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52 Cards in this Set

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  • Back
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Myotomes are

Motor, actions

M and M

Dermatomes

Sweeping, sensory

Define contractile tissues

Produce moment


Muscle and tendon

Type of tissue and what it does

What is a plumb line

A level line caused by gravity that clients stand under to see what gravity does with their body. Postural assessment. Helps therapist better understand potential problem areas for client.

Gravity.

4 benefits of massaging scars

Softens scar tissue


Frees restrictions


Increases circulation


Desensitizes

Breaks down..


Restrictions


Blood


Sensations

What is cutaneous pain

Superficial tissue damage.

Scratch

Deep somatic pain is from (location)

Muscles, joints and periosteum.

3 types of tissue.

Resisted testing

Resists clients movement (meet my resistance)


Isolates muscle tested


Evaluates strength/weakness



Isometric contraction

Meet my hand


Type of contraction

Normal end feel characteristics

Soft tissue approximation


Muscular or tissue stretch


Bony

3 of them

Five components of clinical impression

Signs/symptoms


Location of injury


Stage if healing


Condition


Possible cause

5 important parts that let you know what's happening. Start to finish

Explain DOMS, what is it

Delayed onset muscle soreness.


Appears to be an inflammatory reaction in the tissue that results from minor connective tissue tearing. Creates excess enema. Pressure from edema on local nociceptors creates this pain.

Muscle


Edema


Nociceptors

Observation

Postural assessment


Gait assessment


And palpation


(temperature,tenderness,texture,tone)

What is visceral pain

Distension, ischemia, Abdominal contractions


Pain in the thoracic, pelvic or abdominal viscera(organs)

Stretch - blood supply - tightening


Location

Cartilage dysfunctions and types of cartilage

Degeneration of the cartilage matrix


Arthritis


2 types of cartilage we deal with


Headline or fibrocartilage

Arthritis

What is Functional or psychogenic pain

Psychological or emotional pain

History in order.

Chief complaint


Onset


Location


Duration


Intensity


Characteristic/type of pain


Referrals


Aggravating factors


Releiving factors


Medications


Previous treatment


Affects on daily living


Past history


Family history


Sports hobbies


Occupation


Initial impression

Good luck.

Hemiplegic gait

Affected leg swings out into abduction and flexion

Stroke

Passive test 3 main points

End feel


Client relax


Test unaffected side first


Invert tissue only

What's happens at full Rom


State of client


Side started with

Fascia levels

Superficial - directly below dermis


Deep- surround muscle and bone


Dural - encasing CNS and brain

3 levels

Active test 3 main points

They move under their own power


Unaffected side first


Demo what your doing

Cervical dermatomes

C1-C2 base of head-back of neck


C3 base of head sweeping around front


C4 base of head sweep around clavicle


C5 low neck to inside arm just past elbow


C6 back of upper shoulders to interior lateral arm and thumb


C7 back of arm to 1 and 2 fingers


C8 to medial anterior arm to 3 + 4 fingers


T1 across back to middle anterior arm just above the wrist.

Good luck.

Strain is what and from, levels

Pulled muscle


1 2 3 degrees


Excessive tensile strength.

Referred pain

Injury to the viscera(organs), muscle, or other structures but felt as if coming from another structure.

Trigger point origins and referrals

What type of pain is allodynia

Pain invoked by stimuli which normally isn't painful.

"I didnt know I hurt there."

What type of pain is Hyperalgesia

Lowered threshold for pain and increased amount of pain in response to a given suprathreshold stimulus

Being a baby

Bursa dysfunctions

Inflammation from compression


From overuse


Sometimes a systemic illness

Bursitis

FIT stands for

Fitness, intensity, time

What is teninosis

Collagen breakdown


Tensile stress


Extremities more susceptible


Can alter vascularity

What is atrophy

Denervation or disuse


Wasting of muscle.

Involves muscle.

What is hypertonicity

Tight muscles

Limited ROM, trigger points

What causes Tenosynovitis

Has stealth. Irritation between tendon and sheath

Inflammation between two things to create...

Nociceptors are what

Neuroligal Pain receptors

Non-capsular pattern

Restriction due to intra-articular mechanical blockage from torn cartilage menisci or intra-articular adhesions.

Muscle is having a physical problem

Capsular pattern

Limitation due to fibrosing(thinking) of the joint capsul, inflammation or joint effusion (swelling)

Inflammation stopping movements

Tendinitis

Inflammation from overuse and tearing

Itis

What is a end feel

Identifying joint movement


Moving until the ROM is completed and you get the ending dealing

Passive movement


Do the moving for the client

Rom and resisited Test (the tests)

Active - the move their own


Passive - you move their muscles


Resisted - they meet your resisitance

What are the three tests you do as Per HOPRS

What is HOPRS

History


Observation


Palpation


ROM and resisted testing


Specialty tests

Trigger points definition

A hyper-irratable spot in a skeletal muscle associated with a hypersensitve palpable nodule in a taut band

Three types on muscle contractions

Concentric- acceleration movements that increase action against resistance


Eccentric - contraction is overcome by resistance (deceleration)


Isometric - resistance is greater then stimuli - no movement produced

Stages of healing

Acute 3-4 days


Early sub acute 2 days to 2 weeks


Late sub acute 2nd or 3rd weeks


Chronic 2-3 weeks up to a year

The difference between tendinosis and tenosynovitis

Tenosynovitis has a synovial sheath.

Soap

Subjective objective assessment and plan

Common nerve problems

Compression or degeneration


3 levels


Neurapraxia least severe


Axonotmesis


Neurotemesis most severe

Ataxic gait

Feet apart with exaggerated movements

Nerve damage

Fascia problems

Tearing or shortening

Joint capsule problems

Tears adhesions or fibrosis

Sprains result from

Ligament filers stretch beyond plastic deformation (doesn't recoil)


3 grades

Antalgic gait

Painful, used to protect against further injury

Limp

Define inert tissue

Are moved it the process.


Nerve. Bursa, fascia

Cervical myotomes actions

C1-C2 neck flexion


C3 lateral neck flextion


C4 shoulder elevation(shrug)


C5 arm abduction (wings)


C6 elbow flexion/ wrist extension


C7 elbow extension/ wrist flextion


C8 ulnar deviation, thumb extension


T1 finger intrinsic

Radicular pain

Nerve root compression

Numbness and tingling