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clinical quiz1
| Question | Answer |
|---|---|
| three primary objectives associated with the treatment? | -Identify soft tissue dysfunction related 2 client’s clinical condition -Identify primary and secondary impairments that therapists can treat if appropriate -Identify client’s activity/participation limitations that associated with soft tissue dysfunc |
| what is included in examination? | interview, objective tests, measure impairments, palpation |
| Examples of client-reported history that suggest soft tissue dysfunction may include? | -A history of cancer -history of chronic pain -Postural changes over time |
| define posture? | positioning and alignment of the skeleton and associated soft tissues in relation to gravity, the body’s center of mass, and base of support |
| define joint integrity | Joint integrity is the extent to which a joint conforms to the expected norms |
| define capsular restriction | s anatomic or pathologic shortening of the joint capsule. as a result of a variety of clinical conditions such as disuse, |
| capsular laxity | Capsular laxity is anatomic or pathologic lengthening of the joint capsule. |
| define Capsulitis and Synovitis | inflammation of the synovium and the joint capsule and associated internal ligaments. |
| define Ligament Insufficiency | anatomic or pathologic shortening of the capsular ligament. |
| ligament laxity | anatomic or pathologic lengthening of the capsular ligament. |
| Nonmyofascial Trigger Points | hyperirritable spot in scars, fascia, periosteum, ligaments, and joint capsules that is associated with a hypersensitive palpable nodule in a taut band. |
| accesory joint motion | Accessory joint motion is the range of motion within synovial and secondary cartilaginous joints that is not under voluntary control |
| muscle extensibility | muscle extensibility is the ability of muscle and fascia to deform during movement of a joint |
| Contracture | Contracture is a permanent muscular shortening owing to a variety of physiologic changes in muscle such as fibrosis or loss of muscular balance |
| tendinitis | inflammation of the peritendinous tissues that can occur in response to repetitive mechanical trauma, stretch, or overloading of the muscle |
| tendinosis | common overuse tendon conditions with a histopathology consistent with noninflammatory, degenerative conditions of unknown etiology. |
| Myofascial Trigger Point | hyperirritable spot in skeletal muscle that is associated with a hypersensitive palpable nodule in a taut band. |
| muscle performance | capacity to do work based on its length, tension and velocity |
| muscle power | work produced by a muscle per unit of time. |
| Resting Muscle Tension | firmness to palpation at rest observed in muscles with normal innervation or the perceived texture of muscle during palpation |
| muscle spasm | involuntary contraction of a muscle |
| Adhesions | replacement of normal tissue with connective tissue after a burn, wound, surgery, radiation, or disease destroys the original tissues |
| fascial Restrictions | dhesion of one fascial layer to another with the associated development of elastocollagenous cross-links and loss of fluid consistency of fascial ground substance. |
| Abnormal Connective Tissue Density | Abnormal connective tissue density is irregular connective tissue remodeling that occurs during the consolidation and maturation stages of connective tissue healing. |
| Somatic pain | caused by a stimulus to tissue in a person with an intact nervous system. There are several types of somatic pain |
| Inflammatory pain | adaptive behavioral response activated by the immune system caused by tissue response to an injury or irritant and should resolve when the irritant ceases with healing. |
| Nociceptive pain | protective behavioral response caused by actual or threatening noxious stimuli of nociceptive receptors in nonneural tissue in response to chemical, mechanical, or thermal stimul |
| Myofascial pain | persistent regional pain with localized muscle sensitivity |
| clonus | cyclical, spasmodic hyperactivity of antagonistic muscles |
| different barriers of soft tissue? | anatomic(end) elastic (passive range of motion, mid) physiological (active ROM) |
| define fascia | sheath, a sheet, or any other dissectible aggregations of connective tissue that forms beneath the skin to attach, enclose, and separate muscles and other internal organs. |
| what does SOAP notes stand for? | Subjective, Objective, Assessment, and Plan. |
| total musculoskeletal assessment includes..? | Patient history • Observation • Examination of movement • Special tests • Reflexes and cutaneous distribution • Joint play movements • Palpation • Diagnostic imaging |
| what is the resting position of the cervical spine? | midway between flexion and extension |
| what is the closed pack position of the cervical spine? | full extension |
| what is the capsular pattern of the cervical spine? | Side flexion and rotation equally limited extension |
| what information should the RMT obtain from the patient? | age? signs and syptoms? |
| what muscles are shortened with kyphosis? | SCM anterior scalene |
| what muscles become weak with kyphosis? | splenius capitis, splenius cervicus |
| normal heart rate for an adult? | 60-100BPM |
| normal raspatory rate for an adult | 10-24 breaths per minute |
| normal blood pressure | 120/80 |
| what are end feels? | measured during passive ROM |
| when are hyper and hypomobility tested? | during passive ROM |
| what end feels are normal? | tissue approximation, bone to bone, tissue stretch |
| which end feels are abnormal? | empty, mushy tissue stretch, springy block, bone to bone |
| what test would you preform to rule out a red flag if a patient complains about dizziness but has full ROM and no pain? | vertebral artery |
| what test to rule out a red flag conditions in the C-Spine? | spurlings compression, rhomberg, jacksons compressions |
| what are the four t of palpation | Temperature, Texture, Tenderness, and Tone. |
| in what order do you preform a ROM assessment? | active, passive, resisted |
| you always palpate cross-fibers once the muscle is engaged.... | true |
| what are types of assessment? | palpation, postural, ROM |
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