MSK System Essentials

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1
This system is used for ATP production during high intensity, short duration exercise, such as sprinting 100 meters. Provides energy for muscle contraction for up to 15 seconds.
ATP-PC (Phosphagen) System
2
This system supplies ATP during high intensity, short duration exercise, such as sprinting 400-800 meters. Provides energy for muscle contraction for 30-40 seconds.
Anaerobic Glycolysis System
3
This system supplies ATP during low intenisty, long duration activities, such as running a marathon. The amount of ATP production is far greater, but requires a complicated serise of chemical reactions.
Aerobic System
4
Common joint receptors include:
free nerve endings, Golgi ligament endings, Golgi-Mazzoni corpuscles, Pacinian corpuscles, and Ruffini endings
5
Type of muscle fiber that is described as aerobic, red, tonic, slow twitch, and slow-oxidative.
Type I
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Type of muscle fiber that is described as anaerobic, white, phasic, fast twitch, and fat-glycolytic
Type II
7
Distributed throughout the belly of the muscle and function to send information to the nervous system about muscle length and/or the rate of change in its length
Muscle spindles
8
The shoulder complex is formed by the following joints:
glenohumeral, sternoclavicular, acromioclavicular, and scapulothoracic
9
The elbow joint is formed by the following joints:
radiohumeral joint, ulnohumeral joint, and proximal radioulnar joint
10
The wrist complex is formed by the following joints:
radiocarpal and midcarpal
11
The ankle and foot are formed by the following joints:
distal tibiofibular, talocrural, subtalar, midtarsal, and forefoot
12
A health range of boy fat for male and women is:
12-18% men, 18-23% women
13
Occurs when a two-joint muscle contracts across both joints simultaneously
Active muscle insufficiency
14
Occurs when a two joint muscle is lengthened over both joints simultaneously
Passive muscle insufficiency
15
Standard gait terminology includes:
Heel strike, foot flat, midstance, heel off, toe off, acceleration, midswing, and deceleration
16
Rancho Los Amigos gait terminology includes:
Initial contact, loading response, midstance, terminal stance, pre-swing, initial swing, midswing, and terminal swing
17
Distance measured between right heel strike and left heal strike
Step Length
18
The distance measured between the right heel strike and the following right heel strike
Stride Length
19
Biceps tendon pathology can be identified through:
Ludington's Test, Speed's Test, and Yergason's Test
20
Rotator cuff impairment can be identified through:
Drop arm test, Hawkins-Kennedy test, Neer test, and supraspinatus test
21
Contractures or tightness of the hip can be identified through:
Ely's test, Ober's test, piriformis test, thomas test, tripod sign, and 90-90 SLR
22
An ACL sprain can be identified through:
Anterior drawer test, Lachman test, and lateral pivot shift
23
Meniscal pathology can be identified through:
Apley's compression test, bounce home test, and McMurray test
24
When a convex surface is moving on a concave surface, roll and slide occur in the...
opposite direction
25
When a concave surface is moving on a convex surface, roll and slide occur in the...
same direction
26
Hip precautions following THA using a posterolateral approach:
Avoid hip flexion beyond 90 degrees, adduction, and hip IR
27
An excessive curvature of the spine in a posterior direction usually identified in the thoracic spine:
Kyphosis
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An excessive curvature of the spine in an anterior direction usually in the cervical or lumbar spine
Lordosis
29
An external device that provides support or stabilization, improves function, corrects deformities, and distributes pressure from one area to another.
Orthotic
30
Components of an upper extremity prosthesis include:
Socket, suspension, elbow unit, wrist unit, and terminal device
31
Components of a lower extremity prosthesis include:
Socket, suspension, knee, shank, and foot
32
Common gait deviations with a prosthesis include:
Lateral bending, vaulting, forward trunk flexion, medial or lateral whip, abducted gait, circumducted gait, excessive knee flexion during stance, and rotation of the forefoot at heel strike
33
Glenohumeral arthrokinematic motion:
Opposite direction
34
Ulnohumeral arthrokinematic motion:
Same direction
35
Radiohumeral arthrokinematic motion:
Same direction
36
Proximal radioulnar arthrokinematic motion:
Opposite direction
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Distal radioulnar arthrokinematic motion:
Same direction
38
Radiocarpal arthrokinematic motion:
Opposite direction
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Hip arthrokinematic motion:
Opposite direction
40
Tibiofemoral arthrokinematic motion:
Same direction
41
Patellofemoral arthrokinematic motion:
Opposite direction
42
Proximal tibiofibular arthrokinematic motion:
Same direction
43
Distal tibiofibular arthrokinematic motion:
Opposite direction
44
Talocrural arthrokinematic motion:
opposite direction
45
This principle states that in order for a muscle to adapt and become stronger, the load that is placed on it must be greater than what it's normally accustomed to. In resistance training, the volume (sets, reps) or intensity can be altered to provide greater challenge to the muscle.
