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Trxn, Rehab, Modalities
Quiz 3 QTR 8
156
Anatomy
Professional
11/15/2012
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Term
1.     _____ is one of the oldest medical modalities. The physicians of ancient Egypt and Greece attributed many healing powers to sunlight. Before the 20th century, the sun was the only source of this modality, but now a wide selection of machines are available.
 Definition
ULTRAVIOLET (UVR)
Term
2.     Ultraviolet is a type of radiation possessing both _____ and _____ effects.
 Definition
PHOTOCHEMICAL AND PHOTOBIOLOGICAL
Term
3.     The _____ effect of ultraviolet is the treatment aspect that chiropractic is interested in.
 Definition
PHOTOBIOLOGICAL
Term
4.     This type of UV radiation is melanogenic effects, and augments pigmentation.
 Definition
UVA
Term
5.     This type of UV radiation is erythmogenic, less melanogenic, and has more metabolic effects.
 Definition
UVB
Term
6.     What penetrates deeper UVA or UVB?
 Definition
UVB
Term
7.     This type of UV radiation has bacteriocidal effects.
 Definition
UVC
Term
8.     What type of UV radiation is responsible for burning patients?
 Definition
UVB
Term
9.     This wave type of UV is made up of black light (wood’s lamp).
 Definition
LONG RAY
Term
10.  This wave type of UV is composed of natural sunlight, as well as hot and cold quartz lights.
 Definition
SHORT RAY
Term
11.  3 different types of short ray UV.
 Definition
1) HOT QUARTS, 2) COLD QUARTZ, 3) BLACK LIGHT
Term
12.  This form of short ray UV is used for dermatological conditions such as acne and psoriasis.
 Definition
HOT QUARTZ
Term
13.  This form of short ray UV is used for bacteriocidal effects.
 Definition
COLD QUARTZ
Term
14.  This form of short ray UV is used to diagnose fungal infections.
 Definition
BLACK LIGHT
Term
15.  This classification dose of UV consists of SED (suberythemal dose). There is no redness after 24 hours.
 Definition
E0
Term
16.  This classification dose of UV consists of MED (minimal erythemal dose). There is faint reddening of skin after 24 hours.
 Definition
E1
Term
17.  This classification dose of UV consists of 2nd degree erythema. There is definite reddening 4-6 hours post exposure.
 Definition
E2
Term
18.  This classification dose of UV consist of 3rd degree erythema. There is marked reddening, edema, peeling, and mild blistering 2 hours post exposure.
 Definition
E3
Term
19.  10min of E2 exposure causes _____ which is a 3rd degree burn.
 Definition
E3
Term
20.  7 indications for UV light treatment.
 Definition
1) DERMATOLOGICAL DISORDERS, 2) ANTIBACTERIAL EFFECTS, 3) HERPES ZOSTER, 4) SINUSITIS, 5) EAR INFECTIONS, 6) SKIN ULCERS, 7) FUNGAL INFECTIONS
Term
21.  11 contraindications of UV light therapy.
 Definition
1) SLE, 2) DIABETES, 3) ACTIVE TB, 4) PHOTOSENSITIVE DRUGS, 5) MEASLES, 6) HYPERTHYROID, 7) MALIGNANCY, 8) POISON IVY, 9) INFANTS, 10) ELDERLY, 11) SEVERELY DEBILITATED PATIENTS
Term
22.  2 different types of photosensitive drugs.
 Definition
1) SULFUR BASED ANTIBIOTICS, 2) RETIN A
Term
23.  _____ is a form of therapy that involves the application of both manual and mechanical forces to draw adjacent body parts away from each other.
 Definition
TRACTION
Term
24.  7 uses of traction.
