Treatment And Remex Flashcards

(59 cards)

1
Q

Ulnar Nerve Lesion

A

Cubital: Light Tapping over Cubital area, GTO Extensors, MM strip Extensors
Guyon: Light Tapping over Pisiform, Hook of Hamate, GTO Extensors, MM Strip Extensors
Hydro: Cool on medial forearm
Stretch: Lateral Wrist Extensors
Strengthen: Medial Wrist
PJM: Elbow

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2
Q

Carpal Tunnel Syndrome

A

Light Tapping over Thenar Eminence, Facial to Flexors, MM Strip Extensors
Hydro: Cool on wrist
Stretch: Flexors
Strengthen: Thenar mm - Abductor Pollicis Brevis
PJM: Wrist Distraction

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3
Q

Pronator Teres Syndrome

A
Light Tapping over heads of Pronator Teres, Facial over cubital tunnel, MM Strip Extensors
Hydro: Cool on wrist
Stretch: Extensors
Strengthen: Flexors and Thenar mm
PJM: Elbow Distraction
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4
Q
Dislocation
SC
AC
GH
Lunate
A

Facial, GTO, MM strip
Hydro: Hydrocollator
Stretch: SC-SCM, AC-Pec Major, GH-Pec Major, Lunate-Flexors
Strengthen: SC-Upper Traps, AC-Mid Deltoid, GH-Triceps, Lunate-Extensors
PJM: Not in direction of dislocation

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5
Q

Bells’ Palsy

A

Affected side: Light stroking or Tapotement - Chin-Ear-Forehead, GTO-Suboccipitals, MM strip-SCM
Hydro: Cool on affected, warm on unaffected
Stretch: SCM
Strengthen: Active assisted of Facial mm
PJM: Occiput traction

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6
Q

Trigeminal Neuralgia

A

GTO, MM Strip SCM, Occipital Release
Hydro: Heat on compensatory C/S and shoulders
Stretch: Suboccipitals
PJM: C/S Traction

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7
Q

TOS Anterior Scalene

A
Facial, MM strip, GTO Scalenes
Hydro: Warm compress on one side of neck only
Stretch: Anterior Scalene
Strengthen: Suboccipitals
PJM: C/S Distraction
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8
Q

TOS Pec Minor

A

Facial, MM strip, GTO-Pec’s, MLD-Hand,Arm
Hydro: Warm compress on 1 side of neck only, cool wash along arm if edema
Stretch: Pec Minor
Strengthen: Rhomboids
PJM: GH Posterior Glide

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9
Q

TOS Costoclavicular

A
Facial, MM strip, O and I - Rhomboids
Hydro: DMH on Rhomboids
Stretch: Rhomboids
Strengthen: Upper Traps
PJM: GH Posterior Glide
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10
Q

TMJ Dysfunction

A
Tapotement on Hypermobile side, GTO, MM Strip - Hypomobile side
Hydro: Warm to Hypomobile side
Stretch: SCM
Strengthen: Resist Jaw movement
PJM: Gr. 3 C/S Traction
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11
Q

Cruciate and Meniscal Injury

A

Menicus/ACL: Facial, GTO, MM strip-Quads
PCL: Facial, GTO, MM strip-Hamstrings
Hydro: Hydrocollator
Stretch: If strength is stable
Strengthen: Meniscus/ACL- Quad’s, PCL - Hamstrings
PJM: Meniscus/ACL - Anterior Glide, PCL - Posterior Glide

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12
Q

Intervertebral Disc Herniation

A
Facial, MM Approx, GTO, MM Strip
Hydro: Hydrocollator
Stretch: L/S-QL’s, C/S-SCM
Strengthen: L/S-Glut Max, C/S-Suboccipitals
PJM: Gr. 3 TVP, PACVP
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13
Q

Facet Joint Dysfunction

A

Facial, GTO-Suboccipitals, MM strip
Hydro: Warm on C/S, Hydrocollator on Back
Stretch: C/S-SCM, L/S-QL (Banana Stretch)
Strengthen: C/S-Posterior C/S mm, L/S-Multifidi
PJM: Positional Tractioning: Palpate segment to be distracted, Place neck in flexion, side bend away from injury and rotate toward injury and apply slight traction for 7-10 seconds

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14
Q

SI Joint Dysfunction

A

Sacral Release, Hypomobile Glutes, Piriformis Release, MM strip-Treat mm with direct attachments to SI
Hydro: Hydrocollator to Glut Max, Piriformis, Lats
Stretch: Hypomobile Glutes, Piriformis
Strengthen: Hypermobile Glutes, Piriformis
PJM: Gr. 3 Long Axis Hip Traction

