Term
| Things observed with PROM |
|
Definition
End Feel
hypo/hyper mobility
capsular pattern/ non capsular |
|
|
Term
|
Definition
Age
Gender
Position
Activity |
|
|
Term
|
Definition
Lack Stability- hypermobility (too much ROM) lack
Lack Mobility- hypomoibility (lack ROM)(may lack muscle strenght from lack of using muscle)
greater mobility, there is less stability and visa versa |
|
|
Term
| Relating findings to treatment- what is the problem? |
|
Definition
lack of AROM,
lack of PROM,
lack of strenght,
stability or mobility issues?
interrelation of muscle strength,flexibility, support to joint muscle ROM
always relate to FUNCTION |
|
|
Term
| Musculoskeltal problem categories? |
|
Definition
pressure or tension resulting in PAIN
Spasm
Adaptive shortening
Stretch Weakness |
|
|
Term
|
Definition
| Muscle becomes shortened because the patient has been in a position for a long time and shortened over time |
|
|
Term
|
Definition
| Because of positioning where the limb has been put in a position that there is an elongation of muscle that has caused weakness |
|
|
Term
|
Definition
o Nerve tension or compression
o Nerve impingement |
|
|
Term
| Nerve tension/ compression |
|
Definition
| o Trauma from external force causing compression o Trauma from external force causing tension o Internal compression/tension due to skeletal structures usually occurs in areas of the body where the nerve is vulnerable because of close association with skeletal structures |
|
|
Term
|
Definition
| nerve irritation associated with muscle |
|
|
Term
|
Definition
Examination/evaluation
o Evaluate “the whole”
o Treat the problem
o Return to the “whole”
Objective data collection
o Document status (relate to function loss)
o Document progress / improvement
o Assess your treatment efficiency |
|
|
Term
|
Definition
| degree to which an instrument measures what it is supposed to measure |
|
|
Term
|
Definition
| the extent to which the instrument yields the same measurement on repeated uses by the operator |
|
|
Term
|
Definition
| pressure- on a nerve root, trunk, nerve branches, or nerve endings may be caused by adjacent firm structure (bone, cartilage, fascia, taut muscle, etc) tension- on structures containing nerve endings that r sensitive to deformation,as found in stretch or strain of muscles |
|
|
Term
|
Definition
| the integration of best research evidence with clinical expertise and patient values |
|
|
Term
| Need to consider validity and reliability of our?? |
|
Definition
Examination methods
Assessment tools
Treatment intervention |
|
|
Term
| Criterion related validity |
|
Definition
| measurements of an instrument are compared to measures taken by an instrument with accepted standard (xray) |
|
|
Term
|
Definition
| measures what it is supposed to (subjective) |
|
|
Term
|
Definition
| measures / represents variable of interest (subjective) |
|
|
Term
|
Definition
measure an abstract concept, making inferred interpretation
o How we related back to function
o Pt with 0-100 degrees of flexion, you can infer they have difficulty reaching |
|
|
Term
| What affects reliability? |
|
Definition
varies from joint and motion (knee vs thumb)
intratester better then intertester
size of goniometer does not effect reliability |
|
|
Term
| Reliability of MMT declines with? |
|
Definition
| intertester, grades below 3, smaller muscle groups |
|
|
Term
| Reliability of MMT increases with? |
|
Definition
| intratester, consistent practice, dynamometers |
|
|
Term
| End Feel of GH joint movements |
|
Definition
ABD- firm/hard
Flexion- firm
Extension- firm
IR/ER- Firm
HABD- firm
HADD- firm/ soft |
|
|
Term
| What to observe when looking at the elbow joint? |
|
Definition
hypermobility
carrying angle |
|
|
Term
|
Definition
angle between humerus and forearm
usually greater in females than males (female- 15, male 5-10 degrees) |
