Term
Cyriax contractile tissues |
|
Definition
mm tendon tenoperiosteal jxn fascia |
|
|
Term
|
Definition
|
|
Term
Conditions favoring reference of pain |
|
Definition
DEPTH from surface PROXIMAL v distal Intensity of INFLAMMATION |
|
|
Term
|
Definition
|
|
Term
Resisted tests: strong and painless |
|
Definition
|
|
Term
Resisted tests: strong and painful |
|
Definition
|
|
Term
Resisted tests: weak and painful |
|
Definition
|
|
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
|
Definition
|
|
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
|
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
|
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
|
Definition
small amplitude; beginning of range |
|
|
Term
|
Definition
large amplitude; within first half of range |
|
|
Term
|
Definition
large amplitude; beyond first half of range |
|
|
Term
|
Definition
large amplitude; last half of range; gentle oscillation |
|
|
Term
|
Definition
large amplitude; last half of range; vigorous oscillation |
|
|
Term
|
Definition
small amplitude; limit of range; gentle oscillation |
|
|
Term
|
Definition
small amplitude; limit of range; vigorous oscillation |
|
|
Term
|
Definition
small amplitude; high velocity; beyond limit of range |
|
|
Term
Mob grade for pain c resistance, spasm endfeel |
|
Definition
|
|
Term
Mob grade for pain c resistance, capsular endfeel |
|
Definition
|
|
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
|
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
|
|
Term
Side effects of narcotics |
|
Definition
respiratory suppression, sedation, N&V, urinary retention, euphoria/dependence |
|
|