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DPT Semester 1 > CP 1 Goni > Flashcards

CP 1 Goni Flashcards

1
Q

Mean flex ROM

Shoulder complex

A

180

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2
Q

glenohumeral mean flex ROM

A

115

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3
Q

Testing position:

Shoulder and GH Flex

A
  1. supine, hook lying to flatten lumbar spine
  2. elbow fully extended
  3. neutral shoulder rotation, abd/adduction
  4. neutral supination/pronation (palm facing body)
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4
Q

Stabilization:

Shoulder and GH flexion

A
  1. shoulder complex = stabilize thorax to prevent spinal extension
  2. GH = stabilize lateral border scapula to prevent scapular posterior tilitng, upward rotation, and elevation
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5
Q

End Feel

Shoulder and GH flexion

A
  1. Shoulder complex = firm
  2. GH = firm
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6
Q

Alignment

Shoulder & GH flexion

A
  1. Fulcrum = greater tubercle (lateral aspect)
  2. Stationary arm = midaxillary line of thorax
  3. Moving arm = lateral midline of humerus, lateral epicondyle
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7
Q

Mean ROM

Shoulder and GH Extension

A
  1. Shoulder complex = 60
  2. GH = 20
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8
Q

Testing Position

Shoulder and GH Extension

A
  1. Prone, face turned away
  2. Neutral shoulder abd/adduction, rotation
  3. Neutral pronation/supination (palm facing body)
  4. Slight elbow flexion
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9
Q

Stabilization

Shoulder and GH extension

A
  1. shoulder complex = weight of trunk/table
  2. GH = stabilize inferior angle of scapula, prevent scapular elevation and anterior tilting
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10
Q

End feel

Shoulder complex and GH extension

A
  1. Shoulder complex = firm
  2. GH = firm
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11
Q

Alignment

Shoulder complex and GH extension

A
  1. Fulcrum = greater tubercle (lateral aspect)
  2. stationary arm = midaxillary line of thorax
  3. moving arm = lateral midline of humerus, lateral epicondyle
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12
Q

Mean ROM

Shoulder and GH abduction

A
  1. Shoulder complex = 180
  2. GH = 120-125
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13
Q

Testing position

Shoulder and GH abduction

A
  1. Supine
  2. Neutral shoulder flex/ext
  3. shoulder lateral rotation
  4. elbow extended
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14
Q

Stabilization

Shoulder and GH abduction

A
  1. Shoulder complex = stabilize thorax, prevent lateral flexion of spine
  2. GH = stabilize scapula, prevent scapular upward rotation and elevation
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15
Q

End feel

Shoulder and GH abduction

A
  1. Shoulder complex = firm
  2. GH = firm
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16
Q

Alignment

Shoulder complex and GH abduction

A
  1. Fulcrum = acromial process
  2. Stationary arm = parallel to midline of sternum
  3. Moving = midline of humerus, medial epicondyle
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17
Q

Mean ROM

Shoulder complex and GH IR

A
  1. Shoulder complex = 70-90
  2. GH = 49
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18
Q

Testing position

Shoulder complex and GH IR

A
  1. Supine
  2. Shoulder in 900 of abduction
  3. neutral pronation/supination
  4. humerus supported by towel
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19
Q

Stabilization

Shoulder Complex and GH IR

A
  1. Shoulder complex = stab at distal end humerus, prevent shoulder from leaving 900 of abduction and flexion of spine
  2. GH = stab at distal humerus, prevent scapular anterior tilting and protraction
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20
Q

End Feel

Should complex and GH IR

A
  1. Shoulder complex = firm
  2. GH = firm
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21
Q

Alignment

Shoulder complex and GH IR

A
  1. Fulcrum = olecranon process
  2. stationary arm = perpendicular to floor
  3. Moving arm = midline of ulna, olectranon and ulnar styloid process
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22
Q

Mean ROM

Shoulder Complex and GH ER

A
  1. Shoulder complex = 940
  2. GH = 900
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23
Q

