Quiz 1 Flashcards
(38 cards)
What are the 3 goals of the reasoning process?
- determine the most appropriate action
- determine prognosis
- establish outcome measures
What is the mechanism of PT manipulation
- relieve pain
- normalize joint mobility
- reposition joint
What is the purpose of pain?
- alert body to danger/treat
- protection from injury
- change behavior
Neuromatrix pain theory (3)
- all sensation is imprinted by processes in the brain
- processes are activated by inputs, they can act in the absence of inputs
- stimuli triggers patterns of sensation but do not produce them
Nociceptive pain (simple pain)
- mechanical nature
- localized
- short duration
- patho-mechanical explanation
Persistent (complex) pain
- non mechanical
- poorly defined location
- exaggerated response
- psychosocial concerns
What are some risk factors/yellow flags for pain disorders
- psychosocial factors (e.g. depression)
- gender (F)
- genetics
- smoking
Sxs of complex regional pain syndrome
- exaggerated pain
- skin color and temp changes
- changes in nail/hair growth
- swelling
- motor disability
Budapest criterion diagnosis of CRPS
- continued disproportionate pain
- no other diagnosis that fits
Which type of CRPS has the worst prognosis
- 2
- b/c longer duration of sxs
Fibromyalgia sxs
- widespread pain
- fatigue
- brain fog
- difficulty sleeping
- reduced tolerance to activity
- associated with other conditions
What to do w/ pt with pain disorder
- focus on the problem
- reduce perceived threat level
- focus on function
Masseter OIA
O- zygomatic arch, maxilla
I-Coronoid process
A-Protraction and elevation of jaw
Temporalis OIA
- temporal bone
- coronoid process
- elevation and retraction of mandible
Lateral pterygoid IA
Medial mandibular condyle
-depresses mandible
Medial pterygoid A
-elevates mandible
Describe the motion of the mandibular disc in relation to opening and closing
-as the mandible depresses, the oblique ligament tightens up, and the disc “dislocates” with the head of the mandibular condyle
Common complaints of TMD
-ear pain, clicking, locking, decreased ROM, headaches, tooth pain, tinitus,
Causative factors of TMD
- trauma
- habits (nail biting)
- psychosocial factors
Myofascial pain related to TMD
- muscular pain
- pain w/ palpation
- increases with jaw use
- probably not ear pain
3 types of TMD
- myofascial pain
- disc displacement
- arthralgia
Anterior disc displacement TMD
-limited ROM with opening but no difficulty closing
Posterior disc displacement TMD
-limited ROM with closing
4 treatment categories TMD
- mobility
- soft tissue
- motor control
- pain modulation