 Definition
1) TO PROMOTE DISTRACTION AND GLIDING OF FACET JOINTS, 2) TO RELIEVE MUSCLE SPASM, 3) TO DISSIPATE EDEMA OR CONGESTION, 4) TO STRETCH FIBROTIC TISSUE AND BREAK UP ADHESIONS, 5) TO TRIGGER PROPRIOCEPTIVE REFLEXES, 6) TO RELIEVE IVF NARROWING, 7) TO TEMPORARILY IMMOBILIZE OR SPLINT PARTS
Term
25.  This type of traction uses low weight, and constantly tractions for hours or days.
 Definition
CONTINUOUS TRACTION
Term
26.  Continuous traction should be used for these 2 injuries.
 Definition
FRACTURES AND DISLOCATIONS
Term
27.  This type of traction uses low weight for a few minutes to 30min.
 Definition
SUSTAINED/STATIC TRACTION
Term
28.  Sustained/static traction should be used for this injury.
 Definition
ACUTE DISC HERNIATIONS
Term
29.  This type of traction uses a 3:1 ratio of hold time then rest time.
 Definition
INTERMITTENT TRACTION
Term
30.  Intermittent traction should be used for these 3 injuries.
 Definition
1) JOINT DYSFUNCTION, 2) DDD, 3) DISC PROTRUSION
Term
31.  This type of traction involves the use of the doctor’s hands to physically traction the patient.
 Definition
MANUAL TRACTION
Term
32.  4 indications for the use of manual traction.
 Definition
1) STIFFNESS, 2) HEADACHES, 3) DISC PROBLEMS, 4) AS A TEST TO SEE IF MORE AGGRESSIVE TRACTION METHODS WOULD BE INDICATED
Term
33.  This type of tractions involves placing the patient in a certain position using cervical pillows, cervical rolls, and SOT blocks.
 Definition
POSITIONAL TRACTION
Term
34.  This type of traction uses a traction bench, and the patient has full control over the amount of traction.
 Definition
AUTOTRACTION
Term
35.  This type of traction involves using tilting chairs and tables.
 Definition
GRAVITY LUMBAR TRACTION
Term
36.  This type of traction uses the Cox and Leander type of techniques.
 Definition
FLEXION-DISTRACTION
Term
37.  This type of traction involves the use of passive mobility.
 Definition
INTERSEGMENTAL TRACTION
Term
38.  This type of traction uses a computerized step traction method, and it is used for disc problems.
 Definition
DECOMPRESSION
Term
39.  8 indications for traction.
 Definition
1) DISC PROTRUSION, 2) DISC HERNIATION, 3) NERVE ROOT IMPINGEMENT, 4) SPONDYLOLISTHESIS, 5) JOINT HYPOMOBILITY, 6) ARTHRITIC FACET JOINTS, 7) JOINT PAIN, 8) IMMOBILIZATION
Term
40.  Spondylolisthesis causes pain because the anterior slippage causes a disc lesion _____ the spondylo.
 Definition
BELOW
Term
41.  12 contraindications for the use of traction.
 Definition
1) ACUTE SPRAIN OR STAIN, 2) HYPERMOBILITY, 3) JOINT INSTABILITY, 4) TUMORS AND CANCERS, 5) BONE DISEASES, 6) OSTEOPOROSIS, 7) BONE/JOINT INFECTIONS, 8) PREGNANCY, 9) HIATAL HERNIA, 10) AORTIC ANEURYSM, 11) INGUINAL HERNIA, 12) RA
Term
42.  The estimated angle of traction between C0-C2 is _____.
 Definition
0-5DEG
Term
43.  The estimated angle of traction between C3-C5 is _____.
 Definition
10-20DEG
Term
44.  The estimated angle of traction between C6-C7 is _____.
 Definition
25-30DEG
Term
45.  The estimated angle of traction between L1-L3 is _____.
 Definition
15-30DEG
Term
46.  The estimated angle of traction between L3-L5 is _____.
 Definition
30-50DEG
Term
47.  A 3:1 pull/rest ratio of intermittent traction (30sec on and 10sec off) is good for these 3 conditions.
 Definition
1) JOINT HYPOMOBILITY, 2) DJD, 3) DISC DISEASES
Term
48.  A 60sec hold and 20sec rest ratio of intermittent traction is good for _____.
 Definition
DISC PROTRUSIONS
Term
49.  A 1:1 pull/rest ratio of intermittent traction (10sec on and 10sec off) is good for _____ problems.
 Definition
FACET PROBLEMS
Term
50.  The treatment time for traction should be between _____ depending on the type of traction.
 Definition
5-30MIN
Term
51.  The poundage of tractive force for intermittent traction in the lumbar region should be between _____% of body weight.
