Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
514 Cards in this Set
- Front
- Back
what are the bones of the cranium? (4)
|
frontal bone (2)parietal bone (3)occiptial bone (4)temporal bone
|
|
what are sutures?
|
joints in the head that immovable
|
|
NAME
these are joints in the head that are immovable |
sutures
|
|
what does the temporal bone do?
|
connects w jaw and the ear cannal
|
|
what are some muscles of the face?
|
(1)frontalis (2)orbicularis Oculi (3)levator palpebrae (4)superioris (5)corrugator (6)orbicular oris (7)menatlis (8)zygomaticus major (9)levator anguli oris (10)depressor anguli oris (11)
|
|
what does the frontalis do?
|
lifes the eyebrows and wrinkles the forhead
|
|
NAME
this muscle lifts the eyebrows and wrinkles the forehead |
frontalis
|
|
what does the orbicularis oculi do?
|
closes the eye
|
|
NAME
this muscles closes th eye |
orbicularis oculi
|
|
what does the levator palpebrae superioris do?
|
lifts the eye lid
|
|
NAME
this lifts the eye lid |
levator palpebre superioriris
|
|
what does the corrugator muscle do?
|
draws the eye brows toegether
|
|
NAME
this muscles draws the eyebrows together |
corrugator muscle
|
|
what does the orbicularis oris do?
|
whistles/kissing muscle
|
|
NAME
this is the kissing/whistling muscle |
orbicularis oculi
|
|
what is the mentalis muscle?
|
pouting muscle
|
|
NAME
this is the pouting muscle |
mentalis
|
|
what is zygomaticus major?
|
smiling muscle
|
|
NAME
this is the smiling muscle |
zygomaticus muscle
|
|
what is the leavtor anguli oris?
|
showing your canine teeth
|
|
NAME
this shows the canine teeth |
levator anguli oris
|
|
what is the depressor anguli oris?
|
the muscle use when your frown
|
|
NAMe
this is the muscle you use when you frown |
depressor anguli oris
|
|
what is the levator labii?
|
protrudes the upper lip to show gums
|
|
NAME
this muscle protrudes the upper lip to show gums |
levator labii
|
|
what is the depresor labii and platysma?
|
depresses the lower lip and angle mouth downward and skin over neck
|
|
NAME
this muscle depresses the lower lip and angle mouth downward over the neck |
depressor labii and platysma
|
|
what is the buccinator?
|
pushes the checks against the side of the teeth
|
|
nAME
this muscle pushes the teeth against the side of the teeth |
buccinator
|
|
what is the risorius?
|
angles the mouth backward
|
|
NAME
this muscle angles the mouth backward |
risorius
|
|
what is the naslais?
|
widens the apertures of the nostrils
|
|
NAME
this muscle widens the apertures of the nostrils |
nasslis
|
|
what is the procerus?
|
pulls the skin over the nose forward over the bridge of the nose
|
|
NAME
this pulls the skin over the nose forward over the bridge of the nose |
procerus
|
|
what does TMJ stand for?
|
temporomandibular joint
|
|
what is the the TMJ joint?
|
joint btwn temporal bone and mandible in the zygomatic process
|
|
NAME
this is the joint btwn the temporal bone and the mandible bone in the zygomatic process |
TMJ joint
|
|
what kind of movement is the TMJ allow for? (3)
|
(1)opening and closing the jaw (2)protrustion and retrustion of the jaw (3)lateral deviation
|
|
what are the muscles of the TMJ? (3)
|
(1)masseter (2)temporalis (3)pteryoid
|
|
what does the masseter's orgin?
|
zygomatic process
|
|
where is the masseter's insertition?
|
bone of the mandible
|
|
where does the temporalis muscle orginate/
|
temporal fossa
|
|
where does the temporalis muscle insert?
|
ramus of the mandible
|
|
what does the masseter muscle do?
|
movement-bite firmly..mouth open slightly showing teeth cleched
|
|
NAME
these two muscles are used when you bite down firmly--mouth open slightly showing teeth as clinched |
masseter and temporalis
|
|
what is the pteryoid?
|
respon for protrusion of the lower jaw
|
|
NAME
this muscle is respon for the pretrusion of the lower jaw |
pteryoid
|
|
what are the differ parts of the pteryoid muscle? (2)
|
(1)medial-feel in back of mouth (2)lateral
|
|
what are the muscles of the eyes?
|
(1)medial and lateral rectus (2)superior and inferior rectus (3)superior oblique (4)inferior oblique
|
|
NAME
these muscles include the medial and lateral rectus, superior and inferior oblique, and superior and inferior reectus |
muscles of the eye
|
|
what is the medial rectus?
|
moves the eye medial (horizontal)
|
|
NAME
this muscle moves the eye medial |
medial rectus
|
|
NAME
this muscles moves the eye laterally |
lateral rectus
|
|
What is the lateral rectus?
|
moves the eye lateralyl
|
|
what does the inferior rectus do?
|
moves the eye down
|
|
NAME
this moves the eye up |
superior rectus
|
|
What does the superier rectus?
|
moves the eye up
|
|
the inferior rectus and the superior oblique work together to (1)
|
look down at the right and left corncer
|
|
the (1)and (2)work together to move the eye down and over such as to look in the right and left lower corners of the room
|
inferior rectus and the superior oblique
|
|
(1)and (2)muscles work together to look up such as to look at the upper right hand corner of the wall
|
superior rectus and inferior oblique
|
|
the superior and inferior oblique work together (1)
|
look up such as the corner of the right wall
|
|
how many bones are in the vertebra?
|
33
|
|
how many intervertebra discs are there?
|
23
|
|
there are (1)interverebra discs
|
23
|
|
There are (1)vertebra
|
33
|
|
list all the verebra bones in the body? (5)
|
C-7
(2)T-12 (3)L-5 (4)S-5 (fused) (5)coccygeal-4 (fused) |
|
There are (1)C vertebra
|
7
|
|
There are (1) T vertebrae
|
12
|
|
There are (1) L verebrae
|
5
|
|
There are (1) S-verebra
|
5
|
|
There are (1)coccygeal verebrae
|
4
|
|
how many verebrae are in the body?
