Lecture 1A

Question 1

What is regional interdependence

Answer 1

Notion that seemingly unrelated impairments may be associated w/ primary complained or mediated by central mechanisms

Question 2

Biomedical model

Answer 2

diagnosis is req to prescribe treatment

Question 3

What are some of the benefits of thoracic HVLAT

Answer 3

Dec C spine pain
Inc Low trap strength
Imp outcomes w RC tendiopathy and adhesive capsulitis

Question 4

Reasons to scan

Answer 4

NO obvious Moi or hs related to signs and symptoms
Proximal cause for distal symptoms
Non-mechanical sounding symptoms

Question 5

what kind of flag is this ?
Potentially life-threatening symptoms

Answer 5

Red

Question 6

What kind of flag is this ?
Psychological factors that may impact pt outcomes

Answer 6

Yellow

Question 7

T or F: Neck pain can effect trunk, and hip strength… as well as scapulothoracic strength

Answer 7

T

Question 8

What are considered “blue flags” of medical screening

Answer 8

Socioeconomic factors that may impact pt outcomes

Question 9

What kind of questions should screening questions be?

Answer 9

YES/NO

Question 10

T or F: We must refer pt’s with one or more red flag

Answer 10

F, dont need to refer for just one red flag

Question 11

Pain reproduction with COMPRESSION suggest what ?

Answer 11

Disc herniation
Vertebral end plate fx
Vertebral body fx
Acute arthritis/ joint inflammation
Nerve root irritation ( if radicular symptoms produced)

Question 12

Pain reproduced with DISTRACTION suggest what ?

Answer 12

Spinal ligament tear
tear inflammation of annulus fibrosis
Muscle spasm
Large disc herniation
Dural Irritability (if non radicular arm pain reproduced)

Question 13

Grading scale for DTR

Answer 13

0 absent
1 slight
2 Normal
3 Brisk
4 Hyperreflexia/ clonus

Question 14

What are the 2 components of a positive ULTT

Answer 14

Differences in symptoms SIDE TO SIDE or ROM difference

production of THEIR symptoms

Question 15

What kind of reasoning tends to be used by experienced PTs

What kind of reasoning tends to be used by PT students

Answer 15

Experienced: Pattern recognition

PT students: Diagnostic reasoning

Question 16

3 tension sites where dura can be tethered

Answer 16

C6
T6
L4

Question 17

Ways that nerve tissue responds to mov by

Answer 17

Gliding
Lengthening
Compression

Question 18

Signs of a positive NPT

Answer 18

Reproduction of symptoms

Test Responses with a distant component

Test difference from side to side

Question 18

What are some of the proposed mechanisms that affect neural tissue ?

Answer 18

Posture
Direct trauma
Extremes of Motion
Electrical Injury
Compression

Question 18

What are some of the affects of adverse neural tension

Answer 18

Limits the range/ stretch of neurological tissue
Results in neurologic symptoms through the available range

Question 19

A condition composed of neurological dysfunction due to compressive pathology at multiple sites

Answer 19

Double Crush injuries

Question 20

ULTT 1
ULTT 2
ULTT 3
what nerve is associate with the ULTT

Answer 20

1 Median
2 Radial
3 Ulnar

Question 21

What are some clinical examples of double crush injuries ?

Answer 21

Cervical Radiculopathy with CTS and/or cubital tunnel syndrome

Question 22

What does a Lhermitte (+) indicate

Answer 22

Indicate demyelination on spinal cord ( UMN lesion)

Question 23

+______ ULTT rule in cervical radiculopathy

Answer 23

3 or more