CMT3 Midterm

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Author:
barbostick
ID:
102230
Filename:
CMT3 Midterm
Updated:
2011-10-14 16:03:57
Tags:
Soma CMT3 CMT Midterm
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Review for the CMT3 Midterm
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  1. What causes tendinitis?
    • Continuous irritation.
    • Chronic overload of the tendon leading to microtearing and triggering an inflammatory process in the tendon.
    • Overload leads to decreased blood flow to dendons through compression, friction, and torsion of the tendon.
  2. Unders stress, tendons can easily stretch to what percentage greater than their resting length?
    4%
  3. What happens when tendons are stretched beyond 8% of their resting length?
    Collagen fibers start to fail
  4. What is a general term for any overuse tendon lesion?
    Tendinitis
  5. What is an irritation of the inner surface of the tendon sheath by roughened surface of the tendon?
    tenosynovitis
  6. What is a chronic degenerative change to a tendon?
    Tendinosis
  7. What is the most commonly impinged structure with Impingement Syndrome?
    Subacromial bursa
  8. Contraindications for Cyriax (4)
    • Acute or early subacute stage of healing
    • Client is currently taking anti-inflammatory medications
    • Compromised tissue health in area of lesion
    • Use with caution if client is on a blood thinner
  9. Red flag indicators for tendinitis (5)
    • Sharp localized pain
    • Will be able to point to area of greatest pain
    • Loss of strength with contraction
    • The more severe, the greater the descriptive terms used to describe pain
    • NSAIDS help
  10. Positioning for supraspinatus tendinitis
    • Client supine or seated
    • Arm extended and internally rotated (grab something under table)
    • Tendon addressed between anterior and middle deltoid fibers
    • Cross-fiber direction is parallel to clavicle with proper arm positioning
  11. Positioning for infraspinatus tendinitis
    • Client prone
    • Client at edge of table so entire arm can hang in full flexion (straight to floor)
    • Tendon is addressed just inferior to the lateral most spine of the scapula
    • Cross fiber direction is perpendicular to the lateral spine of the scapula
  12. Positioning for subscapularus tendinitis
    • Client supine
    • Client near edge of table
    • Client's humerus is held near side of body and with elbow flexed to 90 degrees, externally rotated fully (place support under forearm so client doesn't have to contract to hold position)
    • Tendon is addressed just lateral to coracoid process
    • Cross-fiber friction is parallel to humerus
  13. What is a neurological and/or vascular compression/entrapment of the brachial plexus, ulnar nerve and/or subclaivan artery/vein?
    TOS!
  14. What are the four structures involved with TOS?
    • Anterior scalene
    • Middle scalene
    • Pec minor
    • Clavicle/first rib
  15. TOS can cause n/t of which group of fingers?
    4th and 5th digits
  16. What does the intrascalene triangle consist of?
    • Anterior scalene
    • Middle scalene
    • First rib
  17. What type of TOS treatment technique is contraindicated if client is on anti-inflammatories?
    Deep transverse friction techniques

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