|
C-7
(2)T-12 (3)L-5 (4)S-5 (fused) (5)coccygeal-4 (fused) |
|
what is the function o the vertebral column?
|
(1)stability and motion
|
|
NAME
this provides stabiltiy and motion |
verebral column
|
|
How does the vertebral column provide stabiltiy and support? (5)
|
(1)base of support for head and neck (2)stable base for attachment of ligaments, bones, and muscles (3)link btwn the UE and LE (4)mobility for the trunk (5)protection of the spinal cord
|
|
what are the curves of the spinal column? (2)
|
(1)primary curves (2)secondary curves
|
|
what are the primary curves?
|
(1)thoracic (2)sacral
|
|
what are the secondary curves?
|
cervical and lumbar
|
|
NAME
these curves include the thoracic and sacral |
primary curves
|
|
NAME
these curves include the cervical and lumbar |
secondary curves
|
|
describe how the verebral column develops
|
the primary curves develop then the secondary curves
|
|
describe a babys veretbrae column
|
shaped like a C only C and L curves developed
|
|
what kind of chain is the movement from the verebral column?
|
closed chain
|
|
NAME TYPE OF CHAIN
flex of the spine |
close
|
|
NAME TYPE OF CHAIN
head rotation |
closed
|
|
what are inervertebral joint?
|
btwn vertebral bodies
|
|
NAME
these joints are btwn the vertbral bodies |
interverebral joint
|
|
what types of joints are interverebrtal joints?
|
symphysis and fibrocartilage
|
|
what are zygopophyseal joints?
|
located btwn the articular processes
|
|
nAME
these joints are located btwn the articular processes of joints |
zygopophyseal joints
|
|
zygopophyseal joints are also called the (1)
|
facet joints
|
|
(1)are also called facet joints
|
zygopophyseal joints
|
|
what kind of movements do zygopophyseal joints allow for?
|
gliding /cummulative effect
|
|
what is the purpose of the intervertebral disk?
|
to separate two vertebral bodies (2)transmit load to vertebral bodies
|
|
NAME
the purpose of these are to separate two vertebral bodies and transmit load to vertebral bodies |
intervertebral disc
|
|
the size of the disc is related to the (1)
|
amount of motion and the magintiude of load
|
|
(1)is related to the amount of motion and the magintide of the load
|
size of the disc
|
|
where is the ratio of disk to veretbral the largest?
|
in the lumbar area
|
|
where is the ratio of disk to veretbral the lowest?
|
the cervical region
|
|
the ratio of veretbral to disk is the highest in the (1)followed by the (2)
|
(1)cervical (2)lumbar
|
|
what is intersegemental ligament?
|
connects bones to the spinous process and lamanie
|
|
NAME
this ligament connects bone to the spinous process and lamanie |
intersegemental ligaments
|
|
what are some ligaments located in the spinal column? (3)
|
(1)intersegemntal (2)intertransverse (3)ligamentum flavum
|
|
what are some types of intersegemental ligaments?
|
(1)anterior longitduinal (2)posterior longitudinal (3)supraspinous
|
|
NAME
these include the anteriro longitduinal, posterior longitudinal, and supraspinous |
intersegmental ligaments
|
|
what is the intertransverse ligament?
|
paired ligament in the lumbar region that checks lateral flexion--making it sure it does not go to far
|
|
NAME
this is a paired ligament in the lumbar region that checks lateral flex-making sure that it does not go to far |
intertransverse ligament
|
|
what is the ligamentum flavum located?
|
c2 to the sacral
|
|
NAME
this ligament is located from C2 to sacral |
ligamentum flavum
|
|
what is the ligamentum flavum?
|
this increased disc pressure for more support to the spine
|
|
nAME
this ligament increased disc pressure to provide more support for the spine |
ligamentum flavum
|
|
where is the ligamentum flavum the strongest?
|
lower T region
|
|
where is the ligament flavum the weakest?
|
the mid C region
|
|
The ligamentum flavum is the weakest in the (1)and strongest in teh (2)
|
(1)lower T region (2)mid-C region
|
|
T or F
the ligamentum flavum is always under tension |
true
|
|
describe the C verebra? (3)
|
(1)small body (2)have split tip (3)C1 and C2 have no disk
|
|
T or F
atlantoaxial joint has no disc |
true
|
|
T or F
50% of motion occurs in the C region |
true
|
|
50% of motion in the spinal colum occurs in the (1)region
|
C region
|
|
what is the Atlas?
|
C1
|
|
NAME
this is C1 |
atlas
|
|
What is the Axis?
|
C2
|
|
NAME
this is C2 |
Axis
|
|
what movements are possible in the C region? (3)
|
(1)flex/ext (2)lateral flexion (3)rotation
|
|
(1)of motion occurs in the C region
|
50%
|
|
NAME
50% of motion in the spinal colulmn occurs here |
C region
|
|
NAME
possible movements are this area of the spinal colum include flex/exta, rotation, and lateral flex |
C region
|
|
what is the levator scapulae?
|
bilateral neck ext (2)unilateral-lateral flex to same side w rot of the face to the same side (3)downward rotation
|
|
NAME
some movement possible for this muscle include bilateral neck ext (2)unilateral-lateral flex to same side w rot of the face to the same side (3)downward rotation |
leavtor scapulae
|
|
where does the levator scapule insert?
|
scapula
|
|
where does the levator scapula orginate?
|
transverse process of C1-C4
|
|
what innervates the levator scapulae?
|
C3 to C5
|
|
what is thoracic outlet snydrome?
|
is when the brachial plexus gets pinched bc of limited room
|
|
NAME
this is when the brachial plexus gets pinched bc of limited room |
throacic outlet snydrome
|
|
the amount of rotation depends on the (1)
|
ribs ability to move
|
|
what are some causes of throacic outlet syndrome? (3)
|
(1)extra rib (2)decreased room (3)larger scalenes muscle that pinches the subclavian artery
|
|
describe the shape of T region? (4)
|
(1)bigger body than C (2)anterior heigh is larger than the posterior height (3)demifacets for ribs application (4)spinous processes are large, slope inferior, and overlap the next vertebra
|
|
what kind of movements are possible at the T region?