 Definition
25-50%
Term
52.  The poundage of tractive force for static traction in the lumbar region should be between _____ pounds.
 Definition
40-60 POUNDS
Term
53.  The poundage of tractive force for intermittent traction in the cervical region should be between _____% of body weight.
 Definition
10-15% (USUALLY 10-30LBS)
Term
54.  The poundage of tractive force for static traction in the cervical region should be between _____ pounds.
 Definition
6-30LBS
Term
55.  6 precautions for the use of traction.
 Definition
1) IF TREATMENT INCREASES PAIN, STOP AND RE-EVALUATE, 2) TRACTION SHOULD ALWAYS START GENTLY AND INCREASE AS PATIENT IMPROVES, 3) DECREASE MUSCLE SPASM WITH HEAT BEFORE STARTING TRACTION, 4) WITH C-SPINE TRACTION WATCH FOR TMJ, 5) ALL SLACK SHOULD BE REMOVED BEFORE TRACTION, 6) ALL MECHANICAL TRACTION UNITS SHOULD HAVE A KILL SWITCH FOR PATIENT USE
Term
56.  What 5 questions should a doctor ask themselves before beginning a traction protocol on the patient.
 Definition
1) WHAT PATHOLOGY EXISTS IN THE CONDITION TO BE TREATED, 2) WHAT IS THE IDEAL POSITION FOR THE PATIENT DURING TREATMENT, 3) WHAT WOULD BE THE MOST EFFECTIVE STRENGTH, DOSE, AND OR FREQUENCY, 4) WHAT CHANGE DO I EXPECT, 5) WHAT ARE THE POSSIBLE CONTRAINDICATIONS
Term
57.  When treating a patient with multiple therapies, if two or more therapies have the same effects, they are _____ indicated.
 Definition
NOT!!!!
Term
58.  The effects of 2 or more therapies given in combination are _____.
 Definition
CUMULATIVE
Term
59.  It is the responsibility of the _____ to justify the use of therapies by proper records, through documentation, and a comprehensive rational approach.
 Definition
PRACTITONER
Term
60.  3 contraindications for combination therapies.
 Definition
1) 2 HEAT THERAPIES, 2) 2 EMS THERAPIES, 3) ANY 2 THERAPIES WITH THE SAME PHYSIOLOGICAL RESPONSE
Term
61.  6 common combination therapies.
 Definition
1) US AND LOW VOLT AC, 2) US AND HIGH VOLT AC, 3) US AND INTERFERENTIAL CURRENT, 4) EMS AND ICE, 5) EMS AND MOIST HEAT, 6) MOIST HEAT AND MYOFASCIAL RELEASE
Term
62.  During the acute stage following an injury, especially during the first 24-28 hours it may be necessary to treat the patient once or several times daily until the pain and swelling subsides, in some cases _____on each visit, or _____ is often the regimen of choice.
 Definition
MULTIPLE THERAPIES; CONCENTRATED CARE
Term
63.  During the post-acute healing stage/remobilization stage of healing, the treatments can be _____. After daily treatment, then every other day, and eventually down to once a week.
 Definition
SPREAD OUT
Term
64.  Post-acute healing stage/remobilization stage of treatment could last from _____ visits depending on the severity and how long the patient suffered with this problem. This stage should not last longer than _____ weeks.
 Definition
6-15 VISITS; 6 WEEKS
Term
65.  As healing becomes more complete, the therapy should be directed to developing strength and endurance. During this stage therapy is scheduled _____ times a week combined with _____.
