Term
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Definition
| Saves you time…ex/ You’re not measuring everything.It assures that you have at least scanned the whole body and not just the body part of concern. |
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Term
| What to ask at the interview |
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Definition
Age, gender, race, handedness
Chief Complaint or “What brings you to physical therapy?”
General health status (mental / physical)
Social (support network, resources)
Occupation (currently working?) / Leisure activities
Date of Injury / Date of Onset
How did it happen?
Is there a diagnosis…what did the M.D. tell you?
X-rays, MRI’s, lab work, etc.?
Medications? For this event and in general?
Past medical / surgical history
Health Habits (smoking, drinking, exercise)
Home Environment
Pain: location, description, easing/aggravating
What can’t you do? (functional limitations)
What was your functional status prior to the injury / illness?
Have you had therapy before? Impression?
What are your goals? |
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Term
| whats the most important question to ask in an evaluation |
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Definition
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Term
| When is clearing the spine done |
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Definition
| whenthe primary complaint is not the spine |
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Term
| Why do you clear the spine |
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Definition
| to implicate or eliminate the spine |
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Term
| how do u clear the C spine |
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Definition
Have the client perform active and resistive ROM of the cervical spine (resistive in a neutral position).
Flex, ext, rotation, lat. flexion
May over-press if symptom-free at end range
Perform distraction/compression of the c/spine. |
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Term
| how do you clear the lower spine |
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Definition
Have the client perform active (standing) and resistive (sitting) ROM of the thoraco-lumbar spine (in a neutral position).
Flexion, extension, rotation, lat. flexion
May over-press if symptom free. |
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Term
| If anterior LE pain or weakness is present what could be used to rule out spinal involvement |
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Definition
| Prone femoral nerve strech,Passive SLR…may add dorsiflexion and then neck flexion….indicates neurological involvement from the spine |
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Term
| what test is used to rule out SI involvent |
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Definition
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Term
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Definition
in supine, squeeze towards the feet and in on the ASISs to test the posterior SI ligaments…or compress the anterior SI surfaces.
Approximation test in sidelying, press down on the iliac crest, creates an anterior pressure on the SI joints. |
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Term
| what does the valsalva test check for |
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Definition
| disc involvement or inflamed tissues that are irritated by the increased intrathecal pressure |
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Term
| If the problem is unilateral which side should be checked first |
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Definition
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Term
| what is a quick check for gross ROM and strenght for the LE |
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Definition
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Term
| Goniometry should be done on all joints normal and effected true or false? Y,do u start with active or passive? |
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Definition
falseDon’t spend your time measuring anything “normal”
Start with active and then passive. Note end feels. |
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Term
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Definition
| cervicle flexion/extension, and rotation |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| elbow flexion, wrist extension |
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Term
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Definition
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Term
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Definition
| thumb extension ulnar deviation |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| how do u check L5 and S1 myotomes |
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Definition
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Term
| how do u check L4 L5 myotome at the same time |
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Definition
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Term
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Definition
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Term
| c6 DTR reflex is tested where |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| what are 3 pathologic signs we test in neuromuscular screening what do they indicate if positve |
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Definition
| babinski, clonus, hoffmann's; upper motor nerve lesion |
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Term
| in what order should the evaluation go in |
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Definition
Vitals
Anthropometric measurements
Integumentary Assessment / Volumetric Measurements (if needed)
Palpation
Gait, balance (sitting and standing / static and dynamic), mobility assessment (bed mobility, transfers)
Performance-based functional assessment |
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Term
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Definition
| the relative arrangemnt of body parts |
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Term
| anterior pillar of the spine is composed of , what is its main function |
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Definition
| vertebral bodies and discs; comprise the hydraulic weight bearing shock abosorbtion of the spine |
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Term
| Posterior pillar of the spine contents and fcn |
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Definition
| articular processes and facet joints; gliding mechanism for movement, the muscles that attach to the bony proceses both cause and control motion |
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Term
| what plane are the facets of the c spine located in? what movements are relativly free because of this |
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Definition
| frontal plane, flexion and xtendsion |
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Term
| Side bending and rotation occur in the same or opposite directions in the C spine? |
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Definition
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Term
| facets in the T spine are oriented in what plane mostly |
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Definition
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Term
| what restricts extension in the T spine |
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Definition
| Facets and spinous processes,and ribs |
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Term
| what movements do the ribs restrict in the t spine |
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Definition
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Term
| in the T spine Side Bending and rotation occur in same or oppposite directions? |
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Definition
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Term
| facets of the L spine are oriented in what plane, what movement is most restricted |
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Definition
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Term
| in the L region Side Bending and rotation occur in the same or opposite direction |
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Definition
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Term
