Magee Chapter 1

Front 1

ask for narrative information

Back 1

open-ended questions

Front 2

ask for specific information

Back 2

closed or direct questions

Front 3

the area of pain enlarges or becomes more distal as the lesion worsens

Back 3

peripheralization

Front 4

the area of pain becomes smaller or more localized as its improves

Back 4

centralization

Front 5

means that the pain is felt at a site other than the injured tissue because the same or adjacent neural segments supply the referred site

Back 5

referred pain

Front 6

conditions that last up to 7 to 10 days

Back 6

acute conditions

Front 7

conditions that last 10 days to 7 weeks

Back 7

subacute conditions

Front 8

conditions that last longer than 7 weeks

Back 8

chronic conditions

Front 9

level of pain: pain after specific activity

Back 9

1

Front 10

pain at start of activity resolving warm-up

Back 10

2

Front 11

pain during and after specific activity that does not affect performance

Back 11

3

Front 12

pain during and after specific activity that does affect performance

Back 12

4

Front 13

pain with activities of daily living

Back 13

5

Front 14

constant dull aching pain at rest that does not disturb sleep

Back 14

6

Front 15

dull aching pain that does disturb sleep

Back 15

7

Front 16

suggest chemical irritation, tumors or possible visceral lesions. intensity may vary

Back 16

constant pain

Front 17

mechanical and related to movement and stress

Back 17

periodic or occasional pain

Front 18

related to specific activities

Back 18

episodic pain

Front 19

sharp, bright and burning

Back 19

nerve pain

Front 20

deep, boring, localized

Back 20

bone pain

Front 21

diffuse, aching and poorly localized and may be referred to other areas of the body

Back 21

vascular pain

Front 22

hard to localize, dull, aching, aggravated by injury and may be referred to other areas of the body

Back 22

muscular pain

Front 23

follows specific anatomical pathways and affect specific anatomical structures

Back 23

neuropathic pain

Front 24

severe chronic or aching pain that is inconsistent with injury or pathology to specific anatomical structures and cannot be explained by any physical cause.
may be reproduced

Back 24

somatic pain

Front 25

burning type of pain

Back 25

autonomic pain

Front 26

is an unpleasant sensation that occurs without an apparent stimulus or cause to the patient

Back 26

paresthesia

Front 27

cramping, dull aching pain

Back 27

muscle pain

Front 28

dull aching pain

Back 28

ligament, joint capsule

Front 29

sharp, shooting

Back 29

nerve root

Front 30

sharp, bring, lightning-like

Back 30

nerve

Front 31

burning, pressure-like, stringing, aching

Back 31

sympathetic nerve

Front 32

deep, nagging dull

Back 32

bone

Front 33

sharp, severe, intolerable

Back 33

fracture

Front 34

throbbing, diffuse

Back 34

vasculature

Front 35

may mean that the joint cannot be fully extended

Back 35

locking

Front 36

may mean that it does not extend one time and does not flex the next time

Back 36

pseudolocking

Front 37

joint cannot be put through a full ROM because of muscle spasm

Back 37

spasm locking

Front 38

often caused by reflex inhibition or weakness of the muscles

Back 38

giving way

Front 39

excessive ROM in a joint

Back 39

laxity/hypermobility

Front 40

the range of motion available in one or more joints and is a function of contractile tissue resistance primarily as well as ligament and joint capsule resistance

Back 40

flexibility

Front 41

related to the ROM available in one or more joint

Back 41

static flexibility

Front 42

related to stiffness and ease of movement

Back 42

dynamic flexibility

Front 43

refers to loss of control of the small, arthrokinematic joint movements that occur when the patient attempts to stabilize the joint during movement

Back 43

translational instability
pathological or
mechanical instability

Front 44

refers to excessive or gross physiological movement in a joint where the patient becomes apprehensive at the end of the ROM because of subluxation or dislocation is imminent

Back 44

anatomical instability
clinical instability
gross instability
pathological hypermobility

Front 45

inability to control either arthrokinematic or osteokinematic movement in the available ROm either consciously or unconsciously during functional movement

Back 45

functional instability

Front 46

instability that is initiated by muscle contraction

Back 46

voluntary instability

Front 47

instability that is a result of positioning

Back 47

involuntary instability

Front 48

injury to structures on one side of a joint leading to instability can cause injury to structures on the other side or other parts of the joint

Back 48

circle concept of instability

Front 49

more serious than dizziness

Back 49

vertigo

Front 50

occur when a patient suddenly falls without warning or provocation but remains conscious

Back 50

drop attacks

Front 51

pain is often accentuated in patients with anxiety, depression, or hysteria or patients may exaggerate their symptoms

Back 51

psychogenic pain

Front 52

abnormally stiff, interrupted or rigid movement while moving the joint or body from one position to another

Back 52

guarding

Front 53

a stationary position in which a fully extended limb supports and maintains an abnormal distribution of weight

Back 53

bracing

Front 54

any contact between hand and injured area, rubbing or holding the painful area

Back 54

rubbing

Front 55

obvious facial expression of pain that may include furrowed brow, narrowed eyes, tightened lips, corners of mouth pulled back and clenched teeth

Back 55

grimacing

Front 56

obvious exaggerated exhalation of air usually accompanied by the shoulders first rising and then falling; patients may expand their cheeks first

