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USA Term 2 > Applied 2 > Flashcards

Applied 2 Flashcards

1
Q

What is the procedure for Thoracolumbar Flexion (Tape Measure)?

A

Get initial measure from C7 - S2, Patient flexes and record new measurement and subtract from original

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2
Q

What is the normative Value for Thoracolumbar Flexion (Tape Measure)? And End-feel?

A

6 - 7cm

(No end-feel)

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3
Q

What is the procedure of Thoracolumbar Flexion (Fingertip to Floor)?

A

Have patient bend down and touch the floor with arms extended, use the tape measure to measure how far they are from the floor

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4
Q

What is the normative value for Thoracolumbar Flexion (Fingertip to Floor)? And End-feel?

A

0 - 2 cm

(No end-feel)

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5
Q

What is the procedure of Thoracolumbar Lateral Flexion (Fingertip to Floor)?

A

Measure patients finger tips to floor, have patient laterally flex and record the new measurement and subtract from original

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6
Q

What is the normative value for Thoracolumbar Lateral Flexion (Fingertip to Floor)? And End-feel?

A

Teacher said- No Normative Value
(Book says 20-22cm)

No end-feel

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7
Q

What is the procedure for Thoracolumbar Rotation (Goniometer)? (What is Joint axis, stationary and moving arm?)

A

Have the patient sitting upright, and have them rotate trunk without moving shoulders

Axis: Center of Patient’s head
Stationary: Iliac Crest
Moving: Acromion

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8
Q

What is the normative value for Thoracolumbar Rotation (Goni)? And End-feel?

A

45°

Firm end-feel

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9
Q

What is the procedure for Lumbar Flexion (Dual Inclinometer)?

A

Center inclinometer on S2 and 15cm above it, and ZERO THEM OUT.
Follow the motion and remember both measurements and subtract

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10
Q

What is the normative value for Lumbar Flexion (Dual Inclinometer)? And End-feel?

A

60°

No end-feel

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11
Q

What is the procedure for Lumbar Extension (Dual Inclinometer)?

A

Center inclinometer on S2 and 15cm above it, and ZERO THEM OUT.
Follow the motion and remember both measurements and subtract

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12
Q

What is the normative value for Lumbar Extension (Dual Inclinometer)? And End-feel?

A

25°

No end-feel

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13
Q

What is the procedure for Lumbar Lateral Flexion (Dual Inclinometer)?

A

Center inclinometers FLAT on the back on S2 and 15cm above it.
Follow the motion and remember both measurements and subtract

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14
Q

What is the normative value for Lumbar Lateral Flexion (Dual Inclinometer)? And End-feel?

A

25°

No end-feel

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15
Q

What is the procedure for Hip Flexion (Goni)? What is Joint axis, stationary and moving arm?

A

Patient is supine, bring knees to chest, as soon as pelvis moves anteriorly stop to measure

Axis: Greater Trochanter
Stationary: Lateral Midline of pelvis and trunk
Moving: Lateral midline of femur

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16
Q

What is the normative value for Hip Flexion (Goni) and what is the end-feel?

A

120°

Soft End-feel

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17
Q

What is the procedure for Hip Extension (Goni), What is Joint axis, stationary and moving arm?

A

Patient is prone, and bring one leg up with knee extended as far as possible

Axis: Greater Trochanter
Stationary: Lateral Midline of pelvis
Moving: Lateral midline of femur

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18
Q

What is the normative value for Hip Extension (Goni) and what is the end-feel?

A

20°

Firm End-feel

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19
Q

What is the procedure for Hip Abduction (Goni), What is Joint axis, stationary and moving arm?

A

Patient is supine, palpate for ASIS landmarks, and palpate them throughout the test. Abduct on leg towards therapist, stop measuring when the pelvis moves

Axis: Ipsilateral ASIS
Stationary: Parallel to both ASIS
Moving: Anterior to leg towards patella

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20
Q

What is the normative value for Hip Abduction (Goni), and what is the end-range?

