Stretching and Mobilization
Indications for grade I, II joint mobilizations
Pain and spasm reduction
Shoulder abduction and external rotation
When a pt demonstrates loss of light touch sensation that is segmental and contained to a single area of skin supplied by a nerve root, what type of pattern loss is this called?
Dermatomal pattern
Performed to make joint surfaces more congruent and stable during Rhythmic Initiation
Approximation
In what part of the SOAP note do ROM and edema measures and MMT results go?
Objective
Grade of joint mobilization that is larger in amplitude and extends into an area of tissue/capsule resistance
Grade III
Forearm supination with wrist and finger flexion
Are superficial or deep sensory tests performed first?
Deep sensory tests are always performed in what order (anatomically)?
Superficial tested first
Deep sensory tests are performed from distal to proximal
Type of muscle contraction(s) the patient performs during the Slow Reversal Hold technique
Concentric and isometric
The only form of ROM on the continuum that does not result in coordination and strength gains.
PROM
Contraindications for stretching
Acute injury/inflammation/infection, recent fx, hematoma/bruise, boney block, pain, hypermobility
Ankle PF and eversion
D1 flexion
The specific amount (in cm) less than the norm someone has to measure to be considered as having decreased chest expansion for their age, gender.
2.5cm
Technique used to increase muscle length that patient can complete independently (as part of an HEP)
Agonist contraction
When patients have excessive elbow or knee extension AROM or PROM, what symbol is noted in front of the number?
+
Apply the FITT Principles to stretching
Freq=5-7 days/week; Intensity=strong stretch, no pain; Time-Hold each rep 30-60 secs, depending on age of pt, 4 reps per muscle in need of lengthening; Type=active, static, self, manual, PNF
Position of the hip and ankle in D1 flexion
Hip flexion, adduction, external rotation, ankle DF and inversion
Exteroceptors, such as nociceptors and free nerve endings, are the sensory receptors that provide information on which sensations?
Superficial sensations (pain, temperature, light touch, pressure)
Technique used to promote trunk or joint stability in multiple planes
Rhythmic Stabilization
What type of ROM is used to target muscles with an MMT below 3/5?
AAROM
Term associated with stretching defined as "adaptive shortening resulting in resistance to passive or active stretch and limited ROM which can compromise function." This is an indication for stretching.
Contracture
Position of the shoulder and wrist in D2 extension
Shoulder adduction, internal rotation, forearm pronation, and wrist and finger flexion
Touching a patient bilaterally at the same time to determine if the pt can detect it on both sides is known as what type of combined sensory testing?
Extinction testing
Physiology behind why Hold Relax for Pain Reduction works
Reciprocal Inhibition
What goes in the Assessment section of the SOAP note?
Responses to treatment, medical necessity, progress toward goals, clinical reasoning for interventions chosen