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15
Q

ITB Friction Syndrome

A
Fascial, MM Strip, Vibes over ITB attachment
Hydro: Hydrocollator to thigh
Stretch: ITB/TFL
Strengthen: Vastus Medialis, Adductors
PJM: Gr. 3 Long Axis Hip Traction
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16
Q

Piriformis Syndrome

A
Facial, MM strip, Vibes-Glutes
Hydro: Heat on Piriformis, Cool on referral pattern
Stretch: Piriformis
Strengthen: TFL, Adductors
PJM: Hip
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17
Q

Frozen Shoulder

Thawing Stage

A
Facial, GTO, MM Strip- Rotator Cuff MM & Biceps
Hydro: Hydrocollator
Stretch: Pec’s
Strengthen: Deltoids
PJM: Gr. 3 GH Distraction
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18
Q

Epicondylitis

A

Facial, GTO, MM Strip
Hydro: Hydrocullator on affected tendon
Stretch: Medial-Flexors, Lateral-Extensors
Strengthen: Medial-Extensors, Lateral-Flexors
PJM: Gr. 3 Distractions to Humeroulnar Joint (Increase general mobility)

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19
Q

Patellofemoral Syndrome

A
Facial, GTO, MM Strip-Quads
Hydro: Hydrocollator to ITB, Vastus Lateralis
Stretch: ITB/TFL
Strengthen: Adductors
PJM: Gr. 3 Anterior Drawer of Knee
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20
Q

Tendinitis

Bicep’s or Supraspinatus

A

Facial, GTO, MM Strip
Hydro: Hydrocollator
Stretch: Biceps-Biceps, Supraspinatus-Supraspinatus
Strengthen: Biceps-Triceps, Supraspinatus-Teres Major
PJM: Gr. 3 Distraction to GH (increase general mobility)

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21
Q

Dupuytren’s Contracture

A

Facial- Palmar Aponeurosis, GTO-CFT, MM Strip-Flexors and Lumbricals
Hydro: Hydrocollator to Hand
Stretch: Flexors
Strengthen: Extensors
PJM: Gr. 3 Wrist Traction to Radiocarpal Joint

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22
Q

Rheumatoid Arthritis

Between Flare-Ups

A
Light Fascial and MM Approx-Forearm Extensors, Tapotement or Vibes - Intrinsic Hand mm
Hydro: Cool on affected
Stretch: Extensors
Strengthen: Intrinsic Hand mm
PJM: Gr. 1-2 Radiocarpal Distraction
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23
Q

Osteoarthritis

Early Stage

A

Facial, GTO, MM Strip - Surrounding involved joint
Hydro: Hydrocullator
Stretch: P.A.S - MM crossing affected joint
Strengthen: AR- MM that opens joint
PJM: Gr. 3

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24
Q

DeQuervain’s Tenosynovitis

A

Fascial-Extensors, GTO-CET, MM Strip-Extensors
Hydro: Hydrocollator on Extensors
Stretch: Abductor Pollicis Longus and Extensor Pollicis Brevis (Finkelstein Stretch)
Strengthen: Hand mm
PJM: Gr. 3 Thumb Traction