|
(1)less mobile than the C (2)flex and ext extremely limited (3)upper T has good lateral flex and rot (4)lateral flex increases but rot decreases as move caudally (5)amount of rot depends on the ribs ability to move
|
|
T or F
abiltiy to rot in the T region decreases w age. |
true
|
|
what are the differ parts of the Trapezius? (3)
|
(1)upper (2)middle (3)lower fibers
|
|
where does the trapezius insert?
|
upper-clavicle (2)middle=superior lip of spine and the scapula (3)lower-apex of the spine of the scapula
|
|
where does the trapezius orginate?
|
(1)upper-occipatal protuberance (2)middle-t1-t5 (3)lower-T6-12
|
|
what are the functions of the trapezius? (6)
|
(1)origin is fixed (2)scapula add (middle fibers (3)outward and upward rot of the glenoid cavity (upper and lower) (4)elevation (upper)(5)depression (lower) (5)Unilaterally---
upper will lateral flex and rotate the head turn the face towards the opposite side (6)bilateral-neck ext and shoulder shrug |
|
what innervates the trapezius?(2)
|
accessary N (2)2-3-5
|
|
what is unique about the trapezius?
|
the orgin and the insertiation can be fixed.....most muscle have a fixed orgin. this means that the trap can pull the insertation towards the orgin or the traps can pull the orgiin towards the insertation
|
|
T or F
most muscle can have either a fixed orgiin or insertation |
false
|
|
what happens if the trapz is the only muscle add? (add first not supraspinatous)
|
then have limited range of motion
|
|
T or F
the trapeziu does the all the shoulder add |
false does not do first 15 degrees
|
|
when the scapula moves the (1)
|
humerus has to move,too
|
|
what are the rhomboids? (2)
|
add and elevation of the scapula (retraction) (2)downward rotation of the scapula
|
|
what does the rhomboids minor insert?
|
medial border of the scapula
|
|
where does the rhomboids minor orginate?
|
C7 to T1
|
|
what does the rhomboids major orginate?
|
T2-5
|
|
wheere does the rhomboids minor insert?
|
medial border of the scapula
|
|
what innervates the rhomboids?
|
dorsal scapular
|
|
what is the rhomboids? (2)
|
(1)add and elevation of the scapula (2)downward and rotation of the scapula
|
|
add and elevation is jst (1)
|
retraction
|
|
what happens when your have a loss of the rhomboids?
|
have winging of the inferior scapula.....is not flat lies up
|
|
NAME
when you have a loss of this muscle, you have a winging of the inferior scapula...does not lie flat |
loss of rhomboids
|
|
where does the Latissimus dorsi insert?
|
bicipital groove of the humerus
|
|
where does the Latissimus dorsi orginate?
|
T6, scarum, and ilaic crest, lower 3-4 ribs, inferior angle of the scapula
|
|
what is the Latissimus Dorsi?
|
IR and add of the humerus
|
|
describe the shape of the lumbar region (3)
|
(1)large body (2)spinous processes are extend horizontally (3)5th lumbar has a wedged body w
|
|
what movements are posssible at the Lumbar region? (4)
|
(1)focus is on stabiltiy (2)forces are changed by curvature or arrngement of the body sections (3)flex is more limited than flex (4)lateral flex and rotation most free in upper L and restricted in Lower l
|
|
what is the Ilsoas paradox?
|
to prevent lumbar flexion with subsequent trunk extension. During leg lifting. you need strong abdonmainls to counteract the pull of hte iliospas on the spine. however, to get strong abds you need to do leg lifts
|
|
where does the iliopoas insert?
|
lesser trochanter of the hip
|
|
where does the ilioposas orgiante?
|
vertebral body
|
|
what is the iliopsoas?
|
lumbar and hip flexor
|
|
what are the internal and external abdominal obliques? (2)
|
left rotation and contraction of the left internal and right external oblique (2)right contrction w the contraction of the right internal and left external oblique
|
|
what is osteophyte?
|
formation of Ca deposits
|
|
NAME
this is the formation of the Ca deposits |
osteophtye
|
|
what is spondylosis?
|
is the narrowing btwn the discs bc of the fixation of the articular cartilage
|
|
NAME
this is the narrowing btwn the discs bc of the fixatio nof the aerticular cartilage |
spondylosis
|
|
what is herniated disk?
|
is rapture disk in which the nucleus pupusa sticks out
|
|
NAME
this is the raptured disk in which the nucleus pupusa sticks out |
herniated disk
|
|
how do you treat herniated disk?
|
put in traction to create more room
|
|
what is laminectomy?
|
used for treating spinal stenosis by relieving pressure on the spinal cord
|
|
nAME
this is used to treat spinal stenosis by relieving pressure on the spinal cord |
laminectomy
|
|
what is spinal stenosis?
|
is the narrowing of the spinal cord
|
|
NAME
this is the narrowing of the spinal cord |
spinal stenosis
|
|
how do you treat spinal fusion?
|
the disk is removed and a bone graft is packed into the empty space and it will grow into a solid unit
|
|
what are some precautions for bone grafts?
|
weight being as tolerated
|
|
where is the bone harvested from in a bone graft?
|
illiocrest
|
|
what is an older treatment for bad backs/scolsosis? (3)
|
rods in back (2)splinting (3)muscle strengthing
|
|
what is spondylolisthesis?
|
is the disk slips
|
|
NAME
this is when a disc slipps |
spondylotistthesis
|
|
where does spondylotistthesis commonly occur?
|
L5 verebra and the sacrum
|
|
NAME
this commonly occurs btwn L5 and the sacrum |
spondylotistthesis
|
|
what does the scaral and coccygeal vertebrae look like?
|
fused to form wedge
|
|
what movements are possible at th sacral and coccygeal regions?
