Week 10 - musculoskeletal and neuro Flashcards Preview

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Flashcards in Week 10 - musculoskeletal and neuro Deck (62)
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1

Pronator Drift test is one of the most sensitive tests for

upper extremity weakness

2

Abnormal finding with pronator drift

arms drop down very quickly

3

What can a positive Straight Leg Raise test (Laségue Test) indicate?

when there is pain, the test is positive and can indicate HERNIATED lumbar disc and nerve irritation/pressure

4

Phalen’s Sign

Inverted prayer - there should be no pain or discomfort (assesses for carpel tunnel)

5

Positive Tinel’s Sign

Pain when tapping medial nerve (assesses for carpel tunnel)

6

What is the #1 predictor of falls in the elderly?

history of falls!

7

What is the only movable joint in the head?

temperomandibular joint (TMJ)
Can move vertically, laterally, protrusion (in/out)

8

Alexander technique

through voice and gentle touch, participants led through movements to improve posture during sitting, standing, and walking

9

Traeger Therapy

goal is to provide deep relaxation and increase mobility

10

Feldenkrais technique

Participants are led by verbal suggestion through an exploratory movement process
Focuses on improving functional awareness and expanding the repertoire of movement patterns

11

Neuro health history ?'s

Hx of seizure disorder, TIA, stroke, fainting, blackouts, meningitis, alcoholism, myasthenia gravis, multiple sclerosis, mental health dysfunction

12

Romberg test

stand w/ feet together, close eyes. Slight swaying is normal.
Falling can occur in PTs w/ MS, drunk, loss of vestibular function

13

Tandem walking

PT walks in straight line, heel to toe (accentuates gait problems)

14

increased touch sensation

hyperesthesia

15

reduced touch sensation

hypoesthesia

16

absent touch sensation

anesthesia

17

Stereognosis (evaluates cortical sensory function)

place a familiar object in the patient’s palm (e.g. paper clip) ask PT to identify it

18

Graphesthesia (evaluates cortical sensory function)

trace a # on PT's palm w/ a blunt object (e.g. finger) and ask PT to identify number

19

inability to identify objects correctly

astereognosis

20

headache history- what are signs of increased ICP

pain worse in the AM on awakening & pain precipitated by straining/sneezing

21

Cogwheel rigidity

small, regular jerks during rotating movements of wrist and hand (parkinson's)

22

indicative of UPPER motor neuron lesions (from strokes, tumors)

hyperreflexia

23

indicative of LOWER motor neuron lesions (from spinal cord injury)

hyporeflexia

24

Stroke recognition FAST

F- face (ask person to smile, look for droopiness)
A-arms (raise both arms, does one drift)
S- speech (is speech slurred?)
T-time (call 911 if you observe these signs!)

25

What's always the 1st step when there's a musculoskeletal injury?

compare L and R for symmetry

26

Phalen and Tinel tests can test for

carpel tunnel syndrome

27

Bulge and ballottement tests look for

effusion in the knee joint

28

McMurray test assesses for

meniscus tears in the knee

29

The Thomas Test is used to identify

flexion contracture of the hip

30

The Drawer test is for

knee injury