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CP1 > Midterm > Flashcards

Midterm Flashcards

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0
Q

PRONE SACROILIAC JOINTS PALPATION SERIES

A
  1. Gapping Test
  2. SIJ Extension Assessment
  3. SIJ Flexion Assessment
  4. SIJ Internal Rotation Assessment
  5. SIJ External Rotation Assessment
  6. Posterior to Anterior Glide of the Sacral Ala
  7. Inferior to Superior Glide of the Sacral Ala
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1
Q

WEIGHT BEARING SACROILIAC PALPATION SERIES

A
  1. Piedau’s Sign
  2. Sacral Push
  3. Gillet’s Test
  4. SIJ Quick Scan
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2
Q

PRONE LUMBAR SERIES

A
  1. Posterior to Anterior Glide
  2. Rotation
  3. Lateral Flexion
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3
Q

SEATED (weight bearing) LUMBAR SERIES

A
  1. Quick Scan
  2. Posterior to Anterior glide
  3. Lateral Flexion
  4. Rotation
  5. Flexion
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4
Q

SIJ
Extension
Assessment

A

PSIS and Acetabulum

  • tissue slack: I-S, M-L
  • LoD: P-A on PSIS
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5
Q

SIJ
Flexion
Assessment

A

Ischial Tuberosity and ASIS

  • Tissue slack: S-I on ischial tube
  • LoD: S-I and P-A
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6
Q

hypertonisity

A

refers to a muscle that is usually shortened and as a lowered threshold.

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7
Q

Hypotonicity

A

refers to a muscle that is usually lengthened and has a raised threshold

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8
Q

hyperactivity

A

it will contract faster or sooner

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9
Q

hypoactivity

A

it will contract slower or not at all. other muscles will substitute

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10
Q

upper crossed syndrome

A

muscles that shorten and tighten: pectoralis minor and major, upper trapezius, levator scapulae, SCM.

Muscles that weaken: lower and middle trapezius, serratus anterior, rhomboids, deep neck flexors

consequences: forward head carriage,rotation and abduction of scapulae, refered pain to chest shoulders, arms, TMJ problems, inapropriate breathing function

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11
Q

Lower crossed syndrome

A

Muscles that shorten and tighten: hip flexors (iliopsoas, rectus femoris,…), erector spinae group, quadratus lumborum, piriformis

muscles that weaken: abdominal, gluteals

consequences: anterior pelvis tilt, increased lumbar lordosis, decreased trunk stability

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12
Q

Active end range

A

occurs when patient has maximally contracted the muscles controling a particular motion

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13
Q

Passive end range

A

occurs when patient passivley moves a joint from active end range through physilogic/ elastic joint range. aka joint play

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14
Q

Paraphysiologic (SPACE) end range

A

a short range that occurs between the passive end range and the anatomical limit of the joint

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15
Q

Anatomic end range

A

the anatomical barrier is the limit of anatomic integrity

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16
Q

Hooke’s law

A

deformation (resulting from strain ) imposed on an elastic body is in porportion to the stress (force/load) placed on it

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17
Q

strain

A

change in shape, deformation, as a result of stress

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18
Q

Creep

A

continued deformation (increasing strain) of a tissue over time under a constant load (traction, compression, twist)

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19
Q

Wolff’s Law

A

tissues deform in relation to the lines of force imposed on them

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20
Q

Passive Insuffiecency

A

when full ROM is limited by the antagonist muscle length rather than by the joint and the joint structures themselves