|
|
Term
| Normal AROM/ PROM at elbow |
|
Definition
|
|
Term
|
Definition
Flexion- soft
extension- hard |
|
|
Term
|
Definition
|
|
Term
| Normal AROM pronation/ supination |
|
Definition
|
|
Term
| end feel- supination/ pronation |
|
Definition
supination- firm
pronation- hard/firm |
|
|
Term
|
Definition
flexion- 80
extension- 70
RD- 20
UD- 30 |
|
|
Term
|
Definition
o Wrist flex: firm
o Wrist ext: firm hard
o Wrist UD: firm
o Wrist RD: firm hard |
|
|
Term
| capsular pattern of wrist |
|
Definition
| equal limitation of flex/ext |
|
|
Term
| Ligamentous support of MCP joint |
|
Definition
Palmar plate
transverse ligament
collateral ligaments |
|
|
Term
|
Definition
|
|
Term
|
Definition
flexion- firm/ hard
extension- firm
ABD- firm |
|
|
Term
| capsular pattern- mcp joint |
|
Definition
|
|
Term
| What limits ABD/ADD at MCP joint |
|
Definition
|
|
Term
|
Definition
o Joint capsule
o Palmar plate
o Collateral ligaments |
|
|
Term
|
Definition
PIP flexion- 100
DIP flexion- 90
PIP/DIP extension- 0 |
|
|
Term
|
Definition
PIP flexion- soft/hard/ or firm
PIP extension- firm
DIP flexion- firm
DIP extension- firm |
|
|
Term
| capsular pattern- PIP/ DIP |
|
Definition
|
|
Term
|
Definition
concave-saggital
convex- frontal |
|
|
Term
|
Definition
Flex- 15
Ext- 20
ABD- 70
ADD- 20 |
|
|
Term
| AROM for MCP and IP joint of thumb |
|
Definition
Flex MCP- 50
Flex IP- 80
Ext MCP- 0
Ext IP- 20 |
|
|
Term
|
Definition
Flex- soft/ firm
Ext- firm
Abd- firm
Add- soft |
|
|
Term
| capsular pattern CMC joint |
|
Definition
|
|
Term
| supporting structures of thumbs MCP and IP |
|
Definition
| joint capsule, palmar plate, sesmoid bones at palmar surface, 2 cruciate ligaments, 2 collateral ligaments |
|
|
Term
| capsular pattern of MCP/ IP |
|
Definition
|
|
Term
| capsular pattern of MCP/ IP |
|
Definition
|
|
Term
| Examples of nerve impingement |
|
Definition
o Ex- radial nerve goes through the supinator muscle, if the supinator has trauma or tightness there will be an impingement as it passes through the muscle belly
o Ex- musculocutaneious through the coracobrachialis |
|
|
Term
| common symptoms of nerve damage |
|
Definition
o Pain, degree of intensity ranging from a tingling sensation to extreme, burning
o Loss of feeling or abnormal sensations
o Weakness in the affected body part
o Loss of motor function
o Loss of AROM |
|
|
Term
| cervical root levels of brachial plexus |
|
Definition
C5-C8 and T1- ventral rami (sensory and motor)
Minimal C4 & T2 |
|
|
Term
| Trunks of brachial plexus |
|
Definition
Superior (C5, C6)
Middle (c7)
Inferior (c8) |
|
|
Term
|
Definition
| Anterior and posterior divisions |
|
|
Term
| divisions split into what? |
|
Definition
| posterior, lateral, and medial cords |
|
|
Term
|
Definition
| terminal braches- peripheral nerves |
|
|
Term
|
Definition
| Roots, trunks, divisions, cords, branches |
|
|
Term
|
Definition
dorsalscapular
long thoracic nerve |
|
|
Term
|
Definition
|
|
Term
|
Definition
lower subscapular
upper subscapular
thoracodorsal |
|
|
Term
| lateral and medial cord nerveS |
|
Definition
medial pectoral
lateral pectoral |
|
|
Term
| Long thoracic nerve innervates? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| functional limitation of damaged LTN |
|
Definition
|
|
Term
| Innervation of dorsal scapular nerve |
|
Definition
| rhomboids and levator scapula |
|
|
Term
| Observation with damage to dorsal scapular nerve |
|
Definition
| forward posture, abducted scapular, rhomboid atrophy |
|
|
Term
| functional limitation- dorsal scapular |
|
Definition
| retraction will be accompanied by upward rotation |
|
|
Term
| complaints with damaged dorsal scapular nerve |
|
Definition
| complaint of scapular pain radiating to lateral shoulder and arm |
|
|
Term
| Innervation of suprascapular nerve |
|
Definition
