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48 Cards in this Set
- Front
- Back
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Goniometry Arm Flexion |
Pt. position: supine- knees flexed axis: lateral g. tubercle prox: mid axillary line thorax distal: lateral epi Nor 0-180 |
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Goniometry Arm Abduction |
Pt. Position: supine knees flexed Axis: anterior acromion Prox: parallel to middle sternum Distal: med epi Norm: 0-180 |
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Goniometry IR/ER Shoulder |
Pt Position: supine- towel distal arm Axis: olecranon Prox: parallel to floor Distal: ulnar styloid reference Norm IR 0-60 [90] Norm ER 0-80 [90] |
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Extension |
Pt. Position: Prone Axis: lat greater tubercle Prox: mid axillary Distal: lat epi Norm: 0-60 |
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MMT Anterior Deltoid |
Position: Sitting shoulder flex ER Fixation: shoulder girdlescapula Force: down and back |
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MMT Middle Deltoid |
Position: Sitting 80 abd, neutral rotation Force into adduction No fixation |
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MMT Posterior Deltoid |
Position: sitting; abd with ext and slight IR Force into adduction and flexion Fixation at shoulder girdle |
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MMT Coracobrachilas |
Position: sitting Elbow flexed/supinated Force into extension and abduction |
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MMT Pec Major [sternal] |
Position: supine 50 flex add/IR Fixation Opposite ASIS Pressure: obliquely in lateral and cranial direction |
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MMT Pec Major Clavicular |
Position: supine 90 flex; slight add/IR Fixation: opposite shoulder Pressure: at forearm, Resisting horizontal adduction |
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MMT Pec Minor |
Position: supine, protraction of shoulder, arm at side Pressure: against ant. shoulder in direction of table |
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MMT Supraspinatus |
Position: sitting C spine lat flex toward, rot away, arm in 90 abd w/ slight flex/ER Pressure: in a downward direction |
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MMT External Rotators [infraspinatus, teres minor] |
Position: prone, arm on table at 75 degrees ER elbow flexion 90 Push into internal rotation |
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MMT Subscapularis |
Position: prone arm on table 45 degrees IR elbow 90 flex Pressure at wrist pushing into external rotation Fixation: at elbow, towel under arm |
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MMT Latissimus Dorse |
Testing: prone, shoulder in ext, add, IR Fixation: opposite side of trunk Pressure: wrist toward the floor |
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MMT Rhomboids |
Position: prone 90 degrees abd, full IR [thumb down] Fixation: opposite side of trunk Pressure in direction toward floor |
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MMT Middle Trap |
Position: prone 90 degrees abd, full ER [thumb up] Fixation: opposite side of trunk Pressure: distal forearm towards the floor |
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MMT Lower TRap |
Position: prone 125 degrees abd, full ER [thumb up] Fixation: opposite side of trunk Pressure: at distal forearm toward the floor |
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MMT Serratus Anterior |
Position: supine, 90 shoulder flex, elbow ext Pressure directed downward against pt's fist |
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Anterior Apprehension |
Shoulder stability supine Elbow 90 degrees flexion & abduction Passively ER shoulder while applying anterior force to humeral head Positive: apprehension |
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Relocation |
shoulder stability Supine elbow at 90 degrees flexion, 90 abduction passively ER while applying stabilizing force to anterior aspect of the shoulder Positive: reduced apprehension |
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Posterior Apprehension Test |
Shoulder Stability Supine Flex shoulder 90 Posterior force through the elbow horizontally adduct and internally rotate shoulder |
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O'Brien's |
Labral Standing/sitting 90 shoulder flex, 10-15 hz add, full elbow ext, internal rotation & pronation [thumb down] Push downward at rist Positive: pain, clicking grinding |
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Clunk |
Labral Supine Shoulder abd 145 anterior force to humeral head with ER of humerus Positive: clunk, clicking, grinding |
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drop arm test |
Partial/Complete tear of RTC sitting/standing Shoulder 90 abd Pt. slowly lowers arm Positive: uncontrolled decent |
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Neer |
Impingement Sitting/standing Passively elevate pt. arm in scapular plane w/ full IR stabilize at scapula Positive: pain to subacromial region at end range |
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Cross Arm |
AC joint integrity Sitting/ standing 90 shoulder abd Examiner passively/forcibely move arm into hz add across body Positive pain at AC |
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Sheer |
AC joint intergrity Sitting/standing Cup hands over clavicle/post shoulder & squeeze Positive: pain at AC |
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Speeds |
Long head biceps Sitting/standing 90 shoulder flex, elbow ext, forearm sup Don't let pt. move into flexion Positive: pain in bicipital groove [repeat in pronation--should decrease S/S] |
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Yeargasons |
Long Head Biceps Sitting/standing Elbow flexed 90 pronated have pt. do supination & ER Positive pain/popping over long head |
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Goniometry Elbow Extension/Flexion |
Radial Styloid Lateral Epicondyle Midshaft Humerus Norm: 10-0-150 towel under arm |
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Goniometry Pronation |
Prox: midshaft humerus Distal: forsal forarm prox radial & ulnar styloid processes Axis: lateral to ulnar styloid Norm: 0-70-80 |
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Goniometry Suppination |
Nrom: 0-80-90 Prox: midshaft humerus Distal: anterior forarm prox radial & styloid processes Axis: medial to ulnar styloid process |
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Capsular Pattern UH & RH |
Flexion>Extension |
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Capsular Pattern RU |
Pronation=supination |
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MMT Biceps Brachii and Brachialis |
Postion: elbow flexion <90 supination Pressure: pull into extension |
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MMT Brachioradialis |
Forarm in neutral Pressure pull into extension |
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MMT Triceps Brachii |
Supine shoulder <90 flex and slight elbow flex Fixation: stabilize humerus Pressure: distal 3rd forarm into elbow flexion |
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MMT Pronator Teres |
supine/sitting w/ partial elbow flexion twist into supination |
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MMT Pronator Quadratus |
Elbow fully flexed twist into supination |
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Cozen's Test |
Lateral Epicondylitis Pt. makes fist, pronates forarm, and extends wrist [RESIST THIS MOTION] + pain |
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Mill's Test |
Lateral Epicondylitis Palpate Lat. epicondylitis Pt. Passively extends elbow, pronates, flexes wrist and finger + pain to lateral epicondyle & extensor wad |
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Maudsley |
Lateral epicondylitis Resist extension of middle finger distal to PIP |
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Golfer's Elbow Test |
Palpate medial epicondyle Passively extend elbow, supinate, extend wrist and fingers |
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Tinel's Sign |
Ulnar Nerve Table Ulnar nerve + numbness/tingling |
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Wartenberg |
Ulnar N. Passively outspread fingers and ask pt to close them + can't close them |
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Elbow Flexion Test |
Cubital Tunnel Ulnar Nerve Flex elbow and fully extend wrist with scap retraction and depression HOLD for 3 minutes + numbness/ tingling |
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Froment's |
Ulnar nerve Grasp paper and try to pull from pt. fingers + terminal phalanx of thumb flexes |
