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Ortho final review - intro
Cyriax principles, mobilizations, manipulations, TFM, pharmacology
43
Health Care
Graduate
12/09/2012

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Term
Cyriax contractile tissues
Definition
mm
tendon
tenoperiosteal jxn
fascia
Term
Referred pain = ....
Definition
an error in perception
Term
Conditions favoring reference of pain
Definition
DEPTH from surface
PROXIMAL v distal
Intensity of INFLAMMATION
Term
Normal grade of PAM
Definition
3
Term
Resisted tests: strong and painless
Definition
normal
Term
Resisted tests: strong and painful
Definition
contractile issue
Term
Resisted tests: weak and painful
Definition
severe problem (fx)
Term
Resisted tests: weak and painless
Definition
complete tear,
neurologic weakness
Term
Resisted tests: all painful
Definition
fx; hypersensitivity; serious pathology
Term
Purposes of special tests (3)
Definition
confirm tentative dx,
make diff dx,
differentiate between structures
Term
General stages of rehab process (3)
Definition
eliminate pain/inflamm,
ROM,
strengthening
Term
Rx of mm strain: acute
Definition
RICE
Term
Rx of mm strain: fibroblastic
Definition
AROM,
heat,
US,
light stretching,
retrograde massage,
TFM,
painfree ex
Term
Rx of mm strain: remodeling
Definition
aerobic ex,
vigorous stretching,
strengthening (eccentrics, agility, plyometrics)
Term
Rx for tendinitis/tendinosis
Definition
RICE,
TFM,
submax, painfree ex
Term
Rx for myofascial hypomobility
Definition
mm relaxation techniques,
frictions,
stretching,
active ex in new ROM
Term
Rx for pericapsular hypomobility
Definition
heat modalities (if not inflamed),
frictions,
capsular stretching (mobs),
passive stretching,
active ex in new ROM
Term
Rx for subluxation hypomobility
Definition
manip,
active ex in new ROM
Term
Rx for hypermobility
Definition
Grade I-II mobs (if irritable),
anti-inflamm modalities,
STM,
mob hypomobilities above/below,
educate pt to avoid excess range,
stabilize c strengthening ex
Term
Rx for instability
Definition
mobilize hypomobile areas above/below,
global stabilization: stay out of positions that produce instability,
local stabilization: muscular action to stabilize during motion,
segmental stabilization: PNF/active ex,
external stabilization,
surgical correction
Term
Grade I mob:
Definition
small amplitude;
beginning of range
Term
Grade II mob:
Definition
large amplitude;
within first half of range
Term
Grade II+ mob:
Definition
large amplitude;
beyond first half of range
Term
Grade III mob:
Definition
large amplitude;
last half of range;
gentle oscillation
Term
Grade III+ mob:
Definition
large amplitude;
last half of range;
vigorous oscillation
Term
Grade IV mob:
Definition
small amplitude;
limit of range;
gentle oscillation
Term
Grade IV+ mob:
Definition
small amplitude;
limit of range;
vigorous oscillation
Term
Grade V mob:
Definition
small amplitude;
high velocity;
beyond limit of range
Term
Mob grade for pain c resistance, spasm endfeel
Definition
Grade I-II
Term
Mob grade for pain c resistance, capsular endfeel
Definition
Grade III-IV
Term
Mob grade for pain c resistance, muscular endfeel
Definition
reciprocal inhibition >> oscillatory mobs
Term
Contraindications to mobilizations (7)
Definition
MALIGNANCY of musculoskeletal system,
CAUDA EQUINA lesions >> altered bladder/bowel fxn,
SPINAL CORD involvement,
Neurological sign involving ≥1 ROOT on one side,
REHUMATOID collagen necrosis,
active INFLAMMATORY or infective ARTHRITIS,
metabolic BONE DZ
Term
Precautions for mobilizations (8)
Definition
neurological signs involving 1 ROOT,
RA with no acute inflammation,
OSTEOPOROSIS,
SPONDYLOLISTHESIS,
HYPERMOBILITY,
PREGNANCY,
DIZZINESS,
previous MALIGNANCY
Term
Contraindications to manipulations (in addition to those listed for mobs) (8)
Definition
Spinal deformity,
calcification of thoracic IV discs,
gout,
advanced diabetes,
vascular abnormalities,
advanced degenerative changes in jt,
hemophilia,
capsular pattern
Term
Precautions for manipulations (4)
Definition
high joint irritability,
presence of mm spasm,
irritability of adjacent segments,
inability of pt to relax
Term
Indications for TFM (3)
Definition
promote healing of partial tears of inert/contractile tissue,
regain interstitial mobility,
desensitize prior to mobs/stretching
Term
Contraindications to TFM (7)
Definition
acute inflammation,
hematoma,
arterial insufficiency,
fragile skin,
hemophilia,
use of anti-coagulants/steroids,
open wound
Term
Mech of action for NSAIDs
Definition
decr production of prostaglandins
Term
Side effects of NSAIDs (3)
Definition
GI irritation/ulceration,
decr blood clotting,
kidney trouble
Term
Mech of action for corticosteroids
Definition
stabilizes cell membranes >> decr release of inflammatory mediators
Term
Side effects of corticosteroids (5)
Definition
osteoporosis,
avascular necrosis,
disturbed fat/carb metabolism,
HTN (2º to Na + H2O retention),
steroid myopathy
Term
Side effects of acetaminophen
Definition
liver toxicity
Term
Side effects of narcotics
Definition
respiratory suppression,
sedation,
N&V,
urinary retention,
euphoria/dependence
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