25
Radial Nerve Lesion
``` Light Tapping-Posterior Brachium, Fascial, GTO, MM Strip-Anterior Brachium Hydro: Cool on Extensors Stretch: Pec’s Strengthen: Triceps PJM: GH Anterior Glide ```
26
Erb’s Palsy
Fascial and GTO-Pec’s, Tapotement- Biceps, Forearm Extensors Hydro: Heat on Flexors, Pec’s, Tricep’s, Cool on Forearm Extensors Stretch: Pec’s Strengthen: Extensors PJM: GH Anterior Glide to help with External Rotation
27
Klumpke’s Paralysis
Fascial and MM Strip-Extensors, Tapoetment-Flexors Hydro: Warm on Contractures, cool on atrophied Stretch: Extensors Strengthen: Flexor Carpi Ulnaris PJM: Long Axis Traction Thumb
28
Hyperlordosis
``` Fascial, MM Strip-QL’s, Vibes Hydro: Hydrocullator Stretch: Rectus Femoris Strengthen: Glutes PJM: Gr. 3 Hip ```
29
Rib Subluxation and Intercostal Neuralgia
``` Fascial, O and I - QL’s, MM Strip-Back Hydro: Cool along Nerve distribution Stretch: Banana Stretch, Rhomboids Strengthen: Neck, Shoulder Girdle PJM: PACVP, TVP ```
30
Ankylosing Spondylitis
``` Treat Forward Head Carriage Fascial, GTO, MM Strip Hydro: Hydrocullator Stretch: Pec’s Strengthen: Rhomboids PJM: SC Distraction ```
31
Pregnancy | 1st Trimester
``` Fascial- Pec’s, Head, Neck and Shoulder’s Hydro: Cool Stretch: SCM Strengthen: Suboccipitals PJM: Gr. 1-2 C/S traction ```
32
Women’s Health Condition’s | Dysmenorrhea, Pelvic Inflammatory Disease, Endometriosis
``` MLD, Fascial, Vibe’s - Abdomen Hydro: Cool compress Stretch: Psoas Strengthen: Kegal’s? PJM: Gr. 1-2 Long Axis Hip Traction ```
33
Constipation
Fascial-Opening 4 corner’s, full sun, half moon, Vibes-Abdomen, P.A.S- Psoas Hydro: Heating compress on abdomen Strengthen: Transverse Abdominis- Client supine with knee’s and hips flexed to 90 degrees, arms crossed in front of body, therapist applies mild pulling force over patients knees into rotation PJM: Gr. 3 Long Axis Hip Traction
34
Sacral Plexus Injury
``` Fascial, MM Strip, Vibe’s - L/S Hydro: Heat on L/S Stretch: Hamstrings Strengthen: Glutes PJM: L/S PACVP ```
35
Degenerative Disc Disease | Late: Affected Joint Hypomobile
``` Light Facial, Vibes, GTO Hydro: Warm No Stretch Strengthen: MM setting PJM: Gr. 1-2 TVP ```
36
Scoliosis
``` Concave - Fascial, MM Strip, Convex - Tapotement Hydro: Heat on Concave, Cool on Convex Stretch: Banana Stretch Strengthen: Convex Glutes PJM: TVP on Concave side ```
37
Common Fibular Nerve Lesion
Light Tapping, Fascial - Tibialis Anterior and Fibularis Longus, MM Strip-Gastroc’s Hydro: Heat on Posterior, Cool on Anterior and Lateral Stretch: Gastrocnemius Strengthen: Tibialis Anterior - Dorsiflex and Invert PJM: Gentle 1-2 Anterior Glide on Ankle
38
Multiple Sclerosis
``` Vibes over injection site, GTO, O and I, MM Approx Hydro: Warm to cool Stretch: Gastroc’s Strengthen: Tibialis Anterior PJM: Hip Distraction ```
39
Plantar Fascitis
Fascial, GTO, MM Strip - Gastrocs, Frictions - Calacaneous attachments Hydro: Hydrocullator Stretch: Gastrocnemius Strengthen: Tibialis Anterior PJM: Gr. 3 Anterior Glide to increase Plantarflexion
40
Compartment Syndrome | Anterior or Posterior
Anterior-Fascial, Tapotement on Tib Ant, MM Strip on Gastrocnemius, Posterior - Fascial and Tapotement on Gastrocnemius, MM Strip - Anterior Leg Just lighter techniques for Subacute Hydro: Anterior-Heat to Gastroc’s, Posterior-Heat to Tib. Ant Stretch: Anterior-Gastroc, Posterior-Tib Ant Strengthen: Ant-Tib Ant, Post.-Gastroc PJM: Ant-Post. Glide to increase Dorsiflexion, Post.-Ant. Glide to increase Plantarflexion
41
Pes Planus
Fascial, MM Strip-Gastroc’s, Tapoetment- Tibialis Anterior and Instrinsic foot mm Hydro: Hydrocollator to Gastroc’s Stretch: Gastrocnemius Strengthen: Tibialis Anterior - Dorsiflex and Invert PJM: Gr. 3 Posterior Glide to increase Dorsiflexion
42
