Exam Preview for 6516: Physical and Occupational Therapy Treatment

Physical and Occupational Therapy Treatment Of Abdominal Scars, Adhesions, And Abdominal Cutaneous Nerve Entrapments. Quit Your Belly Aching!

Please note: exam questions are subject to change.

1. Which of the following is TRUE? Prolonged or delayed healing of a wound..... Does not increase the likelihood of a painful scar Results in increased blood flow Results in increased levels of nerve growth factor (NGF) leading to directed sprouting and hyper-excitability of axons and sensitization. Improves the chances of normal scar formation
2. Which nerves pass through the abdominal wall layers and may be affected by abdominal trigger points? Genitofemoral Femoral Lateral femoral cutaneous Iliohypogastric and ilioinguinal
3. To examine for abdominal nerve entrapments and trigger points, Palpate the abdominal wall for a tender node (painful locations) while the patient lifts her head off the bed – Carnett’s test Do not have the patient engage the abdominal muscles during the examination as this will produce false positive test results. The therapist only needs to examine the rectus muscles because they are the only muscles in which trigger points occur. There is no need to examine the oblique muscles.
4. Complete the correct statement. In the treatment of abdominal nerve entrapments_____________ It is important to provide interventions to correct posture. Correcting aggravating and perpetuation factors is not important. Patients should be encouraged to perform a lot of sit-ups. The only structure that needs treatment is the abdominal muscles themselves.
5. Treatment of adherent abdominal scars and anterior cutaneous nerve entrapment syndromes (ACNES) might include all of the following EXCEPT: Desensitizing the scar and skin around the scar Skin rolling Silicone gel pads Education to sit in a flexed posture (lumbar and hip flexion) to decrease strain on the scar