A

45°

Firm-Capsular end-feel

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21
Q

What is the procedure for Hip Adduction (Goni), What is Joint axis, stationary and moving arm?

A

Patient is supine

Axis: Ipsilateral ASIS
Stationary: Parallel to both ASIS
Moving: Anterior to leg towards patella

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22
Q

What is the normative value for Hip Adduction (Goni), and what is the end-range?

A

30°

Firm-Capsular end-feel

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23
Q

What is the procedure for Hip External Rotation, What is Joint axis, stationary and moving arm?

A

Patient is sitting on table, PLACE ROLLED TOWEL UNDER KNEE, and move lower leg towards opposite leg

Axis: Midpoint of patella
Stationary: Perpendicular to floor
Moving: Midline of tibia

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24
Q

What is the normative value for Hip External Rotation (Goni), and what is the end-feel?

A

45°

Firm-Capsular End-feel

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25
Q

What is the procedure for Hip Internal Rotation (Goni), What is Joint axis, stationary and moving arm?

A

Patient is sitting on table, PLACE ROLLED TOWEL UNDER KNEE, and move lower leg outward

Axis: Midpoint of patella
Stationary: Perpendicular to floor
Moving: Midline of tibia

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26
Q

What is the normative value for Hip Internal Rotation, and end-feel?

A

45°

Firm-Capsular End-feel

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27
Q

What are the grades for Elevation of Pelvis (MMT)?

A

(5) Patient was able to hold against max resistance
(4) Patient was able to hold against strong resistance
_______________________________________________________
(3) Patient completes the motion without resistance
(2) Patient completes partial motion
(1) Palpate Quadratus Lumborum for contraction, no movement
(0) No contraction or movement

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28
Q

What is the procedure for Elevation of Pelvis (MMT)?

A

Patient is Supine (Can be prone)
-Patient hikes the pelvis on one side
-Therapist grabs that side with both hands above the ankle and pulls caudally
(Patient can hold the table at the sides)

29
Q

What do you do below a grade 3 for Elevation of Pelvis?

A

Nothing keep patient in same position
(3) Patient can complete the ROM without resistance
(2) Patient completes partial ROM
(1) Palpate Quadratus Lumborum

30
Q

What are the main muscles being tested in the Elevation of Pelvis MMT?

A

External and Internal Abdominal Oblique, and QL

31
Q

What is the procedure for Trunk Flexion (MMT)?

A

Patient is supine with hands behind ears
-Patient flexes trunk through ROM, clearing the scapulae; neck should NOT be flexed
-Patient holds for 6 seconds

32
Q

What are the grades for Trunk Flexion (MMT)?

A

(5) Patient was able to hold position with their hands behind their ears
(4) Patient was able to hold position with their arms crossed over their chest
(3) Patient was able to hold position with their arms stretched over plane of body (At the sides)
(2) and (1) The Patient is supine with arms at their sides, knees flexed, and palpate their abs, patient will raise head and cough

33
Q

What are the main muscle for Trunk Flexion?

A

Rectus Abdominus, External and Internal Abdominal Oblique

34
Q

What is the procedure for Trunk Rotation (MMT)?

A

The patient is supine with their hands behind their ears
-Patient has chin pointed to the ceiling, flexes trunk and rotates to one side, shoulders should NOT adduct
-Patient holds for 6 seconds

35
Q

What are the grades for Trunk Rotation (MMT)? (Grade 3-5)

A

(5) Patient was able to hold position with their hands behind their ears
(4) Patient was able to hold position with arms crossed over their chest
(3) Patient was able to hold position and clear the scapula off the table with arms outstretched above the plane of body

36
Q

What do you do below grade 3 for Trunk Rotation?
(lot of info)