 Definition
ONCE OR TWICE A WEEK; EXERCISE
Term
66.  The strengthening/rehab stage could last for _____.
 Definition
3 WEEKS-1 YEAR
Term
67.  The recovery time for acute (passive) care should be between _____ hours.
 Definition
48-72 HOURS
Term
68.  The recovery time for remobilization (active) care should be between _____.
 Definition
48 HOURS- 6 WEEKS
Term
69.  The recovery time for rehabilitation (active) care should be between _____.
 Definition
3 WEEKS-1 YEAR
Term
5.     9 therapies that need to be supervised in order to code for them.
 Definition
1) HOT/COLD PACKS, 2) MECHANICAL TRACTION, 3) UNATTENDED EMS, 4) VASOPNEUMATIC, 5) PARAFFIN BATH, 6) WHIRLPOOL, 7) DIATHERMY, 8) INFRARED, 9) UV
Term
6.     10 therapies that need constant attention in order to code for them.
 Definition
1) MANUAL EMS, 2) IONTOPHORESIS, 3) CONTRAST BATHS, 4) US, 5) THERAPEUTIC PROCEDURES, 6) NMR, 7) MASSAGE, 8) MANUAL THERAPY, 9) THERAPEUTIC ACTIVITES, 10) SENSORY INTEGRATION
Term
7.     In order to bill for supervised modalities, you must treat one or more areas for a minimum of _____ minutes.
 Definition
8MIN
Term
8.     To bill for constant attended procedures, 1 unit of time may be billed for treatments lasting _____min.
 Definition
8-23MIN
Term
9.     To bill for constant attended procedures, 2 units of time may be billed for treatments lasting _____min.
 Definition
23-38MIN
Term
10.  If using multiple therapies, billing units may be _____.
 Definition
BUNDLED
Term
11.  _____ is an indication of spinal decompression therapy which may decrease intradiscal pressure, and reduce bulging of nuclear material. It may enhance osmosis from vertebral endplates, increasing fluid/blood to supply the disc.
 Definition
VERTEBRAL SEPARATION
Term
12.  _____ is an indication of spinal decompression, it establishes potential for improved alignment, articulation, and joint mobility.
 Definition
SEPARATION AND GLIDING OF THE FACET JOINTS
Term
13.  _____ is an indication of spinal decompression that causes stretching of the system of spinal ligaments.
 Definition
TENSING
Term
14.  _____ is an indication of spinal decompression that allows for increased space for spinal nerve roots.
 Definition
WIDENING OF VERTEBRAL FORAMINA
Term
15.  _____ is an indication of spinal decompression that causes a potential decrease to sensitivity to stretch, and thereby decreases muscle spasming/guarding. It is also possible that this may improve blood supply to posterior soft tissues.
 Definition
STRETCHING OF SPINAL MUSCULATURE
Term
16.  13 contraindications for spinal decompression.
 Definition
1) MENINGITIS, 2) SPINAL CANCER, 3) BILATERAL SYMPTOMS, 4) RA, 5) RECENT FRACTURE, 6) OSTEOPOROSIS, 7) INCREASED ABDOMINAL PRESSURE, 8) PREGNANCY, 9) DISC SEQUESTRATIONS, 10) CARDIAC/RESPIRATORY INSUFFICIENCY, 11) DECOMPRESSION ANXIETY, 12) JOINT HYPERMOBILITY, 13) ACUTE JOINT OR SOFT TISSUE INJURY
Term
17.  7 good candidates for spinal decompression.
 Definition
1) PATIENTS WHO FAILED TO RESPOND TO A TRIAL BASIS OF TRADITIONAL CHIROPRACTIC CARE FOR 2-4 WEEKS, 2) DISC BULGES, 3) DISC HERNIATIONS, 4) NUCLEAR EXTRUSIONS, 5) DDD, 6) SPINAL STENOSIS, 7) FORAMINAL ENCROACHMENT
Term
18.  4 poor candidates for spinal decompression.