Testing position

Shoulder complex and GH ER

A
  1. Supine
  2. Shoulder in 900 of abduction
  3. neutral pronation/supination
  4. humerus supported by towel
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24
Q

Stabilization

Shoulder complex and GH ER

A
  1. Shoulder complex = stab distal humerus, prevent shoulder from leaving 900 if abduction and extension of spine
  2. GH = stab distal humerus, prevent scapular posterior tilting and retraction
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25
End Feel Shoulder Complex and GH ER
1. Shoulder complex = firm 2. GH = firm
26
Alignment Shoulder complex and GH ER
1. Fulcrum = olecranon process 2. stationary arm = perpendicular to floor 3. moving arm = midline of ulna, olecranon and ulnary styloid process
27
Mean ROM Elbow Flexion
150
28
Testing position Elbow flexion
1. Supine 2. Neutral shoulder flexion/extension and abduction/adduction 3. Place pad under distal humerus 4. full supination
29
Stabilization Elbow flexion
at humerus to prevent shoulder flexion
30
End Feel Elbow flexion
usually soft if minimal muscle bulk -\> can be hard
31
Alignment Elbow flexion
1. Fulcrum = lateral epicondyle of the humerus 2. Stationary arm = lateral midline of humerus, center of acromion 3. Moving arm = lateral midline of radius, radial styloid process
32
Mean ROM Elbow extension
0
33
Testing position Elbow extension
1. Supine 2. neutral shoulder flexion/extension and abudction/adduction 3. place pad under distal humerus 4. full supination
34
Stabiliztion Elbow extension
at humerus to prevent IR and abduction of the shoulder
35
End feel Elbow extension
hard
36
Alignment Elbow extension
1. Fulcrum = lateral epicondyle of the humerus 2. Stationary arm = lateral midline of humerus, center of acromion 3. Moving arm = lateral midline of radius, styloid process
37
Mean ROM wrist pronation
1. sitting 2. neutral shoulder flexion/extension, abduction/adduction 3. elbow flexed 900,forearm supported 4. begin with thumb pointed toward ceiling
38
Stabilization Wrist pronation
at distal end of humerus to prevent IR and ABD of shoulder
39
End feel wrist pronation
Hard (contact between radius and ulna) OR firm (tension in interosseous membrane)
40
Alignment Wrist pronation
1. Fulcrum = lateral to ulnar styloid process 2. stationary arm = parallel to the anterior midline of the humerus 3. moving arm = across dorsal aspect of forearm just proximal to styloid processes
41
Mean ROM Wrist Supination
800
42
Testing position Wrist supination
1. sitting 2. Neutral shoulder flexion/extension, abduction/adduction, rotation 3. elbow flexed 900, forearm supported 4. begin with thumb pointed toward ceiling
43
Stabilization Wrist supination
at distal end of humerus to prevent ER and ADD of shoulder
44
End feel Wrist supination
firm
45
Alignment Wirst supination
1. Fulcrum = medial to ulnar styloid process 2. stationary arm = parallel to the anterior midline of the humerus 3. moving arm = across ventral aspect of forearm just proximal to styloid processes
46
Mean ROM Wrist flexion
80
47
Testing position Wrist flexion
1. shoulder abducted 900 2. elbow flexed 900 3. rest forearm on supporting surface 4. avoid radial or ulnr devition and finger flexion
48
Stabilization Wrist flexion
stabilize radius and ulna to prevent supination or pronation
49
End Feel Wrist flexion
Firm
50
Alignment Wrist Flexion
1. Fulcrum = lateral aspect of triquetrum 2. stationary arm = lateral midline of ulna, olecranon 3. moving arm = lateral midline of 5th metcarpal
51
Mean ROM Wrist extension
70
52
Testing position Wrist extension
1. Shoulder abducted 900 2. elbow flexed 900 3. rest forearm on supporting surface 4. avoid radial or ulnar deviation and finger flexion
53
Stabilization Wrist extension
stabilize radius and ulna to rpevent supination or pronation