A

(2) The patient is still in supine, with their arms outstretched, Palpate the external oblique and palpate the internal oblique on the opposite side of the trunk.
Instruct patient: “keep your chin pointed to the ceiling while you lift your head, reach toward your right knee”
(Patient is unable to clear the inferior angle of the scapula from the table on the side of the external oblique being tested)
(1) The patient is supine with their arms at sides, hips flexed with feet flat on the table, support the patient’s head as they attempt to turn to one side while palpating Internal Oblique on the side the patient turns
*Instruct patient:”Try to lift up and turn to your right”
(The therapist can see or palpate contraction)
(0) No discernable muscle contraction from oblique internus or externus muscles

37
Q

What is the procedure for Lower Abdominals (MMT)?

A

Patient is supine lying with pillow under head, passively bring patients hips with the knees extended into 90° of flexion while stabilizing their ASIS, let go of their feet and have the patient slowly lower their legs, stop when the patient goes into anterior tilt.

38
Q

What is the grading for Lower Abdominals?

A

(5) 0°-15°
(4+) 15°-30°
(4) 30°-45°
(4-) 45°-60°
(3+) 60°-75°
(3) 75°-90°
>90° (Bad/Poor)

39
Q

What muscles are being tested for Lower Abdominals?

A

Rectus Abdominus, and Transverse abdominals

40
Q

What is the procedure for Back Extensors (MMT)

A

The patient is in prone with their hands behind their ears, Patient extends the lumbar spine until the entire trunk is raised from the table, patient clears umbilicus, therapist stabilizes the patients legs and patient holds this position for 6 seconds

41
Q

What are the grades for the Back Extensors?

A

(5) Patients was able to hold position
(4) Patient raises trunk to horizontal level with obvious effort
(3) Completes ROM
(2) Completes partial ROM
(1) Contractile activity is detectable

42
Q

What are the muscles being tested for the Back Extensors MMT?

A

iliocostalis, Longissimus, Spinalis, Semispinalis, multifidi, QL, rotatores

43
Q

What is the procedure for Hip Flexion MMT?

A

Have the patient sit over the edge of the table with legs hanging and hands flat on the table, the patient will lift the thigh off the table and PT will apply force in a downward direction

44
Q

What do you do below a grade 3 for Hip Flexion MMT?

A

(3) Patient completes ROM and holds without resistance
(2) Patient completes ROM in sidelying position
(1) The patient is in supine, palpable contraction but no movement

45
Q

What muscles are being tested for Hip Flexion MMT?

A

Psoas Major, and Iliacus

46
Q

What is the procedure for Hip Flexion, Abduction and ER with knee Flexion (Sartorius) MMT?

A

Patient is sitting over the edge of the table and legs hanging, hands flat on the table, patient then flexes their hip, abducts, and externally rotates while maintaining knee flexion
- PT applies pressure with both hands, resisting hip flexion and abduction (with the proximal hand), and hip external rotation and knee flexion (with the distal hand)

47
Q

What do you do below a grade 3 for Hip Flexion, Abduction, and ER with Knee Flexion (Sartorius)?

A

(3) Patient completes full ROM and holds position without resistance
(2) Patient is supine, patient slides test heel upward along shin to knee
(1) Patient is supine, PT feels for muscle contraction

48
Q

What is the procedure for Hip Extension MMT?

A

Patient is prone with arms at side, patient extends hip as far as possible, PT provides resistance

49
Q

What do you below a grade 3 for Hip Extension?

A

(2) Patient is sidelying, knee is straight, and supported by therapist, completes ROM
(1) Patient is prone and palpates contraction

50
Q

What muscle is being tested in Hip Extensor MMT?

A

Glute Max, and Hammies

51
Q

What is the procedure for Hip Abduction MMT?

A

Patient is sidelying and the hip is slightly extended and the pelvis is slightly forward, opposite leg flexed for stability, patient abducts through available ROM without flexing the hip or rotating it in either direction

52
Q

What do you do below grade 3 for Hip Abduction?