|
(1)some movement in children until slight puberty
|
|
what happens if there is too much movement in the sacral and coccygeal region?
|
have problems w stability and may pinch the sciatic nerve
|
|
NAME
if you have too much movement in this region you will have problems w stability and may pinch the sciatic nerve |
sacral and coccygeal region
|
|
what are the symptoms of pinched sciatic nerve?
|
pain radiate from the buttock to the leg can travel as far as the toes
|
|
NAME
symptoms of this is radiating pain from the buttock to the leg can travel as far as the toes |
pinched sciatic nerve
|
|
how many ribs are there?
|
12
|
|
there are (1)ribs
|
12
|
|
what are the parts of the sternum? (3)
|
(1)manubbrium (2)body (3)xiphoid process
|
|
NAME
these parts include manubrium, body, and xiphoid process |
sternum
|
|
what kinds of ribs are there?
|
(1)true ribs (2)false ribs (3)floating ribs
|
|
NAME
these include true ribs, false ribs, and floating ribs |
ribs
|
|
describe the ventilatory muscles
|
increased fatigue resistance (2)contract rhymically rather than episodically (3)primary work is against the elastic properities of the lungs and airways resistance rather than gravity
|
|
NAME
actions of these muscles are life sustaining |
ventilatory muscles
|
|
descibre the contraction of the ventilatory muscles
|
contract rhymically
|
|
T or F
venttilatory muscles neurolgoical control is voluntary and involuntary |
true
|
|
what are the primary muscles for ventilation? (3)
|
(1)diaphragm (2)intercostals (3)scalene
|
|
NAME
these include diaphgram, intercoastals, and scalane |
priamary ventrilation muscles
|
|
T or F
there are primary muscles for expiration |
false
|
|
are there primary muscles for expiration?
|
no
|
|
what are the accessary muscles for ventilation?
|
(1)sternocleidomastoid (2)trapezius (3)pectoralis major and minor (4)subclavius
|
|
NAME
these include (1)sternocleidomastoid (2)trapezius (3)pectoralis major and minor (4)subclavius |
accessary muscles of ventilation
|
|
what is transverse abdominis?
|
compression of the abdominal contents
|
|
NAME
this muscle is respon for the compression of the abdominal contents |
transverse abdominis
|
|
where does the transverse abdominis insert?
|
linea alba (2)pubic symphysis
|
|
where does the transverse abdominis orgiante? (3)
|
inguinal ligament (2)liac crest (3)costal 7-12
|
|
you need a strong (1)for balance
|
trunk
|
|
what is rectus abdominis?
|
flex of hte trunk (2)supports and compresses the abdominal contents
|
|
nAME
this muscle can flex the trunk and support the compression of the abdominal contents |
rectus abdominis
|
|
where does the rectus abdominis orgiante?
|
ribs 5-7
|
|
where does the rectus abdominis insert?
|
pubic symphysis and crest
|
|
what are some causes of muscle weakness ? (4)
|
(1)lower motor neuron disorders (2)primary muscles diseases such as muscular dystrophy (3)neurological diseases (4)disabilities such as cuased by disuse or immobilization
|
|
what are some kinds of kinematic chains?
|
open or closed
|
|
what is a open chain?
|
the joint can move I of others in the chain
|
|
NAME
this is when the joint can move I of others in the chain |
open chain
|
|
what is closed chain?
|
when one end of the chain is fixed....movement of one joint causes movement of others joints
|
|
NAME
this is when one end of the chain is fixed...movement of one joint causes movement of other joints |
closed chain
|
|
what is the differ tbwn closed and open chain?
|
(1)closed-joint can move I of others in the chain (2)closed-when one end of the chain is fixed.. movement of one joint causes movement of others joints
|
|
what are the scales for mmt?
|
5-FROM against gravity w max resistance
4 -full range against gravity w mod resistance 3+=full range against gravity min resistance 3=full range agaisnt gravity 3-= 50% range against gravity (PROM or WFL, or AROM) 2+=Less than 50% against gravity and/or full rang in gravity reduced plane 1-observed or palpated mm contraction 0=nothing |
|
what is 5 on the mmt?
|
full range against gravity
|
|
what is 4 on the mmt?
|
full range agaisnt gravity w mod resistance
|
|
what is a 3+ on the mmt?
|
full range against gravity w min ristance
|
|
what is a 3 on the mmt?
|
full range against gravity
|
|
what is 2+ on the mmt?
|
less than 50% gravity
|
|
what is 2 on the mt?
|
full range with decreased gravity
|
|
what is 1 on the
|
observed or paplated mm contraction
|
|
what is a 0 on the mmt ?
|
nothing
|
|
5 is also called (1)
|
normal
|
|
(1)is also called normal
|
5
|
|
4 is also called (1)
|
good
|
|
(1)is also called good
|
4
|
|
3+is also called (1)
|
fair +
|
|
(1)is also called fair +
|
3+
|
|
3 is also called (1)
|
fair
|
|
(1)is also called fair
|
3
|
|
3- is also caleld (1)
|
fair -
|
|
(1)is also called fair-
|
3-
|
|
2+ is also called (1_
|
poor +
|
|
(1)is also called poor+
|
2+
|
|
2 is also called (1
|
poor
|
|
(1)is also called poor
|
2
|
|
1 is also called (1)
|
trace
|
|
(1)is also called trace
|
1
|
|
how many degrees are normally in hip flex?
|
0 to 120
|
|
how many degrees are normally in hip ext?
|
0 to 30
|
|
how many degrees are normally in abd?
|
0 to 40
|
|
how many degrees are normally in hip add?
|
0 to 35
|
|
how many degrees are normally in hip IR?
|
0 to 45
|
|
how many degrees are normally in hip ER?
|
0 to 45
|
|
how many degrees are normally in knee flex?
|
0 to 135
|
|
how many degrees are normally in knee ext?
|
0
|
|
how many degrees are normally in ankle dorsiflex?
|
0 to 15
|
|
how many degrees are normally in plantarflex?
