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27 Cards in this Set

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Atlanto-occiptal is which kind of joint? How many degrees of freedom?

-Plane Synovial




-3 degrees (flex/ext;lat. flex.; axial rotation)

Approx. ____ % of the cervical range occurs in the median antlantoaxial joint.

-55%.

AA joint has how many degrees of freedom?

3.

How many degrees of AA rotation?

0-45 degrees.

ROM Cervical Spine and end-feels:




Flexion:




Extension:




Lateral Flexion:



0-45




0-45




*All Firm

Mean for tape measure flexion?




Lateral Flexion?







1.0-4.3 cm




10.7 to 12.9 cm



Inclinometer placement for cervical flexion, extension, and lateral flexionRo.

-T-1 and top of the head.




*Extension spine of scapula

Goniometer placement for cervical flexion/extension?




F:


P:


D:

-Auditory Meatus


-perp. to floor.


-Base of nares.

ROM for cervical rotation?




F:


P:


D:




Inclinometers?

0-60.




-Cranial aspect of head


-Imaginary line between acromion processes


-Tip of the nose.




*Prone with one on forehead.

Combined flexion and extension is greater between which vertebra?




Which vertebra has best flexion?

-L4 to L5




-L5 to S1.

How much lumbar flexion needed to:?




-stand to/ from sit:




-Putting on socks:




Picking up objects from floor:

35




56




60 degrees.

ROM for thoracolumbar and end-feel.




-Flexion:


-Extension:


-Lateral Flexion:


-Rotation:

0-80




0-25




0-35




0-45




*All firm

Tape Measure method for thoracolumbar:




Landmarks?




Avg. distance difference?

C7 and S2.




-4 inches.

Inclinometer placement for thoracolumbar movements?




Goni placement for lat. flexion?


F


P


D

-T1 and S2.




-S2


-Perp. to floor


-C7 spinous process





Goni placement for thoracolumbar rotation?




F


P


D

-Cranial aspect of head




-Parallel to imaginary line between tubercles of iliac crest.




-Imaginary line between acromial process.

Inclinometer placement for lumbar movements?

T12 and S2.

What is the test called for tape measuring lumbar flexion/ extension?




How is it done?

-Modified-Schober Test




-Mark on sacrum at level of PSIS then 15 cm above it. Have them go through movement and measure difference.

Manual muscle testing is used the?




Based on movement against? and the patients?

-Break Test




-Gravity




-Available ROM

Where do you stabilize for MMT?




Where do you generally add resistance for 2 joint muscle?




Where do you generally add resistance for 1 joint muscle?

-Proximal Part.




-Midrange




-End Range

Which are do you want to avoid during MMT?

-The muscle belly

Subjective Factors for assigning muscle grade?




Objective Factors for assigning muscle grade?

- Amount of resistance to give and amount pt. can tolerate.




-Patients ability or inability to complete ROM or move against gravity.

Grading System:




0


1


2


3


4


5

-Zero (no activity)


-Trace Activity (T)


-Poor (P)


-Fair (F)


-Good (G)


-Normal (N)

Greater functional loss between grades __ and __?





3 and 5.





Grade ____ represents "functional threshold" for many movements.

-Grade 3.

Plus and Minus grades are discouraged except for which grades?

2 for plantar flexors




2 for partial ROM in horizontal plane.

Severe weakness of ______ muscle group combined with laryngeal and pharyngeal weakness can occlude the airway and impair swallowing.

-Capital Extensos.

Cervical extension is usually restricted by?

Anterior Atlanto-axial ligament.