Musculoskeletal - power points Flashcards

(66 cards)

1
Q

What is MMT?

A

Manual muscle testing

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2
Q

What are the systems involved in pain assessment for musculoskeletal disorders?

A

1) Vascular
2) Neuro
3) Musculoskeletal
4) Psych (emotional)

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3
Q

What are some of the descriptors used that indicate vascular pain?

A

Throbbing, pounding, pulsing, beating

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4
Q

What are some of the descriptors used that indicate neurogenic pain?

A

Sharp, crushing, pinching, burning, hot, searing itchy, stinging, pulling, jumping, pricking, gnawing and electrical

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5
Q

What are some of the descriptors used that indicate musculoskeletal pain?

A

Aching, sore, heavy, hurting, dull, cramping and deep

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6
Q

What are some of the descriptors used that indicate emotional pain?

A

Tiring, miserable, viscious, agonizing, nauseating frightful, piercing, dreadful, torturing, punishing, killing, unbearable, annoying, cruel, sickening, and exhausting

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7
Q

What are some systemic pain patterns?

A

1) recent or sudden onset
2) vascular or neurogenic descriptors
3) usually more constant
4) may have pain at night (oncological)
5) unilateral or bilateral
6) other s/sx

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8
Q

What are some musculoskeletal pain patterns?

A

1) sudden or gradual
2) musculoskeletal descriptors
3) may be constant or intermittent
4) normally unilateral
5) rarely may have sweating, nausea or blanching

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9
Q

Superficial pain sources include:

A

1) skin
2) fascia
3) tendon sheaths
4) periosteum

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10
Q

Sources of deep pain include:

A

1) bones
2) nerves
3) muscles
4) tendons
5) ligaments
6) blood vessels
7) deep fascia
8) joint capsules

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11
Q

Common hip complaints are?

A

1) pain increased with weight bearing
2) Pain present with active or passive ROM
3) pain in buttocks or radiating to anterior thigh

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12
Q

What is the term that means outward from the center of the body?

A

Valgus

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13
Q

What is the term that means inward toward the center of the body?

A

Varus

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14
Q

Golfers elbow typically causes pain in what location?

A

Medial epicondyle

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15
Q

Tennis elbow typically causes pain in what location?

A

Lateral epicondyle

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16
Q

The reflex measurement scale ranges from what to what?

A

0-4

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17
Q

What reflex measurement is considered normal?

A

2/4

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18
Q

Who does active ROM?

A

The patient

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19
Q

Who does passive ROM?

A

The provider

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20
Q

Inert structures are non-contractile. Give some examples.

A

Ligaments, bursae, nerves, cartilege

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21
Q

Pain with passive ROM indicates a problem with what structures?

A

Inert structures

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22
Q

Pain with active ROM indicates a problem with what structures?

A

Muscles or tendons

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23
Q

Examples of normal end feels are:

A

1) bony
2) soft tissue
3) stretch

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24
Q

Examples of abnormal end feels are:

A

1) spasm
2) empty
3) bony
4) capsular (fibrosis)
5) springy

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25
What is the normal range of flexion in the shoulder?
0-180 degrees
26
What is the normal range of extension in the shoulder?
0-60 degrees
27
What is the normal range of abduction in the shoulder?
0-180 degrees
28
What is the normal range of adduction in the shoulder?
0-90 degrees
29
When recording ROM measurements, always record what two things?
The starting and ending points in terms of degrees of motion
30
What is the normal range of flexion in the elbow?
0-145 degrees
31
What is the normal range of extension in the elbow?
0-10 degrees
32
What is the normal range of flexion in the wrist?
0-60 degrees
33
What is the normal range of extension in the wrist?
0-70 degrees
34
What is the normal range of pronation and supination in the wrist?
0-90 degrees
35
What is the normal range of radial deviation in the wrist?
0-20 degrees
36
What is the normal range of ulnar deviation in the wrist?
0-30 degrees
37
What is the normal range of flexion in the hip?
0-125 degrees
38
What is the normal range of extension in the hip?
0-30 degrees
39
What is the normal range of abduction in the hip?
0-45 degrees
40
What is the normal range of adduction in the hip?
0-25 degrees
41
What is the normal range of external rotation in the hip?
0-40 degrees
42
What is the normal range of internal rotation in the hip?
0-60 degrees
43
What is the normal range of flexion in the knee?
0-140 degrees
44
What is the normal range of extension in the knee?
0-5 degrees
45
What is the normal range of dorsiflexion in the ankle?
0-20 degrees
46
What is the normal range of plantar flexion in the ankle?
0-45 degrees
47
What is the normal range of inversion (supination) in the ankle?
0-30 degrees
48
What is the normal range of eversion (pronation) in the ankle?
0-20 degrees
49
What is the name of the test? | Active elbow extension
Elbow extension test | elbow trauma if +
50
What is the name of the test? | Make a relaxed fist with thumb tucked and go into ulnar deviation
Finkelstein checks for tenosynovitis of thumb + if pain (DeQuervain's)
51
What is the name of the test? | With hand flat, extend thumb to create dimple beside carpals
Snuffbox test Tests for scaphoid fx + if pain on compression
52
What is the name of the test? Supine, unaffected leg straight, other knee bent at 90 degrees and rest ankle on other leg. Passive downward and lateral force
Patrick's Test arthritis in hip if + pain in anterior hip or in sacroiliac joint if + in SI
53
What is the name of the test? | Weight on on leg
Trendelenberg Checks strength of GM + if lack of elevation on supporting side
54
What is the name of the test? | Patient on unaffected side, lift leg, bend knee, take into abduction then extension
Obre test Checks for IT band stiffness + if remains abducted
55
What is the name of the test?
Nobel's Compression Test checks IT friction + if pain to lateral epicondyle
56
What is the name of the test? | Prone with knee at 90 degrees, palpate trochanter, rotate externally and interally until trochanter parallel with table
Craig's Test | femoral torsion
57
What is the name of the test? | Supine, one leg straight, one knee flexed into chest
Thomas Test hip contracture + if thigh off the table
58
What is the name of the test? | Patient prone, one leg out, other knee flexed and bring toward buttock, should be able to touch and leave pelvis on mat
Ely's Test femoral nerve irritation + if anterior/medial thigh pain
59
What is the name of the test?
Joint line tenderness | checks meniscus, + if pain
60
What is the name of the test? Have patient squat while palpating meniscus Inward feet for lateral tears and outward feet for medial tears
Ege's test | checks meniscus, + if clicking
61
What is the name of the test? | Compress tibia and fibula above ankle
Squeeze Test checks for tibiofibular syndesmosis + if pain
62
What is the name of the test? | Grasp the medial border of the foot and stabilize, support lateral tib/fib with other hand, externally rotate foot
External Rotation Stress Test checks for tibiofibular syndesmosis injury + if pain at distal syndesmosis
63
What is the name of the test?
Crossed Leg Test Checks for syndesmotic injury + if pain
64
What is the name of the test? | Squeeze calf
Thompson Test Checks for achilles tear + if lack of plantar flexion
65
What is the name of the test? | Tap around the ankle
Tinel sign Checks for nerve compression + if reproduction of pain or sensory symptoms
66
What is the name of the test? | patient seated, move foot into inversion.
Talar tilt Checks for calcaneofibular ligament injury + if instability or empty end