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21
Q

active Insufiency

A

refers to lack of agonist muscle strength

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22
Q

class one muscles

test from shortest position

A

One joint muscles

ex.) tricep, deltoid, iliopsoas

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23
Q

Class two muscles

test from mid range

Study These Flashcards
A

2 joint muscles

  • can span both joints, can concentrically contract simultaneously over both joints
    ex. ) sartorious
24
class 3 muscles
2 joint muscles - they shorten over one joint and lengthen over the other ex) rectus femoris, hamstrings
25
Sherrington's law
impulses from the contracted muscles facilitate motor units in the antagonist, and inhibit the antagonist muscle's motor units * stretching tight muscles also reults in improved strength of inhibited antagonist muscles
26
dynamic listings * this one better reflects what is actually happening better than static listing
refrences movement restrictions of the bones and joints (not bone position)
27
static listing
refrences postions of bones, not the motion of joints. i.e. where the bone is stuck in refrence to the one under it (bone out of place)
28
SOAP
S- subjective (things the patient tells you) O- Objective (findings of all tests and observations) A- Assessment (the diagnosis) P- Plan (for treatment and follow up)
29
Mobilization
- passive oscillatory movement or sustained stretch | - passive movement administered within the paraphysiologic or elastic joint space to increase range of joint motion
30
closed pack position
end of range of movement postion best fit ligaments stretched, joint screwed home by spin approached but not fully realized: comfortable and energy saving
31
Loose Packed
loose fitting surfaces can spin, roll and slide, reduced area of contact, little friction wedge shaped gaps circulate fluid like peristalic pump
32
SIJ Internal Rotation Assessment | SIJ External Rotation Assessment
contact: two fingers on ipsilatteral SI joint (just medial to PSIS) - no tissue slack - take femur to end range and acess end feel
33
P-A glide of the sacral ala
BILATERAL - tissue slack: inferior to superior - thumb contact on sacral ala
34
Inferior to Superior glide of the sacral ala
-contact: thumb on sacral ala, other thumb on lateral border of the sacrum -LOD- on sacral ala= inferior to superior and posterior to anterior on lateral border of the sacrum= lateral to medial
35
*weight bearing* | Piedau's
thumbs on sacral apex, index fingers on PSIS
36
*weight bearing* | Sacral Push
patient is seated bilateral thumb contact on sacral ala's tissue slack: inferior to superior and medial to lateral -patient extends back until sacrum stops then checks P-A bilaterally
37
*weight bearing* | Gillet's
1 thumb on s2 other thumb on PSIS flexion brings thumbs together -Test BILATERALLY
38
*weight bearing* | SIJ quick scan
?
39
*PRONE LUMBAR SERIES* | P-A glide
SP's with hypothenar | - tissue slack: inferior to superior
40
*PRONE LUMBAR SERIES* | Rotation
ASIS Side of SP tissue slack I-S and L-M
41
*PRONE LUMBAR SERIES* | Lateral Flexion
interspinous space with thumb, pick up the knee | tissue slack I-S and L-M
42
*Seated (weight bearing) Lumbar Series* | quick scan
contact lumbar with flat part of fist on SP's | tissue slack is I-S
43
*Seated (weight bearing) Lumbar Series* | P-A glide
Sp with soft pisiform contact | tissue slack is I-S
44
*Seated (weight bearing) Lumbar Series* | Rotation
thumb contact on side of SP | tissue slack I-S and L-M onto SP
45
*Seated (weight bearing) Lumbar Series* | Flexion
contach midline interspinous spaces with fingers | -have patient cross arms and flex forward
46
Hip extension movement pattern
prone, lift leg to hand : Gleut, hamstring, contr errector, ipsi errector
47
neck flexion movment pattern
supine, lift head to chest, fail = chin judding, shaking
48
trunk flexion movment pattern
supine, knees slightly flexed, patient does slight crunch 10 times alst time holding for 20-30 sec., failure= feet lifting up, excessive shaking,chin judding would mean weak erectors
49
*LENGTH & STRENGTH* | prirformis
L=prone, legs externally rotated to about 45*, acess end feel S= slot machine, leg internally rotate and resist
50
*LENGTH & STRENGTH* | erector spinae group
L= seated, find bilateral ASIS, ask patient to bend forward until ASIS rocks then check distance between head and knees S= prone, ASIS at edge of table, cross patients legs and hold ankles and knees down for support ask patient to lift up and hold for 2 minutes. 1 correction is ok
51
*LENGTH & STRENGTH* | PSOAS
L= have patient sit on edge of bench and grab one knee, guide the back to supine, make sure ischial tube is on end of bench, place patients foot against body, take to end range and acess end feel S= supine, hip flexed and externally rotated, lift one leg stabilize contralateral ASIS apply resistance to IPSI leg
52
*LENGTH & STRENGTH* | Quadratus Lumborum
L= side lying proping yourself up with elbow, looking for smooth curve S= side bend off table for 10 sec., stabilize hip/leg
53
*LENGTH & STRENGTH* | Latissimus Dorsi
L=supine, knees bent, thumbs up raise arms above head S= prone, arm adducted, internally rotated and extension
54
*LENGTH & STRENGTH* | Levator Scapulae
L= supine,flexion,contra contra contra, contact superior angle of scapula S= chicken wing
55
*LENGTH & STRENGTH* | Upper Trapezius
L= supine, flexion, contralateral laterl flexion, ipsilateral rotation, contactshoulder S=seated or supine, extension, contrlateral lateral flexion, ipsi rotation, bring shoulder to ear and resist
56
*LENGTH & STRENGTH* | Mid/Low trapezius
S ONLY= prone, thumbs up, to 90*= midd stabilize contr scapula, upper= 135* stabilize contra rib cage LOD down to floor
57
*LENGTH & STRENGTH* | scalene
L=seated, extension, rotated away, calcanial contact below ipsi clavicle S= supine, head flexed, knife edge on frontal bone, I-S and A-P hold 5 sec. give grade
58
*LENGTH & STRENGTH* | SCM
L= supine, head off table, extension, ipsi rotation, contra lateral flexion (ear to chest), contact inferior to clavicle S= seated, flexion, contra rotation, ipsi lateral flexion (ear to chest)

CP1 (2 decks)

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