|
0 to 50
|
|
how many degrees are normally in inversion
|
0 to 35
|
|
how many degrees are normally in eversion?
|
0 to 20
|
|
in the mmt, what is the next step if the person cannot complete full active range of motion?
|
do PROM
|
|
what score would some receive if they could only go so far actively but you where able to complete the motion for PROM?
|
3-
|
|
what is the next step if the person can go more than 50% and has a block?
|
bring them down to mid position and apply resistance
|
|
for mmt is not about the normal range of motion but (1)
|
what the client can do
|
|
t or f
mmt is scale is basd on the normal range of motion |
false
|
|
what are some contractions for mmt? (6)
|
(1)inflammation such as RA (2)pain (3)unhealed acute fx or dislocation (4)recent surgury invovling mm aka. part (5)myositis ossifications (6)bone cariconoma or fragile bone
|
|
what are some pop that you need to take precuations w when doing the mmt? (6)
|
(1)osteoporosis (2)subluxation (3)hypermobility (4)cardio (follow precuations) (5)abdominal surgury (6)chronic conidtion such as fatigue or ms
|
|
when doing the mmt w someone w ms what are some precautions?
|
do not want to over do...may do some later...w rest periods
|
|
what is subluxatioN?
|
partial displocation in the bone of the joint
|
|
nAME
this is partial dislocation of the bone in the joint |
subluxation
|
|
for hip flex? how do you test the ROM?
|
have them lying supine (1)axis-greater trachentor of hip (where wrist crease is) (3)w. the gonimoter at 180 degrees
|
|
for hip ex, how do use the gonitmoter?
|
(1)position is prone (2)axis- is the end of the butt at the hip trachter (3)start at 180
|
|
for hip abd and add how do you se the goniomter?
|
(1)position them supine (2)axis- the illiocrest (3)subtract from 90 (4)start at 90
|
|
deomonstrate IR and ER
|
remember opposite of what looks like
|
|
how do you measure knee flex?
|
sitting-(2)axis-patella (3)start at 90
|
|
how do you measure plantar and dorsiflex?
|
(1)axis-medial (2)start at 90
|
|
what are some quick tests for UE?
|
can you stratch you back
|
|
what are some screening you need to do before mmt?
|
(1)records (2)direct observations (3)fx activites (4)gross test of bi mm groups
|
|
what does the mmt not test for? (4)
|
(1)endurance (2)coordination (3)abnormal tone (4)influence of the client culture
|
|
what is the mmt procedure? (6)
|
(1)position (2)stabilize (3)palpate (4)observe (5)resist (6)grade
|
|
when you have a false answer in the mmt?
|
if the person has abnormal tone/effort put forth by client
|
|
for mmt, the person can go more than halfway, cannot move PROM. what would you next?
|
put in midpositio nand apply resitance
|
|
if the person cannot complete 50% of the motion but you can complete w PROM. what would the score be?
|
2+
|
|
if the person can only move the arm in gravity reduced plane and can take max resistance what would the score be?
|
2
|
|
if the person can only move the arm in gravity reduce plane w no resistance, what her mmt score be?
|
2-
|
|
the person;s normal muscle strength is 0 to 115 degrees w in full range w resistnace. what is her score?
|
5
|
|
PROM-140
AROM-75 what is the client's mmt score? |
3-
|
|
PROM-140
AROM-30 what is her mmt score? |
4+
|
|
what is the person mmt score if then can take max resistance w. full AROM in a gravity reduce plane?
|
2+
|
|
what is a fascile?
|
group of mm fibers surrounded by connective tissue
|
|
NAME
this is a group of mm fibers surrounded by connective tissue |
fascicles
|
|
what are some types of fascicles? (3)
|
(1)sarolemma (2)myofibrils (3)myofilament
|
|
NAME
some types of these include (1)sarolemma (2)myofibrils (3)myofilament |
fascicles
|
|
single joint muscles are going to have (1)contractions
|
primarly concentric
|
|
multiple joint muscles are going to have (1)contractions
|
more coordinated and dynamic movements and eccentric
|
|
(1)muscles are going to have primarly coccentric contractions
|
single joint
|
|
(1)are going to have primarly eccentric contractions and more coordinated and dynamic movements
|
mutiple joints muscles
|
|
single joint muscles are going to have (1)contractiosn while multiple joints are going to have (2)
|
(1)concentric (2)eccentric
|
|
what are some types of muscle contractions? (3)
|
(1)conecntric (2)eccentric (3)isometiric
|
|
what is concentric contraction?
|
shortening of the musclce
|
|
NAME
this is when the muscle shortens |
concentric contractiosn
|
|
nAME
this is when the muscle resists motion created by an external force and muscle legnthens |
eccentric contraction
|
|
what is ecccentric contraction?
|
when the muscle resists motion created by an external force and muscle legnthens
|
|
what is Golgi tendon organ?
|
activated by excessive muscle contraction or passive stretch...sends message to brain to relax or inhibit muscle so doesnt tear
|
|
NAME
this is activated by excessive muscle contraction or passive stretch...sends message to brain to relax or inhibit muscle so doesnt tear |
golgi tendon organ
|
|
what is the muscle spindle composed of ?
|
10-12 muscle speacial muscle fibers sends message to brain about state of stretch
|
|
NAME
these send message to the brain about the state of stretch |
muscle spindle
|
|
what are the parts of the motor unit of mm? (2)
|
(1)alpha motor neuron (2)axon extending to the cell body to the muscle where it divedes into smaller branches
|
|
what are some types of mm fibers?
|
(1)type I (2)type IIA (3)type IIB
|
|
what is type I mm fiber?
|
diamter- small
muscle-color is red (3)slow contraction (4)slow to fatigue |
|
NAME
this type of mm fiber has small diameter, red, slow to contract and fatigue |
type II mm fiber
|
|
Compare and contrast the differ types of mm fibers
|
see chartq
|
|
what is a type IIA muscle fiber?
|
(1)Diamter is intermediate (2)red in color (3)contractes fast (4)fatigue-intermmediate
|
|
NAME
this mm fiber has a intermmediate diamter and fatigue rate and is red in color. and contracts fast |
type IIA
|
|
what is type IIB mm fiber?
