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CATS 200 > Practical#4 > Flashcards

Practical#4 Flashcards

1
Q

Which nerve roots are affected in Erb’s Palsy

A

C5-C6

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2
Q

Positioning for Erb’s Palsy

A

Supine: Place pillow under arm to open it up a bit and to move it closer into resting position for the GH PJM

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3
Q

Hydro for Acute Erb’s Palsy

A

Cool compress on Pec Major

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4
Q

Techniques for Acute Erb’s Palsy

A

Light Fascial on Pec Major
Fine Vibes
Tapotement to stimulate Biceps

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5
Q

Techniques for Chronic Erb’s Palsy

A

Fascial & Petrissage on Pec Major
Petrissage on C/S
GTO on Coracoid Process for Pec Minor
Tapotement to stimulate Biceps

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6
Q

What structures are affected in Erb’s Palsy

A

Chronic deformity due to unopposed contracture of the wrist flexors
GH Joint is Adducted & Internally Rotated
Elbow/Forearm Extended & Pronated
Wrist/Finger are in Flexion

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7
Q

Treatment of Erb’s Palsy

A

Neck & Shoulder Girdle to reduce HT due to compensatory & holding patterns

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8
Q

PJM for Erb’s Palsy

A

State you are working within client’s range, therefore not able to get them completely in resting position, but try to open the GH up a bit with a pillow
Acute: Grade 1-2 to decrease pain
Chronic: Grade 3: GH anterior glide to increase external rotation

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9
Q

REMEX for Erb’s Palsy Homecare

A

Stretch: Pec’s, Pronator Teres, Triceps, Forearm Flexors

Strengthen: Gentle, progressive resistance exercises to increase strength and functionality of weakened mm: Rhomboids, Biceps, Lev Scapula, Deltoids, Supraspinatus

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10
Q

Positioning for Sacral Plexus Injury

A

Prone

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11
Q

Hydro for Acute Sacral Plexus Injury

A

Cool Compress on L/S

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12
Q

Techniques for Acute Sacral Plexus Injury

A

Light Fascial, Light stroking, Fine vibes on QL’s, Erectors and into Gluteus
Or instead of Fascial, do tapotement down dermatomal pattern on leg

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13
Q

Hydro for Chronic Sacral Plexus Injury

A

Hydrocollator on L/S

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14
Q

Techniques for Chronic Sacral Plexus Injury

A

Petrissage, mm stripping on low back, stimulatory over dermatomal pattern or straight leg raise in supine (b/w 35-70 degrees where tissue resistance is felt: hold for 1 minute, you want a slight increase sx’s but px should decrease after 1 minute

GTO, MLD, MTP

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15
Q

PJM for Sacral Plexus Injury

A

Acute: Grade 2 lumbar traction to decrease pain
Chronic: Lumbar PACVP

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16
Q

REMEX for Sacral Plexus Injury Homecare

A

Stretch: Cat stretch, client on the floor, on hands and knees & arch back

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17
Q

Positioning for TOS

A

Supine

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18
Q

Hydro for TOS

A

Acute: Cool compress
Chronic: Warm compress

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19
Q

Techniques for Acute TOS

A

MLD, Fine Vibes
Tapotement to stimulate tingling pattern in arm

GTO, MTP

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20
Q

Techniques for Chronic TOS

A

Petrissage, mm stripping, and tapotement to stimulate tingling pattern in arm

GTO, MTP

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21
Q

PJM for TOS

A

Acute: Grade 1-2 C/S distraction to decrease pain
Chronic: Grade 3 SC glides - stabilize sternum with one hands glide the joint with the other (inferior of anterior glide)

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22
Q

REMEX for TOS Homecare

A

Stretch: Pec minor, Anterior Scalene, Pec major, Suboccipitals
Strengthen: Rhomboids or Traps

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23
Q

Techniques & Hydro for Anterior/Posterior Compartment Syndrome

A

Acute: Cool compress, MLD, Light Fascial, Vibes on Anterior/Posterior leg
Chronic: Warm compress, Fascial, Petrissage, mm stripping on Anterior/Posterior leg

GTO, MTP, Tapotement

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24
Q

PJMs for Anterior/Posterior Compartment Syndrome

A

Anterior: Posterior glide to increase Dorsiflexion
Posterior: Anterior glide to increase Plantar Flexion

