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116 Cards in this Set

  • Front
  • Back
What nerve is the deltoid innervated by?
Axillary nerve
What nerve innervated the lats?
Thoracodorsal nerve
What does the musculotaneous nerve innervate?
elbow flexors. coracobrachialis, biceps, brachialis
What nerve innervates the infraspinatus and supraspinatus?
suprascapular nerve
What innervates the subscapularis?

subscapular nerve



What muscles does the axillary nerve innervate?
deltoid, teres minor
What nerve innervates the triceps?
radial nerve

What nerve dictates wrist and elbow extension?

radial nerve
What nerve innervates the rhomboids and levator scap?
dorsal scapular
What nerve innervates the hamstrings?
sciatic nerve
What nerve innervates the serratus anterior?

long thoracic nerve



What nerve innervates the glut max?

inferior gluteal nerve



What nerve innervates the glut med/min and TFL?

superior gluteal nerve



What nerve innervates the tibialis anterior?

Deep Peroneal Nerve

What nerve innervates the plantar flexors?

tibial nerve



Is the swing or stance phase longer?
stance 60% of gait cycle

What is the required amount of hip flexion for a normal gait pattern?


Hip extension?


Dorsi flexion?


plantar flexion?

hip flexion-30 deg


hip extension-10 deg


DF-10 deg


Pf-20 deg

What is considered normal ROM for elbow flexion?

150 deg



What is normal medial rotation of the glenohumeral joint?
70 deg
What is normal ulnar deviation?

30 deg



What is normal radial deviation?
20 deg

What is the s/s of autonomic dysreflexia?


Most initial response should be?

pounding headache, increased BP, sweating, anxiety


Sit patient upright and check for cause

What is normal ROM for shoulder extension?
60 deg
What is normal hip extension?
30 deg

What is normal hip lateral/medial rotation?
45 deg
What is normal plantar flexion?
50 deg
What is normal ROM for cervical rotation?
60 deg
What is normal ROM for cervical flexion/extension?
45 deg
What is the degree of average toe out in a normal adult?
7 deg

What causes increased knee flexion during contact during gait?


weak quads/paralysis


spastic hamstrings

What is one cause of circumduction during gait?

decreased hip/knee/ankle flexion


need to compensate to clear floor

Describe hemiplegic gait.
a tendency to swing the affected limb around to floor in front of person
What is Trendelenburg gait?

a drop in the contralateral hip, caused by glut med weakness.


excessive lateral flexion and weight shifting over stance leg


ex. drop in left hip while right leg is in stance phase, indicates weak R glut med

A patient is able to maintain position with min/mod resistance. What is the MMT grade?

4-


good minus

Pt is able to complete action in gravity lessened position. What is the MMT grade?

2


Poor

Pt completes movement against gravity with no added resistance. What is MMT grade?

3


fair

Pt completed more than half the ROM available. What is the MMT grade?

3-


poor minus

What is normal knee flexion ROM?
135 deg
What is normal ankle inversion?
35 deg

What is normal ankle eversion?
15 deg
What is the speeds test checking for?
bicep tendonitis or pathology
What is the yergason's test for?
bicipital tendonitis
What are some special tests for rotator cuff impingment?

Hawkins-kennedy


drop arm test


empty can test

What is the Roo's test checking for?
thoracic outlet syndrome
What are some special tests to look for carpal tunnel syndrome?

tinels sign


phalen's test

What is another term a deficit in expressive language?

Broca's aphasia



What is another term for a deficit in comprehending language?
Wernicke's aphasia
Which side of the brain control speech and logic?
left hemisphere
What side of the brain control self-awareness and spatial reasoning?
right hemisphere
Which spinal tract control voluntary motor control?
corticospinal tract

Which spinal tract controls sensation for light touch and pressure?


pain and temperature?

anterior spinothalamic tract


lateral spinothalamic tract

How do you test the Vagus nerve?

gag reflex


say aaaahhh

How do you test the hypoglossal nerve?
tongue protrusion
How do you test the facial nerve?

squeeze eyes closed


smile, show teeth

What does the absence of deep tendon reflexes indicate?
a lesion in the reflex arc itself
How do you test for barognosis?
put weights in each hand, have pt decipher between the weights
What is graphesthesia?
ability to identify number/letters drawn on skin
What is proprioception?
ability to identify the static position of body in space
What is stergonosis?
ability to identify object without sight
How can you test sensory perception of vibration?
tuning fork
What is neuropraxia?

mild level of peripheral nerve injury.


should heal within 4-6 weeks

A patient completes ROM with min resistance. What is the MMT grade?


