Term
| 9 rules about tenderpoints: size, rating, automatic response or lack there of, patterns |
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Definition
• No characteristic pain pattern
• Local pain without radiation
• 1 cm in diameter
• Small, tense, tender, edematous muscle or fascia
• 4x as tender than normal tissue
• No twitch response
• No dermographia
• Taut band not present
• Elicits jump sign |
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Term
| what diseases or conditions can be found with palpation |
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Definition
hypertension or hypotension
edema, fibrous, tumorous, feverish tissue
viscera affected by disease |
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Term
| how can you best record your palpations |
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Definition
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Term
| what should you notice during hovering palpation |
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Definition
temp changes
moisture or dry
soft or rough
elevations
hair like processes |
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Term
| what should you notice during light touch palpation |
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Definition
pulses, quality changes
respirations
elastic, firm, loose, or flabby skin |
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Term
| what should you notice during subcutaneous palpation |
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Definition
harsh, soft, elastic, fibrous
uniform, uneven, edematous
fascia symmetry
tension, edema, contraction |
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Term
| what should you notce during muscle / bone palpation |
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Definition
bony process symmetry
texture of muscles |
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Term
| what is the strain counterstrain treatment process |
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Definition
• Find tender point
• Establish tenderness scale
• Monitor point for tenderness and tissue texture
• Place patient passively into position of reduced tenderness
• Maintain position for 90 sec
o Periodically retest for tenderness
• Passively return patient to neutral keeping tender point
• Reevaluate tender point |
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Term
| what is strain counterstrain based on (4) |
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Definition
o Proprioception
o Agonist/antagonist muscles
o Reciprocal inhibition
o Stretch receptor defense mechanism |
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Term
| what is the process causing the need for strain counterstrain |
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Definition
o Agonist is shortened then suddenly stretched
o Annulospinal receptors detect the rate of change in muscle and stimulates muscle spindle
o Reflex contraction of agonist muscle to prevent overstretching
o Nociceptive feedback from antagonist is interpreted as muscle strain
o Forced shortening of hypertonic muscle increases muscle spindle activity
o Alpha motor neuron activity then decreases and resists gamma motor neuron |
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