Upgrade to remove ads
Lucente Q8 - Quiz 1 - 2017 - Utilization of Adj Therapies and Pain
Terms in this set (56)
What are the Egyptians credited with bringing to medicine?
Manipulation - 2500 B.C.
Who is credited with inventing manipulation?
The Egyptians - 2500 B.C.
What are the Greeks credited with using for relief?
Heat, Cold, Traction - 450 B.C.
Who is credited with utilizing Heat, Cold, and Traction for pain relief?
The Greeks - 450 B.C.
Who is credited with using Exam Procedures?
Galen - 200 A.D.
Galen is credited with using/developing what?
Exam Procedures - 200 A.D.
What did America use for pain relief in 1706?
National College of Chiropractic College had it's first class in what year?
In the process of healing _____ _______________ __________________ cannot always stand completely alone or be divorced from the essentials of: rest, exercise, diet, temperature, stimulation, and/or elimination.
the chiropractic adjustment
Often the effects of the chiropractic adjustment are (decreased/enhanced) through the adjunctive application of physical agents and forces.
What are the 8 contraindications to modalities?
3. Skin Lesions
4. Metal Implants
An unpleasant sensory and emotional experience associated with actual or potential tissue damage
What is the most common cause for a patient to see a chiropractor?
What are the receptors for light touch?
What are the receptors for deep pressure?
What are the receptors for slow deep pressure?
What are the receptors for touch, tension, heat, and positional changes?
What are the receptors for temperature and touch?
Krause's end bulbs
What are the receptors for mechanical, thermal, and chemical changes?
What are the 3 locations that pain is experienced and do they all need to be involved?
1. Local site of injury
2. Spinal Cord
What type of fibers are "first order pain" fibers?
What type of fibers are "second order pain" fibers?
Describe A delta fibers...
Describe C fibers...
What are the 3 phases of pain?
1. Immediate pain - nociception with A delta and C fibers
2. Acute pain - inflammation and pain by allogenic substrates that activate nociception
3. Chronic pain - ongoing nociception or inflammation. Psychological factors/functional/structural alternations to nervous system
What are some examples of psychological factors related to chronic pain patients?
Operant Learning Process
Spasm and contraction results in ________ ___________ _________
Shortened muscle syndrome
Acute pain is associated with what type of tissue change?
Chronic pain is associated with what type of tissue change?
What are the 3 categories of pain?
What are the characteristics of Nociceptive Pain?
Moderater, Parasthesia, Numbness
What are the characteristics of Neuropathic Pain?
Severe, Sharp, Shooting, Jabbing, Burning, Tingling
What are the characteristics of Psychogenic/Psychological Pain?
Anxiety, Depression, Stress
A patient presents with sharp, shooting pain. What category is their pain?
A patient presents to you with pain and depression. What category would their type of pain fit into?
A patient presents to you with joint pain. What category would their type of pain fit into?
What is a quick summary of Gate Theory?
Nociceptive (pain) and non-nociceptive (non-pain) fibers go through the same gate. When we overwhelm the gate with non-nociceptive fiber impulses, it blocks the pain signals from reaching the brain and thus the patient no longer feels the pain. An adjustment accomplishes this.
What does the Wong-Baker FACES Pain Scale look like and who is it useful for?
Those who don't speak the native language
Radicular pain follows what pattern?
Muscular pain follows what pattern?
What is a sclerotome?
The periosteum, ligament, and muscle that is innervated by a specific spinal level.
What is referred pain?
Pain that is generated at a site in the body different than that which the pain is felt.
What are the recovery time parameters of soft tissue injuries?
Acute (Passive) - 48-72 hrs
Remobilization (Active) - 48 hrs - 6 wks
Rehabilitation (Active) - 3 wks - 12 mo.
What causes restriction of motion in tissue injuries?
Inflammation & Swelling
What are the stages of tissue healing?
Stage 1: Active Swelling
Swelling for 12-72 hrs
Motion is lost and pain incr.
Stage 2: Passive Congestion
Fluid trapped, causing pain and delaying healing.
Appears by day 2-4
What are the goals of care in Stage 1?
Rest and support injured area
Ice - blocks swelling/pain/spasm
What are the goals of care in Stage 2?
Begin to restore motion
What are the major goals of chiropractic care?
1. Relieve pain
2. Promote full healing
3. Restore & maintain full function
4. Reduce likelihood of re-injury
5. Prevent accelerated degeneration
T/F: It takes longer for tissues to heal & normal function to be restored than it takes for pain relief.
True - this is why chiro care should continue throughout the repair stage.
What is likely to happen if the patient is not moved from passive to active therapy?
They will become a chronic patient.
Those who'se symptoms persist for more than 3-4 months, more than half will still be disabled at the end of a year.
What nationalities are less likely to express pain?
What nationalities are more likely to express pain?
What are orange flags to look for re: pain?
Patient or FH of mental health issues: Depression/Subst. Abu
History of head injury, convulsions, or impaired function
Stressful life/marital changes
History of job loss/dissatisfaction/change
Pending litigation/work comp
What is somatization of pain?
Exaggerated fear of re-injury or a way of expressing repressed fear, anxiety, or depression that has been provoked by one or many real or imaged losses.
Many patients have spent their whole lives either ignoring or being overwhelmed by the emotional component.
What are some treatment room protocols for sommatizers?
Have an end-point for treatment
Establish trust & rapport
Be the expert in their condition
Express goal is to return to normal life as soon as possible (cure is not always poss.)
Be a patient advocate
Demand something back (i.e. their compliance)
Reward progress and discourage complaining
Have a "Pain Behavior Talk"
What are some common pain distractors?
YOU MIGHT ALSO LIKE...
Pain and Pain Management
Jarvis: Chapter 10 Pain Assessment
OTHER SETS BY THIS CREATOR
Q8 Norkus Final Exam, Neuromuscular- norkus
Q8 Dr. Choi X-Ray Positioning Exam 1 Info (All bes…
Dr. Lucente Q8 test I
Dr. Lucente Q8 test I