A1 pulley is inflamed/injured, makes it hard for flexor tendon to glide as finger is flexed - catching/popping when finger is flexed which is painful
Back
L4
Front
ankle dorsiflexion
Back
median nerve bias test
Front
shoulder abduction, elbow extended, supination, wrist extension (high or low)
Back
UE Extension - D1
Front
pushing car door open from inside
Back
colles fracture
Front
fracture of the distal radius at the wrist (fall on outstretched arm)
Back
cervical stenosis
Front
narrowing of the cervical spinal cord due to degenerative changes/trauma
Back
bennett fracture
Front
fracture at base of thumb extending into CMC joint.
Back
myelopathy
Front
disease of the spinal cord due to severe compression
Back
Cozen's Test
Front
resisted wrist extension and radial deviation - pain at ECRB
Back
C4
Front
scapular elevation
Back
dysesthesia
Front
touching a part of the body causes unpleasant sensation such as pain, burning, tingling - abnormal response to stimulation, sensations may occur with no touch as all
Back
Hyperalgesia
Front
abnormally heightened sensitivity to pain
Back
C6
Front
elbow flexion, wrist extension
Back
drop arm sign
Front
rotator cuff tear
Back
Neer's Test
Front
tests for shoulder (subacromial) impingement - therapist pushes arm into flexion
Back
Dementia Stage 5
Front
Early dementia
- unable to recall major event, names of grandchildren, disorientation to time, still independent with toileting and feeding
Back
Dementia Stage 6
Front
middle/moderate dementia
- forgot name of spouse/family, unaware of all recent events
Back
Dementia Stage 1
Front
No decline
Back
sarcopenia
Front
the loss of muscle mass, strength, and function that comes with aging
Back
C8
Front
thumb extension, finger extension
Back
hypersensitivity
Front
increased sensory pain, increased perceived levels of pain
Back
Dementia stage 7
Front
late/severe dementia
- no speech, dependent with ADLs, apraxia
Back
Maudley's test
Front
resisted middle finger extension - pain at extensor wad at lateral epicondyle
Back
Cervical spondylosis
Front
age related wear and tear on the discs between vertebrae
Back
thoracic outlet syndrome
Front
Compression of brachial plexus
Back
L1, L2
Front
hip flexion
Back
skier's thumb
Front
injury to the UCL of the thumb (fall on outstretched arm with thumb abducted)
Back
C1/C2
Front
cervical flexion
Back
Mill's Test
Front
test for lateral epicondylitis
extend elbow and flex wrist (waiters tip) while palpating lateral epicondyle
+= pain at lat. epic.
Back
C3
Front
cervical lateral flexion
Back
L3
Front
knee extension
Back
UE Extension - D2
Front
pitching a baseball or tennis serve
Back
Hawkins-Kennedy Test
Front
forced internal rotation - impingement of supraspinatus
Back
C7
Front
elbow extension, wrist flexion
Back
Dementia Stage 4
Front
Moderate cognitive decline (late confusion)
- deficit in memory of own history, decreased ability to travel to familiar locations, denial is dominant, flat affect/withdrawal
Back
S2
Front
knee flexion
Back
C5
Front
shoulder abduction
Back
S1
Front
ankle plantar flexion
Back
Watson's Test (Scaphoid Shift)
Front
thumb in snuffbox, finger on tubercle on other side, rock back and forth - if you hear a clunk, the scapholunate ligament is torn - instability
Back
allodynia
Front
pain in response to something not normally painful
Back
Dementia Stage 2
Front
Very mild forgetfulness
- forgets where an object is placed
Back
UE Flexion - D2
Front
combing hair on R side with R hand
Back
radial nerve bias test
Front
waiters tip
Back
Paresthesia
Front
tingling, electrical or prickling sensation (hand falling asleep)
Back
cervical radiculopathy
Front
Nerve pain caused by pressure on the cervical nerve roots
can perform spurlings, cervical distraction test
Back
UE Flexion - D1
Front
combing hair on L side with R hand
Back
Dupuytren's Disease
Front
connective tissue disorder leading to flexion contracture at the MP and PIP joints
Back
Ulnar nerve bias test
Front
silly glasses
Back
Dementia Stage 3
Front
Mild cognitive decline (early confusion)
- lost when at unfamiliar locations, coworkers notice poor performance, DENIAL BEGINS
Back
L5
Front
big toe extension
Back
Section 2
(50 cards)
ventricular insufficiency
Front
blood leaks backwards due to valve not closing all the way
Back
Rancho level VIII
Front
purposeful, appropriate Stand-by assist
consistently oriented x3, familiar tasks I for 1 hour, recall past and present, assistive memory device, aware of impairment but needs SBA to correct, acknowledges others needs/feelings, low frustration tolerance
Back
cardiomyopathy
Front
disease of the heart muscle
Back
Glasgow coma scale
Front
Severity of injury - looks at eye, motor, verbal
Back
Anterior cord syndrome
Front
complete loss of motor, pain and temperature below the injury, but retains proprioception and vibration
Back
galant
Front
Hold infant in prone suspension, gently scratch or tap alongside the spine with finger
Laterally flexes trunk with skin wrinkling on stimulated side.
