applied anatomy exam 1-hip Flashcards
def osteokinematics
motions distal to the aspect that moves
3 types of arthrokinematics
roll: will continue unless stopped
glide: usually with a role
spin: rotates w/o the object moving across a distance
concave & convex rule with roll/glide
concave: same direction
convex: opposite direction
what are the 3 parts of contractile tissue in the body
muscle belly, tendon, tendoperiosteal junction
7 steps of orthopedic exam
observe, AROM, PROM, RROM, mobility test, palpation, special tests
P/R1
when patient feels resistance or pain
P/R2
when movement is stopped due to pain or resistance
examples of abnormal end feels
springy, empty, spongy
4 types of resisted testing that can be done
gross muscle testing, MMT, contractile unit testing, myotomal (nerve testing for 6 seconds and repeat)
what are the 4 options for CUT that a patient should be asked
strong/weak/painful/painless
if a patient has pain w/ CUT should the next step be to perform MMT
no b/c pain causes MMT to not be valid so don’t do them
what are the 4 parts of palpation
TART
texture, asymmetry, restriction, tender
def hyperalgesia
putting pressure on the patient creates a larger than expected amount of pain
if active movement is limited in the same direction or painful what could the cause of the problem be
inert, agonist contractile or antagonist contractile issue
if passive movement is limited in the same direction or painful what could the cause of the problem be
could be inert or antagonist contractile
what’s an example of gross muscle testing
see if patient can get out of a chair on their own- very generalized test with no real way to measure
what kind of testing should be done first in an exam
CUT b/c see if pain exists with movement before continuning
what finding of the CUT would indicate wanting to do MMT and/or myotomal nerve testing
weak and painless
how long should a CUT movement be held for
5-6 seconds at submax force
what is the main physiological purpose of CUT
isolate muscles and help indicate what part of the contractile tissue may be the problem
what is a break test
MMT w/ maximal force applied to see how strong the patient is
if the patient can’t do AROM against gravity, what do you do
place them in a gravity lessoned position and see if the score is a 2- or 2+
what may a 0/5 MMT indicate
complete tear or neurological problem since there is 0 movement happening
what 4 MMT should be done in seated position for gravity position
hip flexion, ER, IR, sartorius
