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146 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

Order of musculo exam?

1 Inspection (visible deformity-step off)


2 Palpation -TOP (Tenderness on palpation)? Nodules? Spasms?


3 ROM


4 Strength


5 Sensation


6 Reflexes


7 Provacative maneuvers when indicated

Abduction and internal rotation degree range?

0-90 deg

0-90°

With Valgus of knee, which CL is being stressed?

Valgus= gum=knock kneed


MCL

Degree of wrist extension?

Low arch = excessive

pronation

pronation


eversion of foot
big toe near floor


ankles lean in


flat footed


Deg of dorsiflexion

Degree of MCP flexion?

valgus vs varus

Valgus= gum (MCL)


Varus= bowlegged/ rum (LCL)

Valgus= gum (MCL)


Varus= bowlegged/ rum (LCL)

Inversion & eversion of the foot?

Inversion (5th digit near floor)


Eversion (Big toe's near floor)

Impingement sign tests?

1 Neers
2 Hawkins
3 Drop Arm (impingement and rotator cuff tear)

Degree of wrist flexion?

Infraspinatus Test?

Adduction +External Rotation Test

Degree of PIP flexion?

high arch = excessive

supination

supination


inversion of the foot


pinky near floor


ankles move away from each other

O'Brien's test is + if?

Pain or audible click at the AC joint or at the GH joint


Obrien's test= Active Compression test

External rotation should reach to approx which landmark?

C7- T4

Degree for


1 MCP


2 PIP


3 DIP

1 MCPis 0-90


2 PIP is 0-100


3 DIP is 0-30

Supraspinatus tests?

1 Jobe
2 Adduction+ External Rotation Test

Degree of DIP flexion?

Subscapularis tests?

1 Lift off test
2 Belly Press Test

Signs of scoliosis

Assess Lumbar region for?

1 Curvature
2 Deformities (Abnormalities)
3 Point tenderness? Spasms? Nodules?


4 ROM?


5 Strength/ motor


6 Sensation


7 Reflexes


8 Leg length discrepancy


9 Provocative tests if indicated

Provocative Tests for Lumbar region

1 Straight leg test
2 Braggards
3 Patricks (Faber)


4 Gaenslen's
5 Straight leg test?


6 Braggards
7 Hoovers


8 Patricks (Faber)


9 Fortis sign - SI joint gapping


10 Hoover's
11 Femoral nerve traction


Assess Cervical Region for?

1 Inspection (visible deformity-step off)


2 Palpation -TOP? Nodules? Spasms?


3 ROM


4 Strength


5 Sensation


6 Reflexes


7 Provacative maneuvers when indicated


Provocative Tests for Cervical Region?

1 Inspect for Deformities/ edema, swelling, ecchymosis


2 Palpation -Point tenderness? Nodules?


3 ROM


4 Strength? Shoulder Shrug?


5 Sensation


6 Reflexes


7 Provocative tests when indicated




Assess shoulders for?

1 Inspect: Deformities/ edema, swelling, ecchymosis


2 Palpate: Point tenderness, Sulcus Sign


3 ROM?


4 Strength
5 Sensation


6 Provocative tests when indicated


Provocative tests for shoulders

1 Neers


2 Hawkins


3 Jobes- Empty Can Test


4 Belly Press


5 Lift off


6 Internal Rotation


7 External Rotation


8 Abduction & External Rotation


9 Check for anterior and posterior laxity


10 Sulcus sign (for inferior laxity)


11 Labral pathology (Obrien's test, Crank test, Clunk test)


12 Biceps ( Speed's test, yeargens test)

Assess knees for?

1 Inspect for Deformities/ edema, swelling, ecchymosis


2 Palpation Point tenderness, Crepitus


3 ROM


4 Strength


5 Provacative tests when indicated



Provacative tests for the knees?


1 Valgus stress & Varus stress/ Strength


2 Anterior drawer
3 Lachman's
4 Clarke's
5 Mc Murray

Assess the ankle for?

1 Inspect: Deformities/ edema, swelling, ecchymosis


2 Palpate: Point tenderness,


3 ROM?


4 Strength
5 Sensation


6 Provocative tests when indicated



Provacative tests for the ankles?

1 Anterior drawer
2 Talar tilt
3 Syndesmotic Squeeze Test

Assess the hip for?

1 Deformities/ edema, swelling, ecchymosis


2 Point tenderness


3 ROM?


4 Strength


5 Sensation


6 Patrick's (Faber test-Provocative)
7 Ober (muscular)


Provacative tests for hips?

