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29 Cards in this Set
- Front
- Back
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cervical spine normal ROM for flex, ext, lat flex, and rot |
0-45 degrees for flex, ext, lat flex 0-60 degrees for rotation |
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thoracic and lumbar spine normal ROM for flex, ext, lat flex, and rot |
0-80 flexion, 0-30 extension, 0-40 lateral flexion, 0-45 rotation |
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shoulder normal ROM for flex, ext, int. and ext. rot |
flexion 0-170, ext 0-60 int. rot 0-60 or 70, ext. rot. 0-80 or 90 |
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shoulder normal ROM for abd/add and horizontal abd/add |
abduction 0-170, adduction 0 horizontal abd. 0-40, horizontal add. 0-130 |
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elbow normal ROM for flexion and extension |
flexion 0-135/150 extension 0 |
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forearm normal ROM for pronation and supination |
pronation & supination- 0-80/90 |
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wrist normal ROM for flexion, extension, ulnar deviation and radial deviation |
flexion 0-80 extension 0-70 ulnar dev- 0-30 radial dev- 0-20 |
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thumb normal ROM for DIP flexion, MP flexion, adduction, abduction, extension, opposition |
DIP flexion: 0-80/90 MP flexion: 0-50 Adduction: 0 Palmar abduction: 0-50 Extension: 0-50 opposition: composite motion |
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Finger ROM for MP flex/ext, PIP flex, DIP flex, abduction |
MP flexion: 0-90 MP extension: 0-15-45 PIP flexion: 0-110 DIP flexion: 0-80 Abduction: 0-25 |
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Hip normal ROM for flexion, extension, abduction, adduction, int & ext rotation knee flexion normal ROM |
flexion: 0-120 (bent knee) extension: 0-30 abduction: 0-40 adduction: 0-35 int & ext rotation: 0-45 knee flexion: 0-145 |
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ankle & foot normal ROM for plantar flexion, dorsiflexion, inversion and eversion |
plantar flexion: 0-50 dorsiflexion: 0-15 inversion: 0-35 eversion: 0-20 |
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Muscle Testing Grading System 0, 1, 2-, 2, 2+, 3-, 3, 3+, 4-, 4, 5 |
0 no tension palpated in mm. or tendon 1 trace, tension palpated but no motion in joint 2- moves less than full ROM in gravity elim plane 2 moves through full ROM in gravity eliminated 2+ takes min resistance in gravity elim plane 3- moves less than full ROM against gravity 3 moves thru full ROM against gravity, can't take resistance 3+ can take min resist against gravity 4- takes less than mod resist against gravity 4 takes mod resist against gravity 5 takes max resist against gravity |
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Test for Grip Strength- what tool used? what position? how to test? what to use for arthritis? |
dynamometer- shoulder adducted to side, elbow flex to 90, forearm in neutral mean of 3 trials of each hand is compared to the norms one trial in all 5 positions for each hand. use vigorometer/bulb dynamometer to evaluate the grip strength for person w/ arthritis |
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edema, pitting v. brawny? how to evaluate? |
pitting edema- acute, brawny- chronic can evaluate circumference by using tape measure, compare extremities. to measure the entire hand- figure 8 method is the most accurate can evaluate hand and arm mass with volumeter, only true objective tool, a significant change in edema would be more than 10 mL |
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how to test sensation for spinal cord injuries? for peripheral nerve injuries? for neurological disorders? |
SCI- test proximal to distal following dermatome pattern peripheral n. injuries- test distal to proximal following the peripheral nerve neurological disorders- assess dermatome pattern |
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Codman's exercise |
common form of PROM used for post surgical shoulder patients. pendulum swings with body bent over and arm hanging down |
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increasing strength vs. endurance |
strength : high resistance, low repetitions endurance : work at 50% max resistance or less, increase repetitions and duration, not resistance |
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when is elevation for edema contraindicated? |
if the individual has circulation problems |
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when are manual edema mobilization and retrograde massage contraindicated? |
when cardiac edema is present |
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resting hand splint position: functional position |
wrist 20-30 degrees extension MCPs 30-45 degrees flexion IPs 0-20 flexion (slight flexion) thumb abducted/opposed |
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safe position splint: aka intrinsic plus or anti-deformity splint |
wrist 20-30 extension MCPs 70-90 flexion IPs extended thumb abducted and extended |
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brachial plexus injury- what kind of splint? |
flail arm splint- provides stability at shoulder and elbow. arm slightly abducted, elbow bent to 90 degrees, abduction pillow to support forearm and keep in position |
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precautions and contraindications for heat |
don't use with MS, postsurgical repairs, acute injuries, impaired sensation, impaired vascular suppy |
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precautions and contraindications for cryotherapy (cold temps) |
sensory deficits including hypersensitivity, impaired circulation, Raynaud's phenomenon |
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benefits of E-stim |
pain control, decreases swelling, stimulates and strengthens mm., mm. reeducation, stimulates denervated mm. |
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contraindications for electrical stimulation |
cardiac pacemaker, phrenic or urinary bladder stimulators, thrombosis or thrombophlebitis, do not do e-stim over carotid sinus (on sides of neck) |
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ultrasound- continuous vs. pulsed and benefits |
continuous has thermal effects- increases tissue extensibility (increase ROM, decrease joint stiffness), reduces pain, increases blood flow and permeability, reduces mm. spasms, reaches deeper tissues (up to 5 cm) pulsed has nonthermal effects- decreases inflammation, heals tissue |
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contraindications of ultrasound |
active malignant tumor, pregnancy, area near pacemaker, some joint replacements, thrombophlebitis precautions for fractures, growth plates, breast implants |
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general contraindications for PAMs |
do not use if a person has: cancer, pacemaker, pregnancy, cognitive impairment, sensory impairment, vascular impairment, deep vein thrombophlebitis |
