue work to the pec minor (stretch after you do the soft tissue work)
  • Self stretch of pec minor
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15
Q

Stiff elbow (think glides when something is stiff!!)

A
  • Limited elbow flexion ROM OR Scoop technique to assess for stiffness
  • Scoop technique, humeroradial anterior glide (to improve flexion ROM), humeroradial posterior glide (to improve extension ROM)
  • Elbow stretching into flexion or extension with adding OP
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16
Q

Carpal tunnel

A
  • Phalen’s Test (hold for 60 seconds)
  • Transverse Spreading of the Carpals
  • Median nerve glides
17
Q

How would you differentiate Carpal Tunnel from Cervical Spine?

A

Test C6 myotome (which is elbow flexion and wrist extension)

18
Q

Pronator Teres Syndrome

A
  • Pronator Teres Test
  • Contract-Relax to pronator teres
  • Stretch into supination and wrist extension
19
Q

Stiff Wrist

A
  • ROM wrist extension OR radiocarpal traction (and other glides) to assess for stiffness
  • Volar glide (to improve ext) or Dorsal glide (to improve flex)
  • Stretch into flexion or extension depending on which glide is done
20
Q

DeQuervain’s Syndrome

A
  • Finklestein’s
  • Isometrics or eccentrics for thumb abduction and/or thumb extension (do isometrics if more acute, do more eccentrics if subacute), Kinesthesia treatment is another option (to do this get them to reproduce movements on the thumb on both sides)
  • Self isometrics or eccentrics
21
Q

Treatment parameters for NMES

A 
Frequency: 50Hz
Pulse duration: 200
Ramp up time: 5 sec
Contraction time: 5 sec
Rest time = 25 sec
Total tx time = 10 min
22
Q

Treatment parameters for E-stim for Edema or spasms (Low TENS)

A

Frequency = 2 Hz
Pulse duration = 400
Total tx time = 10 min

23
Q

Treatment parameters for E-stim for Pain control (High TENS)

A

Frequency = 100 Hz
Pulse duration = 100
Amplitude = enough to produce tingling
Total tx time = 30 min

24
Q

Treatment parameters for Thermal US (aka continuous US)

A

Dose = 1
Frequency = 1 Mhz or 3 Mhz
Duty cycle = 100% (bc continuous)
Tx time = 8 min

25
Q

Treatment parameters for Non-thermal US (aka Pulsed US)

A

Dose = 1
Frequency = 3 MHz
Duty Cycle = 50%
Tx time = 8 min

26
Q

What is Thermal (continuous) US used for?

A
  1. ) Increasing blood flow
  2. ) Increasing collagen extensibility
  3. ) Decreasing spasms
  4. ) Decreasing pain
27
Q

Contraindications for E-stim

A
  • Pregnancy
  • Pacemaker or other implantable devices
  • Cardiac dz
  • Unstable arrhythmias

MSK 3 (3 decks)

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