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25
REMEX for Anterior/Posterior Compartment Syndrome
Strengthen Anterior: Gastrocnemius (heel raises) Posterior: Tibialis Anterior
26
Techniques & Hydro for Piriformis Syndrome
Acute: Cool compress, MLD, fine vibes, light stroking on Glutes & Hamstrings Chronic: Hydrocollator on Glutes, Fascial, Petrissage, mm stripping on Glutes, GTO at Greater Trochanter
27
PJMs for Piriformis Syndrome
Acute: Grade 1-2 Long Axis Hip Traction to decrease pain Chronic: Grade 3 Long Axis Hip traction to increase mobility
28
REMEX for Piriformis Syndrome Homecare
Stretch Piriformis: Client lies on back with both knees and hips flexed, cross one foot over the other knee and pull it towards the opposite shoulder
29
Techniques & Hydro for Intervertebral Disc Herniation
*Usually has hyperlordosis posture - similar treatment Acute: Cool compress (not directly on site), MLD, Vibes, light stroking on back around the affected area Chronic: Hydrocollator on L/S, Fascial, Petrissage, mm stripping to QL’s
30
PJMs for Acute & Chronic Intervertebral Disc Herniation
Acute: Grade 1 spinal traction (like hip traction but leg is Adducted and held over top the other one, positional tractioning for hypomobile vertebrae, or SI Joint mobs Chronic: TVP, PACVP
31
REMEX for Intervertebral Disc Herniation Homecare
Strengthen | Extension exercise - Lift themselves up by getting on their elbows
32
Techniques & Hydro for Acute/Chronic C/S Facet Dysfunction
Supine Acute: Cool compress, MLD, Vibes, Light fascial, O&I, GTO to Lev Scapula or SCM Hypermobile side of neck: Tapotement to stimulate Chronic: Hydrocollator, Petrissage, mm stripping, O&I to SCM, Subboccipital release Hypermobile side of neck: Tapotement to stimulate SCM, Scalenes
33
Techniques & Hydro for Acute/Chronic L/S Facet Dysfunction
Prone Acute: Cool compress, MLD, Light stroking Chronic: Hypomobile side: Hydrocollator, Fascial, Petrissage, mm stripping Hypermobile side: Tapotement to stimulate
34
PJM for C/S Facet Dysfunction
Positional tractioning, Flexion, Side Bend to unaffected side then Rotate neck to affected side, apply slight traction for 7-10 seconds
35
PJM for L/S Facet Dysfunction
TVP to hypomobile side
36
REMEX for C/S Facet Dysfunction Homecare
Scalenes - client sits on chair; holds bottom of it with hand on affected side of neck, Side bend C/S toward other side, and extend if needed
37
REMEX for L/S Facet Dysfunction Homecare
Childs pose to stretch Latissimus Dorsi but walk hands over to the hypermobile side to stretch the Hypomobile side
38
Techniques & Hydro for DDD
Early stage: Warm compress, Fascial, Petrissage, mm stripping on affected area Late stage: Cool compress, MLD, Light fascial, fine vibes
39
PJMs for DDD
Early stage: Grade 3 traction to increase ROM Late stage: Grade 1-2 traction to decrease pain
40
REMEX for DDD Homecare
Late stage: mm setting
41
Techniques & Hydro for Osteoarthritis
Early stage: Warm compress, Fascial, Petrissage, mm stripping on Thenar eminence as well as forearm flexors and extensors Late stage: Cool compress, MLD, light fascial, fine vibes
42
PJM’s for Osteoarthitis
Early stage: Grade 3 traction of thumb saddle joint to increase ROM Late stage: Grade 1-2 traction to decrease pain
43
REMEX for Osteoarthritis Homecare
Early stage: Squeeze an exercise ball in affected hand Late stage: mm setting of Thenar eminence
44
Common Carotid
Mm structures: SCM, Thyroid cartilage | Palpation: Palpate between SCM & thyroid cartilage at level of C6
45
External Carotid
Mm structures: SCM, Angle of Mandible | Palpation: Palpate Anterior to SCM at level of angle of mandible
46
Proximal Brachial
Mm structures: Coracobrachialis | Palpation: Palpate medial aspect of brachium posterior to Coracobrachialis
47
Distal Brachial
Mm structures: Bicipital tendon, cubital fossa | Palpation: Palpate medial side of bicipital tendon at medial cubital fossa
