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trigger finger

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Last updated

6 years ago

Date created

Mar 1, 2020

Cards (246)

Section 1

(50 cards)

trigger finger

Front

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

Back

ventricular fibrillation

Front

rapid, inadequate heart beat, blood pumped ineffectively

Back

multiple sclerosis

Front

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

Back

k0005

Front

• Ultra lightweight wheelchair • Fully adjustable (2 ways)

Back

2 years

Front

imitates horizontal, vertical line and circle

Back

PEDI

Front

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

Back

9-13 months (avg of 11)

Front

stands alone

Back

4.5 years

Front

Puts belt in loops

Back

posterior cerebral artery

Front

hemianesthesia, slow pain is preserved, hemiparesis, homonymous hemianopia, memory loss, difficulty reading

Back

4 years

Front

-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

Back