 Definition
1) CAUDA EQUINA SYNDROME, 2) PROGRESSIVE NEUROLOGICAL LOSS, 3) SEVERE NERVE ROOT PAIN, 4) ADVANCED AGE
Term
19.  This is the 7 step protocol when applying spinal decompression.
 Definition
1) PRE-WARM UP, 2) STATIC TRACTION, 3) INTERMITTENT TRACTION, 4) COOL DOWN PHASE, 5) REHABILITATION, 6) SPINAL ADJUSTMENT, 7) NUTRITIONAL SUPPORT
Term
20.  Every decompression technique involves some sort of _____.
 Definition
REHABILITATION
Term
21.  This protocol strep of spinal decompression is used to decrease muscle spasm.
 Definition
PRE WARM UP
Term
22.  The pre warm up stage of spinal decompression involves the use of these 2 modalities for acute injuries.
 Definition
1) ICE, 2) INTERFERENTIAL CURRENT (80-150HZ)
Term
23.  The pre warm up stage of spinal decompression involves the use of these 3 modalities for chronic injuries.
 Definition
1) LASER, 2) MOIST HEAT, 3) DIATHERMY
Term
24.  The static traction phase of spinal decompression should start off with _____% of body weight, and there should be a decrease of symptoms.
 Definition
25.00000%
Term
25.  If the patient is suitable for static traction, the doctor should increase the traction up to _____% of the patients body weight.
 Definition
50.00000%
Term
26.  The total treatment time for static traction should be between _____min.
 Definition
2-15MIN
Term
27.  If the patient tolerated static traction protocol well with a decrease in symptoms and a positive test, the doctor should add _____.
 Definition
INTERMITTENT TRACTION
Term
28.  The _____ is very important when applying intermittent traction.
 Definition
ANGLE OF PULL
Term
29.  The treatment time for intermittent traction should last between _____min.
 Definition
10-20MIN
Term
30.  During the cool down phase of traction, the doctor should apply a _____ for 10-15min. Also the doctor should encourage the patient to perform _____.
 Definition
ICE PACK; ISOMETRIC EXERCISES
Term
31.  During the rehabilitation phase of the traction protocol, the doctor must add _____ to the treatment protocol to achieve maximum results.
 Definition
ACTIVE CARE
Term
32.  These 7 types of active care should be added during the rehabilitation phase of the traction protocol.
 Definition
1) ISOMETRIC EXERCISES, 2) PAIN FREE ROM, 3) PROPRIOCEPTIVE EXERCISES, 4) EXERCISE BALLS, 5) TUBING, 6) WEIGHTS, 7) CORE STRENGTHENING
Term
33.  Step 6 of the traction protocol involves the chiropractic use of _____.
 Definition
SPINAL MANIPULATION
Term
34.  The final step of the traction protocol involves the use of these 3 types of nutritional support.
 Definition
1) TOPICAL PAIN RELIEF, 2) ANTI-INFLAMMATORY AGENTS, 3) SOFT TISSUE/JOINT SUPPORT
Term
35.  These are 8 examples of anti-inflammatory nutritional supports.
 Definition
1) PROTEOLYTIC ENZYMES, 2) VALERIAN ROOT, 3) YUCCA, 4) BOSWELLA, 5) GINGER, 6) ROSEMARY, 7) VITAMIN A C AND E, 8) OMEGA 3’S
Term
36.  9 examples of nutritional support for soft tissues/joint support.
 Definition
1) GLUCOSAMINE, 2) CHONDROITIN, 3) CALCIUM, 4) CITRATE, 5) MAGNESIUM, 6) VITAMIN C, 7) OMEGA 3, 8) MSM
Term
37.  Deep mechanical stimulation (massage) has been used for many years by all health care providers. It may be provided manually or mechanically to affect various reflex and interpretive levels in the spinal cord. Through the stimulation of _____ and _____ we can influence NMS and internal organ functions.