54
End feel Wrist extension
firm
55
Alignment Wrist extension
1. Fulcrum = lateral aspect of triquetrum 2. stationary arm = lateral midline of ulna, olecranon 3. moving arm = lateral midline of 5th metacarpal
56
Mean ROM Wrist radial deviation
20
57
Testing position Wrist radial deviation
1. shoulder abducted 900 2. elbow flexed 900 3. rest forearm on supported surface 4. 3rd metacarpal parallel to dorsal midline of the forearm
58
Stabilization Wrist radial deviation
stabilize radius and ulna to prevent supination or pronation
59
End feel Wrist radial deviation
Hard
60
Alignment Wrist radial deviation
1. Fulcrum = dorsal aspect of capitate 2. stationary arm = dorsal midline of forearm, lateral epicondyle 3. moving arm = dorsal midline of 3rd metacarpal
61
Mean ROM Wrist ulnar deviation
30
62
testing position Wrist ulnar deviation
1. shoulder abducted 900 2. elbow flexed 900 3. rest forearm on supporting surface 4. 3rd metacarpal parallel to dorsal midline of the forearm
63
stabilization wrist ulnar devition
stabilize radius and ulna to prevent supination or pronation
64
End feel wrist ulnar deviation
firm
65
Alignment Wrist ulnar deviation
1. Fulcrum = dorsal aspect of capitate 2. stationary arm = dorsal midline of forearm, lateral epicondyle 3. moving arm = dorsal midline of 3rd metacarpal
66
Mean ROM MCP flexion
90
67
testing position MCP flexion
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. radioulnar joints in neutral pronation/supination
68
Stabilization MCP flexion
stabilize metacarpal to prevent wrist motion without houlding other MCP joints in full extension
69
End feel MCP flexion
hard or firm
70
Alignment MCP flexion
1. Fulcrum = dorsal aspect of MCP joint 2. stationary arm = dorsal midline of metacarpal 3. moving arm = dorsal midline of proximal phalanx
71
Mean ROM MCP extension
45
72
Testing position MCP extension
1. patient in sitting, forearm and hand resting on a supporting surface 2. wrist in neural flexion/extension and radial/ulnar deviation 3. radioulnar joints in neutral pronation/supination 4. avoid full flexion or extension of PIP and DIP joints
73
Stabilization MCP extension
stabilize metcarpal to prevent wrist motion without holding other MCP joints in full flexion
74
End Feel MCP extension
Firm
75
Alignment MCP extension
1. Fulcrum = dorsal aspect of MCP joint 2. stationary arm = dorsal midline of metacarpal 3. moving arm = dorsal midline of proximal phalanx
76
Mean ROM MCP ABD
0-20
77
Testing position MCP ABD
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. radioulnar joints in neutral pronation/supination 4. neutral MCP flexion/extension
78
Stabilization MCP ABD
stabilize metacarpal to prevent wrist motion
79
End Feel MCP ABD
firm
80
Alignment MCP ABD
1. Fulcrum = dorsal aspect of MCP joint 2. stationary arm = dorsal midline of metcarpal 3. moving arm = dorsal midline of proximal phalanx
81
Mean ROM PIP flexion
100
82
testing position PIP flexion
1. patient in sitting, forearm and hand resting on a supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. radioulnar joints in neutral pronation/supination 4. neutral MCP flexion/extension
83
Stabilization PIP flexion
stabilize proximal phalanx to prevent motioon of the MCP joint
84
End Feel PIP flexion
hard, sometimes soft or firm
85
Alignment PIP flexion
1. Fulcrum = dorsal aspect of PIP joint 2. stationary arm = dorsal midline of proximal phalanx 3. moving arm = dorsal midline of middle phalanx
86
Mean ROM PIP extension
0
87
Testing position PIP extension
1. patient in sitting, forearm and hand resting on a supporting surface 2. wrist in neutral flexion/extension and radial/ulnary deviation 3. radioulnar joints in neutral pronation/supination 4. neutral MCP flexion/extension
88
Stabilization PIP extension
