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63 Cards in this Set
- Front
- Back
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what structures are affected with Dupuytren's contracture?
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palmar aponeurosis
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describe the onset of Dupuytren's contracture
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gradual, often over a period of years
|
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what are some rule out tests that might be useful if you suspect Dupuytren's contracture?
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adson's
phalen/reverse phalen |
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what tests are used to rule ITB contracture?
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ober's
nobel's trandellenburg patellar glide |
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what is torticollis?
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postural deformity of the cervical spine caused by shortening of the cervical muscles
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what are the two types of torticollis?
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spasm / acquired
contracture / fascial / congenital |
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which muscles are responsible for torticollis?
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Scalenes
splenius capitas SCM upper traps |
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what can be the ligamentus involvement in torticollis?
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intertransverse
nuchal ligamentum flavum |
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in a client with torticollis what might be a secondary condition due to tight scalenes?
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brachial plexus compression
circulatory issues due to subclavian artery and/or vein compression |
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which muscles are usually involved in lateral epicondylitis?
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extensor carpi radialis longus
extensor carpi radialis brevis extensor digitorum |
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what is the mechanism of injury in tennis elbow?
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forceful extension with supination and radial deviation
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what is the mechanism of injury in golfer's elbow?
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activities with wrist flexion and pronation
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what tests can be done to rule in tennis elbow?
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mills
tennis elbow test cozen's |
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what tests can be done to rule in golfer's elbow?
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golfer's elbow test (passive stretch)
resisted wrist flexion |
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when testing for tennis elbow or golfer's elbow what rule out tests can be done?
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valgus / varus
tinnel's distal pulses |
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what type of physiological response to massage treatment is mediated by the nervous system?
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reflexive
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list some mechanical physiological responses to treatment
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changes in connective tissue
adhesion changes scar tissue changes |
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name some reflexive responses to massage treatment
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vasodilation
change in muscle tonus |
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hormonal and immune responses are what type of physiological responses to treatment?
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chemical
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define DeQuarvain's tenosynovitis
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inflammation of tendon sheath of extensor pollicis brevis and abductor pollicis longus
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DeQuarvain's tenosynovitis will yield positive results to which two tests?
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Finklestein's
varus stress |
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which nerve and artery may be involved in DeQuarvain's tenosynovitis?
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radial nerve
radial artery |
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in chronic stage DeQuarvain's tenosynovitis which AF ranges will be painful?
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flexion and adduction
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in chronic stage DeQuarvain's tenosynovitis which AR ranges will be painful?
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extension and abduction
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define Long Head of Biceps tenosynovitis
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inflammation and adhesions of the LH of biceps within the synovial sheath
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which tests can be used to rule in LHB tenosynovitis?
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Speed's
Yergasen |
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disruption in the scapulothoracic rhythm often indicates what?
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lack of movement/hypomobile GH joint
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which structure is tested withe the Hawkin's Kennedy test?
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supraspinatus tendon
|
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what types of activities predispose someone to supraspinatus tendonitis?
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anything with the arm in an overhead position
|
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which tests can be used to rule in supraspinatus tendinitis?
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appley's scratch
painful arc hawkin's kennedy empty can drop arm |
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which organs can produce radiating pain into the right shoulder?
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lungs
gallbladder |
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which organs can produce radiating pain into the left shoulder?
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heart
spleen diaphragm |
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triggerpoints in the supraspinatus will radiate......
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lateral brachium
lateral epicondyle cap of shoulder |
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describe subacromial bursitis
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inflammation of the bursa between supraspinatus, deltoid and acromion process
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what is the main focus of treatment for subacromial bursitis?
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prevent adhesions from inflammation
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describe the trigger point referral pattern for the biceps
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proximal to bicipital groove
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describe the trigger point referral pattern for teres minor
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into GH capsule and posterior brachium
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describe the trigger point referral pattern for infraspinatus
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anterior shoulder
anterior brachium |
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describe the trigger point referral pattern for supraspinatus
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lateral shoulder
lateral epicondyle |
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describe the trigger point referral pattern for subscapularis
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medial brachium
GH joint |
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describe the trigger point referral pattern for scalenes
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chest
lateral brachium and antebrachium |
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describe the trigger point referral pattern for levator scapula
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temporal region
|
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describe the trigger point referral pattern for deltoid
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doesn't really radiate, remains local
|
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describe frozen shoulder
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joint capsule of synovial joint contractures and adheres to bone and ligaments inside joint cavity
|
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what gait abnormality is found in someone with frozen shoulder?
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loss of arm swing on affected side
|
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sustained joint mobilizations are done at which grades?
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Grade I
Grade II Grade III |
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Which oscillatory joint mobilizations utilize vibrations for movement?
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Grade I
Grade IV |
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Which oscillatory joint mobilizations utilize oscillations at 2x per second for movement?
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Grade II
Grade III |
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what time period is considered early cast off?
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0 - 1 week
|
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what time period is considered late cast off in fracture healing?
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greater than 1 week
|
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describe a Pott's fracture
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fracture to the distal end of the fibula
avulsion fracture of the medial malleolus |
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describe a colles fracture
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fracture of the distal end of the radius and the styloid process of the ulna due to compression between carpal bones and radius
|
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what is the cause of a colles fracture
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fall on a hyper extended wrist
|
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what are some possible complications of a colles fracture?
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median nerve stretch
flexor muscle strain stress fractures in carpal bones radiocarpal ligament sprains |
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what are some effects or complications of a GH dislocation?
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glenohumeral and coracohumeral ligament sprains
rotator cuff strains brachial plexus stretch/compress compression of circumflex artery |
|
describe the order of treatment for neuralgia/PNS lesions
|
1. work at site of compression
2. work on antagonist 3. work on agonist |
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which spinal segments contribute to the sciatic nerve?
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L4-S3
|
|
the sciatic nerve travels between which two external rotators?
|
piriformis
gemellus superior |
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the sciatic nerve travels between which hamstring muscle?
|
between the two head of biceps femoris
|
|
which stretch tests can be used to test for sciatic nerve pathology?
|
SLR
bragards kernig-brudzinski slump lhermites |
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which compression tests can be used to test for sciatic nerve pathology?
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piriformis
quadrant valsalva 90-90 yeoman sacrotuberous |
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which neuralgia can be caused by an inguinal ligament sprain or inguinal hernia?
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femoral
|
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which neuralgia can be caused by an iliopsoas contracture?
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femoral
|