433 Exam 1 - UE Eval & Intervention Principles

occupational, present, medical, clinical, observations, objective, provocative, palpation

Components of a comprehensive upper extremity evaluation:

• ____ profile

• history of ____ illness

• ____ history

• ____ exam

  • ____

  • ____ measurements

  • ____ testing

  • ____

location, onset, characteristics, intensity, duration, aggravating factors, alleviating factors

What are the components of a LOCIDAA pain assessment?

location, size, drainage, tissue

Assessing wounds:

• ____

• ____: length x width x depth

• ____: bloody, serous, serosanguineous, purulent, purulent foul

• ____ appearance

granulation

What does bright red wound bed tissue indicate?

non-granulation

What does smooth, red wound bed tissue indicate?

hypergranulation

What does dark red/burgundy tissue that extends beyond the wound border indicate?

slough

What does shiny/wet white or yellow wound bed tissue indicate?

eschar, necrosis

What does black, hardened wound bed tissue indicate?

epithelialization

What does pink or red skin forming at the border of a wound indicate?

size, pigmentation, pliability, sensitivity

Assessing scars:

• ____: length x width x height

• ____

• ____: extensibility and elasticity

• ____

circumferential, figure of eight, volumetric

Name 3 types of edema measurements.

distal palmar crease measurement

brief finger ROM measurement technique that can be used when composite flexion is limited

Kapandji score

method of measuring thumb opposition without use of goniometer

5-10%

In general, grip strength of the dominant hand is about what percentage greater than grip strength of the non-dominant hand?

Semmes-Weinstein monofilament test

What is the most sensitive clinical test for detecting nerve compression?

rotator cuff tear

The following provocative tests can be used to detect ___ ___ ___:

• drop arm test

• full can test

• empty can test

• lift off test

• drop sign

shoulder impingement

The following provocative tests can be used to detect ___ ___:

• painful arc test

• Neer’s test

• Hawkins-Kennedy test

labral/SLAP tears

The following provocative tests can be used to detect ___ ___ ___:

• apprehension + relocation

• sulcus sign

drop arm test, full can test, empty can test, lift off test, drop sign

Name 5 provocative tests which can be used to detect rotator cuff tears.

painful arc test, Neer’s test, Hawkins-Kennedy test

Name 3 provocative tests which can be used to detect shoulder impingement.

apprehension + relocation, sulcus sign

Name 2 provocative tests which can be used to detect labral/SLAP tears.

lateral epicondylalgia

The following provocative tests can be used to detect ___ ___:

• Cozen’s test

• resisted finger extension

radial tunnel syndrome

The following provocative tests can be used to detect ___ ___ ___:

• resisted middle finger extension (Maudsley’s test)

• resisted supination

medial epicondylalgia

The following provocative tests can be used to detect ___ ___:

• medial epicondylalgia test

• resisted wrist flexion

• resisted pronation

cubital tunnel syndrome

The following provocative tests can be used to detect ___ ___ ___:

• tinel’s sign at elbow

• elbow flexion test

Cozen’s test, resisted finger extension

Name 2 provocative tests which can be used to detect lateral epicondylalgia.

resisted middle finger extension (Maudsley’s test), resisted supination

Name 2 provocative tests which can be used to detect radial tunnel syndrome.

medial epicondylalgia test, resisted wrist flexion, resisted pronation

Name 3 provocative tests which can be used to detect medial epicondylalgia.

Tinel’s sign at elbow, elbow flexion test

Name 2 provocative tests which can be used to detect cubital tunnel syndrome.

resisted middle finger extension

What is another term for Maudsley’s test?

Maudsley’s test

What is another term for the provocative test resisted middle finger extension?

carpal tunnel syndrome

The following provocative tests can be used to detect ___ ___ ___:

• Phalen’s test

• Durkan’s test (carpal compression test)

• Berger test

• Tinel’s sign at wrist

De Quervain’s tenosynovitis

The following provocative tests can be used to detect ___ ___ ___:

• Finkelstein’s test

• WHAT test

• Eichoff’s test

TFCC injury

The following provocative tests can be used to detect ___ ___:

• ulnar fovea sign

ECU tendonitis

The following provocative tests can be used to detect ___ ___:

• ECU synergy test

Phalen’s test, Durkan’s test (carpal compression test), Berger test, Tinel’s sign at wrist

Name 4 provocative tests which can be used to detect carpal tunnel syndrome.

carpal compression test

What is another term for Durkan’s test?

Durkan’s test

What is another term for carpal compression test?

Finkelstein’s test, WHAT test, Eichoff’s test

Name 3 provocative tests which can be used to detect De Quervain’s tenosynovitis.

ulnar fovea sign

Name 1 provocative test which can be used to detect a TFCC tear.

ECU synergy test

Name 1 provocative test which can be used to detect a ECU tendonitis.

bilateral, multiple, proximal, distal, neck, neck, myotome, dermatome, neck

Signs and symptoms that may prompt cervical screen:

• ____ symptoms

• symptoms in ____ peripheral nerve distributions

• symptoms that travel ____ to ____

• ____ pain and upper extremity symptoms

• ____ position changes upper extremity symptoms

• pattern of weakness within a ____

• pattern of sensory changes within a ____

• mechanism of injury involves the ____

Spurling’s test

Name a provocative test for cervical radiculopathy.

type III

What type of collagen is most prevalent in the proliferative phase of tissue healing?

type I

What type of collagen is most prevalent in the maturation phase of tissue healing?

ultrasound

What is the most widely used physical agent modality in hand therapy?

mobility, tendon, neuromuscular, strength, synovial, functional

Benefits of AROM:

• maintain and restore joint ____

• promote ____ gliding

• ____ re-education and motor control

• maintain muscular activation and ____

• enhance ____ movement and joint nutrition

• prepare for ____ use

tendon gliding

a series of exercises that allows the FDS and FDP tendons to reach their greatest amount of excursion

hook fist

Which hand position provides the greatest differential glide when performing tendon gliding exercises?

full fist

Which hand position provides the greatest FDP glide when performing tendon gliding exercises?

straight fist

Which hand position provides the greatest FDS glide when performing tendon gliding exercises?

mobility, contractures, adhesions, extensibility

Benefits of PROM:

• maintain ____ when AROM not permitted

• prevent ____

• prevent ____

• maintain tissue ____

strength, stability, mobility, function, re-injury, recovery

Benefits of strengthening exercises:

• restore ____ lost during immobilization

• restore joint ____

• bridge gap between ____ and ____

• prevent ____ and support long-term ____

static progressive

Which type of orthosis would NOT be used during the inflammatory stage of wound healing?

low-load prolonged stretch

gentle, constant force applied to joint over an extended period of time

creep

gradual elongation of soft tissues under a prolonged force

total end-range time (TERT)

cumulative amount of time a joint is held at its end range under low tension

plan, prioritize, pace, position

What are the “4 Ps” of energy conservation?