stabilize proximal phalanx to prevent motion of the MCP joint
89
End Feel PIP extension
firm
90
Alignment PIP extension
1. Fulcrum = dorsal aspect of PIP joint 2. stationary arm = dorsal midline of proximal phalanx 3. moving arm = dorsal midline of middle phalanx
91
Mean ROM DIP flexion
90
92
Testing position DIP flexion
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. radioulnar joints in neutral pronation/supination 4. neutral MCP flexion/extension 5. PIP in 70-900 of flexion
93
stabilization DIP flexion
stabilize middle and proximal phalanx to prevent motion of the PIP joint
94
End feel DIP flexion
firm
95
Alignment DIP flexion
1. Fulcrum = dorsal aspect of DIP joint 2. stationary arm = dorsal midline of middle phalanx 3. moving arm = dorsal midline of distal phalanx
96
Mean ROM DIP extension
0
97
Testing position DIP extension
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. radioulnar joints in neutral pronation/supination 4. neutral MCP flexion/extension 5. PIP in 70-900 of flexion
98
Stabilization DIP extension
stabilize middle and proximal phalanx to prevent motion of the PIP joint
99
End feel DIP extension
firm
100
Alignment DIP extension
1. Fulcrum = dorsal aspect of DIP joint 2. stationary arm = dorsal midline of middle phalanx 3. moving arm = dorsal midline of distal phalanx
101
Mean ROM 1st CMC flexion
15
102
Testing position 1st CMC flexion
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. radioulnar joints iin full supination 4. CMC joint in 00 of abduction 5. 1st MCP and IP joints in slight flexion
103
Stabilization 1st CMC flexion
stabilize the carpals, radius, and ulna to prevent wrist motions
104
End feel 1st CMC flexion
soft or firm
105
Alignment 1st CMC flexion
1. Fulcrum = palmar aspect of CMC joint 2. stationary arm = anterior midline of radius, radial head 3. moving arm = anterior midline of 1st metacarpal
106
Mean ROM 1st CMC extension
35
107
Testing position 1st CMC extension
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. Radioulnar joints in full supination 4. CMC joint in 00 of abduction 5. 1st MCP and IP joints in slight flexion
108
Stabilization 1st CMC extension
stabilize the carpals, radius, and ulna to prevent wrist motions
109
End Feel 1st CMC extension
firm
110
Alignment 1st CMC extension
1. Fulcrum = palmar aspect of CMC joint 2. stationary arm = anterior midline of radius, radial head 3. moving arm = anterior midline of 1st metacarpal
111
Mean ROM 1st CMC abduction
70
112
Testing position 1st CMC abduction
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. radioulnar joints in neutral supination/pronation 4. 1st CMC, MCP and IP joints at 00 flexion
113
Stabilization 1st CMC abduction
stabilize the carpals and 2nd metacarpal to prevent wrist motions
114
End feel 1st CMC abduction
firm
115
Alignment 1st CMC abduction
1. Fulcrum = lateral aspect of radial styloid process 2. stationary arm = laterla midline of the 2nd metacarpal, MCP joint 3. moving arm = lateral midline of 1st metacarpal, MCP joint
116
1st CMC opposition
measure the linear distance between the tip of the thumb and the center of the proximal digital crease of the little finger
117
Mean ROM 1st MCP flexion
50
118
Testing position 1st MCP flexion
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. radioulnar joints in full supination 4. 1st CMC joint in 00 of flexion, abduction 5. 1st IP joint in 00 of flexion
119
Stabilization 1st MCP flexion
stabilize the 1st metacarpal to prevent wrist motion and flexion of the CMC joint
120
End feel 1st MCP flexion
hard or firm
121
Alignment 1st MCP flexion
1. Fulcrum = dorsal aspect of the MCP joint 2. stationary arm = dorsal midline of the metacarpal 3. moving arm = dorsal midline of the proximal phalanx
122
Mean ROM 1st MCP extension
0
123
Testing position 1st MCP extension
