TMR
Help!
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| questions to ask client before massage | any areas i should be aware of or avoid? or areas I need to focus on?
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| questions to ask during massage | how is the pressure?, have you been doing extra work or exercising?
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| how to sit client on massage chair | demonstrate how to sit on massage chair, face in head cradle, chest pad below the collar bone, arms supported on arm support
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| example of autoimmune disease | scleroderma, RA, SLE
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| Burgers disease cause | smoking
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| scleroderma | diffuse fibrosis of the skin, articular structures and internal organs
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| RA | most common autoimmune arthritis affects joints of wrist and hands, knuckles and middle joints of fingers
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| SLE | chronic inflammatory disease, mostly women and starts in childbearing age, can affect any organ system
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| organ specific auto-immune disease involves | one organ like Myasthenia Gravis or MS
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| Multiple system autoimmune | RA or Lupus
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| anaphylactoid reactions to allergens | life threatening reaction where over-release of chemicals puts person in shock
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| Raynauds | arteries in hands and feet overreact to cold temperatures and constrict turning fingers turn white then blue numb then red as circulation improves
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| CFS | long term fatigue affecting daily activities
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| Emphysema | COPD, air sacs destroyed, hard to breath, usually with chronic bronchitis, cough and mucous, caused by smoking
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| Mononucleosis | caused by the Epstein–Barr virus, aka herpes 4, spread through saliva, fever, sore throat, enlarged lymph nodes in the neck, and feeling tired, mostly children
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| CREST syndrome | one of scleroderma=calcinosis, Raynaud phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia syndrome,hardening of skin,lower arms and legs, sometimes face and throat. can affect your digestive tract.
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| Calcinosis of soft tissue | build up of calcium in the tissue
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| sclerosis of skin in fingers and toes | temporary hardening of skin due to cold or stress
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| telangiectasias | spider veins, most common causes of telangiectasia are chronic exposure to the sun and extreme heat or cold.
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| AIDS | severe loss of the body's cellular immunity, greatly lowering the resistance to infection and malignancy, final stage of HIV
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| HIV transmitted by | Contact between broken skin, wounds, or mucous membranes and HIV-infected blood or blood-contaminated body fluids.
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| AIDS attacks what cells | CD4 helper lymphocyte cells
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| Symptoms of AIDS | opportunistic infections, cancer
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| Cancerous cell characteristics |
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| characteristics of benign tumors |
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| symptoms of cancerous lymph nodes |
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| most common terminal cancer regardless of sex | lung
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| cachexia | wasting syndrome, loss of appetite, loss or weight, atophy
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| hypercalcemia | high calcium level in blood serum
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| joint effusion | increased intra-articular fluid
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| necrosis | cell death in living tissue
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| RA and exercise | low impact aerobics improve over health and strength =less pressure on joints
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| SLE S&S | fever, joint pain and rash, butterfly rash on face, malar rash, rash from sun exposure, rash on hands and face, fatique, seizures, renal and gi conditions
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| opportunistic infections | infection caused by pathogenst, opportunity not normally available, such as a host with a weakened immune system,these pathogens may not normally cause disease in a healthy host with normal immune
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| muscle that stabilizes pelvis laterally when standing on one leg, to prevent collapsing to the opposite side | gluteus medius
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| hip flexors | TRIPS TFL, Rectus Femoris, iliacus, posts major, sartorius
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| rectus femoris and semitendinosis | antagonists
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| deltoid and gluteus medius | similar in terms of there actions and respective joints
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| distal attachment for biceps femoris | fibular head and lateral condyle of tibia
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| muscles that cross two joints | rectus femoris, triceps brachii, biceps brachii, gastroc
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| what muscle attachment on the pectoral girdle | rhomboids, trapezius, subclavius, pectoralis minor and levator scapulae
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| pectoral girdle | clavicle and scapula
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| restricted shoulder medial rotation cause | infraspinatus, tere minor
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| common point of origin of superficial wrist extensors | lateral epicondyle of humerus
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| gait cycle is also called | walking
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| muscle which initiates gait | iliopsoas
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| most important thigh muscle for walking on level surface ins the | glut max and hamstrings
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| most important thigh muscle going up and down stairs, curbs, standing and sitting | quadriceps
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| Gait Swing phase OKC | gross hip flexion synergy, hip flexors, Knee extensors and dosi flexors swing the leg forward
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| Gait Stance phase CKC | gross extension synergy, hip extensors, knee flexors and planta flexors propel the body forward with reversibility of attachments
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| most important muscle walking on slight incline or decline 15 degrees | glut max
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| most important muscle for lateral stability in unilateral single support stance | glut medius
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| fever and massage | contraindication for massage
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| local contraindications for massage | acute injuries or inflammation, blood clots, and cancer
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| signs of inflammation | red, swelling and heat
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| anointing is a type of massage technique | effleurage
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| five basic massage strokes | effleurage, petrissage, percussion, vibration, friction
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| colles fracture | fracture of the distal radius in the forearm with dorsal (posterior) and radial displacement of the wrist and hand, "dinner fork" or "bayonet" deformity
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| treatment for colles fracture three weeks out of cast | ROM
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| client with old healed skin graft on a deep injury to the left calf, what is goal of treatment | reduce scar tissue adhesions
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| drop foot muscle affected | tibialis anterior
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| patient with leg pain, undrape its red, swollen and has heat | full massage but avoid affected limb
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| adductor muscles of hip | Gracilis
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| cervical plexus originates from which spinal nerve root | C1-C5
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| brachial plexus originates from which spinal nerve root | C5-T1
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| musculocutaneous nerve innervates | biceps brachii, coracobrachialis, brachialis
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| 2 lateral heads of triceps are innervated by | the radial nerve
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| carpal tunnel nerve deficit | palmar surface of the thumb and lateral 2 1/2 fingers
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| CTS | pressure on median nerve in the wrist causing numbness tingling and weaknes
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| Median nerve innervates | flexor carpi radials, palmaris longs, pronator heres, flexor digitorum superficialis, flexor pollicus longs and pronator quadratus, all forearm flexors except flexor carpi ulnaris & portion of flexor digitorum profundis that supplies 4th & 5th digit.