-2 months
Back
Rancho Level VI
Front
confused, appropriate mod assist
inconsistently oriented x3, attend to highly familiar tasks up to 30 min w mod A, assistive memory aide, emerging awareness of appropriate response, unaware of impairments
Back
Rancho level III
Front
localized response, total assist
withdraw from painful, turns for auditory, blinks w strong light. inconsistent response to simple verbal commands. response related to stimulus.
Back
moro
Front
spread arms and hands when sudden loss of support (supine)
-4-6 months
Back
Rancho Level V
Front
confused, inappropriate non agitated, max assist
not oriented to person place or time, non-purposeful sustained attn, unable to learn new info, may be able to perform learned tasks
Back
Midbrain
Front
motor function, head and eye movement
Back
Fibromyalgia
Front
chronic condition with widespread aching and pain in the muscles and painful sensations
Back
pulmonary embolism
Front
arteries in the lungs become blocked by a blood clot
Back
plantar reflex
Front
toes curl in when the ball of the foot is pressed
Back
tonic labryinthine reflex - supine
Front
extension
-6 months
Back
Rancho level X
Front
purposeful, appropriate: mod I
can multitask, consistently appropriate social behavior, may require more time- OT not needed
Back
Central Cord Syndrome
Front
lesion exclusively in cervical region, weakness is arms more than legs
Back
Wernicke's aphasia
Front
fluent speech but meaningless, impaired auditory comprehension
Back
medulla
Front
controls heartbeat and breathing
Back
Rancho Level IV
Front
confused agitated, frightened, max assist
alert, heightened activity. mood swings, incoherent verbalizations, aggressive behavior, absent short term memory
autoimmune demyelination of the CNS - weakness, fatigue, decreased coordination
Back
congestive heart failure
Front
chronic condition where heart is unable to pump its required amount of blood
Back
Rancho level IX
Front
Purposeful appropriate, distant supervision
responds effectively to familiar situations, needs cues to anticipate problems, low frustration tolerance - OT not needed
Back
pons
Front
sensory/motor innervation to the face (eye movement, chewing, facial expression)
Back
acute respiratory distress syndrome
Front
prevents enough oxygen from getting to the lungs and into the blood
Back
Brown-Sequard Syndrome
Front
- Ipsilateral side: loss of proprioception and motor
- Contralateral side: loss of pain, temperature, and touch
Back
Landau reflex
Front
superman position- everything extends
12-24months
Back
coronary artery disease
Front
a build-up of plaque inside the HEART'S arteries - could lead to heart attack
Back
ideational apraxia
Front
can move perfectly but cannot sequence the steps to do it, dont know what to do
Back
babinsk
Front
curling and uncurling toes when stroked
Back
Rancho level VII
Front
automatic, appropriate min assist for ADLs
consistently oriented p, p, mod A for time, attend to highly familiar task w min A for 30 min, min sup for new learning w carryover, initiates ADLs can monitor accuracy, overestimates abilities
Back
ventricular stenosis
Front
stiffness of valves, reducing blood flow
Back
palmar grasp reflex
Front
reflexive curling of the infant's fingers around an object that touches its palm
-4-6months
Back
tonic neck reflex
Front
turning the head to one side, extending the arm and leg on that side, and flexing the limbs on the opposite side
-4-6 months
Back
traction
Front
pull to sit
-2-5 months
Back
Kohlman Evaluation of Living Skills (KELS)
Front
IADL evaluation
Back
ECU synergy test
Front
grab thumb and middle finger, will feel pain at ECU tendon
Back
Ballotment Test
Front
radial styloid in middle of wrist, grab each bone and lift up and down - testing for instability of luante-triquetrium (LT) ligament
Back
valvular heart disease
Front
damage to one of the valves in the heart
Back
Atherosclerosis
Front
The build-up of fats, cholesterol, and other substances on the artery walls.