| what are the posterior ligaments of the spine |
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Definition
| interspinous, supraspinous, capsular, post longitudial ligaments and the ligamentum flavum |
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Term
| what is the major ligament on the ant spine |
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Definition
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Term
| what do the ant and post ligs of the spine limit |
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Definition
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Term
| what ligs limit sidebending; rotation |
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Definition
| contralateral intertransverse ligs, ligametum flavum, capsular ligs; capsular ligs |
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Term
| if the line of gravity moves;forward,backward,laterally w what must happen to stabilize |
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Definition
| trunk extensor, trunk flexors, contralateral trunk;must increase activity |
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Term
| what happens to muscles which are habitually streched |
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Definition
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Term
| what happens to muscles which are habitually shortend |
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Definition
| loose elasticity and test weak if tested in a lengthend position |
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Term
| what muscles prevent the iliopsoas from increasing lumbar lordosis with flexing hip, what happens if they are weak |
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Definition
| abs, expect spinal fatigue and injury |
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Term
| general spinal curves do what |
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Definition
| serve to diffuse the ground reaction and gravitational forces |
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Term
| at birth what curve is presnt |
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Definition
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Term
| why does the cervical lordosis develop |
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Definition
| repeted neck extension from prone |
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Term
| lumbar curve appears due to what in development |
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Definition
| walking, increased back extensor strength, and iliopsoas being streched distally |
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Term
| the curves gives ___xthe resistance to axial compressive forces than a straight column. |
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Definition
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Term
| line of gravity at the ankle should fall |
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Definition
| ant to the lat maleolus at the calcaneo cuboid joint |
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Term
| what muscle acitivity counter acts the_______flexoin moment |
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Definition
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Term
| where should the LOG fall a the knee |
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Definition
| ant to the knee axis/center of knee joint |
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Term
| what counteracts the __________ moment at the knee created by the LOG |
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Definition
| extesion, post joint capsul ACL and passive muscle tension |
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Term
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Definition
| post to the joint and aligned with the greater trochanter |
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Term
| what counter acts the _______ moment at the hip due to LOG |
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Definition
| extension, iliopsoas and iliofemoral ligs |
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Term
| where does the LOG fall in the trunk |
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Definition
| through L4 vertebral body, |
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Term
| what counteracts the nutation moment(sacrum rotating ant) in the trunk |
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Definition
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Term
| where does the line of gravity fall with respect to the acromion |
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Definition
| straight through the ant acromion |
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Term
| where does the LOG fall in consideration of the head |
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Definition
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Term
| A posture that deviates from normal but has no structural limitations or ↓ muscle strength or flexibility. |
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Definition
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Term
| Adaptive shortening of soft tissues and muscle weakness has developed. |
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Definition
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Term
| what are postural pain syndromes caused by |
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Definition
| This is caused by long-term poor posture or contractures and adhesions after trauma or surgery. |
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Term
| The phenomenon of constant displacement and correction of the position of the center of gravity within the base of support. |
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Definition
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Term
| how much AP, and ML sway is normal in quite stance? |
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Definition
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Term
| there is a high postive correlation between postural sway and ____ _____ in the elderly |
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Definition
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Term
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Definition
| ASIS is ant to the symphysis pubis |
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Term
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Definition
| ASIS is post to the symphysis pubis |
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Term
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Definition
|
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Term
| either increased lumbar curvature or increased L-S angle (Might have spondylolisthesis) |
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Definition
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Term
| pelvis is tilted anteriorly and hips are flexed causes what muscle groups to become short and elongated |
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Definition
| hipflexors, lumbar extensors/ lower abs |
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Term
Shortened hip flexors, lumbar extensors, and neck extensors.
Elongated lower abdominals, neck flexors, upper back muscles and abducted scapulae are signs of what common postural deformity |
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Definition
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Term
| Sway back is very energy efficient due to the passive support of the _______ and ____ ________ ligaments in the lower lumbar spine and the _____ _________ ligament in the thoracic spine. |
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Definition
| iliofemoral, ant. longitudinal, posterior longitudinal |
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Term
| increased lumbar spine lordosis and increased thoracic kyphosis hyperextended hips and posterior pelvic tilt common charecteristics of Sway back |
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Definition
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Term
shortened hip extensors, upper abdominals, and internal intercostals
elongated hip flexors, lower abdominals, upper back extensors, neck flexors and rhomboids are all signs of what postural deformity |
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Definition
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