| supraspinatus and infraspinatus |
|
|
Term
| Causes of damaged suprascapular |
|
Definition
| compression, traction, laceration |
|
|
Term
| observation of damaged suprascapular |
|
Definition
| atrophy of supra and infra spinatous |
|
|
Term
| Functional limitation: suprascapular |
|
Definition
| decreased shoulder stability for reaching, especially abduction |
|
|
Term
| thorac dorsal nerve innervation |
|
Definition
|
|
Term
| decreased funtional capability: thoracdorsal nerve |
|
Definition
| decreased ability to pull object towards you |
|
|
Term
| innervation of subscapular nerve |
|
Definition
|
|
Term
| decreased function: subscapular nerve |
|
Definition
| decreased shoulder stability and ability to reach behind back |
|
|
Term
| Lateral Pectoral nerve innevervation |
|
Definition
|
|
Term
| decreased function: lateral pectoral nerve |
|
Definition
| decreased ability to reach across body |
|
|
Term
| Medial pectoral nerve innervation |
|
Definition
|
|
Term
| decreased function: medial pectoral nerve |
|
Definition
| difficult with respiration |
|
|
Term
| terminal branches of posterior cord |
|
Definition
|
|
Term
which nerve goes exits through quadrilateral space?
what forms quadrilateral space? |
|
Definition
axillary nerve
quadrilateral space- head of humerus, teres minor, teres major, long head of tricep |
|
|
Term
| axillary nerve innervates? |
|
Definition
|
|
Term
| radial nerve originates where, branches from where? |
|
Definition
| originates from posterior cord and branches from end of median cord |
|
|
Term
| Radial passes through which muscle |
|
Definition
|
|
Term
| What is the most commonly injured peripheral nerve? |
|
Definition
|
|
Term
| decreased function: radial nerve |
|
Definition
|
|
Term
| Musculocutaneous is from what cord? |
|
Definition
|
|
Term
| musculocutaneous passes through which muscle |
|
Definition
|
|
Term
| Musculocutaneous innervates? |
|
Definition
| biceps, brachialis, coracobrachialis |
|
|
Term
| functional loss: musculocutaneous |
|
Definition
| decreased elbow flexion and supination |
|
|
Term
| ulnar branches from what cord? |
|
Definition
|
|
Term
| Ulnar nerve passes through? |
|
Definition
|
|
Term
| innervation of ulnar nerve |
|
Definition
flexor carpi ulnaris
flexor digitorum profundus
palmaris brevis
digit minimi
interossi
lumbricals
adductor pollicis
flexor pollicus brevia (deep head) |
|
|
Term
| decreased function: ulnar nerve |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Medial nerve entrapment sites |
|
Definition
carpel tunnel
pronator teres |
|
|
Term
| Median nerve innervations? |
|
Definition
flexor carpi radialis
pronator teres
pronator quadratus
flexor digitorum super/profundus
pollicis (other then add)
lumbircles (I, II) |
|
|
Term
|
Definition
| o Group of muscles innervated from a single spinal segment |
|
|
Term
| C4- myotome gross screening |
|
Definition
| scapular elevation (trapezius) |
|
|
Term
|
Definition
| shoulder abduction(deltoid) |
|
|
Term
|
Definition
| shoulder abduction(deltoid) |
|
|
Term
|
Definition
elbow flexion (biceps)
wrist extension (ECR) |
|
|
Term
|
Definition
elbow extension (flexion)
wrist flexion (FCR) |
|
|
Term
|
Definition
Ulnar deviation (FCU, ECU)
thumb extension (EPL, EPB) |
|
|
Term
|
Definition
| finger abd/add (interossi) |
|
|
Term
|
Definition
| sensory portion of nerve root |
|
|
Term
| Influencing ors in examination |
|
Definition
• Psychosocial adaptation (mental health status of your patient)
• Personality/ coping styles/ defense mechanisms
• Anxiety (apprehension of future danger)
• Depression (really need to be motivated
• Substance abuse
• Agitation / violence |
|
|
Term
|
Definition
|
to deprive of capability or effectiveness, especially to impair the physical abilities of |
|
|
Term
|
Definition
relationship between health condition and contextual factors
|
|