 Definition
REFLEX CENTERS; MECHANICAL RECEPTORS
Term
38.  6 physiological effects of soft tissue treatment.
 Definition
1) INCREASED CIRCULATION, 2) INCREASED LYMPHATIC FLOW, 3) REFLEX STIMULATION, 4) MECHANORECEPTOR STIMULATION, 5) DECREASED LOCAL MUSCLE SPASM, 6) RELEASE OF ADHESIONS
Term
39.  10 indications for soft tissue therapy.
 Definition
1) ADHESIONS, 2) BRONCHIAL CONGESTION, 3) CIRCULATORY STASIS, 4) CONSTIPATION, 5) LYMPHATIC FLOW IMPAIRMENT, 6) LOCAL MUSCLE SPASM, 7) TRIGGER POINTS, 8) RELAXATION, 9) SINUSITIS, 10) MECHANICAL STIMULATION
Term
40.  8 contraindications of soft tissue therapy.
 Definition
1) ACUTE LOCAL INFLAMMATION, 2) HLA+ ARTHRITIS, 3) HEMORRHAGING, 4) MALIGNANCY, 5) THROMBOPHLEBITIS, 6) TB, 7) PNEUMOTHROAX, 8) OVER SENSITIVE TISSUES SUCH AS GONADS AND EYES
Term
41.  5 different soft tissue application devices.
 Definition
1) G-5, 2) GENIE-RUB, 3) ARTHRO-STIM, 4) VIBRACUSSOR, 5) HANDS
Term
42.  _____ is mechanical stimulation of tissues by means of rhythmically applied pressure and stretching.
 Definition
MASSAGE
Term
43.  The healing effects of massage and lying on the hands are probably the oldest method of practicing healing. The word massage is derived from 2 sources, one is the Arabic verb _____ which means to touch, and the other is the Greek word _____ which means to knead.
 Definition
MASS; MASSEIN
Term
44.  _____ is a type of massage that involves a long stroking motion which may be superficial or deep, the technique is applied with the palm of the hand or the flats of the fingers along the fibers of the muscle.
 Definition
EFFLEURAGE
Term
45.  This type of massage involves kneading the muscle tissue by pulling the tissue up with the thumb and fingers and squeezing, pinching, and/or rolling.
 Definition
PETRISSAGE
Term
46.  _____ is a type of massage that is a percussion massage where there is rhythmic mechanical tapping, hacking, cupping, and slapping movements with the fingers and hands.
 Definition
TAPOTEMENT
Term
47.  _____ is a type of massage that involves a shaking or trembling of the skin and muscle tissue by keeping the hand in contact with the skin and moving the hand quickly back and forth across the muscle.
 Definition
VIBRATION
Term
48.  _____ is a type of massage that involves the use of firm pressure applied across the fibers of the muscles and tendons.
 Definition
FRICTION
Term
49.  13 indications for massage.
 Definition
1) INCREASED BLOOD FLOW, 2) INCREASED LYMPHATIC FLOW, 3) SEDATION, 4) MUSCLE RELAXATION, 5) DETOXIFICAITON, 6) LOOSEN ADHESIONS, 7) SOFTEN SCAR TISSUE, 8) INCREASE CELLULAR METABOLISM, 9) TRIGGER POINTS, 10) FIBROMYALGIA, 11) BURSITIS, 12) TENDONITIS, 13) HARD TO ADJUST
Term
50.  9 contraindications to massage.
 Definition
1) ARTERIOSCLEROSIS, 2) THROMBOSIS, 3) SEVERE VARISCOSITIES, 4) ACUTE PHLEBITIS, 5) CELLULITIS, 6) SYNOVITIS, 7) ABSCESSES, 8) SKIN INFECITONS, 9) ACUTE INFLAMMATORY CONDITIONS
Term
51.  The first documented muscle pain treatment was in _____.
 Definition
1843
Term
52.  The first trigger point manual was written by Lang in _____.
 Definition
1931
Term
53.  Travel wrote that spot tenderness, referred pain, and decreased ROM was due to trigger points in _____.
 Definition
1942
Term
54.  _____ dysfunction precedes joint dysfunction.