Back
Rancho level I
Front
no response, total assistance
unarousable and unresponsive to environmental stimuli (coma)
Back
Guillain-Barre syndrome
Front
autoimmune demyelination of PNS
(body's immune system attacks the nerves) - weakness and tingling
Back
Tonic Labyrinthine Reflex- prone
Front
flexion
-6 months
Back
endocarditis
Front
inflammation of a heart valve
Back
rooting
Front
A reflex when touched on the cheek, the infant turns the head looking for food
-3 months
Back
Broca's aphasia
Front
planning movements of the mouth during speech - slow speech with frequent breaks or mistakes, good auditory communication
Back
Rancho level II
Front
generalized response, total assist
responds to painful, repeated auditory, external stimuli. response inconsistent
Back
Suck-swallow reflex
Front
sucking with finger in mouth
-2-5 months
Back
agnosia
Front
inability to process sensory information
Back
Section 3
(50 cards)
6-14 months
Front
segmental roll, rolls prone to supine, initiated with head, shoulders, hips
Back
12-15 months
Front
Precise, controlled release into small container with wrist extended
Back
Peabody Developmental Motor Scales
Front
Assesses gross and fine motor development
Ages birth-5
Back
5-10 months (avg of 6)
Front
sits alone with wide base of support - plays with toys in sitting
Back
9 months
Front
inferior pincer grasp
Back
12-18 months
Front
palmar supinated grasp
Back
K0001
Front
Standard wheelchair, more than 35lbs
Back
Group 1 Power Wheelchairs
Front
cannot add pressure relief, hard to take apart, no programming, poor durability
Back
12 months
Front
fine pincer grasp
Back
Beery VMI
Front
measures visual perception and hand eye coordination, fine motor
ages 2-100
Back
BOT-2
Front
Assess fine and gross motor development
age 4-21 years old
Back
3-4 month
Front
rolls from supine to side, prone to side, accidental roll (gravity)
Back
0-1 month
Front
No release; grasp reflex is strong
Back
10-12 months
Front
scribbles on paper
Back
6-11 months
Front
Gets to sitting position from prone position, sit to prone
Back
8 months
Front
radial digital grasp
Back
6-7 months
Front
One-stage transfer; taking hand and releasing hand perform actions simultaneously
Back
1-4 months
Front
Involuntary release
Back
5-6 months
Front
Two-stage transfer; taking hand grasps before releasing hand lets go
Back
4-5 years
Front
Copies a cross, right oblique cross, some letters and numerals, and may be able to write own name
Back
2-3 years
Front
digital pronate grasp
Back
group 5 power wheelchair
Front
pediatric power wheelchair
Back
4-8 months
Front
transfers object from hand to hand
Back
Bayley Scales of Infant Development
Front
Assessment for infants- measures cognition, language, motor, social-emotional, and adaptive behavior
Age 1-3.5 years
Back
5 months
Front
palmar grasp
Back
5-6 years
Front
Copies a triangle, prints own name, copies most letters
assesses child's independence in ADLs, mobility, social, cognitive, responsibility
ages 6 months -21 years
Back
k0006
Front
-heavy duty wheelchair (>250lbs)
Back
7-9 months
Front
volitional release
Back
5-6 months
Front
supports self in sitting position, sits momentarily - high guard - prop sit forward on arms
Back
k0004
Front
high strength light weight, adjusts 1 way
Back
k0002
Front
hemi-height wheelchair
Back
3 years
Front
copies horizontal, vertical line and circle
Back
k0007
Front
Extra-heavy-duty wheelchair for clients who weigh more than 300 pounds
Back
ideomotor apraxia
Front
knows exactly what to do but cannot get body to move in correct ways
Back
4 months
Front
primitive squeeze grasp
Back
0-3months
Front
held in sitting position, head bobs initially with rounded back, then head is steady, chin tucks and able to gaze to floor, sits with less support
Back
Group 2 Power WC:
Front
same as group 1, can add joystick/power options
Back
5-7 months
Front
rolls from prone to supine with R and L legs performing independent movements
Back
M-FUN
Front
Assesses performance abilities and participation in daily life within their school and home environment. - visual motor, gross motor, fine motor