1 Patrick's (Faber test-Provocative)
2 Ober (muscular)

Assess wrists for?

1 Inspect: Deformities/ edema, swelling, ecchymosis


2 Palpation-TOP, Nodules


3 ROM?


4 Strength


5 Sensation



Provacative tests for the wrists for?

1 Phalen's test?


2 Tinel's sign?
3 Finkelstein's test



hip internal rotation

Cervical
Forward flexion

Neck forward

60° (45°)

Degree of radial deviation?

Cervical extension

Neck back

70° (45°)

Cervical Rotation (R,L)

Turn neck right to left

80°

Cervical Lateral flexion

Ear to shoulders

50°

Tests for rotator cuff tear?

1 Drop arm test


2 resisted external rotation

R & L thoracic rotation

50°

signs of scoliosis

Lumbar Flexion

>60°

Lumbar Extension

>30°

Lumbar Lateral Flexion (R&L)

>25°

R,L Lumbar rotation

30°

Shoulder Flexion

>150° (180°)

Shoulder Extension

>50° (45°)

Shoulder ABduction

>150° (170°)

Shoulder ADduction

30° (45°)

Shoulder Internal Rotation

90°

Shoulder External Rotation

90°

Elbow Flexion

150°

Elbow Extension

hip external rotation

Forearm Pronation
80°
Forearm Supination

80° (90° with elbow flexed)

Wrist Flexion

70° (90° with elbow flexed)

Wrist Extension

60°

Wrist Radial Deviation

20°

Wrist Ulnar Deviation

30°

Internal rotation should reach to approx which landmark?

T4

O'brien's test is consistent with?

-AC joint dysfunction if the pain is at the AC joint


-Superior labral anterior posterior (SLAP) pathology if pain's at the GH joint

Internal rotation should reach to approx which landmark?

T4-T7

+ Apprehension test if

test reproduces the patient's pain or gives the pt apprehension of reproduction of their pain or the feeling that their shoulder will dislocate or pop out of the socket.

a over pronated foot is ________


arch type+________________

everted,


with the big toe on the ground


low arch= flat footed

Hip ABduction

40°

Scoliosis

Lordosis

hip internal rotation

Hip ADduction

0° to 30°

Degree of ulnar deviation?

Hip Internal Rotation

40°

Hip External Rotation

50°

Knee Flexion

120°

Knee Extension

Ankle Dorsiflexion

Toes back toward shin

20°

Where is there lordosis and kyphosis of the spine?

Ankle Plantarflexion

Foot pointed
40°

Ankle Inversion

30°

Apprehension test

Subluxation


Dislocated shoulder



Relocation test would make them feel better

high arch = excessive ________= ______ footed

Apprehension test indicates?

Anterior shoulder laxity or instability

Ankle Eversion

20°

Hoover’s sign

of leg paresis is one of two signs named for Charles Franklin Hoover.

One is a maneuver aimed to separate organic from non-organic paresis of the leg. The sign relies on the principle of synergistic contraction. Involuntary extension of the "paralyzed" leg occurs when flexing the contralateral leg against resistance. It has been neglected, although it is a useful clinical test. Essentially, you hold your hand under the "weak" limb and ask the patient to flex the contralateral hip against resistance. If you feel pressure from the weak leg, the weakness is likely non organic. This is a positive Hoover's sign. If no pressure is felt, this is more likely organic limb weakness.

ROM of wrist?

+ Drop arm test is indicative of?

rotator cuff tear or significant tendinopathy

knee valgus

Deg of plantar and dorsiflexion?

Hallus valgus

Test for bicipital tendonitis?

Speed's test

Hallux valgus= bunion

Where are your DIP and PIPs?

Dorsum of the hand?

Pronated

Pronated

Volar aspect of the hand?

Palmar surface


Supinated

Palmar surface


Supinated

eversion of the foot

With Varus of knee, which CL is being stressed?

Varus= rum & bowlegged


LCL

Your feet roll inward too much when you walk

* Your feet roll inward too much when you walk =excessive pronation

an oversupinated foot is _______


Arch type=__________

inverted,


with the pinky toe on the ground


high arch

Plantar fasciitis can be caused by?

Plantar fasciitis is caused by straining the ligament that supports your arch. Repeated strain can cause tiny tears in the ligament. These can lead to pain and swelling. This is more likely to happen if:


* Your feet roll inward too much when you walk (excessive pronation ).
* You have high arches or flat feet.
* You walk, stand, or run for long periods of time, especially on hard surfaces.
* You are overweight.
* You wear shoes that don't fit well or are worn out.
* You have tight Achilles tendons or calf muscles.

