intro to injury assessment

Question 1

define evaluation

Answer 1

a systematic process that allows for an assessment

Question 2

define assesment

Answer 2

a procedure through which the clinician determines S.I.N.S

Question 3

S.I.N.S

Answer 3

Severity
Intensity
Nature
Stage

Question 4

what are the criteria for RTP

Answer 4

• no P!
• full ROM
• full flexibility
• good strength
• good endurance
• good proprioception
• good agility and coordination

Question 5

RTP qualification and criteria is based off of ____ ____ measurements

Answer 5

base line

Question 6

what are the steps to the evaluation process

Answer 6

-History
-Observation
-Palpation
-Functional Assessment
-Ligamentous tests
-Neurological assessment
-Special tests

Question 7

what are the two areas of observation/inspection

Answer 7

-total individual
-site of pathology

Question 8

define comparable pain

Answer 8

complaints of pain during testing

Question 9

a soft end feel to PROM is described as

Answer 9

• occurs in a joint that normally has a hard/firm end feel (boggy)

Question 10

soft end feel example

Answer 10

-soft tissue edema
-synovitis

Question 11

a firm end feel to PROM can be described as

Answer 11

occuring in a joint that normally has a soft or hard end feel

Question 12

firm end feel example

Answer 12

increased muscular tone, capsular, muscular, ligamentous shortening

osteoarthritis

Question 13

a hard end feel can be described as

Answer 13

occuring in a joint that normally has a soft or firm end feel (bony/block)

Question 14

hard end feel example

Answer 14

loose bodies in joint, heterotopic ossification, fracture

Question 15

a spasm end feel can be described as

Answer 15

joint motion is stopped by involuntary or voluntary muscle contraction

Question 16

a empty end feel can be described as

Answer 16

no real end feel, pain inhibits ROM, no resistance felt except for patient’s protective muscle

Question 17

empty end feel example

Answer 17

-acute joint inflammation
-bursitis
-abscess
-fracture
-psychogenic origin

Question 18

3 neurological assessment
dermatomes and myotomes

Answer 18

• sensory
• motor
• reflex

Question 19

0/5 MMT/RROM

Answer 19

no contraction is felt

Question 20

1/5 MMT/RROM

Answer 20

patient cant produce movement , but a muscle contraction is palpable

Question 21

2/5 MMT/PROM

Answer 21

patient can be moved in gravity-minimized position through full ROM

Question 22

3/5 MMT/RROM

Answer 22

patient can move body against gravity through full ROM

Question 23

4/5 MMT RROM

Answer 23

patient can resist against moderate pressure

Question 24

5/5 MMT RROM

Answer 24

patient can resist against maximal pressure and examiner is unable to overcome the patients resistance

Question 25

who made the "key for diagnosing is applying anatomy" quote

Answer 25

cyriax

Question 26

PEACE & LOVE

Answer 26

protection elevation avoid anti inflammatory compression education load optimism vascularisation exercise

Question 27

5 cardinal signs of inflammation

Answer 27

- calor - tumor - dolor - rubor - functio laesa

Question 28

P.O.L.I.C.E

Answer 28

- protection - optimal - loading - ice - compression - elevation

Question 29

steps to the physical examination process (

Answer 29

1) test normal side first 2) AROM, PROM, RROM 4) full AROM overpressure applied to determine end-feel 6) myotomes

Question 30

contractile tissue

Answer 30

muscles, tendons and their attachments into bone

Question 31

inert tissue

Answer 31

joint capsule, ligaments, bursa, blood vessels, nerves, cartilage

Question 32

abnormal signs of functional testing include

Answer 32

- muscle spasm - capsular - bone to bone - empty - spring block

Question 33

the loss of tone and muscle mass is defined as a

Answer 33

nerve root lesion

Question 34

little sensory/autonomic, mainly motor involvement is defined as

Answer 34

peripheral nerve lesion

Question 35

abnormal sensation

Answer 35

paresthesia

Question 36

sensation of insects crawling on your skin (tingling, form of paresthesia

Answer 36

formication

Question 37

increased sensation

Answer 37

hyperesthesia

Question 38

decreased sensation

Answer 38

hypoesthesia

Question 39

area of skin innervated by a single nerve root

Answer 39

dermatome

Question 40

group of muscles supplied by a single nerve root

Answer 40

myotome

Question 41

are of bone or fascia supplied by a single nerve root

Answer 41

sclerotome

Question 42

absent or without sensation

Answer 42

anesthesia

Question 43

motor, sensory, or sympathetic? - paralysis - loss of reflexes - atrophy

Answer 43

motor

Question 44

motor, sensory, or sympathetic? - sensory loss - skin changes

Answer 44

sensory

Question 45

motor, sensory, or sympathetic? - loss of sweat secretions - loss of pilomotor "goose bumps response"

Answer 45

sympathetic

Question 46

plexus lesion

Answer 46

plexopathy

Question 47

myelo

Answer 47

medulla oblongata

Question 48

pinched nerve, spinal nerve roots

Answer 48

radiculopathy

Question 49

peripheral nerve lesion characterised by 3 sub categories

Answer 49

neuropathy

Question 50

Seddon's classifications of neuropathy

Answer 50

- neurapraxia - axonotmesis - neurotmesis

Question 51

a lesion proximal to the anterior horn of the spinal cord that results in paralysis and loss of voluntary movement, spacity, sensory loss, and pathological reflexes

Answer 51

UMNL upper motor neuron lesion

Question 52

a lesion of the anterior horn of the spinal cord, nerve roots, or peripheral nerves resulting in decreased reflexes, flaccid, paralysis, and atrophy

Answer 52

LMNL lower motor neuron lesion