ages 2yrs-8yrs
Back
4.5-6 years
Front
dynamic tripod grasp
Back
Group 4 Power WC:
Front
outdoor use especially, capabilities not needed for in home use
Back
k0009
Front
other manual wheelchair bases
Back
6 months
Front
radial palmar grasp
Back
Group 3 Power Wheelchairs
Front
neuro condition, myopathy, power wheelchair in home use
Back
k0003
Front
lightweight wheelchair
Back
3.5 to 4 years
Front
static tripod grasp
Back
6 months
Front
inferior pincer grasp - thumb tucked
Back
Section 4
(50 cards)
2 years old
Front
snips with scissors
Back
Secondary Progressive MS
Front
R/R MS becomes this without treatment, characterized by continued neurological deterioration
Back
1 year
Front
hold out arms/legs, pull off shoes, removes socks, pushes arms and legs through sleeves
Back
12-24 months
Front
parallel play emerges, imitation of peers and parents, begin to take turns, enjoy sensory input, explores spaces
Back
3-3.5 years
Front
cut on 6" line
Back
5-10 months (7.6)
Front
stands with assistance, bounces in standing, stands while holding on to furniture
Back
24-30 mo
Front
demonstrates interest in fork, may stab at food, proficient at spoon use and eats cereal with milk with utensil
Back
vascular dementia
Front
type of dementia: injuries to the vessels supplying blood to the brain, caused by brain damage from multiple strokes or any injury to the small brain vessels
Back
3.5 years
Front
- Finds front of clothing;
- Snaps or hooks front fastener;
- Unzips front zipper on jacket;
- Puts on mittens;
- Buttons series of 3-4 buttons;
- Unbuckles shoes/belt;
- Dresses with SUPERVISION (needs help with front and back)
Back
Primary Progressive MS
Front
type of MS, continuously declining in neurological function
Back
7-10 months
Front
Reciprocal creep on all 4s
Back
2.5 years
Front
-removes pull-down pants with elastic waist
-assists in pulling on socks
-puts on front button coat or shirt
-**UNbuttons large buttons
Back
8-10months
Front
sits well without support, closer legs, W sit and side sit
Back
0-12 months
Front
social play, focus on bonding/attachment with parents
Back
9-13 months
Front
finger feeds self a portion of meals consisting of soft table foods
Back
15-18 months
Front
scoops food with spoon and brings it to mouth
Back
3-4 months
Front
-Bears some weight on legs, but must be held proximally
Back
L side stroke
Front
R side deficits, aphasia, apraxia, difficulty sequencing, cognitive impairments
Back
12-14 months
Front
dips spoon in food, brings spoonful of food to mouth, but spills food by inverting spoon before it goes into mouth
Back
relapsing/remitting MS
Front
relapse in acute worsening of neurological functioning, followed by partial or complete improvement, stable periods or remission between attacks
Back
anterior cerebral artery
Front
loss of sensation in lower extremity, apraxia, hemiplegia, impaired gait, no changes, flat affect, impulsive, confusion, difficulty with divergent thinking
Back
15 months
Front
walks alone , starts and stops
Back
3 years
Front
-puts on pullover shirt with MIN ASSIST
-puts on shoes without fasteners
-puts on socks
-independently pulls down pants
-zips and unzips jacket once on track
-needs assistance to remove pullover shirt
-buttons large front buttons
Back
2 years
Front
- Removes unfastened coat;
- Removes shoes if laces are untied;
- Helps pull down pants;
- Finds armholes in pullover shirt
Back
Progressive Supranuclear Palsy
Front
- Loss of voluntary eye movements (preservation of reflexive)
- Bradykinesia
- Rigidity
- Axial dystonia
- Pseudobulbar palsy
- Dementia
- Occurs later middle life
Back
9-10 months
Front
Cruises around furniture
Back
Corticobasilar degeneration
Front
parietal lobe, one side is affected more than other, but as progresses - both sides. postural instability
Back
Huntingon's disease
Front
An inherited condition in which nerve cells in the brain break down over time, deteriorates a person's physical and mental abilities usually during their prime working years and has no cure.