Most people with plantar fasciitis have pain when they take their first steps after they get out of bed or sit for a long time. You may have less stiffness and pain after you take a few steps. But your foot may hurt more as the day goes on. It may hurt the most when you climb stairs or after you stand for a long time. If the foot pain is at night, it may be?

If you have foot pain at night, you may have a different problem, such as arthritis, or a nerve problem such as tarsal tunnel syndrome.

low arch = excessive ________= ______ footed

Postures

Other names for plantar faciitis?

Plantar fasciitis (also known as plantar fasciopathy or jogger's heel)

pronation of the foot?

nerves of the feet?

plantar flexion?


foot eversion?

Picture of?

toe extension

Kyphosis

This is a pict of?

This is a pict of?

inversion

inversion

Test for Biceps?

Speed's test & yeargens test

Thumb MP Joint Flexion?

60°

Thumb IP Joint Flexion?

80°

1st MTP Extension

0° to 70°

1st MTP Flexion

0° to 45°

Thumb MCP Extension

Thumb IP Flexion

0° to 80°

Thumb IP Extension

0° to 20°

Finger DIP Flexion

0° to 90°

Finger PIP Extension

Finger PIP Flexion

0°-100°

Finger MCP Flexion

0°-90°

Finger MCP Extension

0° to 45°

ROM of the elbow includes?

Flexion


Extension


Supination


Pronation

antalgic gait

a gait that develops as a way to avoid pain while walking


gait abnormality where the stance phase of gait is abnormally shortened relative to the swing phase.


It can be a good indication of pain with weight-bearing

How to choose cane height?

* Check your wrist height. With your arm hanging straight down at your side, the top of your cane should line up with the crease in your wrist.


If your cane is too long, you'll need to work harder to pick it up and move it. If your cane is too short, you might lean to one side — which can throw you off balance.

How to walk with a cane?

For example, you might hold the cane in the opposite hand of the affected leg and move the cane in unison with the affected leg. Each time you step with the affected leg, move the cane, too — to give you support as you walk. When you step forward with the unaffected leg, keep the cane in place.

How to walk up and down stairs with a cane

Be careful when using steps with a cane. If you have an injury or disability affecting one leg, grasp the railing — if possible — and step up with your unaffected leg first. Then step up with your other leg as you move the cane. To move down steps, put your cane on the lower step first, then your affected leg and then your other leg — which carries your body weight.

Muscle tone

1. normal
2. flacid
3. spastic
4. rigid

Flacid muscles are?


hypotonic (soft/flabby)

Spastic muscles are?

initially resistant to passive movement but then comply

Rigid muscles are?

rigid and may have tremors

Rigidity is a more constant state of?


spasticity with fewer periods of release of resistance

Coordination is the function of which part of the brain?



cerebellum



AC Joint testing

Scarf Sign

Coordination is assessed by?

-asking client to perform repititious movements


- close eyes repeatedly/rapidly
- touch her nose w/alternate index fingers

Abnormal Posturing occurs when?

Abnormal Posturing occurs when:


injury to the motor tract

Two types of Abnormal posturing are?

Two types of Abnormal posturing are:


1. Flexion
2. Extension

Flexion posturing is characterized by:


1. flexion of the arms
2. abduction of the upper extremities
3. extension of the lower extremities

Flexion posturing is characterized by:


1. flexion of the arms
2. abduction of the upper extremities
3. extension of the lower extremities

Flexion posturing is caused by?


1. Lesions of the cerebral hemispheres
2. Lesions of the intrnal structures of the brain

Extension posturing is characterized by?

Extension posturing is characterized by:


1. arching of the back
2. backward flexion of the head
3. adduction/hyperpronation of the arms
4. extension of the feet

Tests for Lumbar region

1 Straight leg test
2 Braggards
3 Patricks (Faber)


4 Gaenslen's
5 Straight leg test?


6 Braggards
7 Hoovers


8 Patricks (Faber)


9 Fortis sign - SI joint gapping


10 Hoover's
11 Femoral nerve traction


Provacative Tests for Cervical Region?

1 Soto Hall


2 Spurlings


3 Shoulder depression

Provocative tests for shoulders

1 Impingement sign? (Neers, Hawkins, Drop Arm)


2 Supraspinatus test? (Jobe, Adduction/ External Rotation Test)
3 Infraspinatus (Adduction/ External Rotation Test)
4 Subscapularis (Lift off test, Belly Press Test)
5 Yergason's Test?