Card Set Information
Soma CMT3 CMT Midterm
Review for the CMT3 Midterm
What causes tendinitis?
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.
Unders stress, tendons can easily stretch to what percentage greater than their resting length?
What happens when tendons are stretched beyond 8% of their resting length?
Collagen fibers start to fail
What is a general term for any overuse tendon lesion?
What is an irritation of the inner surface of the tendon sheath by roughened surface of the tendon?
What is a chronic degenerative change to a tendon?
What is the most commonly impinged structure with Impingement Syndrome?
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
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
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
Positioning for infraspinatus tendinitis
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
Positioning for subscapularus tendinitis
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
What is a neurological and/or vascular compression/entrapment of the brachial plexus, ulnar nerve and/or subclaivan artery/vein?
What are the four structures involved with TOS?
TOS can cause n/t of which group of fingers?
4th and 5th digits
What does the intrascalene triangle consist of?
What type of TOS treatment technique is contraindicated if client is on anti-inflammatories?
Deep transverse friction techniques