NMR Mastery Quiz Spring 2016 Flashcards Preview

Physical Therapy > NMR Mastery Quiz Spring 2016 > Flashcards

Flashcards in NMR Mastery Quiz Spring 2016 Deck (40):
1

What area all the test/screenings to be covered (9)

Light touch
Pain (Sharp/Dull)
Temperature
Position Sense
Passive Movement sense
Cerebellar function
Isolation of Movement
Visual Fields
Visual Tracking

2

Light Touch

Using a cotton swab touch the patient on all surfaces of the skin and have them verbalize when they feel a touch. (eyes closed)

3

Reason for using light touch screen

They are unable to sense someone tapping them to get their attention
They don't realize when clothing has been move or abducted on their skin

4

Superficial pain (sharp vs dull)

Break a tongue depressor using twisting torsion motion. With the patients eyes closed alternate between the dull and sharp side and have them verbalize if it is sharp or dull

5

Reasons for doing the sharp/dull

When reaching for something they may prick themselves and not realize it until later

6

Temperature touch

Use two test tubes of water one hot and one cold and see if they can tell the difference. Make. Sure you use the same method to apply the test tube to the skin each time

7

Reason for temperature test

Sometimes when they are getting into the tub they can not tell how hot it is and cause some irritation or burning of the skin. Also going outside may not notice if a body part is not covered. Want to see if some modalities are appropriate for use in therapy.

8

Position sense test

Move one joint through chosen range holding a bony landmark. Identify the different positions of end range as up or down. With eyes close work in small alternating ranges and stop to ask them what position they are in.

9

Reason for position sense test

Sometimes when you are in your wheel chair your arm falls off the arm rest and you do not notice and you banged it against a doorway.

10

Passive movement sense

Start with the uninvolved or less involved arm and passively move the arm through random motions. Have the patient mirror the motion of the uninvolved extremity with the involved. If they are unable to perform the movements have them verbalize.

11

What's another word for passive movement sense

Kinesthesia

12

Why use the passive movement sense test

Sometimes when you are in your wheel chair your arm falls off the arm rest and you do not notice and you banged it against a doorway.

13

What are the cerebellar function tests

Dysmetria
Diadokokinesia
Rebound

14

What is dysmetria

Inability to judge the distance or range of a movement

15

Overshooting a target

Hypermetria

16

Undershooting a target

Hypometria

17

Dymetria test

Finger to nose
Finger to finger
Finger to PT's finger
Opposition of thumb to each finger
(eyes open and eyes closed)

18

What is Diadokokinesia

Inability to complete rapid alternative movements

19

Diadokokinesia test

Start with nonalternating movements initially and then move to alternating movements
(Eyes open and Eyes closed)

20

Upper Extremity Diadokokinesia Test Movements

Supination
Probation
Wrist flex/Ext
Hand open/closed

21

Lower Extremity Diadokokinesia Test Movements

Dosiflexion
Plantar flexion
Knee flexion
Knee extension

22

What is the rebound phenomenon

Loss of the "check" reflex function to halt forceful movement after resistance has been eliminated

23

Rebound test

PT applies resistance to a joint in one direction and asks the pt to resist. The PT releases and observes the ability of the pt to dampen the response to the loss of resistance.

24

1 joint isolation tests

One joint at a time. We are observing to see if they can do the pattern without any synergistic patterns. If there are two movements occurring at the same time they fail the test.

25

2 joint isolation

Looking at two diffent joints moving at the same time. Each joint that is moving will have to be opposite of the synergy pattern of the other joint which is moving

26

3 joint synergy

3 joints moving one in one synergy pattern and the other two in a different pattern.

27

Flexion synergy of the upper extremity

Scapular elevation and addiction
GH extension, ER, Abduction
Elbow flexion
Forearm Supination
Wrist flexion
Finger flexion

28

Extension synergy of lower extremity

Hip extension, IR, adduction
Knee extension
Ankle PF and inversion

29

Extension synergy of upper extremity

Scapular depression and abduction
GH minor flexion, IR, adduction
Elbow extension
Wrist Pronation
Wrist flex or extension
Fingers flexed

30

Flexion synergy of lower extremity

Hip flexion, abduction, and ER
Knee flexion
Ankle dorsiflexion
Foot inversion

31

Strongest components of upper extremity flexion synergy

Shoulder addiction and elbow flexion

32

Weakest components of upper extremity flexion synergy

Shoulder abduction
Shoulder ER

33

Strongest component of lower extremity extension

Knee extension
Hip Abduction
Plantar flexion

34

Weakest components of lower extremity extension

Hip extension

35

Document superficial sensations testing

Any areas on the body that have decreased or absent sensation (pt was unable to identify soft touch on the anterior surface of the forearm just distal to the elbow joint line)

36

Document position testing

Patient was unable to identify the position when the elbow was placed in the flexed position showing a lack in proprioceptive awareness in the Right upper extremity

37

Document dysmetria

Pt demonstrated dysmetria with bilateral finger to nose w/ eyes open and closed

38

Document Rebound

Pt demonstrated positive rebound in bilateral upper extremities when testing elbow flexors and knee extensors

39

Temperature range for hot test

104-113

40

Temperature for cold test

41-50