|
(1)diamter-is large (2)mm color is white (3)contracts and fatigues very fast
|
|
NAME
this mm fibers'diamteri s large, its color is white, contracts and fatigues very fast |
type IIB Mmm fiber
|
|
when the mm stops shortening, the muscle spindle 1)
|
sends message to stoping stretching
|
|
when them stops shortening, the (1)sends a message to stop stretching
|
mm spindle
|
|
what are some classifcation of mm? (4)
|
(1)agonist (2)antagonist (3)co-contraction (4)synergist
|
|
NAME
these include (1)agonist (2)antagonist (3)co-contraction (4)synergist |
mm
|
|
prime mover is also called (1)
|
agonist
|
|
(1)is also called prime mover
|
agonist
|
|
what is the agonist?
|
produces the desired movement
|
|
NAME
this mm type produces the desired movement |
agonist
|
|
what is a antagnoist?
|
muscles that are directly opp to the agonist
|
|
NAME
these are musclces that are direclty opp to th agonist |
antagnoist
|
|
what is co contraction mm?
|
when the agnosit and the antagnoist contract at the time
|
|
nAME
this is when the agnosit and the antagnost contract at the same time |
co-contraction
|
|
what synergist?
|
assist the agnoist to perform desired motion
|
|
NAME
these muscles assist the agonist to peform the desired motion |
synergist
|
|
what are some factors affecting mm function? (3)
|
(1)type of joint and location (2)number of joitns (3)passive insufficiency
|
|
anterior til can be used to substitute for (1)
|
hip ext
|
|
posterior tilt can substitute for (1)
|
hip flex
|
|
lateral tilt can substitute for (1)
|
hip abd
|
|
(1)can be used to subtituate for hip ext
|
anterior tilt
|
|
(1)can be used to substitute for hip flex
|
posterior tilt
|
|
(1)can be used to substitute for hip abd
|
lateral tilt
|
|
what will happen to the body if you stay in anterior tilt?
|
will get lordosis, have hypermobility of the spine
|
|
if you have a problem w hip movement you wi ll compsante w (1)
|
spine
|
|
if you have a problem w (1)movement your spine will compensate
|
hip
|
|
what is the ischial tuberosity?
|
is the bony spot on the pelvis that you sit on
|
|
NAME
this is the bony spot on the pelvis that you sit on |
ischial tuberosity
|
|
what are (3)parts of the pelvis?
|
(1)pubis (2)illum (3)ischium
|
|
whhat is the pelvis area?
|
the fusion of three bones (ilium, ischium, and pubis)
|
|
what movements is the pelvis area responsible for?
|
stability and immovability (2)transmits mechaincal forces btwn the spine and lower limb
|
|
NAME
this transmits mechanical forces btwn the spine and the lower limb |
pelvis
|
|
NAME
this articulates w the hip and sacrum |
pelvis
|
|
NAME
this provides stability and immobility |
pelvis
|
|
the pelvis articualetes w the (1) and (2)
|
hip and sacrum
|
|
demonstrate the differ btwn anterior and posterior tilt
|
do one self
|
|
what are some differ btwn the female and male pelvis? (3)
|
(1)female-ligther and shorter (2)lower weight (3)roomer pelvis for childbirth
|
|
what can happen at the pelvis area for pregrant woemen?
|
sometimes the pubic symphysis can be torn (this hold baby up)so they need a splint to hold baby up....is very painful
|
|
the hip joint is a (1)joint
|
ball and socket (tri-axial)
|
|
what is the fovea?
|
only area at the head of the femur that is not covered by cartilage
|
|
NAME
this is the only area at the head of the femur that is not covered by cartilage |
fovea
|
|
NAME
this is the point of insertion for the ligament of the head of the femur |
fovea
|
|
the head of the femur fits inot the (1)and is secured w the (2)
|
(1)actebaulum (2)labrum
|
|
what is the acetabulum?
|
where the femur fits into the pelvis
|
|
NAME
this is where the femur fits into the pelvis |
acetabulum
|
|
what is the labrum?
|
is what secures the head of the femur into the pelvis
|
|
NAME
this is what secures the head of the femur into the pelvis |
labrum
|
|
what planes do the hip joint move in?
|
(1)sagittal (2)transverse (3)coronal
|
|
what are some of the ligament bands of the hip? (3)
|
(1)pubo-femoral (2)ischio-femoral (3)ilio-femoral
|
|
the ilio femoral ligament is also called the (1)
|
y ligament
|
|
(1)is also called the y ligament
|
ilio femoral ligament
|
|
what does the y ligament do?
|
they become taut when the leg is hyperextened, the y ligaements aid in abd of the hip
|
|
describe what muscles a spinal cord person is using
|
keeps body up......ex spinal cord injury person in leg braces....the kips are not abd..the y ligaments are keeping the body up when the body is hyperextended
|
|
NAME
these become taut when the leg is hyperexteneded and are able to aid in add of the hip |
y ligaments
|
|
what is the angle of inclination?
|
the angle btwn the neck of the femur and the shaft of the femur
|
|
nAME
this is the angle btwn the neck of the femur and the shaft of the femur |
angle of inclination
|
|
NAME
this sustains forces during weight bearing) |
femoral neck
|
|
What is the femoral neck do?
|
sustains forces during weight bearing
|
|
what kind of forces does the femoral neck sustain during weight bearing?
|
tensile and compressive
|
|
what are some deformities in the angle of inclination? (2)
|
(1)coxa valga deformity (2)coxa vara deformity
|
|
NAME
these include the coxa valga deformity and the coxa vara deformity |
angle of inclination
|
|
what is the coxa valga deformity?
|
think g for greater.....increase in the frontal plane angle
|
|
NAME
this is an increase in the frontal plane angle |
coxa valga deformity
|
|
what is the coxa vara deformity?
