Difficulty standing up from chair, bed, bath- walking slowly, feeling off balance, fatigue, severe = difficulty breathing
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What is the mechanism of hyperkyphosis?
Age related- Degeneration of discs Poor Posture= Muscular imbalance specifically in spinal extensor muscles- Falls/previous fractures (Roghani et al 2017 narrative review of potential causes)
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What is the pathophysiology involved in hyperkyphosis?
Muscular imbalance of extensors- Erector spinae, Multifidus- Disc degeneration caused by age- Disc breaks down, weaken and lose water, therefore can compress spinal nerves
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Subjective Assesment- What information do you require about hyperkyphosis?
Symptoms- Noticable posture change- Mild to severe pain- Fatigue- Severe = breathing difficulty- Location- Pain scale- Pain type- Dull =muscular- Sharp reffered= nerve Refferal patterns- SIN FACTOR- Sleep- Breathing
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What information on the history of hyperkyphosis do you require?
History and mechanism- Gradual onset? Previous Trauma? How long? Age related? Degenerative
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What information on past medical history do you require?
X rays? Mri? - Previous head injury- 5D'S/VBI- Fracture? rule out- tumour- RA/OA- may contribute to symptoms- THREAD- CAUDA EQUINA
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What information on medication do you need to know in hyperkyphosis?
Medication- Type? When did you take it? Dosage? Frequency? Over counter/prescribed
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Objective- What observations can be made in a patient hyperkyphosis?
Facial expression- pained? Posture? Hump? Plumb line? Excessive? Superficial touch- Muscle bulk- Prominent? Tightness- Standing/sitting posture- Breathing- Severe affecting rib cage less room to inflate etc
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What myotome test can be used in hyperkyphosis?
C7- Elbow Extension- T1- Hand abduction/adduction
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What dermatone test can be used in hyperkyphosis?
t1- Medial elbow t2- medial upper arm t3-t12 trunk segments
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What reflexes can be tested in hyperkyphosis?
Brachoradialis- c6 Biceps c5- Triceps c7
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What special test is used in hyperkyphosis?
Adams forward bend-See increased kyphosis Postitive- Sensitivity- 74% Specificity- 93% (Patias et al 2010)
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Other cards in this set
Card 2
Front
What is the mechanism of hyperkyphosis?
Back
Age related- Degeneration of discs Poor Posture= Muscular imbalance specifically in spinal extensor muscles- Falls/previous fractures (Roghani et al 2017 narrative review of potential causes)
Card 3
Front
What is the pathophysiology involved in hyperkyphosis?
Back
Card 4
Front
Subjective Assesment- What information do you require about hyperkyphosis?
Back
Card 5
Front
What information on the history of hyperkyphosis do you require?
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