Week 6 Lectures

Question 1

Pain is considered the ___________.

Answer 1

Fifth vital sign

Question 2

Physiological and behavioral signs of pain (increased HR, BP, or grimacing) are neither _______ nor _______ for pain but can be a sign of need for further assessment.

Answer 2

sensitive nor specific

Question 3

3 components of pain

Answer 3

Sensory
Emotional
Cognitive

Affects all components of the ICF Model

Question 4

Objective vs Subjective pain experience

Answer 4

Objective
-Physiological tissue damage

Subjective

• Perceptual
• Affective
• Cognitive
• Behavioral

Question 5

What are the 4 pain categories?

Answer 5

• Acute
• Chronic
• Referred
• Central

Question 6

Pain history involves what?

Answer 6

Observation
Origin
Position
Pattern
Quality
Quantity
Radiation
Signs/Symptoms
Treatment
Visceral Symptoms

Question 7

By the age of __, most children can quantify pain using any of the tools.

Answer 7

8

Question 8

Approximately __ percent of adults are unable to quantify their pain

Answer 8

10%

Question 9

Order of pain intensity measurements

Answer 9

• Pieces of Hurt (3-7)
• Facial scales (4-12)
• Visual Analog scales (7+)
• Numerical rating scales (8+)

Question 10

Poor Coping: Patterns in Chronic Pain

Answer 10

• Pain catastrophizing
• Misdirected Problem Solving
• Low Self Efficacy

Question 11

Depression screening percentages?

Answer 11

-Pre-test probability of depression= 24.5%

• If both yes= 59.9%
• If one yes= 47.2%

Question 12

GONIO

Answer 12

GONIO

Question 13

Parts of the goniometer

Answer 13

• Body
• Stationary Arm
• Moving Arm

Question 14

Shoulder ROM vs Glenohumeral ROM for flexion?

Answer 14

Shoulder= 180°

Glenohumeral=115°

Question 15

Shoulder and GH testing position?

Answer 15

• Supine, hook lying
• Elbow extended
• Neutral shoulder rotation
• Neutral sup/pronation (palm facing body)

Question 16

Stabilization of shoulder and GH flexion?

Answer 16

• Shoulder- stabilize thorax to prevent spinal extension

- Glenohumeral- stabilize lateral scapula to prevent scapular posterior tilting

Question 17

Shoulder ROM vs Glenohumeral ROM for extension?

Answer 17

Shoulder= 60°
Glenohumeral= 20°

Question 18

Shoulder and GH extension testing position?

Answer 18

• Prone, face turned away
• Neutral shoulder ab/add (rotation)
• Neutral pro/supination
• Slight elbow flexion

Question 19

Stabilization of shoulder and GH extension?

Answer 19

• Shoulder-Weight of trunk/table

- GH–stabilize at inferior angle of scapula

Question 20

What is the end feel of both shoulder and GH flexion and extension?

Answer 20

All 4 are FIRM end feels

Question 21

Stationary, Moving, and Fulcrum of Shoulder and GH extension and flexion?

Answer 21

• Stationary- midaxillary line of thorax
• Moving- lateral midline of humerus
• Fulcrum- greater tubercle

Question 22

Shoulder ROM vs Glenohumeral ROM for abduction?

Answer 22

Shoulder-180°

GH-120-125°

Question 23

Shoulder and GH testing position for abduction?

Answer 23

• Supine, neutral shoulder flexion/extension
• Supination
• Elbow extended

Question 24

Shoulder and GH stabilization for abduction?

Answer 24

• Shoulder- stabilize thorax, prevent lateral flexion of spine
• GH- stabilize scapula, prevent scapular upward rotation

Question 25

Shoulder and GH abduction end feel is?

Answer 25

FIRM

Question 26

Alignment of shoulder and GH in abduction?

Answer 26

- Stationary- parallel to midline of sternum - Moving- midline of humerus, medial epicondyle - Fulcrum- acromial process

Question 27

INTRO TO GONIO

Answer 27

INTRO TO GONIO

Question 28

Goniometry definition?

Answer 28

measurement of angles created by human

Question 29

When is active ROM not done?

Answer 29

Post surgery for tendon or muscle repair

Question 30

Full passive ROM but limited active ROM could mean what?

Answer 30

weakness or pain

Question 31

6 types of synovial joints?

Answer 31

``` Plane Saddle Hinge Pivot Ball-and-Socket Ellipsoid ```

Question 32

What is kinematics?

Answer 32

Study of motion without regard to the forces that create the motion

Question 33

Motions involving bony segments?

Answer 33

Translatory- slide Rotary- spin OR a combo of the 2

Question 34

What is arthrokinematics?

Answer 34

Movement of joint surfaces

Question 35

What is osteokinematics?

Answer 35

Gross movements of the shaft of the bones Motion occurs in planes for Osteokinematics

Question 36

Arthrokinematics movements?

Answer 36

Slide Spin Roll

Question 37

If you have a convex on concave, the SLIDE will be the _______ of the ROLL. If you have a concave on convex, the SLIDE will be the ______ as ROLL.

Answer 37

Opposite Same There are a couple exceptions

Question 38

What are the movements in Sagittal Plane? Frontal Plane? Transverse Plane?

Answer 38

Flexion/extension Ab/adduction Rotation, In/External

Question 39

What is motion degrees of freedom and what are examples?

Answer 39

Motion of degrees of freedom= the number of planes the joint can move in. 1 degree of freedom= IP joints 2 degrees of freedom= Knee Joint 3 degrees of freedom= Hip Joint

Question 40

Difference between active and passive ROM?

Answer 40

Active- completed by a subjeect unassisted Passive ROM- attained by examiner without assistance of subject

Question 41

Is AROM or PROM usually greater?

Answer 41

PROM

Question 42

What does a PROM include?

Answer 42

measurement of end-feel

Question 43

Anatomical position is the starting point of all ROM except for what?

Answer 43

Rotation

Question 44

ROM End Feel differences?

Answer 44

-Soft- soft tissue approximation (bouncy) -Firm- muscular/ capsular/ligamentous -Hard- bone to bone

Question 45

What is an abnormal end feel?

Answer 45

When it occurs earlier or later than expected for that joint

Question 46

Capsular pattern of restricted ROM for: GH Joint Hip Joint Knee Joint

Answer 46

GH=ER>ABD>IR Hip=IR & FLEX>ABD>EXT Knee=FLEX>EXT