 Definition
MUSCLE
Term
55.  Hypertonic muscles cause joint fixations known as _____.
 Definition
SUBLUXATIONS
Term
56.  _____ can provide noxious stimuli to the CNS, resulting in referred pain, peripheral nerve entrapment, and somato/visceral.somato/somatic reflexes.
 Definition
TRIGGER POINTS
Term
57.  _____ are a group of neurons interposed between incoming afferent fibers of the posterior root and the outgoing motor fibers of the anterior horn. They act like to sort and rely incoming information into appropriate motor channels for action with coordination from the brain.
 Definition
INTERNUNICAL POOL
Term
58.  _____ results in a “spill over effect” that triggers impulses into other pathways such as the brain, muscle, or organ.
 Definition
SUSTAINED NOXIOUS STIMULI
Term
59.  _____ states that when an impulse passes through a certain set of neurons repeatedly, it will create a path. This will result in that impulse taking the same path on future occasions.
 Definition
LAW OF FACILITATION
Term
60.  Deranged skeletal muscles may give rise to _____ that produce changes in visceral functions to such an extent that actual pathology is produced.
 Definition
NOXIOUS IMPULSES
Term
61.  10 common pathologic trigger points.
 Definition
1) OCCIPITAL RIDGE, 2) UPPER TRAPS, 3) RHOMBOIDS, 4) LEVATOR SCAPULAE, 5) LOWER TRAPS, 6) ROTATOR CUFFS, 7) QUADRATUS LUMBORUM, 8) ILIAC CREST, 9) PIRIFORMIS, 10) GLUTEUS MAXIMUS
Term
62.  4 different types of soft tissue dysfunction.
 Definition
1) LIMBIC SYSTEM DYSFUNCTION, 2) REFLEX CONTRACTION, 3) INTERNEURON DYSFUNCTION, 4) CHRONIC MUSCLE SHORTENING
Term
63.  5 evaluation methods of soft tissue dysfunction.
 Definition
1) CASE HISTORY, 2) PALPATION,3 ) ROM TESTING, 4) MUSCLE TESTING, 5) PAIN DRAWINGS
Term
64.  25 perpetuating factors of myofascial syndromes.
 Definition
1) MECHANICAL STRESS, 2) JOINT DYSFUNCTION, 3) UNEVEN LEG LENGTH, 4) SHORT HEMIPELVIS, 5) SHORT UPPER ARMS, 6) MORTON’S FOOT, 7) MIS-FITTING FURNITURE, 8) POOR POSTURE, 9) ABUSE OF MUSCLES, 10) IMMOBILITY, 11) REPETITIVE MOVEMENT, 12) CONSTRICTION OF MUSCLES, 13) METABOLIC DISORDERS, 14) HYPOTHYROID, 15) HYPOGLYCEMIA, 16) GOUT, 17) ADDSON’S DISEASE, 18) FIBROMYALGIA, 19) LUPUS, 20) CHRONIC INFECTIONS, 21) PSYCHOLOGICAL FACTORS, 22) ALLERGIES, 23) INSOMNIA, 24) NERVE IMPINGEMENT, 25) NUTRITIONAL DEFICIENCIES
Term
65.  6 nutritional protocols for myofascial syndromes.
 Definition
1) AVED-MULTI 2X DAILY, 2) TRI-B-PLEX 2 DAILY, 3) SALIZAIN 2-6 DAILY, 4) TRI ADRENOPAN 2 DAILY, 5) VALERIAN COMPLEX DAILY, 6) EAT A LOW INFLAMMATORY DIET
Term
66.  9 adjunctive therapies for myofascial syndromes.