|
is a decreaesed angle btwn the shaft and neck
|
|
NAME
this is a decreased angle btwn the shaft and the neck |
coxa vara deformity
|
|
what is the differ btwn the coxa vara deformity and the coxa valga deformity (2)
|
(1)vara-decreased angle of shaft and the neck (angle of inclination) (2)valga-increased angle of inclination in the frontal plane
|
|
what is the angle of incilination like in children?
|
auto in coxa valga
|
|
T or F
children are auto in coxa valga |
true
|
|
what can cause some problems w babies at the femur and pelvis area?
|
(1)developmental displacement (2)slipped capital femoral epiphysis
|
|
children that have developmental disabilities or slipped capital femoral epiphysis need to be put in a (1)
|
pelvic harness
|
|
what is the pelvic harness?
|
keeps the legs flexed at 90....used on kids who have developmental delays or slipped capital femoral epiphysis.......hip ext will cause displacement or subluxation
|
|
NAMe
this is used on children who have dvelopmental disabilities or slipped capital femoral epiphysis |
pelvic harness
|
|
NAME
w this femur/hip deformity the legs goes into the add |
coxa vara
|
|
in coxa vara the leg is in (1)
|
add
|
|
why are there some developmental displacement in children (in the femoral head)?
|
bc the femoral head dosn't usually see in woment but men who are adolscents
growth plate is at the base of the femoral head |
|
what is the angle of torsion?
|
normally 15 degrees...relative to femoral condyles (at ankles)
|
|
NAME
this is normally 15 degrees relative to femoral condyles (at ankles) |
angle of torsion
|
|
a normal angle of torsion is (1)
|
15 degrees
|
|
what are some abnormal angle of torsion? (2)
|
(1)anteversion (2)retroversion
|
|
Anteversion and retroversion are problems w (1)
|
angle of torsion
|
|
what is the anteversion?
|
is when the toe comes in during walking
|
|
NAME
this is when the toe comes in during walking |
anteversion
|
|
what is the retroversion?
|
is when the toe comes out while walking
|
|
NAME
this is when the toe comes out while walking |
retroversion
|
|
what is the differ btwn retroversion and anteversion? (2)
|
(1)retroversion is when the toe comes out while walking (2)anterversion-is when the toes come in while walking
|
|
lateral rot of the hip femur enhances the (1)
|
hip stability
|
|
(1)will increase hip stabiltiy
|
lateral rot of the femur
|
|
NAME
this has predisposition to anterior dislocation |
anteversion
|
|
what kind of joint is the knee joint?
|
hinge joint
|
|
demonstrate knee extension
|
see ex
|
|
deomonstrate knee flexion
|
see example
|
|
the 2 joints in the knee are called (1)and (2)
|
(1)tiblofemoral (2)patellofemoral
|
|
what are the (2)joints that make up the knee joint?
|
(1)tibiofemoral (2)patellofemoral
|
|
what is the tibiofibular joint?
|
is the outside of the joint capsule and is not considered part of the knee joint
|
|
NAME
this is outside of the joint capusle and is not considered part of the knee joint |
tibiofibular joint
|
|
what movements are possible at the knee joint?
|
flex/ext
|
|
the knee joint is also called the (1)
|
tibiofemoral joint
|
|
the (1)is also called the tibiofemoral joint
|
knee
|
|
the tibiofemoral joint is also a (1)joint
|
incongruent joint
|
|
NAME
this is a incongruent joint |
tibiofemoral joint
|
|
what is a incongruent joint?
|
relles on accessary structures to stabilize and assist w mobility
|
|
NAME
this means that the joint relles on accessary structures to stabilize and assist w mobility |
incongruent joint
|
|
describe the knee joint (3)
|
is a incongruent joint (relies on accessary structures to stablize and assist w mobility) (2)rough joint (3)has meniscus in btwn...for weight bearing and to reduce friction
|
|
NAMe
this is the only thing cushioning the knee joint gets....otherwise hear clicking noise and all weight is on the joint |
meniscus
|
|
what is the meniscus?
|
in the knee joint btwn the tibia and femur..is weight bearing and reduces friction
|
|
in the knee joint, the weight comes down on the (1)
|
meniscus
|
|
how do you tell if somone has tear in their meniscus?
|
will hear clicking when walk such as climbing stairs or raising from chair and cannot full-wegiht bear on that leg
|
|
what are some problems that can occur at the knee alignment?
|
(1)genu valgum (2)genu varum
|
|
What is the genu valgum?
|
is when the knees knock bc their turned in
|
|
NAME
this is when the knees knock bc their turned in |
genu valgum
|
|
what is the genu varum?
|
is when the legs appear bow legged btwn the knees are turned out
|
|
NAME
this is when the legs are appear to be bow legged btwn the knees are turned out |
genu varum
|
|
genu valgum and genu varum are problems w the (1)
|
knee alignment
|
|
what does the patallofemoral joint do?
|
(1)reduces friction (2)patella acts as an anatomic pulley (3)flex (4)ext
|
|
the (1)acts as an anatomic pully
|
patella
|
|
what do the knee joint ligaments do?
|
(1)resist or control movement (2)prevent excessive knee extension (3)prevent add or abd of the knee (otherwise would have varus or valga)
|
|
NAME
these resist or control movement, prevent excessive knee extension, and prevent add or abd of the knee (otherwise would have varus or valga) |
knee joint ligaments
|
|
what are the knee joint ligaments?
|
(1)collateral (2)cruciate (3)posterior capsular ligaments
|
|
NAME
these include collateral, cruciate, and posterior capsular ligaments |
knee joint ligaments
|
|
how happens when the bow string tendon is teared?
|
the tendon comes up and movement is altered
|
|
what is inversion?
|
turning the foot in
|
|
NAME
this is turning the foot in |
inversion
|
|
what is eversion?
|
is turning the foot out
|
|
nAME
this is turning the foot out |
eversion
|
|
what is the differ btwn eversion and inversioN?
|
(1)evesrion-turning hte foot out (2)inversion-turning the foot in
|
|
what are the arches in the foot? id in self?