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. Radioulnar joint in full supination 4. 1st CMC joint in 00 of flexion and abduction 5. 1st IP joint in 00 of flexion
124
Stabilization 1st MCP extension
stabilize the 1st metacarpal to prevent wrist motion and flexion of the CMC joint
125
End feel 1st MCP extension
firm
126
Alignment 1st MCP extension
1. Fulcrum = dorsal aspect of the MCP joint 2. stationary arm = dorsal midline of the metacarpal 3. moving arm = dorsal midline of the proximal phalanx
127
Mean ROM 1st IP flexion
80
128
Testing position 1st IP flexion
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. radioulnar joints in full supination 4. 1st CMC joint in 00 of flexion and abduction 5. 1st MCP joint in 00 of flexion
129
Stabilization 1st IP flexion
stabilize the 1st proximal phalanx to prevent motion of the MCP joint
130
End feel 1st IP flexion
firm, sometimes hard
131
Alignment 1st IP flexion
1. Fulcrum = dorsal aspect of IP joint 2. stationary arm = dorsal midline of the proximal phalanx 3. moving arm = dorsal midline of the distal phalanx
132
Mean ROM 1st IP extension
20
133
Testing position 1st IP extension
1. patient in sitting, forearm and hand resting on supporting surface 2. wrist in neutral flexion/extension and radial/ulnar deviation 3. radioulnar joints in full supination 4. 1st CMC joint in 00 of flexion and abduction 5. 1st MCP joint in 00 of flexion
134
Stabilization 1st IP extension
stabilize the 1st proximal phalanx to prevent motion of the MCP joint
135
End feel 1st IP extension
firm
136
Alignment 1st IP extension
1. Fulcrum = dorsal aspect of the IP joint 2. stationary arm = dorsal midline of the proximal phalanx 3. moving arm = dorsal midline of the distal phalanx
137
Mean ROM Cervical Flexion
45 (40-45 common)
138
Testing position Cervical Flexion
1. seated 2. good upright posture 3. neutral rotation and lateral flexion of spine 4. Ask the patient to tuck the chin toward the chest and bend head down until resistance is felt
139
Stabilization Cervical Flexion
1. stabilize at shoulder girdle 2. patient places hands on knees
140
End Feel Cervical Flexion
Firm
141
Goni Alignment Cervical Flexion
1. Flucrum = external auditory meatus 2. Stationary arm = _perpendicular or parallel_ to ground 3. Moving arm = base of the nares
142
Mean ROM Cervical Extension
45 (up to 70)
143
Testing Position Cervical Extension
1. Seated 2. Good upright posture 3. Neural rotation and lateral flexion of spine 4. Ask the patient to tuck the chin toward the chest and bend head back and look up
144
Stabilization Cervical Extension
1. stabilize at shoulder girdle 2. patient places hands on knees
145
End feel Cervical Extension
Firm
146
Goni Alignment Cervical Extension
1. Fulcrum = external auditory meatus 2. Stationary = perpendicular to ground 3. Moving = base of the nares
147
Mean ROM Cervical Lateral Flexion
45 (20-45 some source)
148
Testing Position Cervical Lateral Flexion
1. sitting 2. good upright posture 3. neutral flexion/extension 4. netural rotation
149
Stabilization Cervical lateral flexion
stabilize shoulder girdle to prevent lateral flexion of thoracic and lumbar spine
150
End feel Cervical lateral flexion
Firm
151
Goni alignment Cervical lateral flexion
1. Fulcrum = spinous process of C7 2. Stationary arm = spinous processes of thoracic spine/perpendicular to ground 3. Moving arm = dorsal midline of head, occipital protuberance
152
Mean ROM Cervical Rotation
60 (70-90 in others, common to see 50)
153
Testing position Cervical Rotation
1. Seated 2. good upright posture 3. neutral flexion/extension, lateral flexion
154
Stabilization Cervical rotation
stabilize shoulder girdle to prevent thoracic and lumbar rotation
155
End Feel Cervical Rotation
Firm
156
Goni Alignment Cervical Rotation
