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What's the diff between Synovial vs nonsynovial joints?
- Snovial: free moving, separated by joint cavity
- Nonsynovial: fixed by fiberous tissue/coratilage
- Join bone to bone
- Help prevent movement in directions which would damage joint
- Sack'o'fluid @ joint
- Can inject steroid-->reduce inflamation. Works much more quickly than orally taken steroids.
What's a tendon do?
Connects muscle to bone.
What is Fasciculi
bundles of muscle fibers.
T/F: It's enough to take a calcium suppliment and/or eat enough calcium through diet in order to increase bone density.
F: You have to actually exercise (weight bearing) in order to stimulate calcium movement to bones.
What is bursitis?
Swelling of the fluid sac in/around a joint.
Know the names and types of joint movements
What is a dermatome?
Nerve bundles as they relate to specific locations on the skin.
What/where is the olecranon process?
Formerly known as the "funny bone."
What is Osteoarthritis?
Decrease in cartilage which leads to bone-on-bone friction which can cause bone spurs which is what all of San Antonio's professional basketball team's wives are going to do if they win it all this year... bone spurs.
What does CMS stand for
- Circulation: cap refill
- Motor: Movement
- Sensory: Sensations, ability to feel.
Check CMS above and below site of injury.
Know the three major landmarks of the hip/pelvic area.
- Anterior superior iliac spine
- Greater trochanter of femur
- Ishcial tuberosity
Reumatoid Arthritis is...
- An autoimmune condition
- Effects all joints, or can be localized to bilateral joints, ie knees, elbows, etc.
- Tested by blood test
What do you call Joint Pain?
What is Ballottmont's sign?
- Touch the patela... does it move?
- If yes, then positive.
- Might have to massage fluid from thigh back into joint.
What is a Goniometer?
Sliding device used to measure angles of joint movement.
What do ligaments do?
What are dermatomes?
Nerve bundles as the correlate to areas on the skin.
What is myalgia?
- Muscle pain.
- Myo= muscle
What would you include for joint self care patient education?
- Vitamin D?
Additional Health Hx Questions for Older Adults...
- Use functional assessment history questions to elicit any loss of function, self-care deficit, or safety risk
- Have you had any change in weakness over past months?
- Have you had any increase in falls or stumbling in past months?
- Do you use any mobility aids to help you get around such as a cane or walker?
How do you grade/chart muscle strength?
- 0/5 = No contraction; 0%
- 1/5 = Slight contraction; 10%
- 2/5 = Full ROM with gravity eliminated (passive motion); 25%
- 3/5 = Full ROM with gravity; 50%
- 4/5 = Full ROM some resistance; 75%
- 5/5= Full ROM against gravity, full resistance; 100%
What are you looking for at the Temporal Mandibular Joint?
- Inspect joint area
- Palpate as person opens mouth
- Motion and expected range
- Open mouth maximally-should be able to fit 3 fingers inside.
- Protrude lower jaw and move side to side
- Stick out lower jaw
- Palpate muscles of mastication
- Also assesses motor function of CN5
How do you assess for internal/external rotation?
What is Phalen's test?
- Positive if manuever produces tingling, burning, pinching, pain.
- Should be done for minimum of 30 seconds.
What is Tinel's Sign?
- Positive if tapping nerve on wrist produces tingling in thumb or index fingers.
What is the McMurry Test?
- checks knee joint for torn miniscuss.
- Stabilize knee joint and flex leg, then rotate knee. Can also internally turn ankle while extending leg. Pain/popping indicates damaged miniscuss.
Which leg assessment should you not do if you know the pt has Hx of back injury?
- Straight leg raise.
- Pain often indicates a ruptured disc.
From where to where do you measure for leg length discrepancy?
- Anterial iliac spine to medial maliolus.
- Abnormal >1cm.
What are the clinical terms for bow-legged and knock-kneed?
Neither one is necessarily a true deformity and are often associated with normal childhood developement.
What is the clinical term for bone swelling and hardening, usually along the spine?
What is Ankylosing Spondylitis?
Bone swelling and hardening, usually along the spine?
When are women most at risk for developing Osteoporosis?
What would you like to do?
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