|
(1)lateral arch (2)medial arch (3)transverse longitudinal arch
|
|
NAME
these include (1)lateral arch (2)medial arch (3)transverse longitudinal arch |
arches in the foot
|
|
what can happen to the plantar aponerosis?
|
can become irriated when running
|
|
what is the psoas major?
|
flexs the hip
|
|
what is the iliopsoas ?
|
flexs the hip
|
|
NAME (2)
these muscles flex the hip |
(1)psoas major (2)iliopsoas
|
|
what innervates the psoas major?
|
femoral nerve
|
|
what innervates the ilipsoas?
|
the femoral nerve
|
|
where does the psoas major insert and orginate?
|
(1)insert-less tronchanter
|
|
where does the psoas major orginate and insert?
|
(1)t12-t15 (2)lesser trochanter
|
|
what innervates the psoas major?
|
femoral nerve
|
|
what is the psoas major?
|
flexs the hop
|
|
what is the orgin and insertation of hte iliopsoas majar ?
|
(1)illium (2)lesser trochnater of the hip
|
|
what is the iliopsoas ?
|
flexs the hip
|
|
were does the rectus femoris orginate and insert?
|
(1)orginates-illiac spine (2)patella and ischial tuberosity
|
|
what innervates the rectus femoris?
|
femoral nerve
|
|
what is the rectus femoris?
|
(1)extends the knee (2)hip flex (assists)
|
|
what is the longest muscle in the body?
|
sartorius
|
|
what is the sartorius?
|
assists w knee flex and mr, and assits w hip flex, addd, lr,
|
|
where does the sartorius orginate and insert?
|
anterior superior illiac spine (2)medial shaft of tibia
|
|
when can you stretch the sartorius?
|
when you do stretchs (ex see onself)
|
|
hypertensity will give you a (1)gait
|
scizzor gait
|
|
(1)will giver you a scizzor gait
|
hypertensity
|
|
where does the adductor magnus orginate and insert?
|
(1)inferior ramus of the pubis (2)linea aspera of femur
|
|
what innervates the adductor magnus?
|
both the sciatic and obturator n
|
|
NAME
this muscle is innervates by both the sciatic and obturator nerve |
adductor magnus
|
|
what is the adductor magnus?
|
(1)hip add (2)assits w flex and mr
|
|
whhat innervates the adductor magnus?
|
obturator and sciatic nerve
|
|
where does the adductor longus insert and orginate?
|
anterior pubis (2)linea asprea of the femur
|
|
what innervates the adductor longus?
|
obturator nerve
|
|
what is the adductor longus?
|
hip add, and assists w hip flex
|
|
what is the pectineus?
|
hip flex and add
|
|
what is the tensor fasciae latae?
|
prevents collapse of the of the extended knee, during ambulation...mr, flex, and assists w knee ext
|
|
what innervates the tensor fascie latae?
|
femoral nerve
|
|
what innervatse the petineus?
|
femoral nerve
|
|
what is the gluteus maximus?
|
hip ext, lr of the extneded hip
|
|
what is the gluteus medius?
|
hip abd and mr
|
|
if have lack of gluteus maximus you will have (1)
|
will have weight bearing on side(good side) will tilt trunk
|
|
what inneravtes the gluteus maximus?
|
gluteal n
|
|
what is the popliteus?
|
intiates knee flex by mr of the tibia to unlock the knees
|
|
what is the vastus medius?
|
extends the knee
|
|
wha t is the vastus lateralis?
|
knee ext
|
|
what is the vastus intermedius?
|
knee ext
|
|
soleus a (1)muscle
|
1 joint
|
|
NAME
this is one of the strongest muscles in the body primarly for standing one toes |
soleus
|
|
what is the soleus muscle?
|
plantarflex of the ankle
|
|
what is the tibialis posterior?
|
inversion of the foot and assist s in plantar flex
|
|
what is the plantaris?
|
assists w plantar flex and knee flex
|
|
what is the peroneus longus?
|
eversion of the foot and assists w plantar flex of the ankle
|
|
what is peroneus brevis?
|
eversion of the foot and assists w plantarflex of the ankle
|
|
what is the peroneus tertius?
|
eversion of the foot and assists w dorsiflex
|
|
what is the tibialis anterior?
|
dorsilexion and assist inversion of the foot
|
|
what is the extensor hollicus longus?
|
extends the great toe and dorisflex and inversion of the foot
|
|
what innervates the extensor hallicus longus?
|
peroneal n
|
|
if your foot slaps the floor instead of coming down slowly? what is this a problem w?
|
eccentric contraction
|
|
what happens if you have a loss in the extensor hallicus longus?
|
you need to be able to extend to e when walking or trip over it....would have problems w walking
|
|
what should pt do to increase endurance?
|
emphasis max contraction at reptive less than fatigue
|
|
t or f
muscle testing is primary used to test upper motor neuron disorders |
false
|
|
what is mmt primary used for?
|
lower motor neuron disorders
|
|
t or f
when mmt it is important to lock the elbow when applying resistance |
false
|
|
pts will receive muscle grades of normal will have good coordination
|
false
|
|
pt has PROM-ov 150 and the normal range is 170. and their active rom is 80. what is mmt score?
|
3-
|
|
what must the client do before can apply resistance?
|
go through ALL of their avaliable range using AROM
|
|
what does the peroneal nerve innverate?
|
the extensor hallicus longus (2)anterior tibialias
|
|
if you had lumbar surgury what nerves would be effected?
|
sciatic and peroneal
|
|
PROM-for shoulder flex-170 and AROM for shoulder ex-150
what is mmt testing score? |
3-
|
|
PROM shoulder flex-150
AROM shoulder flex-150 what is the mmt score? |
at least a 3
|
|
PROM shoulder flex-150
AROM shoulder flex-30 what is mmt score? |
2+
|
|
when mm a child what do you need to do differ?
|
change the grade of resistance but keep the procedures the same
|
|
you get a cup out of a high cuboard, as you bring your arm down what type of contraction are you using?
|
eccentric contraction of the flexors NOT extensors
|
|
pushing a window down is an ex of a (1)contraction
|
cocentric
|