A

(2) Patient is supine and completes ROM without resistance
(1) Palpable contraction on Glute Med.

53
Q

What muscles are being tested for Hip Abduction?

A

Glute Med. and Glute Min.

54
Q

What is the procedure for Hip Abduction from Flexed Position MMT?

A

Patient is sidelying, with leg flexed to 45° and opposite leg slightly flexed, patient abducts hip though approximately 30° of motion, add resistance above the knee and stabilizing hand on ilium

55
Q

What do you do below a grade 3 for Hip Abduction from flexed position?

A

The patient is long-sitting position (Legs extended and trunk is upright), with hands placed behind body, trunk may be leaned back up to 45°from vertical.
(2) Patient completes abduction motion to 30°
(1) Palpable contraction of Tensor Fascia fibers but no limb movement

56
Q

What muscle is being tested for Hip Abduction from flexed position?

A

Tensor Fascia Latea

57
Q

What is the procedure for Hip Adduction MMT?

A

Patient is sidelying, legs on top of each other, patient adducts hip until the lower limb contracts the upper core, apply pressure above knee

58
Q

What do you do below grade 3 for Hip Adduction?

A

(2) Patient is supine and adducts limb through full ROM
(1) Patient is supine, and PT feels for palpable contraction

59
Q

What muscle is being tested for Hip Adduction?

A

Adductors, Pectineus, and Gracilis

60
Q

What is the procedure for Hip External Rotation MMT?

A

Patient is sitting over the edge of the table and legs hanging, hands flat on table, patient moves lower leg inwards (ER)

61
Q

What do you do below grade 3 for Hip External Rotation?

A

(2) Patient is supine and completes full ROM with no resistance, patient “Rolls leg out”.
(1) Patient is supine, and leg is place into Internal Rotation and attempts to externally rotate

62
Q

What muscles are being tested for Hip External Rotation MMT?

A

Obturator Internus/Externus, Quadratus Fem., Piriformis, Superior/Inferior Gemellus, Glute Max.

63
Q

What is the procedure for Hip Internal Rotation MMT?

A

Patient is sitting over the edge of the table with legs hanging, and hands flat on the table, patient moves their lower leg outwards, therapist adds resistance above the lateral malleolus

63
Q

What do you do below a grade 3 for Hip Internal Rotation?

A

(2) Patient is supine and completes full ROM with no resistance
(1) Patient is supine and the leg is placed in external rotation and attempts to internally rotate

64
Q

What muscles are being tested in Hip Internal Rotation MMT?

A

Glute Med., Glute Min., and TFL

65
Q

What is the Procedure for Thomas Test MLT?

A

Firstly, the patient will bring their opposite knee towards their chest and hold in place, therapist will assist patient lowering back into table.
- If their testing leg (thigh) is off the table their psoas is tight.
- If their leg is flexed and externally rotates, their sartorius is tight
- After bend the patients knee, normal is 80° to check for Rectus Femoris, check for compensation, common compensation is when bending the knee the thigh comes off the table
- Lastly, place the patients leg into 30° of knee flexion and adduct the leg if the knee straightens IT band is tight

66
Q

What is the procedure for Straight Leg Raise MLT?
What muscles are being tested?

A

Patient is in supine and both legs are in neutral (Full extension)
- Lift the leg closest to you and stabilize other leg
- Lift the leg until you feel an end-feel and the normal is around 80°

  • Testing for Hammies
67
Q

What is the procedure for Standard Ober MLT?
What is being tested?

A

Patient is in sidelying, the patients knee is bent to 90°, Stabilize at the pelvis and slowly lower the patients leg (adduct leg 10°past midline)

  • Testing IT band and TFL
68
Q

What is the procedure for Modified Ober MLT?
What is being tested?

A

Patient is in sidelying, the patient knee is fully extended, stabilize the pelvis.
Adduct their leg until you feel their pelvis move, stop there.

  • Testing for IT band and TFL

USA Term 2 (45 decks)

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