|
Term
| 2 important factors in clincial decision making |
|
Definition
understanding the disablement model
evidence based practice |
|
|
Term
| What is the importance of the disablement model? |
|
Definition
|
Used to help classify patients
One model to help us plan our care
Assists us in predicting a prognosis
Assists us in providing interventions likely to succeed
|
|
|
Term
| typical way used to describe a patient? |
|
Definition
|
|
Term
|
Definition
based on diagnosis
classified by ICD codes |
|
|
Term
|
Definition
| result of a pathology or disease statea and includes any loss or abnormality of physiologic, anatomic, or psychologic structure or function |
|
|
Term
|
Definition
Problems related to pathology and impairments: restriction of ability to perform physical action, task, or activity in typically expected manner, as whole person
|
|
|
Term
|
Definition
|
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|
|
|
Term
|
Definition
|
Impact of society on the person with pathology, impairments, functional limitations, or disability
Not in most models- stops at disability
|
|
|
Term
| Things that can affect impairments? (Secondary impairments) |
|
Definition
comorbidities
health habits |
|
|
Term
| Things that can affect functional limitations? |
|
Definition
personal motivation
social support |
|
|
Term
| Things that can affect all parts of disablement model? |
|
Definition
Age
Ethnicity
Sex
Education
Income |
|
|
Term
| Which two parts of disablement model do Physical therapists focus most on? |
|
Definition
impairments
functional limitations |
|
|
Term
| What is Part One in the Guide to PT? |
|
Definition
| elements of patient/client management |
|
|
Term
|
Definition
History
Sytems Review
Tests and Measures |
|
|
Term
| How is the data obtained for history of the patient? |
|
Definition
interview
review of pt/client record
other sources |
|
|
Term
|
Definition
Cardiopulmonary
integumentart
musculoskeletal
neuromuscular
cognition |
|
|
Term
| How many tests and measures are commonly performed by PTs? |
|
Definition
|
|
Term
|
Definition
determination of the predicted optima level of improvement in function and the amount of time needed to reach that level
may also include predicted levels of improvement that may be reached at different intervals (interim levels of progress) |
|
|
Term
|
Definition
| consists of statements thatspecify the anticipated goals and the expected outcomes, predicted level of optimal improvement at D/C |
|
|
Term
Intervention
3 components |
|
Definition
coordination, communication, and documentation
patient/ client related instruction
procedural (direct) interventions
**an integral part of EVERY visit with ALL patients |
|
|
Term
|
Definition
individual pt outcomes used to measure success of interventions in these domains:
pathology
impairments
functional limitations
disabilities
risk reduction/prevention
health/wellness and fitness
societal resources
pt/client satisfaction |
|
|
Term
| Part Two: The Guide to PT |
|
Definition
| Preferred Practice Patterns |
|
|
Term
| How are preferred practice patterns grouped? |
|
Definition
under 4 categories of conditions:
musculoskeletal
neuromuscular
cardiovascular/pulmonary
integumentary
**some may be in more than one pattern |
|
|
Term
|
Definition
|
Standards of practice
Code of ethics
Guide for professional conduct
Guidelines for pt documentation
Documentation templates
Satisfaction questionnaire
|
|
|
Term
|
Definition
Health is a state of complete physical, mental, and social well being and not merely the absence of disease or infirmity
biological
physiological
psychological
social
|
|
|
Term
| Core Qualities of interview |
|
Definition
|
|
Term
Interview
Core function #1 |
|
Definition
| building the relationship! |
|
|
Term
|
Definition
Assessing patients problems
(physical examination) |
|
|
