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62 Cards in this Set
- Front
- Back
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Which is the preferred method of ASHT for measuring edema
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Volumeter
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Which is the preferred method of ASHT for measuring edema
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Volumeter
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How to measure TAM?
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Total Active Motion: AROM of all joint minus any extension deficits
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How to measure TAM?
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Total Active Motion: AROM of all joint minus any extension deficits
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How to measure TPM?
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Total Passive Motion: PROM minus extension deficits (Not accurate if pt is hyperextensible)
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How to measure TPM?
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Total Passive Motion: PROM minus extension deficits (Not accurate if pt is hyperextensible)
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Pinch to use to screen for Median nerve injuries
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3 Jaw chuck
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Pinch to use to screen for Median nerve injuries
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3 Jaw chuck
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Pinch to screen for AIN weakness
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Tip pinch
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Pinch to screen for AIN weakness
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Tip pinch
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PInch to screen for Ulnar nerve injuries
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Lateral pinch
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PInch to screen for Ulnar nerve injuries
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Lateral pinch
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Coefficient of variance for average of 3 trials for grip should be less than or equal to?
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15%
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Coefficient of variance for average of 3 trials for grip should be less than or equal to?
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15%
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2pt Discrimination testing procedure
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Static Testing: tested longitudinally on fingertips
Dynamic Testing: across width of pulps, prox to distal Begin with 5mm for Static, 8mm for dynamic Need 7/10 responses |
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2pt Discrimination testing procedure
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Static Testing: tested longitudinally on fingertips
Dynamic Testing: across width of pulps, prox to distal Begin with 5mm for Static, 8mm for dynamic Need 7/10 responses |
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Static 2pt Discrimination norms
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Normal 0-6mm
Fair 7-10mm Poor 11-15mm Non-functional 16+mm |
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Static 2pt Discrimination norms
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Normal 0-6mm
Fair 7-10mm Poor 11-15mm Non-functional 16+mm |
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Dynamic 2pt Discrimnation norms
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Normal 2-3mm
Fair 4-6mm Poor 7-9mm |
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Dynamic 2pt Discrimnation norms
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Normal 2-3mm
Fair 4-6mm Poor 7-9mm |
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Semmes-Weinstien testing procedure
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Apply perpendicular to skin for 1.5 sec, remove for 1.5 sec
Repeat for 3 trials for '+" with filaments 1.65-4.08, repeat once for 4.17-6.65 Test distal to proximal, completing volar surface then dorsal |
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Semmes-Weinstien testing procedure
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Apply perpendicular to skin for 1.5 sec, remove for 1.5 sec
Repeat for 3 trials for '+" with filaments 1.65-4.08, repeat once for 4.17-6.65 Test distal to proximal, completing volar surface then dorsal |
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Semmes Weinstein Norms
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1.65-2.83 Normal
3.22-3.61 Diminished light touch 3.84-4.31 Diminshed protective sensation 4.56-6.65 Loss of protective sensation >6.65 Un-testable |
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Semmes Weinstein Norms
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1.65-2.83 Normal
3.22-3.61 Diminished light touch 3.84-4.31 Diminshed protective sensation 4.56-6.65 Loss of protective sensation >6.65 Un-testable |
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Riche-Cannou Anastamosis
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Anastamosis is at the hand level between motor branch of the ulnar nerve and recurrent branch of the median nerve.
With high ulnar nerve injuries, patien will not claw |
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Riche-Cannou Anastamosis
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Anastamosis is at the hand level between motor branch of the ulnar nerve and recurrent branch of the median nerve.
With high ulnar nerve injuries, patien will not claw |
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Martin-Gruber Anastamosis
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Seen in 15-20% of people
Between the median nerve and ulnar nerve at the forearm level. Usually consists of Median nerve motor fibers that supply the typically ulnar innervated intrinsics |
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Martin-Gruber Anastamosis
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Seen in 15-20% of people
Between the median nerve and ulnar nerve at the forearm level. Usually consists of Median nerve motor fibers that supply the typically ulnar innervated intrinsics |
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What is the mor e quantitative method for testing vibration?
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Vibrometer: generated numberical value
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What is the mor e quantitative method for testing vibration?
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Vibrometer: generated numberical value
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Wrinkle test
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-Correlates with complete nerve laceration
-Used with children & those who can't follow formal testing -Hand is placed in warm water for 30min -Positive if no skkin wrinkling and indicates absence of sensibility |
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Wrinkle test
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-Correlates with complete nerve laceration
-Used with children & those who can't follow formal testing -Hand is placed in warm water for 30min -Positive if no skkin wrinkling and indicates absence of sensibility |
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Ninhydrin Test
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Pt's dry hand is placed on paper for 15 secs. Paper then sprayed with Ninhydrin spray, dried for 24 hours or heated in oven for 200 deg for 5-10mins.
