Test 1

Front 1

Cervical clearing

Back 1

- Compression (neural first, then flexion, extension, spurlington
- Distraction

Front 2

Valgus stress test

Back 2

Shoulder should be fully externally rotated, and elbow should be flexed just to avoid CCP. Movement should be blocked laterally and exert a valgus stress with a slight downward angle (to cause distraction at elbow joint). Structures involved: MCL and Ulnar Nerve

Front 3

Varus stress test

Back 3

Shoulder should be fully externally rotated, and elbow should be flexed just to avoid CCP. Movement should be blocked lmedially and exert a valrus stress with a slight upward angle (to cause distraction at elbow joint). Structures involved: LCL

Front 4

Tests for lateral epicondylitis

Back 4

Method 1 – elbow is extended and pronated. Wrist flexion is resistance. To increase intensity radial deviation is added. Lateral epicondyle may be palpated.
Method 2 – Examiner passively extends elbow while flexing wrist and palpating the lateral epicondyle.
Method 3 – Examiner resists extension of the third digit by applying resistance in the distal part of the proximal interphalangeal joint.

Front 5

Test for medial epicondylitis

Back 5

examiner passively extends pt’s elbow and wrist in supination while palpating medial epicondyle.

Front 6

Test for ponator teres syndrome

Back 6

pt sits with elbow flex (90°) examiner strongly resists pronation as the elbow is extended. Tingling or paresthesia in he median nerve distribution in forearm and hand determines a positive test.

Front 7

Waternsburg’s test

Back 7

hand is resting on table and applying some weight on it. Fingers passively abducted and pt tries to adduct. If 5th digit does not adducts= sign for neuropathy

Front 8

Tinel’s sign

Back 8

Arm should be relax and supported. Area of ulnar nerve (between oleocranon and medial epicondyle) is tapped.

Front 9

Reflex - Biceps

Back 9

- C5 C6 – Support forearm, squeeze tendon and tap on own (examiner) thumb

Front 10

Reflex - Brachioradialis

Back 10

C5-C6 – Support arm by thumb and tap on proximal third of arm

Front 11

Reflex- Triceps

Back 11

tap on oleocranon fossa

Front 12

C5 Myotome and dermatome

Back 12

D: Lateral shoulder
M Shoulder abduction

Front 13

C6 Dermatome and Myotome

Back 13

D: Lateral forearm (including thumb and index)
M: Elbow flexion and wrist extension

Front 14

C7: Dermatome and myotome

Back 14

D: Middle finger
M: Elbow extension and wrist flexion

Front 15

C8 Dermatome and myotome

Back 15

D:Last two fingers up to medial forearm- distal half of forearm
M:Thumb extension

Front 16

Joint mobilization grade 1

Back 16

Small amplitude movement at the beginning of the range

Front 17

Joint mobilization grade 2

Back 17

Large amplitude movement, but not reaching the limit of the range

Front 18

Joint mobilization grade 3

Back 18

Large amplitude movement performed up to the limit of the range

Front 19

Joint mobilization grade 4

Back 19

Small amplitude movement performed at the limit of the range

Front 20

For acute injuries and to treat pain and muscle guarding which Joint mobilization grade is used?

Back 20

1 and 2

Front 21

to treat adhesions, or to stretch tissue which joint mobilization grade is used?

Back 21

3 and 4

Front 22

Shorten-anchor-stretch

Back 22

. Place the muscle into a shortened position and then use one hand to apply a “tack” distal to the site of the lesion. The other hand then passively stretches the muscle and stress on the lesion is minimized

Front 23

Soft tissue technique used todecrease muscle guarding and improve mobility of the connective tissue sheath surrounding a muscle.

Back 23

Cross fiber

Front 24

Muscle Pumping

Back 24

. Start with passive pumping by shortening the muscle, then using a large contact area to compress the muscle and then maintain pressure as you elongate/stretch the muscle. Progress to active pump by first elongating and applying pressure, and then slowly releasing the pressure as you ask the patient to concentrically contract the muscle.