48
Radial
Mm structures: Flexor carpi Radialis tendon, snuffbox | Palpation: Palpate lateral to flexor carpi Radialis at wrist (can also be palpated in snuffbox)
49
Ulnar
Mm structures: Flexor carpi Ulnaris tendon | Palpation: Palpate lateral to flexor carpi Ulnaris tendon at wrist
50
Abdominal Aorta
Mm structures: Umbilicus | Palpation: Palpate left of the midline superior to umbilicus
51
Femoral
Mm structures: Inguinal ligament, femoral triangle | Palpation: Palpate midway along Inguinal ligament in femoral triangle
52
Popliteal
Mm structures: Popliteal fossa | Palpation: Palpate deep on medial side, flex the knee to facilitate deeper palpation
53
Posterior Tibial
Mm structures: Flexor digitorum tendon, medial malleolus | Palpation: Palpate posterior to flexor digitorum tendon, posterior to medial malleolus
54
Dorsalis Pedis
Mm structures: Extensor Hallucis Longus & extensor digitorum longus tendons Palpation: Palpate between Extensor Hallucis longus & extensor digitorum longus tendons, over proximal dorsal foot
55
Attachments of Supraspinous Ligament
Between the tips of SP’s from C7 - Sacrum
56
Function of Supraspinsous Ligament
Limits flexion of vertebral column
57
Attachments of Medial Collateral Ligament of Wrist
- Ulnar styloid Process | - Pisiform & Triquetrum
58
Function of Medial Collateral Ligament
Limits Radial deviation of the wrist
59
Starting landmark for Medial collateral ligament of wrist
Styloid process of radius
60
Attachments of Lateral collateral ligament of wrist
- Styloid process of radius | - Scaphoid & Trapezium
61
Function of Lateral collateral ligament of wrist
Limits Ulnar deviation of the wrist
62
Starting landmark for Lateral collateral ligament of wrist
Ulnar styloid process
63
Attachments of (Radial) Annular Ligament
- Anterior & Posterior Radial Notches
64
Function of (radial) Annular ligament
Supports head of radius in radial notch of ulna
65
Attachments of Transverse Humeral Ligament
- Greater tubercle of humerus | - Lesser tubercle of humerus
66
Function of Transverse Humeral Ligament
Stabilizes long head of biceps brachii
67
Attachments of Coracoacromial ligament
- Lateral border of coracoid process | - Edge of Acromion
68
Function of coracoacromial ligament
Prevents superior displacement of humeral head
69
Attachments of Sacrotuberous ligament
- Dorsal surface of sacrum, coccyx, PSIS | - Ischial Tuberosity
70
Function of Sacrotuberous Ligament
Forms greater sciatic notch
71
Attachments of Iliolumbar ligament
- Tip of L5 TVP | - Iliac Crest
72
Function of Iliolumbar ligament
Limits rotation on sacrum, prevents anterior gliding of L/S on sacrum
73
Attachments of Medial Collateral Ligament of Knee
- Medial femoral condyle | - Medial tibial condyle
74
Function of Medial collateral ligament of knee
Protects against valgus stress
75
Starting landmark for Medial Collateral ligament of knee
Apex of Patella
76
Attachments of Lateral collateral ligament of Knee
- Lateral femoral condyle | - Fibular head
77
Function of Lateral collateral ligament of knee
Protects against varus stress of knee
78
Starting landmark for Lateral collateral ligament of knee
Apex of patella
79
Attachments of Deltoid Ligament
- Medial malleolus | - Talus, Calcaneus, Navicular
80
Function of Deltoid ligament
Limits Eversion
81
Starting landmark for Deltoid ligament
Lateral malleolus
82
Attachments for Anterior Talofibular ligament
- Neck of talus | - Lateral malleolus
83
Function of Anterior Talofibular ligament
Limits inversion
84
Starting landmark of Anterior Talofibular ligament
Medial Malleolus
85
Attachments of Posterior Talofibular ligament
- Lateral tubercle of talus | - Distal fibula
86
Function of Posterior Talofibular ligament
Limits inversion
87
Starting landmark of Posterior talofibular ligament
Lateral malleolus

CATS 200 (15 decks)

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