Massage Therapy Exam

Front 1

31. List 3-4 interviewquestions you would ask a client with fracture.

Back 1

1. MOI? 2. Wires, pines or screws? 3. What types of fracture was it? 4. Caused by a systemic disease?

Front 2

List3-4 CI’s/precautions for fractures.

Back 2

During Immobilization¡ No traction¡ No hot hydro on cast or distal¡ No on-site work with open fracture¡ Watch for infection¡ Watch for hydro over metal plates etc. Immobilization removed¡ No overpressure until consolidation¡ Avoid extreme temperature due to tissuehealth and altered sensations¡ No deep techniques until tissue health andmuscle tone has improved¡ Careful with passive stretching

Front 3

Whatare 4-5 risk factors for fractures?

Back 3

1. Otherinjures, muscle nerve, ligament? 2. Poor diet (calcium, vit d) 3. Age 4. Osteoporosis 5. Systemdisease

Front 4

Whatdigits are affected with Dupuytren’s Contracture?

Back 4

4th and 5thdigit

Front 5

What bone is commonly affected in wristdislocations?

Back 5

lunate bone

Front 6

Whatare the effects of MLD on our clients?

Back 6

-increasecirculation

-decrease edema

Front 7

List3-4 contraindications for MLD.

Back 7

1. Thrombosis 2. Infection 3. Acute open wound 4. Infectioustumor

Front 8

Whatare the effects of Skin Rolling, Myofascial Release and Direct FascialTechniques?

Back 8

àdecrease fasical restrictions à realign fasica

Front 9

Whatare the effects of Frictions?

Back 9

minimizeScar tissue à destroy adhesions

Front 10

List3-4 Contraindications for Skin Rolling, Myofascial Release and Direct FascialTechniques.

Back 10

à local inflammation à pain medications àsevere osteoporosis

Front 11

List3-4 Contraindications for Frictions.

Back 11

hypermobilejoint à PX tolerance à fractures à Severe osteoporosis àPx medications

Front 12

Describethe 4 ligament of the GH joint?

Back 12

Coracoclavicular,coracroacromical, acromicalclavicluar, coracohumeral

Front 13

Whatis the usual cause of impingement syndrome?

Back 13

AC joint Compressionsupraspinatus tendon

Front 14

Explainthe difference between tendinitis and tendinosis.

Back 14

à tendinitis – inflammation (acute)à tendinosis – chronic no inflammation

Front 15

What are the three stages ofadhesive capsulitis?

Back 15

Freezing/Painful stage¡ Gradual onset of pain¡ Inflammation in jt capsule¡ Muscle spasming¡ Progressive stiffness Frozen/Stiffening¡ Pain begins to diminish¡ Stiffness is primary complaint – capsularpattern¡ Disuse atrophy Thawing / Resolution¡ Self-limiting¡ Local pain diminishes¡ Motion and function gradually return***may not be full ROM

Front 16

Whatis the difference between a shoulder dislocation, subluxation and separation?

Back 16

Dislocation = complete dissociation of articulatingsurfaces¡ commonly at GH joint Separation = at AC joint Subluxation = articulating surface remain in partialcontact (commonly in ribs)

Front 17

List3-4 CI’s/precautions for dislocations

Back 17

1. NoROM in acute 2. No circulatory techniques until there isno inflammation 3. Strengthenbefore stretching

Front 18

Whatare 4 interview questions you would ask a client with IT Band contractures?

Back 18

1. Footwear 2. New shoes lately? 3. Drive/ sit for long periods of time 4. Whatexercises do you perform on a daily basis?

Front 19

Explainthe different symptoms/observations you would see in a client with a contusion:

Back 19

a) Mild- Minimal bleeding; min to no loss of strength or ROM;can continue with activity with mild discomfortb) Moderate-Bleeding and swelling; difficultycontinuing activity due to pain and weaknessc) Severe- Severe crushing of tissue; rapid bleeding andswelling; cannot continue activity due to significant pain and weakness

Front 20

56. What are some conditions were your client mayrequire a hip replacement?

Back 20

Arthritis, Avascularnecrosis, most common is bone to bone PX due to wear and tear.

Front 21

Howcan we differentiate between tendonitis and bursitis?

Back 21

Tendonitis or bursitisdifferentiation testDifference b/t resist andbuild contraction and px increases tendinitis, if the px remains the same whenbuilding bursitis

Front 22

Name the intracapsular ligaments andextracapsular ligaments of the knee and describe the motion they limit.

Back 22

Extracapsular ligaments- Fibular(lateral) collateral ligaments÷ Strong; inferior from lat epicondyle tolateral fibular head Tibial (medial) Collateral Ligament ÷ Strong; medial epicondyle to medialcondyle & superior part of medial tibia; midpoint attached to medialmeniscusIntracapsular ligaments- PosteriorCruciate Ligament (PCL) – superior& anterior; prevents anterior displacement of femur on tibia and preventshyperflexio, anterior part of femur to posterior part of tibia Anterior Cruciate Ligament (ACL)- superior, posterior & laterally; preventsposterior displacement of femur on tibia & hyperextension of knee joint,attaches posterior to anterior

Front 23

What is the closed packedposition of the knee?

Back 23

knee extension

Front 24

Which meniscus is mostcommonly damaged and why?

Back 24

Medial meniscus because itis attached to the MCL and the joint capsule, so if the MCL gets strained sodoes the meniscus

Front 25

61. What muscles make up thepes anserine?

Back 25

Sartorius, gracilis,semitendinosous

Front 26

Whatare some causes of ligament sprains and which knee ligament would be injuredwith an excessive valgus stress?

Back 26

¡ MCL – lateral hit¡ LCL – medial hit¡ ACL – Hyperextension; lateral hit;posterior hit¡ PCL – anterior hit; “dashboard injury”;hyperflexionWith excessive valgus stressMCL would be injured

Front 27

Explainthe difference between edema and effusion

Back 27

Edema is a build of fluidoutside the joint Effusion in build up offluid inside the joint

Front 28

Explainthe MOI of Osgood-Schlatter disease.

Back 28

Pulling of the patellartendon pulls bits of bone off tibial tuberosity (immature bone)

Front 29

Explainthe process of a Functional assessment

Back 29

What specific ADL activitiesthey perform that hurt them, ask to perform task and show therapist. Combiningcertain ROM to determine better Treatment.

Front 30

Describefour common fractures.

Back 30

Colles¡ Distal radius/radius displacedposteriorly; fall from outstretched hand Galeazzi¡ Middle/distalradius & dislocation of distal radioulnar joint Maisonneuve¡ Obliquefracture of mid-distal fibula with tear of interosseus tib/fib ligament Pott’s¡ Obliquefracture of lateral malleolus and transverse fracture of medial malleolus

Front 31

What are somecauses/pathologies associated with “Shin Splints”?

Back 31

Periostitis (inflammation of periosteum),Tibialis Posterior Tendonitis (inflammation of of this muscle's tendon), Tibialstress fractures, and Compartment Syndromes, more specifically the AnteriorCompartment (acute: direct blow, chronic: overuse)