Front 25

Cancer red flags

Back 25

-Persistent pain at night
-Constant pain anywhere in the body
- Unexplainable weight loss
- Loss of apetite
- Unusual lumps and growths
- Unwarranted fatigue

Front 26

Cardiovascular Red flags

Back 26

- Shortness of breath
- Dizziness
- Pain or feeling of heaviness
- Pulsating pain
- Constant and severe pain on lower leg or arm
- Discolored or painful feet
- Swealing (no history of injury)

Front 27

Gastrointestinal/ Genitourinary red flags

Back 27

- Frequent or severe abdominal pain
- Frequent heartburn indigestion
- Frequent nausea or vomiting
- Changes in bowel or bladder function

Front 28

Miscellaneous Red Flags

Back 28

- Fever or night sweats
- Recent severe emotional disturbance with no history of injury
- Swealling or redness in any joint
- Pregnancy

Front 29

Neurologic Red Flags

Back 29

- Changes in hearing
- changes in vision
Frequent or severe headaches with no history of trauma
- Problems with balance and coordination
- Faint spells

Front 30

Circulation/ coordination
%of 1RM and Reps, ROM

Back 30

30% of 1RM and 20 to 50 reps w/o fatigue ~6 x a day
Inner range of ROM

Front 31

Endurance
%of 1 RM and reps, ROM

Back 31

30-60% of 1 RM
30-50 reps (untill fatigue) with rest in between of (3) sets (30 secs to 1 min) and can be done twice a day
Inner to full ROM

Front 32

Strength
%of 1 RM and reps, ROM

Back 32

70 to 90% of 1 RM
8 to 10 reps
2.5 min rest between sets
Full ROM
once a day, every other day or 3 times a week

Front 33

In the acute stage the focus is usually on

Back 33

Decreasing inflamation, inchease circulation

Front 34

In the subacute stage the focus is usually on

Back 34

Endurance

Front 35

In the chronic stage the focus is usually on

Back 35

Strength, multiplanar movements

Front 36

In tendinopathies you only do _______ exercises during chronic stage

Back 36

eccentric

Front 37

pain on all direction=

Back 37

fracture

Front 38

pain in the same direction=

Back 38

capsule and ligaments

Front 39

pain in the opposite direction

Back 39

Muscles, soft tissue & tendons

Front 40

________ exercises increase speed

Back 40

Plyometric

Front 41

Appropriate exercises for Lateral epicondylitis would include

Back 41

Wrist extension
Radial deviation
Supination

Front 42

Exercises in chronic stage for Tendinopathy should focus on...

Back 42

Eccentric exercises

Front 43

Posterolateral rotatory elbow instability - Kaltenborn's scale grade

Back 43

4 or 5 (6= dislocation)

Front 44

Medial epicondilitis would affect/ we should work on

Back 44

Wrist flexion, ulnar deviation, pronation (eccentric in chronic)

Front 45

Increased constant pain in all directions=

Back 45

Fracture (radial neck fracture)

Front 46

Nocturnal pain on dorsum of wrist, thum, and web space i usually a sign of

Back 46

PIN/ Radial tunnel syndrome

Front 47

An appropriate exercise in the acute stage of radial tunnel syndrome could be

Back 47

exercise to increase Circulation on the supinator

Front 48

An appropriate exercise in the acute stage of Pronator teres syndrome could be

Back 48

Exercise to improve circulation- Pronation (from neutral to pronation)

Front 49

An appropriate focus for Osteochondritis Dissecans is...

Back 49

...strengthening of the medial aspect to avoid compression on lateral side

Front 50

Pain in medial side of elbow, weak/painful flexion.
Possible pathologies:

Back 50

-Medial epicondylitis
- ulnar nerve entrapment
- Pronator teres syndrome
- UCL Sprain

Front 51

lateral side of elbow pain, weak grasp, pain with wrist an finger extension.
Possible pathologies:

Back 51

-Lateral epicondylitis
-Posterolateral rotatory elbow instability
-Posterior interosseous nerve/ radial tunnel syndrome

Front 52

Humeroulnar Distraction (Flexion) Indication

Back 52

Increase Flexion

Front 53

Humeroradial Distraction Indication

Back 53

Increase Mobility of elbow

Front 54

Humeroulnar Distraction (extension) Indication

Back 54

Increase extension

Front 55

Proximal radioulnar dorsal glide Indication

Back 55

Increase pronation

Front 56

Proximal radioulnar volar glide Indication

Back 56

Increase supination

Front 57

Distal radioulnar dorsal glide
Indication

Back 57

Increase supination

Front 58

Distal radioulnar volar glide Indication

Back 58

Increase pronation

Front 59

Humeroradial Dorsal Glide Indication

Back 59

Increase extension

Front 60

Humeroradial Volar glide Indication

Back 60

Increase Flexion