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JUST KEEP SWIMMING Flashcards

(90 cards)

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1
Q

Iontophoresis - agent for muscle or joint pain

A

Salicylates

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2
Q

Iontophoresis - scar tissue, keloids, mm spasm

A

Calcium chloride

Has a negative polarity so would be applied beneath the negative pole (cathode)

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3
Q

Iontophoresis - tx inflammation and for analgesic purposes

A

Lidocaine

Has a positive polarity so would be applied beneath the positive pole (anode)

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4
Q

Iontophoresis - dermal ulcers and wounds

A

ZInc oxide

Positive polarity so placed beneath positive pole (anode)

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5
Q

Iontophoresis - Dexamethasone

A

Anti inflammatory

Negative polarity

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6
Q

Iontophoresis - what to use with someone who has myositis ossificans

A

Acetate

- goal is that it will absorb the Ca deposits

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7
Q

Iontophoresis - what is often used for treating scars and adhesive capsulitis

A

Iodine

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8
Q

Convection

A

Whirlpool

Gain or loss of heat resulting from air or water moving in a constant motion across the body

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9
Q

Conversion

A

Heating that occurs when nonthermal energy (mechanical, electrical) is absorbed into tissue and transformed into heat

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10
Q

Conduction

A

Direct contact

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11
Q

Hot packs are stored in what temp

A

158-167 degrees

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12
Q

Heat vs cold with nerve conduction velocity

A 
Heat = increase nerve conduction velocity
Cold = decrease it

Both heat and cold will increase pain threshold

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13
Q

Mode of traction for acute condition

A

Static

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14
Q

How many degrees of cspine flex is appropriate when targeting lower cspine using traction in supine

A

25-30 degrees!

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15
Q

Type of traction that is the most specific and controlled

A

Manual!

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16
Q

Intermittent traction with split table - table should be split when?

A

When the traction force approaches its max force

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17
Q

How many degrees of cervical flexion are most appropriate for targeting the upper cervical spine for traction

A

upper cervical (OA and AA) - 0 to 5 degrees!

C3-C4 10 to 20 deg
C5-C7 25 to 35 deg

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18
Q

Treating an L4 disc herniation with traction - which position?

A

Prone - force of 25% (strong enough to stretch soft tissue and treat disc protrusion)
50% would cause actual separation of the vertebrae