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| nerves that innervate flexor digitorum profundus | 4th and 5th digit =ulan nerve, 123 =median nerve
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| flexor carpi ulnaris innervated by | the ulna nerve
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| innervated the diaphragm | phrenic nerve
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| which muscles are innervated by the axillary nerve | 3 muscle long head of tricep, deltoid, teres minor
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| which muscles are innervated by the long thoracic nerve | arises from C5, 6 and 7 and innervates the serrates anterior
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| claw hand which nerve is damaged and deformity | Ulna nerve, extended metacarpalphalangeal joint and flexed interphalngeal joints
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| wrist drop which nerve is damaged and deformity | radial nerve, aka radial nerve palsey, cannot extend wrist and it hangs flaccid
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| ape hand which nerve and deformity | inability to oppose thumb, median nerve
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| order of components of the brachial plexus | roots, trunks, divisions, cords, branches
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| dorsal scapula nerve innervates | C4-5, rhomboids major and minor, levator scap
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| innervates serratus anterior | long thoracic nerve, nerve of Bell
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| lumbar plexus originates from the ventral rami of the nerve roots | L1-L4
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| Sacral plexus originates from the ventral rami of nerve roots | L4-S4
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| nerve that gives off branches to the Hamstring as it passes through the thigh | sciatic nerve
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| innervates the glut maximus | inferior gluteal nerve
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| patient difficulty flexing the hip and extending the knee due to nerve injury | femoral nerve
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| innervates biceps femoris | sciatic nerve
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| innervates gastroc and soleus | tibial nerve
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| tibial nerve innervates | all muscles in posterior compartment of lower leg, 4 deep=popliteus, flexor hallicus longus, flexor digitorum longus and posterior tibialis, 3 superficial=gastroc, soleus and plantaris
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| innervates posterior compartment of the leg | tibial nerve
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| nerves that innervate the lateral rotators | all by sacral plexus L4-S4 except obturator externes
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| LL14 and LS44 | lumbar plexus L1-L4, sacral plexus L4-S4
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| innervates obturator externus | obturator nerve
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| superior gluteal nerve innervates | Glut med, min and TFL
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| deep peroneal nerve innervates | extensor muscles in the anterior compartment=tibialis anterior, extensor digitorum longus, extensor hallicus longus, and peroneus tertias
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| nerve that innervates the extensor muscles in the anterior compartment | deep peroneal nerve
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| two nerves that make up the sciatic nerve | tibial and common peronial
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| sciatic nerve branches | common peroneal and tibial nerve, tibial nerve branches into med and lat plantar nerves, common peroneal branches into med and lat sural nerve and the they join to become sural nerve
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| pudendal nerve innervates | innervates, perineum, skin of the penis and scrotum, clitoris, labia major and vagina
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| axillary nerve innervates | deltoid, teres minor and long head of triceps brachii
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| intercostal nerves | aka thoracic nerves, supply anterior and lateral chest muscles, skin and posterior trunk muscles.
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| potential energy is defined as | stored energy
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| cell polarized when | charge is different of both sides of the cell
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| average resting membrane potential | -70mV
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| gated ion channels opened via | mechanical stimuli, chemical stimuli, electrical stimuli, light stimuli
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| example of chemical stimuli | neurotransmitters
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| threshold | all electrically gated Na+ channels open at the trigger zone, usually about -55mVm,electrical depolarization at which an action potential begins
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| speed of the action potential is based on | the diameter of the axon and the presence of myelin
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| largest diameter axons | Alpha(A)
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| direction of action potentials | AP travel in only one direction along the axon
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| saltatory conduction | occurs in the neurofibril node and jumps from one node to the next
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| two phases of an action potential are | depolarization and repolarization
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| patient has difficulty standing up from sitting gin a chair, which muscle weak | quads
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| actions of the hamstring | hip extension and knee flexion
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| best way to stretch gastroc | knee extension and dorsiflex foot
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| how many points in bladder channel | 67
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| end of heart channel | radial side nail root of 5th finger
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| Liver insults what organ | LU
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| FU organs | hollow yang organs=LI, ST,SI,TB,GB
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