Back 56

sighing

Front 57

present event at rest

Back 57

structural deformities

Front 58

result of assumed postuers and disappear when posture is changed

Back 58

functional deformities

Front 59

caused by muscle action and are present when muscles contract or joints move

Back 59

dynamic deformities

Front 60

bluish color to the skin, indication of poor blood perfusion

Back 60

cyanosis

Front 61

excessive scar tissue but stay within the margins of the wound

Back 61

hypertrophic scars

Front 62

expand beyond the margins of the wound

Back 62

keloid scars

Front 63

loud grinding noise to a squeaking noise

Back 63

crepitus

Front 64

not painful, caused by a tendon moving a bony protuberance

Back 64

snapping

Front 65

heard in TMJ and may be an indication of early asymptomatic pathology

Back 65

clicking

Front 66

valid consent that is voluntary and covers the procedures to be done

Back 66

informed consent

Front 67

sensory distribution of each nerve root

Back 67

dermatome

Front 68

defined as the area of skin supplied by a single nerve root

Back 68

dermatome

Front 69

defined as groups of muscles supplied by a single nerve root

Back 69

myotomes

Front 70

defined as groups of muscles supplied by a single nerve root

Back 70

myotomes

Front 71

an area of bone or fascia supplied by a single nerve root

Back 71

sclerotomes

Front 72

a form of referred pain, is a sharp shooting pain felt in a dermatome, myotome, or sclerotome because of direct involvement of a spinal nerve or nerve root

Back 72

radicular or radiating pain

Front 73

refers to radiating paresthesia, numbness or weakness but not pain

Back 73

radiculopathy

Front 74

neurologic disorder involving the spinal cord or brain and resulting in an upper motor neuron lesion, both upper and lower limbs are affected

Back 74

myelopathy

Front 75

a transient physiological block caused by ischemia from pressure or stretch of the nerve with no wallerian degeneration

Back 75

neuropraxia

Front 76

internal architecture of nerve preserved, but axons are so badly damaged that wallerian degeneration occurs

Back 76

axonotmesis

Front 77

structure of nerve is destroyed by cutting, severe scarring, or prolonged severe compression

Back 77

neurotmesis

Front 78

injury to a single peripheral nerve

Back 78

mononeuropathy

Front 79

injury to more than one peripheral nerve caused by systemic disease

Back 79

polyneuropathy

Front 80

protective spasm following injury

Back 80

early muscle spasm

Front 81

spasm resulting from instability or pain

Back 81

late muscle spasm

Front 82

tight muscle

Back 82

mushy tissue stretch

Front 83

upper motor neuron lesion

Back 83

spasticity

Front 84

frozen shoulder

Back 84

hard capsular

Front 85

synovitis, soft tissue edema

Back 85

soft capsular

Front 86

osteophyte formation

Back 86

bone to bone

Front 87

acute subacromial bursitis

Back 87

empty

Front 88

meniscus tear

Back 88

springy block

Front 89

counteracting group of muscles functioning by either co-contraction to stabilize a joint or by one group acting concentrically and the opposing group acting eccentrically to cause a controlled joint motion that is smooth and harmonized

Back 89

force couples

Front 90

indicates that an internal structure is being squeezed or pinched in part of the ROM

Back 90

painful arc

Front 91

absent (areflexia)

Back 91

0

Front 92

dimished (hyporeflexia)

Back 92

1

Front 93

average (normal reflex)

Back 93

2

Front 94

exaggerated (brisk reflex)

Back 94

3

Front 95

clonus, very brisk (hyperreflexia)

Back 95

4

Front 96

abnormal accumulation of fluid in the intercellular spaces

Back 96

edema

Front 97

abnormal enlargement of a body part

Back 97

swelling

Front 98

patient complains of pain

Back 98

grade I

Front 99

patient complains of pain and winces

Back 99

grade II

Front 100

patient winces and withdraws the joint

Back 100

grade III

Front 101

patient will not allow palpation of the joint

Back 101

grade IV

Front 102

involuntary movements in which agonist and antagonist muscle groups contract to cause rhythmic movements of a joint

Back 102

tremors

Front 103

muscles responsible for maintaing upright posture

Back 103

tonic muscle

Front 104

have a tendency to be tight or hypertonic

Back 104

postural or tonic muscle

Front 105

less likely to be atrophied

Back 105

postural or tonic muscle

Front 106

tend to become weak and inhibited with pathology

Back 106

phasic muscles

Front 107

primary means of diagnostic imaging for musculoskeletal problems

Back 107

plain film radiography

Front 108

invasive technique in which air, a water soluble contrast material containg iiodine, or a combination of the two

Back 108

athrography

Front 109

the technique may be used to diagnose artriosclerosis, investigate tumors, and demonstrate blockage after traumatic injury

Back 109

venogram and arteriogram

Front 110

invasive imaging technique that is used to visualize the soft tissues within the spine

Back 110

myelography

Front 111

produces cross-sectional images of the tissue, common imaging technique for musculoskeletal disorders

Back 111

tomography and computed tomography

Front 112

injecting small amount of radiopaque dye into the nucleus pulposus of an IV disc under radiographic guidance

Back 112

discography

Front 113

noninvasive, painless imaging technique that uses exposure to magentic fields, not ionzing radiation to obtain an image of bone and soft tissue

Back 113

magnetic resonance imaging

Front 114

technique that is used to show motion in joints through x-ray imaging; it also may be used as a guidance technique for injections

Back 114

fluoroscopy

Front 115

involves transmisison of high-frequency sound waves into the tissues by a transducer through a coupling agent

Back 115

diagnostic ultrasound

Front 116

technique in which xeroradiographic plate replaces the normal exay film

Back 116

xeroradiography