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• Maudsley test


  lateral epicondylitis

  resisted extension of 3rd finger
• for posteriorly rotated innominate stretch what?

  anterioroly rotated?

  hip extensors

  hip flexors
• right superior vs inferior gluteal nerve

  superior = hip abduction (glute medius)

  inferior = hip extension (glute maximus)
• the 3 hamstring muscle contract eccentrically during which phase of gait?

  terminal swing

  (hamstrings on stretch in extension)
• TOLL


  tibia in open chain goes laterally to lock for screw home mechanism (medially to unlock)

  
  

  *in closed chain femur moves

  *femur moves laterally in closed chain to unlock

  *femur moves medially in closed chain to lock
• shoulder rotators

  SALT UT: serratus anterior, lower trap, upper trap

  LOVE RHAMIN: levator scapulae, rhomboids, pec minor
• Functional Independence Measure (FIM)


  7- I

  6- ModI

  5- S

  4- Min

  3- Mod

  2- Max

  1- Dependent
• neuropraxia

  axonotomesis

  neurotmesis


  comes backsia- least severe

  ex: stinger (focal damage) takes longer to heal

  severing; needs surgery; WORST
• axonal regeneration post injury important thing to remember?

  it doesn't go back to normal! ever
• medication risk factors for polyneuropathy?

  chemotherapy
• NORMAL END FEEL

  Hard

  Soft

  Firm


  Bone or cartilage

  Example: elbow extension

  
  

  Soft tissue approximation

  Example: elbow flexion

  
  

  Capsular and ligamentous stretching

  Example: shoulder flexion
• thumb movements

  flexion

  extension

  abduction

  adduction

  flexion: thumb moves towards ulnar side (ulnar roll)

  extension: thumb moves towards radial side (radial roll)

  *slide the same

  abduction: thumb moves into "v" shape (volar roll)

  adduction: thumb moves closer to hanD (dorsal roll)

  *slide opposite
• ADHESIVE CAPSULITIS

  -restricted motions

  -dense adhesive fibrosis/scarring in ?

  chronic inflammation may be seen in (3)

  Restricted AROM and PROM

  capsule

  rotator cuff, biceps tendon, and synovial tissue
• ADHESIVE CAPSULITIS

  -ages?

  gender?

  2 common diseases?

  resolves with?

  pattern of loss?

  Ages 40-65 years; females;

  commonly associated with DM and thyroid disease,

  resolves on its own;

  capsular pattern loss (ER, abd, IR)
• ADHESIVE CAPSULITIS

  treatment?

  Increase ROM with GH mobilizations; may

  need closed manipulation under

  anesthesia
• hip capsular pattern?

  flexion, abduction, IR
• knee capsular pattern?

  flexion, extension
• landmarks for measuring pec minor tightness with tape measure

  coracoid process and 4th rib
• say the roll and slide

  GH flexion

  extension

  abduction

  adduction

  IR

  ER

  1. roll anterior; slide posterior

  2. roll posterior; slide anterior

  3. roll superior; slide inferior

  4.roll inferior; slide superior

  5. roll anterior; slide posterior

  6. roll posterior; slide anterior

  
  

  *remember roll is what the distal end is doing
• rate product pressure

  HR X SBP
• cardiac output

  HR x stroke volume
• heart rate and cardiac output increase?

  linearly

  
  

  as your heart rate goes up so does your cardiac output
• BP changes with exercise

  systolic- increases

  DBP- stays constant (within 10)
• blood pressure guidelines

  Normal: less than 120/80

  Elevated: 120-129; less than 80

  Stage 1: 130-139; 80-89

  Stage 2: at least 140; at least 90 mm hg
• SNS vs PNS

  
  

  "No Sympathy for a Pair of Aces"

  Fight or flight vs Rest and Digest

  
  

  nor-epinephrine= SNS

  PNS = Acetylcholine
• elevation - first date nerves

  
  

  HR, CO, BP, SV changes

  HR, CO, BP increases

  stroke volume doesn't change
• aquatic therapy changes to vital signs

  everything decreases except CO, SV, venous return
• A PT MAKES 2245 a week

  aortic= 2nd IC space

  pulmonic= 2nd (left)

  tricuspid = 4th

  mitral = 5th
• S3 and S4 associated with

  S3- CHF

  S4- MI/hypertension
• lub vs dub (closing or opening)

  lub = closing of bicuspid and tricuspid valces

  
  

  dub = closing of aortic and pulmonary valves
• cerebrum vs cerebellum

  big brain/ small brain below
• brain stem structures

  midbrain, pons, medulla
• frontal lobe is like A CEO

  A: apraxia/aphasia

  C: controls plan, programming, movement

  E: emotional/ behavioral control (personality)

  O: olfaction
• broca vs wernicke's aphasia

  broca- frontal lobe, inability to speak

  treatment: use yes/no questions

  
  

  wernicke's- temporal lobe, inability to understand

  treatment: gesture and demo
• other names for broca's and wernicke's

  BEN has broca (broca, expressive, non fluent aphasia)

  
  

  WARF salad (wernicke's aphasia, receptive, fluent)
• temporal lobe affects what 3 things

  HAL

  hearing

  aphasia (wernicke's)

  language comprehension

  
  

  *temporal lobe is right above the ears so it helps with hearing and understanding
• left hemisphere holds what center??

  LANGUAGE AND SPEECH
• parietal lobe- unilateral neglect

  what side most commonly affected?

  neglecting side opposite of affect (shaving only one side, drawing 1/2 of clock)

  
  

  R side normally causes the neglect

  
  

  ex: R parietal lobe affected --> L side neglect
• CN number and pairs

  24 CNs

  12 pairs
• CN names

  ooo to touch and feel very green vaginas AH

  1. Olfactory

  2. Optic

  3. Oculomotor

  4. Trochlear

  5. Trigeminal

  6. Abducens

  7. Facial

  8. Vestibulocochlear

  9. Glossopharyngeal

  10. Vagus

  11. Accessory

  12. Hypoglossal