Normal will show discrete sweat glands, blank print indicates no sweating |
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Ninhydrin Test
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Pt's dry hand is placed on paper for 15 secs. Paper then sprayed with Ninhydrin spray, dried for 24 hours or heated in oven for 200 deg for 5-10mins.
Normal will show discrete sweat glands, blank print indicates no sweating |
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Stages of Sensory Recovery
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Pain/Temp
30cps vibration Moving touch Static touch 256 Vibration 2 pt discrimination Localization of touch Stereognosis |
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Stages of Sensory Recovery
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Pain/Temp
30cps vibration Moving touch Static touch 256 Vibration 2 pt discrimination Localization of touch Stereognosis |
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Allens Test
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For arterial patency
Normal 3-5 secs Do not complete on post-op vascular repair or grafting until ok by MD |
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Allens Test
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For arterial patency
Normal 3-5 secs Do not complete on post-op vascular repair or grafting until ok by MD |
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Intrinsic Tightness Test
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Positive if IPJ ROM is greater with MPJ flexed
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Intrinsic Tightness Test
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Positive if IPJ ROM is greater with MPJ flexed
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Extrinsic Tightness Test-Digital Extensors
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Positive if IPJ ROM is greater with MPJ Extended
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Extrinsic Tightness Test-Digital Extensors
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Positive if IPJ ROM is greater with MPJ Extended
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Extrinsic Tightness Test-Digitial Flexors
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Positive if unable to maintain IPJ in ext as wrsit extension in increased
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Extrinsic Tightness Test-Digitial Flexors
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Positive if unable to maintain IPJ in ext as wrsit extension in increased
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CMC Grind test
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Tests for OA
Positive if pain for grinding 1st CMC onto scaphoid |
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CMC Grind test
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Tests for OA
Positive if pain for grinding 1st CMC onto scaphoid |
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Froment's Sign
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Tests for weakness of Adductor pollicis & flexor pollicis brevis
Positive if exaggerated IPJ flexion with key pinch, indicating substitution with FPL |
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Froment's Sign
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Tests for weakness of Adductor pollicis & flexor pollicis brevis
Positive if exaggerated IPJ flexion with key pinch, indicating substitution with FPL |
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Jeanne's sign
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Tests for weakness of Adductor pollicis
Positive: extreme hyperextension of MPJ with key pinch |
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Jeanne's sign
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Tests for weakness of Adductor pollicis
Positive: extreme hyperextension of MPJ with key pinch |
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Wartenberg's Sign
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Test for Ulnar nerve function
Ask pt to adduct SF from an abducted position Positive: If unable to adduct the digit |
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Wartenberg's Sign
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Test for Ulnar nerve function
Ask pt to adduct SF from an abducted position Positive: If unable to adduct the digit |
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MIddle Finger Extension Test
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Test for Radial Nerve
Elbow should be in full ext, wrist neutral, resist MF Positive: pain |
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MIddle Finger Extension Test
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Test for Radial Nerve
Elbow should be in full ext, wrist neutral, resist MF Positive: pain |
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Cozen's Test
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Arm pronanted, elbow flexed, pt asked to make a fist
Manually resist elbow ext with RD Positive: pain to lateral epi |
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Cozen's Test
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Arm pronanted, elbow flexed, pt asked to make a fist
Manually resist elbow ext with RD Positive: pain to lateral epi |
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Medial Epicondyle test
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Elbow flexed, forearm neutral
Manually resist flex and pronation Positive: pain to med epi |
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Medial Epicondyle test
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Elbow flexed, forearm neutral
Manually resist flex and pronation Positive: pain to med epi |
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Schapoid Shift Test (Watson's Test)
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Sit across pt as if to arm wrestle
Place pressure over scaphoid, begin in UD and slight ext and ove wrist to RD and Flexion, keeping pressure on scaphoid (+) If pt has a clunk with release of finger placement or pain with testing |
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Ballottement Test for Luno-Triquetral Instability
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Stablize lunate (palmer and dorsal) with thumb and IF
With second hand, attempt to move triquetrum and pisiform dorsally and palmarly (+) if pt has pain, laxity crepitus |
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Oblique Retinacular LIgament Test
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Stablize the digit with one hand
With other hand, passively flex the DIPJ with PIPj extended (+) if the DIPJ has greater ROM with the PIPJ flexed If ROM is limited in both positions, then may have possible joint contracture |
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Piano Key tst for DRUJ instability
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Stablize the radius with one hand
With second hand, press volarly and dorsally on the ulna (+) if pt has a "sprink back' raction of the ulna Test in both supination and pronation Compare to contralateral side |
