CMT3 Final

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  1. A condition that results from th ecompression or entrapment of the median nerve as it passes through the carpal tunnel at the wrist
    Carpal Tunnel Syndrome
  2. The nerve affected by CTS
    Median nerve
  3. Three ways the median nerve becomes compressed
    • The size of the tunnel decreases
    • The size of the contenets in or passing through the tunnel increases
    • A combination of the two
  4. Three causes leading to an increase in the size of the contents passing through the tunnel (chronic).
    • Repetitive action of the wrist, especially flexion and extension
    • Thickening of the retinaculum due to scar tissue from repeated trauma
    • Systemic conditions that resuls in edema (diabetes, hypothyroidism, RA, prego)
  5. Fingers affected by CTS
    lateral 3.5 fingers
  6. Explain the pain associated with CTS
    • n/t in median nerve distribution
    • wakes a person from sleeping
    • local pain with wrist activity
    • wrist movements are limited by pain
  7. 5 conditions that cam mimic CTS
    • TOS
    • Referred pain
    • Lateral epicondylitis
    • Pronator teres syndrome
    • Double crush syndrome
  8. A condition manifested by an obvious exaggerated lumbar lordotic curve and the associated postural compensations commonly seen with this condition.
  9. What are treatment goals for hyperlordosis? (7)
    • Reduce fascial restrictions
    • Reduce hypertonicity and trigger points
    • Reduce pain if present
    • Stretch the shortened muscles
    • Mobilize hypomobile joints
    • Restore range of motion
    • Encourage local circulation
  10. Supports for hyperlordosis treatment (supine)
    • EOP
    • Thoracic SPs
    • Distal sacrum
    • Knees (if needed)
  11. Supports for hyperlordosis treatment (prone)
    • Under heads of humerus
    • Abs- just superior to ASIS
    • Ankle bolster OK
  12. Hyperlordosis direction of fascial work to upper chest
    • Medial to lateral
    • inferior to superior
  13. Hyperlordosis direction of fascial work to sternum
    directly superior
  14. Hyperlordosis direction of fascial work to lateral chest
    • Medial to lateral
    • Inferior to superior
  15. Hyperlordosis direction of fascial work to abs
    Inferior to superior (start near xiphoid)
  16. Hyperlordosis direction of fascial work to quads
    Start near hip and work inferior to superior
  17. Hyperlordosis direction of fascial work to upper spine
    Work directly inferior
  18. Hyperlordosis direction of fascial work to posterior shoulders
    • Lateral to medial
    • Superior to inferior
  19. Hyperlordosis direction of fascial work to lumbar region
    Superior to inferior
  20. Hyperlordosis direction of fascial work to gluts
    • Medial to lateral
    • Obliquely distal
  21. Hyperlordosis direction of fascial work to hams
    Start at knee and work retrograde up thigh
  22. A chronic, non-progressive condition that moves through stages of remission and flare-ups. During a flare-up, the client will have a high level of pain (7+) and it will likely be body wide.
  23. How is fibro diagnosed
    Diagnosis is based on 11 or more of 18 pre-determined tender points responding with severe pain when receiving mild to moderate pressure.
  24. Possible causes of fibro (7)
    • Genetic predisposition
    • Trauma-induced vs primary (no known cause with primary)
    • Serotonin deficiency
    • Chemical imbalances
    • Abnormal hormone levels
    • Myoglobin leaking from muscles
    • Inability of interstitial fluid to cycle into vascular and/or lymph system
  25. Best type of treatment for someone with fibro
    Alternate lymph with trigger point sessions
  26. Five causes of hyperlordosis
    • Poor posture
    • Prolonged standing
    • Weak abs
    • Prego
    • Obesity
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CMT3 Final
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