• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/33

Click to flip

33 Cards in this Set

  • Front
  • Back
Which is the preferred method of ASHT for measuring edema
Volumeter
How to measure TAM?
Total Active Motion: AROM of all joint minus any extension deficits
How to measure TPM?
Total Passive Motion: PROM minus extension deficits (Not accurate if pt is hyperextensible)
Pinch to use to screen for Median nerve injuries
3 Jaw chuck
Pinch to screen for AIN weakness
Tip pinch
PInch to screen for Ulnar nerve injuries
Lateral pinch
Coefficient of variance for average of 3 trials for grip should be less than or equal to?
15%
2pt Discrimination testing procedure
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
Static 2pt Discrimination norms
Normal 0-6mm
Fair 7-10mm
Poor 11-15mm
Non-functional 16+mm
Dynamic 2pt Discrimnation norms
Normal 2-3mm
Fair 4-6mm
Poor 7-9mm
Semmes-Weinstien testing procedure
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
Semmes Weinstein Norms
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
Riche-Cannou Anastamosis
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
Martin-Gruber Anastamosis
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
What is the mor e quantitative method for testing vibration?
Vibrometer: generated numberical value
Wrinkle test
-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
Ninhydrin Test
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
Stages of Sensory Recovery
Pain/Temp
30cps vibration
Moving touch
Static touch
256 Vibration
2 pt discrimination
Localization of touch
Stereognosis
Allens Test
For arterial patency
Normal 3-5 secs
Do not complete on post-op vascular repair or grafting until ok by MD
Intrinsic Tightness Test
Positive if IPJ ROM is greater with MPJ flexed
Extrinsic Tightness Test-Digital Extensors
Positive if IPJ ROM is greater with MPJ Extended
Extrinsic Tightness Test-Digitial Flexors
Positive if unable to maintain IPJ in ext as wrsit extension in increased
CMC Grind test
Tests for OA
Positive if pain for grinding 1st CMC onto scaphoid
Froment's Sign
Tests for weakness of Adductor pollicis & flexor pollicis brevis
Positive if exaggerated IPJ flexion with key pinch, indicating substitution with FPL
Jeanne's sign
Tests for weakness of Adductor pollicis
Positive: extreme hyperextension of MPJ with key pinch
Wartenberg's Sign
Test for Ulnar nerve function
Ask pt to adduct SF from an abducted position
Positive: If unable to adduct the digit
MIddle Finger Extension Test
Test for Radial Nerve
Elbow should be in full ext, wrist neutral, resist MF
Positive: pain
Cozen's Test
Arm pronanted, elbow flexed, pt asked to make a fist
Manually resist elbow ext with RD
Positive: pain to lateral epi
Medial Epicondyle test
Elbow flexed, forearm neutral
Manually resist flex and pronation
Positive: pain to med epi
Schapoid Shift Test (Watson's Test)
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
Ballottement Test for Luno-Triquetral Instability
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
Oblique Retinacular LIgament Test
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
Piano Key tst for DRUJ instability
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