3


fair plus

The patient is unable to complete full ROM, but does complete more than half. What is the MMT grade?


3-


fair minus


What is akinesia?
the inability to initiate movement.
What is dysmetria?

inability to control range of movement or force of muscular activity.
What type of DTR will a patient with an UMN lesion present with?
hyperactive
What activity would be difficult with a patient with dysmetria?

walking with markers on the floor
What level of SCI is an independent sliding board transfer feasible?
C6

How will a patient with Guillain-Barre syndrome present?


distal to proximal symmetrical weakness


usually begins in the LE


How will a patient with Multiple Sclerosis present?

ataxic, clumsy, balance deficit and fatigue easily.
A CVA patient presents with short attention span and impulsiveness. Is the more indicative of a right or left hemisphere CVA?

right

What does the contract-relax PNF technique help with?

increased ROM

What does the alternating isometrics PNF technique help with?

strengthening/endurance
What does diplopia mean?

double vision
How will a patient with dysarthria present?

slurred speech
What is apraxia?

inability to perform purposeful movement
A SCI has sensory but no motor function. What is the ASIA level?

ASIA B

A SCI has no motor or sensory function. What is the ASIA level?


ASIA A


complete


A SCI has a muscle grade of 3 or above in most muscles below the level. What is the ASIA level?

ASIA D

What are the s/s of anterior cord syndrome?

usually occurs through flexion injury. No motor or pain and temperature function below level of injury

Will the motor loss be on the contralateral or ipsilateral side with Brown-Sequard's syndrome?

ipsilateral

How often is weight shifting recommended in a wheelchair?
every 15-20 minutes

Who is most at risk for autonomic dysreflexia?

patient with SCI at or above T6

What is normal blood pressure?


Respitory rate?


120/80


12-20 BPM

What is diagphramatic breathing indicated for?


What activity is good to facilitate it?


excessive use of accessory muscles


dyspnea at rest



sniffing

What BMI is considered to be overweight?


Obese?


25%


30%

What is the normal mm Hg for intermittent compression of the upper extremity?


Lower extremity

30-60


60-80


Never rise above patients diastolic BP

What is the frequency required with e-stim to produce tetany?

35-50 pps
A patient presenting with a left CVA will lean towards which direction with signs of Pusher's Syndrome?


right


They will lean towards the hemiplegic side.

what is the recommended treatment time for ice massage?


Cold Packs?


5-10 mins


15-20 mins

What is normal femoral anteversion?

8-15 degrees

How long should compression garments be worn daily?

22-23 hours/day


What percentage of total body weight should be used in lumbar traction for separation of vertebrae?


Soft tissue stretching


50%


25%

How many hours/day should patient initially wear their orthotics to break them in?

1-2 hours


What is talipes equinovarus?


What would be affected by this deformity?

clubbed foot


dorsiflexion

How is the Q-angle measured?


What is normal?





Measure from mid-patella, to ASIS, to tibial tubercle


male-13"


female-18"


Where is the most common site for degenerative spondylolisthesis?

L4-L5



What is the Gower's maneuver?


having to use hands to walk up body when going from sit to stand from floor


Can be indicative for muscular dystrophy



What degree of curvature defines when a person with scoliosis will start having problems?


20 degrees



What is the water temperature requirement for hot pack storage?

158-167 degrees
What are the hip precautions for a posteriolateral approach?


Flexion past 90


adduction across the midline


Medial rotation (lateral for anterior approach)

What is the normal for cycles per minute with a CPM machine?

2/min

What is an equine gait pattern?

excessive use of the gastroc

What spinal level are the hamstrings innervated?


Quads?


Gastroc

L4


L3


S1



What is areflexia?
absence of reflexes
What does a positive Thomas test indicate?

tight iliospoas

What does positive Ely's test indicate?


quad tightness


rectus femoris contracture


What does the teres minor do?



Laterally rotates the shoulder

How to remember carpal bones of the hand


So Long To Pinky, Here Comes The Thumb



What does a Swan-Ganz catheter measure?

pulmonary artery pressure
What does hypovalemia mean?

decreased blood volume
What muscle is the most important for expiration?

internal intercostals

What muscle is most important for inspiration?

diaphram
What is the difference between intra rater and inter rater reliablilty?


intra-same person (more reliable)


inter-different people

What are common s/s of hypertension?


blurred vision, dizziness, headache


BP >140