Comp 2/3: Palpation, ROM/Barriers/Goniometer

Question 1

End Feel

Answer 1

Palpatory experience or perceived quality of motion when a joint is moved to its limit (barrier is approached)
Abnormal: early/late muscle spasm, soft/hard capsular

Question 2

Somatic Dysfunction

Answer 2

Impaired or altered function of related components of the somatic system: skeletal/arthrodial/myofascial structures, and vascular/lymphatic/neural elements
Diagnose with TART
Named for “where they like to live”/position of ease

Question 3

TART

Answer 3

Texture/Tissue changes
Asymmetry
Restriction/Range of Motion
Tenderness

Question 4

AROM

Answer 4

Requires patient to use their own muscles (agonists/antagonists) to achieve desired motion
Less than PROM because both sets of muscles are in use

Question 5

PROM

Answer 5

Does NOT require participation of the patient
Patient should be completely relaxed so NO muscles are in use (no muscular restrictions, only ligaments)
Greater than AROM

Question 6

Linkage

Answer 6

Dysfunctional segmental behavior where a single vertebra and adjacent rib respond to same regional motion tests with identical symmetric behaviors (rather opposing behaviors), suggesting viscera; reflex inputs

Question 7

Anatomic Barrier

Answer 7

Limit of motion imposed by anatomic structure, just beyond PROM limit
Point past which tissue disruption occurs

Question 8

Physiologic Barrier

Answer 8

Limit of active motion, can increase by warm up activities

As far as you can go by yourself

Question 9

Restrictive Barrier

Answer 9

Functional limit within anatomic range of motion, which abnormally diminishes normal ROM
Can’t achieve full range of motion due to muscle contraction, tight ligament, etc.

Question 10

Elastic Barrier

Answer 10

Range between physiologic and anatomic barrier of motion in which passive ligamentous stretching occurs before tissue disruption
Stretch between active and passive ROM
Area that a “warm up” affects

Question 11

Active flexion at hips

Answer 11

Lumbar flexion: 40-90

Question 12

Active extension at the hips

Answer 12

Lumbar Extension: 20-45

Question 13

Active sidebending at the waist

Answer 13

Lumbar Sidebending Left: 15-30

Lumbar Sidebending Right: 15-30

Question 14

Passive rotation of the cervical spine

Answer 14

Cervical rotation PROM-LEFT: 70-90
Cervical rotation PROM-RIGHT: 70-90
Whole motion (R-L): 140-180

Question 15

Passive sidebending of the cervical spine

Answer 15

Cervical sidebending PROM-LEFT: 20-45
Cervical sidebending PROM-RIGHT: 20-45
Whole Motion (R-L): 40-90

Question 16

Passive flexion/extension of the cervical spine

Answer 16

Flexion (chin to chest): 45-90
Extension: 45-90
Whole motion (F-E): 90-180

Question 17

Active shoulder flexion/extension

Answer 17

Left arm flexion: 180
Left arm extension: 60
Right arm flexion: 180
Right arm extension: 60
Whole motion: 240

Question 18

Active shoulder abduction

Answer 18

Abduction of LEFT arm: 180

Abduction of RIGHT arm: 180

Question 19

Active shoulder horizontal abduction/adduction

Answer 19

Right arm horizontal adduction AROM: 40-50 or 130-140
Right arm horizontal abduction AROM: 130-145 or 40-55
Left arm horizontal adduction AROM: 40-50 or 130-140
Left arm horizontal abduction AROM: 130-145 or 40-55

Question 20

Active shoulder internal and external rotation

Answer 20

Right arm, external rotation, AROM: 90
Right arm, internal rotation, AROM: 70-90
Left arm, external rotation, AROM: 90
Left arm, internal rotation, AROM: 70-90

Question 21

Active elbow flexion and extension

Answer 21

Right arm flexed AROM: 140-150
Right arm extended AROM: 0-5
Left arm flexed AROM: 140-150
Left arm extended AROM: 0-5

Question 22

Forearm, supination and pronation

Answer 22

Right forearm, pronation, AROM: 90
Right forearm, supination, AROM: 90
Left forearm, pronation, AROM: 90
Left forearm, supination, AROM: 90

Question 23

Active wrist flexion and extension

Answer 23

Right wrist, flexion AROM: 80-90
Right wrist, extension, AROM: 70
Left wrist, flexion AROM: 80-90
Left wrist, extension, AROM: 70

Question 24

Wrist abduction/radial deviation and adduction/ulnar deviation

Answer 24

Right wrist, AB/Radial AROM: 20-30
Right wrist, AD/Ulnar AROM: 30-40
Left wrist, AB/Radial AROM: 20-30
Left wrist, AD/Ulnar AROM: 30-40

Question 25

Passive hip flexion and extension

Answer 25

``` Right hip, knee straight, PROM: 90 Right hip, knee flexed, PROM: 120-135 Left hip, knee straight, PROM: 90 Left hip, knee flexed, PROM: 120-135 Right hip, extended PROM: 15-30 Left hip, extended PROM: 15-30 ```

Question 26

Hip internal and external rotation

Answer 26

``` Right hip, prone, ext rot, PROM: 40-60 Right hip, prone, int rot, PROM: 30-40 Right hip, seated, ext rot, PROM: 40-60 Right hip, seated, int rot, PROM: 30-40 Right hip, supine, ext rot, PROM: 40-60 Right hip, supine, int rot, PROM: 30-40 (SAME FOR LEFT) ```

Question 27

Hip abduction and adduction

Answer 27

Right hip, abduction w/knee ext, PROM: 45-50 Right hip, adduction w/knee ext, PROM: 20-30 Left hip, abduction w/knee ext, PROM: 45-50 Left hip, adduction w/knee ext, PROM: 20-30

Question 28

Knee flexion

Answer 28

Right knee flexed, PROM: 145-150 | Left knee flexed, PROM: 145-150

Question 29

Ankle plantar flexion and dorsiflexion

Answer 29

Right dorsiflex PROM: 15-20 Right plantarflex PROM: 50-65 Left dorsiflex PROM: 15-20 Left plantarflex PROM: 50-65

Question 30

Ankle inversion and eversion

Answer 30

Right ankle inversion AROM: 35 Right ankle eversion AROM: 20 Left ankle inversion AROM: 35 Left ankle eversion AROM: 20

Question 31

Ankle supination

Answer 31

Compound motion of inversion, adduction, and plantar flexion

Question 32

Ankle pronation

Answer 32

Compound motion of eversion, abduction, and dorsiflexion