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MSK > Arm Interventions > Flashcards

Arm Interventions Flashcards

1
Q

Patient education for work related factors:

A
  • Tracker ball vs. mouse
  • Workstation set-up
  • Dictation application for entering electronic data
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2
Q

Potential complications of corticosteroid injections?

A
  • Local infection
  • Post-injection steroid flare (temporary worsening of pain in the first 24 to 36 hours after injection)
  • Atrophy of subcutaneous fat
  • Local depigmentation of the skin
  • Tendon rupture
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3
Q

C level evidence for what assistive tech interventions for CTS?

A
  • Effects of mouse use on carpal tunnel pressure

- Develop alt strategies (touch screen/alt mouse hand)

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4
Q

B level evidence for orthoses (nonsurgical) interventions for CTS?

A

Neutral position wrist orthosis worn at night for short-term symptom relief

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5
Q

C level evidence for orthoses interventions for CTS?

A
  • Adjust wear time to daytime, symptomatic, full time use

- Add MCP joint immobilization

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6
Q

C level evidence for orthoses interventions for CTS in pregnant women?

A

Orthosis for women experiencing CTS during pregnancy and provide postpartum follow up

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7
Q

C level evidence for biophysical agents as interventions for CTS?

A
  • Superficial heat for short-term symptom relief

- Interferential current

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8
Q

B level evidence for what not to do for biophysical agents as interventions for CTS?

A
  • Not use low-level laser therapy
  • Iontophoresis
  • magnets
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9
Q

C level evidence for what not to do for biophysical agents as interventions for CTS?

A

Not use thermal US

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10
Q

T/F Clinicians may perform phonopheris with nonsurgical management of patients with mild to moderate CTS for treatment of clinical signs and symptoms.

A

True

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11
Q

C level evidence for manual therapy techniques as intervention for CTS?

A

Manual therapy at cervical spine and UE

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12
Q

C level evidence for therapeutic exercise as intervention for CTS?

A

Combined orthotic/stretching program who do not have thenar atrophy and have normal 2 point discrimination

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13
Q

When are nerve mobilizations appropriate?

A

May be appropriate for various peripheral nerve entrapments

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14
Q

Mechanism of nerve mobilizations:

A
  • Thought to decrease adhesions and allow improved movement of peripheral nerves
  • May increase neural vascularity, allowing increased oxygenation of the nerve and a resultant decrease in ischemic pain
  • Dispersion of noxious fluids
  • Improvement of axoplasmic flow
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15
Q

Glider nerve mob -

A

2 simultaneous movements: one movement loads the nerve, one movement unloads the nerve

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16
Q

Tensioner nerve mob -

A

2 simultaneous movements: both movements load the nerve

17
Q

Case studies/expert opinion supports which nerve glides for cubital tunnel syndrome?

A

Ulnar nerve glides

18
Q

T/F Median nerve glides for CTS is conflicting in regard to efficacy.

A

TRUE

19
Q

Inflammatory OA management -

A

Thermal/ cryotherapy

20
Q

Exercises for OA management -

A

Gripping/ resistive exercises

ROM exercises

21
Q

Manual therapy for OA management -

A

Joint mobs (pain vs extensibility)

22
Q

Joint protection for OA management -

A
  • Splinting (keeps patient more functional)

- Activity modification

23
Q

Medical approach to tendinopathy -

A

NSAIDs, local steroid injection, Sx

24
Q

Education for tendinopathy -

A
  • Resting position

- Activity modification

25
Q

Protection for tendinopathy -

A
  • Splinting

- Activity Modification

26
Q

Exercise for tendinopathy -

A
  • Stretching ???
  • AROM/ tendon gliding
  • Eccentrics (facilitates more organized CT and increased fibroblast activity)
27
Q

Indications for tendon glides of hand:

A
  • Prevent adhesion postoperatively
  • Address adhesion with tenosynovitis
  • Maintain/ Improve ROM
  • Pain relief
28
Q

Interventions for lateral epicondylopathy:

A
  1. Patient education/ activity modification
  2. Inflammatory/ pain management interventions
  3. Eccentrics (Hand weights, Elastic bands, Elastic band (rubber band) around fingers with finger extension)
  4. Joint Manipulation (C-Spine, T-Spine, Elbow/ Forearm/ Wrist)
  5. Joint Mobs (including MWM – stronger evidence with lat epi)
  6. Soft tissue mobilization
  7. ROM/ stretching exercises
29
Q

T/F Cspine manipulations (c5/6) more effective for short-term lateral epicondylopathy pain improvement than t-spine manipulation

A

True

30
Q

What is mill’s manipulation? Indicatio?

A
  • high-velocity thrust administered at the elbow

- Short & Long Term improvements with pain, pain-free grip, function for individuals with lateral epicondylopathy

31
Q

Watson’s manipulation? Indication?

A
  • “scaphoid whip” PT provides ventral force on scaphoid during quick extension of wrist
  • Lateral Epicondylopathy
32
Q 
MWM: LATERAL GLIDE of HUMERO-ULNAR JOINT
Patient position - 
Direction of force - 
Mobilize - 
Stabilize -
A

Patient position - supine, neutral pronation/ supination -> Pt grasps towel or ball with targeted UE’s hand
Direction of force - lateral
Mobilize - proximal forearm (ulna) with belt (belt secured just below the clinician’s waist, waist moves away from the patient)
Stabilize - More cranial hand: distal upper arm against table (wrist & elbow strait to w/b through the dorsum of the fingers)

33
Q

MWM: ANTERIOR GLIDE of HUMERO-RADIAL JOINT
Patient position -
Force -

A
  • The patient assumes the position for the proximal radio-ulnar joint anterior glide mobilization
  • An anterior force is applied to the radial head with the hypothenar eminence of the mobilizing hand
  • Active supination is performed with anterior glide on radius
34
Q

MWM: POSTERIOR GLIDE of HUMERO-RADIAL JOINT
Patient position -
Force -

A
  • The patient assumes the position for the proximal radio-ulnar joint posterior glide mobilization
  • The fingers are hooked around the anterior aspect of the lateral forearm and a posterior force is applied to the radial head with the fingers of the mobilizing hand
  • Active pronation is performed with posterior glide on radius
35
Q

Humero-ulnar distraction

A

place the dorsal wrist on the clinician’s shoulder with the table elevated, grasping the proximal forearm from dorsal to ventral with both hands

36
Q

HUMERO-RADIAL ANTERIOR GLIDE

A
  • The elbow is flexed 90° & the clinician’s thenar eminences contact the proximal dorsal surfaces of the forearm
  • An anterior force is provided on the posterior lateral forearm (radius) while the other hand stabilizes the ulna
37
Q

HUMERO-RADIAL POSTERIOR GLIDE

A
  • force is applied to the radius with the mobilizing hand
  • The dorsum of the stabilizing fingers contacts the table for stability (neural wrist & extended elbow with body weight through the UE)
38
Q

PROXIMAL RADIO-ULNAR ANTERIOR GLIDE

A

The proximal radius is anteriorly mobilized

MSK (18 decks)

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