C.O.P.D’s | Chronic Bronchitis, Emphysema, Asthma, Cystic Fibrosis
Acute- MLD, Light Fascial, Vibes Chronic-GTO, MM Strip-Head, Neck and Shoulder’s, Diaphragm Release Hydro: Heat over Pec’s if no Hypertension Stretch: Scalenes or Pec’s Strengthen: Abdomen PJM: SC Joint
43
Fibromyalgia Syndrome/Chronic Fatigue Syndrome
``` Gentle Fascial, GTO, Vibes-Neck, Upper Traps Hydro: Warm compress No Stretch Strengthen: Mild PJM: Gentle and Mild ```
44
Headaches Tension or Migraine During or In-Between
During: Diaphragm release, O and I-SCM. Between: GTO-Suboccipitals, B/W-More vigorous techniques, MM strip and Fascial Hydro: During: Cool on neck/head. Between: Contrast Stretch: SCM Strengthen: Posterior C/S PJM: Gr. 1-2 C/S Traction
45
Torticollis
Aquired- MLD, Vibes, GTO-SCM, Congential- Fascial, GTO-SCM, MM Strip Hydro: Aquired-cool, Congential-warm Stretch: Aquired- No Stretch, Congential-SCM Strengthen: Aquired-Unaffected SCM, Congential-Unaffected SCM PJM: Aquired-Gr. 1-2 C/S Traction, Congential-Gr. 2 C/S Distraction
46
Cerebral Palsy
``` Vibes, O and I, MM Strip-SCM, Scalenes Hydro: Depends Stretch: Slow gentle P.A.S-SCM, Scalenes Strengthen: Forearm Extensors PJM: C/S Traction ```
47
C.V.A and Hemiplegia
``` Hyperkyphotic Posture GTO, O and I, Vibes, MLD Hydro: Heat for spasticity, Contractures, Stretch: Pec’s Strengthen: Triceps PJM: Avoid placing GH Inferior ```
48
Parkinson’s
``` Anterior Head Carriage Fascial, GTO, MM Strip Hydro: Hydrocullator Stretch: Pecs Strengthen: Suboccipitals PJM: Gr. 1-2 C/S Traction ```
49
Whiplash
Subacute: Light Fascial, Vibes, GTO. Chronic: Fascial, GTO, MM strip Hydro: Warm compress Stretch: Extension-Chin tuck, Flexion-SCM, Side Impact-Contralateral side mm Strengthen: Extension-SCM, Flexion-Upper Traps, Side Impact-Ipsilateral side mm PJM: Subacute: Gr. 1-2 C/S Traction. Chronic: Gr. 3 C/S Traction
50
Hyperkyphosis
``` Fascial, GTO-Pec’s, Tapotement-Rhomboids Hydro: Hydrocullator Stretch: Pecs Strengthen: Rhomboids PJM: Rib springing ```
51
Strain
``` Quad or Hamstring Fascial, GTO, MM Strip Hydro: Hydrocullator Stretch: Quad-Stretch Hamstring, Hamstring-Stretch Quad Strengthen: Affected Muscle PJM: Gr. 3 Long Axis Hip Traction ```
52
Fracture
Colle’s, Scaphoid, Femoral Neck, Pott’s Fascial, MM Approx, GTO Hydro: Warm Stretch: After 80% of strength is back Strengthen: Colle’s/Scaphoid-Extensors, Femoral Neck-Glutes, Pott’s-Fib Long PJM: After consolidation, Gr. 1 distraction
53
Contusion
Quad or Bicep’s Fascial, GTO, MM Strip Hydro: Hydrocullator Stretch: Quad Contusion- Hamstrings, Hamstring Contusion- Quad’s Strengthen: Quad Contusion- Quad’s, Hamstring Contusion- Hamstring’s PJM: Gr. 3 Distractions
54
Bursitis
Subdeltoid, Olecranon, Patellar Fascial, GTO, MM Strip Hydro: Hydrocullator Stretch: Subdeltoid-Biceps, Olecranon-Bicep’s, Patellar-Quad’s Strengthen: Subdeltoid-Mid Deltoid, Olecranon-Triceps, Patellar-Hamstrings PJM: Gr.3 Distractions
55
Osteoarthritis | Late Stage
Light Fascial, Vibes, GTO Hydro: Cold with inflammation, or DHM/Contrast Stretch: Avoid stretch, just maintain ROM Strengthen: MM Setting PJM: Gr. 1-2
56
Frozen Shoulder | Freezing Stage
``` Light Fascial, MLD, Vibes Hydro: Cold No Stretch Strengthen: MM setting PJM: Gr. 2 GH Distraction ```
57
Frozen Shoulder | Frozen Stage
``` Light Fascial, Vibes, GTO Hydro: Contrast Stretch: Pec’s Strengthen: Deltoids-Abduction PJM: Gr. 2 GH Distraction ```
58
ITB Friction Syndrome | Subacute
TFL and Proximal thigh - Light fascial, Vibes, GTO Hydro: Contrast Stretch: If not inflamed-ITB/TFL or Quads Strengthen: If not inflamed - Vastus Medialis PJM: Gr. 1-2 Long Axis Hip Traction
59
DDD | Early
``` Fascial, GTO, MM Strip - L/S Hydro: Hydrocullator No Stretch Strengthen: Glutes PJM: Gr. 3 ```