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63 Cards in this Set

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