chorea- dance
Back
5-7 months
Front
eats cereal or pureed baby food form spoon
Back
middle cerebral artery
Front
-hemianesthesia affected face and UE more than LE
-motor affected in face and UE more than LE,
-homonymous hemianopia
-easily distracted, poor judgement, impulsive
-aphasia, diffciulty understanding spatial relationships, neglect, impairment of nonverbal communication, dressing apraxia
Back
3.5 - 4 years
Front
cut out a circle
Back
4-5 years
Front
cut out a square
Back
6-9 months
Front
holds and tries to eat cracker, sucks on it more than bites, consumes soft foods that dissolve in mouth, grabs at spoon but bangs it or sucks on it
-removes pullover garment
-buckles shoes or belt
-puts on shoes
- identifies the front and back of garment
Back
5 years
Front
Ties and unties knots
Dresses UNSUPERVISED
Back
Chronic Traumatic Encephalopathy
Front
form of dementia caused by repeated head trauma such as concussions, poor coordination, slurred speech and symptoms similar to parkinsons disease
Back
10-12 months
Front
Creeps well, over, around and on objects
Back
7-8 months
Front
can rotate upper body while lower body remains stationary, side falling protective responses
Back
7 months
Front
Crawls forward on belly, assumes quadrupod on hands and knees
Back
0-6 months
Front
exploratory play, sensorimotor play, see something and want to hit it
Back
Progressive-relapsing MS
Front
similar to R/R but disease progression continues through periods between relapse
Back
6-8 months
Front
attempts to hold bottle but may not retrieve it if it falls; needs to be monitored for safety reasons
Back
R side stroke
Front
Left side deficits, emotional instability, confusion, memory loss, left neglect
Back
6-7 years
Front
cut out variety of shapes
Back
6 years
Front
Closes back zipper, ties bows, buttons back buttons, snaps back snaps
Back
8-9 months
Front
pulls to a standing position by kneeling, then half-kneeling
Back
2.5 years
Front
cuts across a 6" long piece of paper
Back
Section 5
(46 cards)
Brunnstrom Movement Therapy
Front
Tone seen as normal in recovery process, progression is fast or slow, proximal to distal, flexor before extensor, reflexive
1. flaccidity on affected side
2. spasticity develops
3. spasticity peaks
4. spasticity declining
5. synergies no longer dominant
6. spasticity absent
Back
T6
Front
autonomic dysreflexia above this level
Back
No Bending, Lifting, Twisting
Front
Back Precautions
Back
Thermoreceptors
Front
respond to heat and cold
Back
3.5 years
Front
imitate circle with end points touching
Back
2
Front
modified ashworth scale: catch followed by minimal resistance for >50% ROM
Back
Proprioceptive Neuromuscular Facilitation (PNF)
Front
developmental sequence of movement, balance between agonist and antagonist, using contact, stretching, and approximation
Back
3-8
Front
glasgow coma scale number; severe brain injury
Back
synergist
Front
cooperating during the execution of a movement
Back
lower motor neurons
Front
cell body is in the brain stem or spinal cord, carry info to skeletal muscle fibers
interrupted LMN signals: decrease/prevent muscle contraction, loss of reflexes, atrophy, hypotonia
Back
backward chaining
Front
therapist performs all the steps except the last two - the child completes. therapist slowly performs less and less steps
Back
4
Front
modified ashworth scale: rigid
Back
Hyperkinetic (Huntington's)
Front
excessive movement
Back
forward chaining
Front
step 1 taught, step 2 added, step 3 added, and so on
Back
13-15
Front
glasgow coma scale number; mild brain injury
Back
droplet precautions
Front
single patient room, gown, gloves, and mask
Back