Overload Principle
46
This principle states that the body will adapt according to the specific type of training that is utilized. To bring about an improvement in a patient's function, the type of training should specifically mirror the desired goal.
SAID (Specific Adaptation to Imposed Demands) Principle
47
This principle states that there can be a carryover effect from one exercise or task to another. For example, a patient who performs exercises to improve muscular strength may also see improvements in muscular endurance (however, these carryover effects are far less beneficial than the results from more specific training)
Transfer of training principle
48
This principle states that the adaptations seen with resistance training are reversible if the body is not regularly challenged with the same level of resistance or great.er These reversible effects can begin within 1-2 weeks of stopping an exercise program.
Reversibility Principle
49
A principle that states that the ability of a muscle to produce force depends on the length of the muscle. A muscle can usually produce a maximal force near its normal resting length. If the muscle is lengthened or shortened, it will likely produce less force.
Length-tension relationship
50
A principle that states that the speed of a muscle contraction affects the force that the muscle can produce.
Force-velocity relationship
51
During THIS contraction, as the speed of contraction increases, the force of the contraction decreases.
Concentric
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During THIS contraction, as the speed of the contraction increases, the force of the contraction also increases
Eccentric
53
The patient is positioned in supine with the arm in 90 deg of abduction and 90 deg of elbow flexion. The therapist laterally rotates the patient's shoulder. A positive test is indicated by a look of apprehension or a facial grimace prior to reaching an end point.
Apprehension test for anterior shoulder dislocation
54
The patient is positioned in supine with the arm in 90 deg of flexion and medial rotation. The therapist provides a posterior force through the long axis of the humerus. A positive test is indicated by a tool of apprehension or a facial grimace prior to reaching end point.
Apprehension test for posterior shoulder dislocation
55
In standing, the therapist positions the patient's arm in 20-50 deg of abduction. The therapist then grasps the patient's elbow and pulls the arm inferiorly. Test is positive a depression seen between the acromion and humeral head is noted. This can be graded by measuring the vertical length of the depression (1+ for <1 cm, 2+ for 1-2 cm, and 3+ for >2 cm)
Sulcus sign for inferior instability
56
Resting position of the hip:
Hip flexion 30°, abduction 30°, an slight ER
57
Glenohumeral resting position:
Shoulder abduction 55°, horizontal adduction 30°, and scaption
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Humerolnar resting position:
Elbow flexion 70°, forearm supination 10°
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Humeroradial resting position:
Elbow extension and forearm supination to end of available range
60
Proximal Radioulnar joint resting position:
Elbow flexion 70°, forearm supination 35°
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Distal radioulnar joint resting position:
10° forearm supination
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Tibiofemoral resting position:
25° flexion
63
Talocrural resting position:
10° plantarflexion
64
Glenohumeral caudal (inferior glide) increases shoulder...
Abduction
65
Glenohumeral posterior glide increases shoulder...
flexion and internal rotation
66
Glenohumeral anterior glide increases shoulder...
extension and external rotation
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Sternoclavicular posterior glide increases clavicular...
retraction
68
Sternoclavicular superior glide increases clavicular...
depression
69
Humeroulnar distal glide increases elbow...
flexion
70
Humeroulnar radial glide increases elbow...
varus (used to progress flexion)
71
Humeroulnar ulnar glide increases elbow...
valgus (used to progress extension)
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Humeroradial dorsal (posterior) glide increases elbow...
extension
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Humeroradial volar glide increases elbow...
flexion
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Proximal radioulnar dorsal (posterior) glide increases...
pronation
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Proximal radioulnar volar glide increases...
supination
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distal radioulnar joint dorsal (posterior) glide increases...
supination
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distal radioulnar volar glide increases...
pronation
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Radiocarpal dorsal (posterior) glide increases wrist...
flexion
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radiocarpal volar (anterior) glide increases wrist...
extension
80
Radiocarpal radial glide increases...
ulnar deviation
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Radiocarpal ulnar glide increases...
radial deviation
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Hip posterior glide increases...
hip flexion and IR
83
Hip anterior glide increases...
hip extension and ER
84
Tibiofemoral posterior glide increases...
knee flexion
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Tibiofemoral anterior glide increases...
knee extension
86
Talocrural dorsal (posterior) glide increases...
DF
87
Talocrural ventral (anterior) glide increases...
PF
88
Subtalar medial glide increases ankle...
eversion
89
Subtalar lateral glide increases ankle...
inversion
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