What are the 3 different physician contentions?
- Cyriax (orthopaedic)
- Mennell (joint play)
What are the three different PT contentions?
- Maitland (australia)
- Kaltenborn (Norweigan)
- McKenzie (New Zealand)
What is the premise of the Cyriax contention?
all pain comes from an anatomical source so the treatment must reach that source
What is the premise of the Mennell contention?
loss of joint play is a sign of dysfunction, so joint manipulation can restore joint function
WHat is the premise of the osteopathic contention?
the body is a total unit and disease processes manifest in the NMS
What are different evaluating methods of the Cyriax contention?
- AROM, PROM, RROM
- neuro exam
What are different evaluating methods of Mennell contention?
- voluntary movements
- special tests
- joint play
What are different evaluating methods of the Osteopathic contention?
- regional screening of functional units
What is the premise behind Maitland contentions?
- personal commitment ot understanding the patient
- related pathology to signs and symptoms
- continual reassessment
What is the premise behind Kaltenborn contentions?
- biomechanical assessment of joint movements
- pain, joint dysfunction, soft tissues changes are found in combination of one another
What is the premise behind the McKenzie contentions?
- predisposing factors relating to- sitting posture, loss of extension, and frequency of flexion
What are different evaluation methods for Maitland contentions?
- behaviors of signs and symptoms
- stage and stability of disorder
- irritability of disorder
- *relate exam findings to signs and symptoms
What are different evaluation methods for the Kaltenborn contentions?
- biomechanical assessment
- restrictions of joing mobility
- soft tissue changes
What are different evaluation methods for the McKenzie contentions?
- postural syndrome
- dysfunction syndrome
- derangement syndrome
What is the different between contractile and non contractile tissues and who focuses on them?
- PROM vs. AROM
- non contractile are also called inert
What contention focuses on applying ones anatomy?
What contention focuses on posture?
What contention has capsular patterns as a key concept?
What contention focuses on the convex/concave rule?
What contention focuses on joint play?
What is the guide to PT format (think of the 1/2 body)
What does the examination fall under int he SOAP format?
What does evaluation fall under in the SOAP format?
What does diagnosis fall under in the SOAP format?
What does prognosis fall under in the SOAP format?
What does intervention fall under in the SOAP format?
What does outcome fall under in the SOAP format?
What makes ups the evaluation, diagnosis and prognosis (assessment)?
- patient probalem list
- physical therapy diagnosis
What are different types of intervention and outcome?
- direct intervention
- patient related instruction
- adjunct interventions
- coordination, communication, and documentation
What is included in the intervention and outcome (plan)
- frequency of PT
- duration of PT
- discharge of patient
What makes up a screening eval?
- postural scan
List the type of pain for the different structures: bone, nerve, muscle, vascular
- bone: deep, boring, localized, nagging (fracture is severe unbearable pain)
- nerve: sharp (lancinating), bright, and burning
- muscle: hard to localize, dull & aching, cramping, aggervated by injury, can refer
- vascular: diffuse, aching, poorly localized (diffuse)
What is the difference between systemic and musculoskeletal pain?
systemic pain originates from one of the body's systems other than the musculoskeletal system
What are some characteristics of systemic pain?
- disturbs pain
- deep aching or throbbing pain
- reduced by pressure
- constant or waves of pain
- not aggrevated by mechanical stress
What are some characteristics of musculoskeletal pain?
- generally lessens at night
- sharp or superficial ache
- decreases after stopping activity
- continuous or intermittent
- aggravated by mechanical stress
What are the six dimensions of pain?
Which side do you test first in an exam?
NORMAL SIDE then affected side
What is the progression for ROM?
AROM --> PROM --> RROM
What are the reflexes in the arm?
- biceps brachii: C5
- brachioradialis: C6
- triceps brachii: C7
What are the reflexes in the leg?
What is strong and painful?
minor lesion of muscle or tendon
What is weak and painful?
major lesion of muscle or tendon
What is weak and pain free?
What is the common capsular pattern of the glenohumeral joint?
What is the common capsular pattern of the wrist?
flexion and extension =
What is the common capsular pattern of the hip?
- IR (IR may be most limited)
What is the common capsular pattern of the talocrural joint?
What is the common capsular pattern of the ulnohumeral?
What are normal end feels?
- bone to bone (elbow extension)
- soft tissue approximation (elbow flexion)
- tissue stretch- hard (knee extension) or soft (wrist flexion)
What are abnormal end feels?
- muscle spasm- end feel is sudden and hard
- capsular- hard & soft (boggy)
- bony- abnormal bone to bone (ostephyte)
- empty- movement produces pain so can't continue (tumor)
- springy block- abnormal tissue stretch (torn meniscus)