 Definition
1) MOIST HEAT, 2) LOW VOLT SINUSOIDAL CURRENT, 3) US, 4) ACUPRESSURE, 5) SPRAY AND STRETCH, 6) ISOMETRIC EXERCISES, 7) GUA SHA, 8) ART, 9) ACUPUNCTURE
Term
67.  Problematic trigger points are generally _____ from the area causing the patient discomfort.
 Definition
AWAY
Term
68.  A doctor should treat _____ trigger points before dormant trigger points.
 Definition
ACTIVE
Term
69.  7 positive myofascial exam findings to indicate muscle work.
 Definition
1) PASSIVE/ACTIVE STRETCHING OF INVOLVED MUSCLE CAUSES PAIN, 2) LIMITED ROM, 3) REFERRED DEEP TENDERNESS, 4) NON-SENSORY DISTRIBUTION MAY BE INDUCED WITH PRESSURE, 5) TRIGGER POINT FOUND IN TAUT BAND AS A SPECIFIC SPOT OF EXTREME TENDERNESS, 6) DIGITAL PRESSURE USUALLY RESULTS IN A POSITIVE JUMP SIGN, 7) DIGITAL PRESSURE INTENSIFIES A REFERRED PAIN PATTERN
Term
70.  8 treatments of myofascial trigger points.
 Definition
1) ISCHEMIC DIGITAL COMPRESISON, 2) ALTERNATE ISCHEMIC COMPRESSION, 3) STRIPPING MASSAGE, 4) SPRAY AND STRETCH METHODS, 5) HOT PACKS, 6) ULTRASOUND, 7) EMS, 8) ICE MASSAGE
Term
Acute/Passive care duration
 Definition
1-4 weeks
Term
Acute/passive care home treatment
 Definition
ice, stretch, isometric, rest, ortho support
Term
Acute pssive care adjustments
 Definition
light force
Term
Acute/passive care therapeutics
 Definition
ice, interferential current, high volt current, microcurrent
Term
Acute passive care nutritional support
 Definition
proteolytic, valerian, yucca, boswella, vitamins ACE
Term
Remobilization/Soft Tissue Phase duration
 Definition
2-6 weeks
Term
Remobilization/soft tissue phase home treatment
 Definition
heat, ROM, increased activity
Term
Remobilization phase adjustments
 Definition
trigger point, spray and stretch, SOT, kinesiology, increased ROM
Term
Remobilization phase therapeutics
 Definition
low volt AC, Russian Stim, diathermy, US, Hot packs
Term
REHABILITATION REHAB:
 Definition
a.     warm-up exercises, proprioceptive exercises, aerobics, isokinetic exercises
Term
REHABILITAITON/BONE-JOINT PHASE DURATION:
 Definition
1.     3 weeks-1 year
Term
REHABILITAITON/BONE-JOINT PHASE ADJUSTMENTS:
 Definition
: osseous adjustments
Term
REHABILITAITON/BONE-JOINT PHASE THERAPEUTICS
 Definition
US, intersegmental traction
Term
REHABILITAITON/BONE-JOINT PHASE NUTRITION:
 Definition
multivitamin, magnesium, calcium, glucosamine, MSM, ipriflavone, antioxidant
Term
REHABILITAITON/BONE-JOINT PHASE REHABILITATION:
 Definition
warm-up, proprioceptive, aerobic, isokinetic, isotonic exercises
Term
LIFE STYLE MODIFICATION DURATION
 Definition
ongoing
Term
LIFE STYLE MODIFICATION HOME TREATMENT:
 Definition
preventative exercises
Term
LIFE STYLE MODIFICATION ADJUSTMENTS:
 Definition
maintenance care
Term
LIFE STYLE MODIFICATION THERAPEUTICS
 Definition
intersegmental traction
Term
LIFE STYLE MODIFICATION NUTRITION
 Definition
multivitamin, magnesium, calcium, CO-Q-10, Fish oil, antioxidants
Term
LIFE STYLE MODIFICATION EXAMS:
 Definition
yearly spine exam
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