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19
Q

1MHz freq US comapred to 3MHz

A

1MHz used for 5cm depth

3MHz used for 1-2cm depth

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20
Q

Length of tx when using US

A

5 minutes for every area that is 2-3 times the size of the transducer face

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21
Q

How many cycles after shock with AED

A

5 cycles

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22
Q

Kehrs sign

A

spleen

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23
Q

Min width of hallway for two wheelchairs to pass

A

60 in

36 in for one wc

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24
Q

Max ramp grade for wheelchair ramp

A

8.3%

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25
How high should a sink be off the ground
32 in
26
PA to lumbar spine would be to improve
Extension
27
Pronation of the feet is associated with
Valgus stress at the knee and IR of the tibia
28
Cessation of walking in boys with MD
Typically by age 10-12 | Age 14 at the latest
29
Collagen fibers reorient in response to stresses placed on connective tissue - which stage
Chronic
30
Collagen formation and granulation tissue development occurs at an increased rate
Sub acute
31
During ROM, the pt has pain synchronous with tissue resistance
Sub acute
32
During ROM testing the pt has pain with mvmnt before tissue resistance
Acute
33
L4 dermatome
Medial side of great toe | Anterior knee
34
S1 dermatome
Lateral side of foot Pinky toe Posterior/Lateral thigh
35
L5 dermatome
Majority of foot/toes (not the medial big toe or the pinky toe) Sole of the foot
36
L4 reflex
Knee
37
S1 reflex
Achilles
38
With hip flexion, the sartorius performs
Hip flexion ER Abduction
39
TFL mm action
IR and flexor of hip
40
Putting on a jacket requires what shoulder motions
Abduction | IR
41
Posterior glide of the talus improves what ankle motion
DF | Convex on Concave = OPP
42
ER of the shoulder
Infraspinatus Teres minor Post delt
43
Supraspinatus primary action
Abduction
44
Teres major action
IR and extension | Lat is same
45
Rhomboid mm action
Downward rotation | Retraction
46
Joint mob to improve shoulder IR
Convex on concave = OPP | Post glide will improve IR
47
Joint mob to increase shoulder abduction
Inferior glide
48
Joint mob to improve shoulder ER
Anterior glide
49
Ankylosing spondylitis - known complication
OP | should be able to walk, no sx, and no peripheral nerve dysfunction
50
Short L step length | Excessive L knee flex with midstance - what is likely problem
Left hamstring contracture
51
L hip flexor contracture - gait changes
Dec step length on R limb due to tight hip flexor on L
52
Anterior talofibular ligament injury - most likely mechanism
Inversion | Test with anterior drawer
53
OA and AA cervical coupling
OPP LF and Rot
54
C3-C7 spine coupling
SAME LF and Rot
55
Forward head posture - due to
Dec DNF strength
56
Action of SCM
Ipsilateral LF, Contralateral Rot | Often tight with forward head posture
57
Listers tubercle
Located on the dorsal surface of the radial styloid process | Acts as a hook for the EPL
58
Tight left hip abductors will do what to the iliac crest
Pull it downward So when standing with feet together, if left hip abductors are tight, the right iliac crest will appear higer but with feet spread apart they will be even
59
Duchenne MD - common posture
Hip flexors shortened - Ant pelvic tilt Thoracic spine moves into relative ext to compensate Scapular winging to keep COM behind hip joint Can see hamstring contractures
60
Adsons - which mm
Scalene
61
Wrights test/Hyperabduction - which mm
Pec minor
62
Wrist arthrokinematics
Convex on Concave - OPP
63
To improve ulnar deviation do what glide
Radial glide
64
To improve radial deviation do what glide
Ulnar glide
65
To improve wrist extension do what glide
Volar glide | PA
66
To improve wrist flexion - do what glide
Dorsal glide | AP
67
Snuff box
DeQ = EPB, APL | Near index = EPL
68
Ant rotated innominate - which mm can you do MET with
Glut max!
69
Diastasis recti - head lifts should be performed exclusively until when
The diastasis is 2 cm or less
70
To improve supination do what glide
Distal RU = ulnar head, Ulnar notch of the radius Moving radius = Concave on convex = SAME Dorsal glide of the radius on the head of the ulnar
71
Tibialis post - action - commonly seen when weak
PF and inv | Pronation, loss of arch height, pain with palpation to post aspect of medial malleolus
72
Pt walks in // bars - noted pelvis drops down on side opposite of the stance extremity - what is weak?
abductors of the stance extremity
73
Anterior rotation of innominate causes
Ipsilateral shallow sulcus and low and posterior ASIS
74
Posterior rotation of the L innominate would cause
L sulcus deep | Left ASIS higher than R
75
Post tibial tendon dysfunction - from posterior view will see what
Hindfoot valgus Forefoot abduction
76
With shoulder abduction - if scapular is not stabilized what movement happens
Upward rotation and elevation of the scapula
77
Supraspinatus mm inserts where
Greater tubercle of humerus
78
Duchenne MD - what signs happen first
Proximal mm weakness
79
Standing in water with arm at side and elbow in 90 flex - buoyancy would resist what motion?
Elbow extension! | Sagittal plane and motion is in opposite direction of buoyant force
80
Weak DF - can lead to what gait
Steppage
81
Limited DF - can lead to what gait
Vaulting and early toe off
82
At the end of terminal stance - ROM at hip, knee, ankle, metatarsals
Hip is 10-20 ext Knee is 0 (neutral) Ankle is 0 (neutral) Metatarsals are 30 ext
83
Midstance requires what ankle motion
10 deg of DF which progresses to 15 degrees of DF at heel off PF contracture would have MOST difficulty with this phase of gait
84
Heel strike requires what ankle motion
0 DF and then 15 PF
85
Foot flat requires what ankle motion
15 PF and then 10 DF
86
Heel off requires what ankle motion
15 DF and then 20 PF at toe off
87
Talipes Equinovarus consists of what
``` Clubfoot Forefoot adduction Hindfoot varus PF of the ankle Overall limited DF ```
88
Normal PROM and decreased AROM - can be due to
Dec mm strength
89
Foot progression angle is what
Angle btw longitudinal axis of the foot and a stright line progression of the body in walking Negative = in toeing Positive = out toeing
90
Child with -10 progression angle would have what hip motion
Exaggerated IR and diminished ER

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