Mechanoreceptors
Front
respond to touch, pressure, vibration, stretch
Back
Cauda Equina Syndrome
Front
injury to lumbosacral nerve roots within the neurocranial canal resulting in non-reflexive bladder, bowel and LE
Back
full thickness burn
Front
involves epidermis, dermis, and nerve endings, surgery is required. examples: extreme heat or exposure to heat, chemicals
Back
contact precautions
Front
gown and gloves, single patient room
Back
upper motor neurons
Front
originate in motor region of the cerebral cortex and carry motor information down to a specific spinal cord level
UMN lesions: paralysis/paresis, loss of fractionation of movement, abnormal reflexes and hypertonia
Back
working memory
Front
ability to maintain and manipulate distinct pieces of information over short periods time
Back
subdermal burn
Front
-full thickness burn with damage to underlying tissue such as fat, muscle, and bone, surgery or amputation or reconstruction may be needed, examples: electrical burns and severe long duration burns (house entrapment, alcohol related)
Back
Chemoreceptors
Front
respond to cell injury or damage
Back
hypokinetic - parkinson's
Front
too little movement, inhibition of motor structures
Back
24-36 months
Front
pretend play explodes, drama, house, constructive play, drawing and puzzles, imitates adults
Back
airborne precautions
Front
single patient room, N95 mask, gown and gloves - probably not getting OT
Back
hypothalamus
Front
sleep mechanism clock located here
Back
4 years
Front
can draw + and square
Back
Neuro-Developmental Treatment (NDT)
Front
emphasizes normal movement patterns of motor control, increase alignment, to allow for more immediate response to muscle activity, use handling for key points of control to access components of movement that are missing
Back
superficial partial thickness burn
Front
Involves the epidermis and the upper portion of the dermis. Healing occurs in less than 2 weeks, examples: severe sunburn or radiation burn, prolonged exposure to hot liquid
Back
1
Front
modified ashworth scale: slight catch at end of ROM
Back
Maturation-Remodeling Phase
Front
tissue remodeling, increases in strength, collagen synthesis balance, collage fiber reorientation, healed wounds, no longer red, bacteria is out
Back
3
Front
modified ashworth scale: PROM difficult
Back
proliferative/fibroplasia phase
Front
scar tissue begins to form, body tries to restore mechanical integrity, to injured tissue, red, hot and inflamed, tissue forming around becomes more stable
Back
1+
Front
modified ashworth scale: catch followed by minimal resistance for <50% ROM
Back
Psychogenic/Idiopathic Pain
Front
unable to modulate the pain reflex, reason/origin cannot be explain
Back
18-24 months
Front
pretend/symbolic play
Back
9-12
Front
glasgow coma scale number; moderate brain injury
Back
no lifting more than 10 lbs, no reaching with both arms behind back, no pushing/pulling
Front
Sternal precautions
Back
deep partial thickness burn
Front
involves the epidermis and majority of the dermis. healing occurs in longer than 2 weeks. examples: flames, firm or prolonged contact with hot metals
Back
inflammatory phase
Front
vasoconstriction occurs, body tries to stabilize wound, remove debris and bacteria, easily contaminated, looks red, hot, swollen
Back
No external or internal rotation
No flexion more than 90 degrees
no adduction (crossing legs)
Front
Hip precautions
Back
superficial burn
Front
a burn that involves only the epidermis. An example is a sunburn. heals in 3-7 days
Back
4-5years
Front
can draw diagonal lines, X and triangle
Back
0
Front
modified ashworth scale: no increase in muscle tone