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TRI 2 - MSK > Unit 1 > Flashcards

Unit 1 Flashcards

1
Q

What is the convex concave Rule

A

Concave on convex - roll and glide go in the same direction (elbow)

Convex on concave - roll and glide go in opposite direction (shoulder)

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2
Q

What is Tissue reactivity

A

Tissue irritability

Determined by passively and maximally stressing a tissue

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3
Q

What are the common TR classifications

A

Low - no pain with stressing of the tissue
Moderate - pain with stressing - pain at end
Hight - cannot tolerate stressing of tissue - pain before end feel

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4
Q

TR based on PFT

A

Pain with superficial - High
Pain with moderate or deep - Moderate
No pain with deep depth - Low

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5
Q

What is the sequence of tests for TR of Joint capsule

A

Best test PROM A

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6
Q

What is the sequence of tests for TR for Ligaments

A

Special test, PROM A, PFT

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7
Q

What is the sequence of tests for TR for Muscles

A

MLT, PROM C (opposite to muscle action), PFT

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8
Q

In impairment presentation when is it contractile or inert

A

Contractile - AROM and PROM opposite directions

Inert - AROM and PROM same direction

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9
Q

In impairment presentation when is it cartilage or bursa

A

Cartilage - hard end feel

Bursa - soft end feel

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10
Q

What is the sequence of the patient/client management model

A 
examination
evaluation
diagnosis
prognosis
intervention
outcomes
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11
Q

what is in the examination portion

A 
observation
history
systems review
scanning / screening
test and measures
diagnostic imaging
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12
Q

what is in the evaluation portion

A

diagnosis
prognosis
plan of care

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13
Q

when will MLT be deferred

A
  • PROM C shoulder and/or elbow flexion are limited due to edema/swelling under PFC
  • PROM Accessory: Anterior glide of radial head and/or posterior glide of the humerus is limited due to capsular hypomobility – tightness, adhesion, effusion
  • MSTT: If shoulder and/or elbow extension are weak and painful (partial tear)
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14
Q

What happens in “observation”

A

observe how the patient moves an and structural issues they may have

watch for sitting posture
how they move

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15
Q

What happens in “History”

A

information is received relating to demographics, medications, ICF model, current conditions, ect

also pain assessment

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16
Q

What happens in “system review”

A

rule out serious pathology
quarter scanning
above and below specific joints

17
Q

What happens in “tests and measures”

A

1.Structural Inspection –Posture
2. Palpation for Condition (PFC)
3. AROM
4. PROM-Classical + Accessory
5. Muscle Performance- MSTTs,
MMTs (resistive tests)
6. Flexibility- MLT
7. Special Tests
8. Neurovascular
9. Palpation for specific tenderness
(PFT)
10. Movement Analysis (functional
assessment/tasks)

18
Q

What happens in “diagnostic imaging”

A

correlate image to clinical findings

19
Q

What happens in “structural inspection”

A

scanning for posture

no touching

20
Q

What happens in “PFC”

A

broad hand contact
looking for
- skin - raised or lowered temp, moist or dry, scars or wounds
- subcutaneous tissue - edema, measured with girth measurements
- muscle - guarding

21
Q

What happens in “AROM”

A

looking for

  • quality of motion
  • ROM
  • pain
  • compensations
22
Q

What happens in “PROM”

A

looking for

  • end feels
  • guarding
  • quality
  • symptoms
23
Q

What happens in “MSTT and MMT”

A

MSTT - to detect contractile pathology

MMT - to measure muscle strength

24
Q

What happens in “MLT”

A

determine of normal, limited or excessive length

25
Q

What happens in “special tests”

A

use to conform or reject hypothesis

26
Q

What happens in “neurovascular”

A

rule in or out neurovascular pathology

27
Q

What happens in “PFT”

A

provokes symptoms

this is subjective however and not very reliable

28
Q

What happens in “movement analysis”

A

observe patient performing a functional activity

29
Q

what are the end feels for

  • displaced meniscus
  • pannus
  • ligamentus / capsular laxity
A
  • hard
  • soft
  • firm
30
Q

what are the 4 main effects of CFM

A

traumatic hyperemia - enhanced blood supply
movement of the tissue - fights adhesions
increased tissue perfusion - more blood flow into tissues
mechanoreceptor stimulation - prevents pain

31
Q

what is joint play

A

occurs in response to an outside force, like a distraction, used to detect the joint’s ability to absorb external forces

32
Q

what is component motion

A

movements that take place to facilitate classical motion, like a glide

33
Q

what is instability

A

can be both active and passive classical and normal, limited and excessive

34
Q

what are 4 adverse reactions to manipulation

A

increased pain
increased swelling
increased guarding
decreased mobility

TRI 2 - MSK (3 decks)

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