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16 Cards in this Set
- Front
- Back
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6 Steps of muscoskeletal exam
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Inspection
Palpation Range of motion (active/passive) Muscle strength tests Integrated function Special tests |
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Grading of strength (0-5)
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5 - Normal
4 - Complete range of motion against gravity w/ some but not full resistance 3 - Complete range of motion against gravity 2 - Complete range of motion w/ gravity eliminated 1 -Muscle contraction but no joint motion 0 - No muscle contraction |
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FABER and Patrick tests
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FABER (Flexion ABduction External Rotation)
Supine, flex knee on affected side to 90deg and place foot on opposite knee - pain in groin indicates hip joint path. Patrick's - push knee down - sacroiliac pain indicates path. |
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What nerve roots does patellar reflex test?
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L2-L4
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How to test collateral ligaments?
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Valgus - apply lateral pressure, tests MCL
Varus - apply medial pressure, tests LCL |
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Lachman test
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ACL test
Stabilize femur with one hand and with other apply anterior force to tibia (pull forward) |
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Anterior/Posterior drawer
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Flex knee and draw tibia towards/away w/ thumbs on joint line
Anterior - ACL Posterior - PCL |
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McMurray test
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Torn meniscus
Hold heel and flex hip and knee, apply valgus pressure and roate leg, then varus . . .listen for click |
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Foot dermatome
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Saphenous - medial S2
Superficial peroneal - dorsum L4/5 Sural - lateral S1 |
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Achilles reflex (elicits what movement, which nerve roots?)
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S1-S2
Plantar flexion of ankle |
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Straight leg raising
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For sciatica
Presence of pain radiating down flexed leg is a + |
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Crossed straight leg raise
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Raise opposite leg experiencing
If reduction of pain in opposite leg, pos for sciatica |
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Kernig test
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Meningeal irritation
Supine, flex leg at hip and knee If pain is elicited as knee is extended, + |
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Brudzinski test
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Mengineal irritation
Supine, flex pt's neck Lift legs off bed to reduce pain is pos |
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Adams forward bend test
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Scoliosis
Bend forward, look for assymetry |
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Hoover test
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Malingering
Supine Ask pt to raise leg while holding both feet and notice downward force on opp. leg |