1. Fulcrum = center of cranial aspect of the head 2. stationary arm = parallel to imaginary line between acromion processes 3. moving arm = tip of the nose
157
Minimum amount of functional ROM in cervical rotation
60-700 to look over the shoulder in the car while driving
158
Mean ROM Hip flexion
120 (120-140 common in adults)
159
Testing position Hip flexion
1. Supine 2. Neutral abduction/adduction 3. Neutral rotation
160
Stabilization Hip Flexion
1. stabilize at pelvis to prevent posterior tilting 2. utilize contralateral LE in neutral position
161
End feel Hip Flexion
Soft - due to muscle bulk of anterior thigh sometimes firm due to tension of the posterior joint capsule
162
Goni alignment Hip flexion
1. Fulcrum = lateral aspect of the hip joint, using greater trochanter for reference 2. Stationary arm = lateral midline of pelvis 3. Moving arm = lateral midline of femur, lateral epicondyle
163
Mean ROM Hip Extension
20 (18-30 common)
164
Testing Position Hip Extension
1. Prone 2. Neutral abduction/adduction 3. Neutral rotation
165
Stabilization Hip Extension
1. stabilize pelvis to prevent an anterior tilt 2. utlize the contralateral LE in neutral
166
End Feel Hip Extension
Firm, due to tension in anterior joint capsule
167
Goni Alignment Hip Extension
1. Fulcrum = lateral aspect of the hip joint, using the greater trochanter for reference 2. Stationary arm = lateral midline of pelvis 3. Moving arm = lateral midline of the femur, lateral epicondyle
168
Mean ROM Hip Abduction
40 (40-55 common)
169
Testing position Hip Abduction
1. Supine 2. Neutral flexion/extension 3. Neutral rotation
170
Stabilization Hip Abduction
stabilize at pelvis to prevent lumbar motion
171
End Feel Hip Abduction
Firm, due to tension in inferior joint capsule
172
Goni Alignment Hip Abduction
1. Fulcrum = ASIS 2. Stationary arm = imaginary horizontal line drawn from one ASIS to the other 3. Moving arm = anterior midline of femur, towards the midline of patella
173
Mean ROM Hip IR
45 (vary from 30-45)
174
Testing position Hip IR
1. Sitting 2. Neutral abduction/adduction 3. Knee flexed to 90 degrees 4. Place towel roll under distal femur to maintain level femur
175
Stabilization Hip IR
1. Stabilize at distal femur to prevent hip abduction, adduction, flexion beyond 900 2. avoid pelvic motion
176
End Feel Hip IR
Firm, due to tension in the posterior joint capsule and the ischiofemoral ligament
177
Goni Alignment Hip IR
1. Fulcrum = anterior patella 2. Stationary arm = perpendicular to the floor 3. Moving arm = anterior midline of the lower leg, crest of tibia
178
Mean ROM Hip ER
45 (32-50 common)
179
Testing position Hip ER
1. Sitting 2. Neutral abduction/adduction 3. Knee flexed at 900
180
Stabilization Hip ER
1. stabilize at distal femur to prevent hip abduction, adduction, flexion beyond 900 2. avoid pelvic motion
181
End feel Hip ER
Firm, due to tension in the anterior joint capsule, iliofemoral ligament and pubofemoral ligament
182
Goni Alignment Hip ER
1. Fulcrum = anterior patella 2. Stationary arm = perpendicular to the floor 3. Moving arm = anterior midline of lower leg, crest of tibia
183
Mean ROM Knee Flexion
135 (135-150)
184
Testing position Knee Flexion
1. Supine 2. Start with hip in neutral flexion/extension and neutral hip abduction/adduction
185
Stabilization Knee Flexion
Stabilize femur to prevent hip motion other than flexion
186
End Feel Knee Flexion
Soft, due to contact between the muslce bulk of the posterior calf and the thigh or betwen the heel and the buttocks
187
Goni Alignment Knee Flexion
1. Fulcrum = lateral epicondyle of femur 2. Stationary arm = lateral midline of femur, toward the greater trochanter 3. Moving arm = lateral midline of fibula, toward the lateral malleolus
188
Mean ROM Knee Extension
0
189
Testing Position Knee Extension
1. Supine 2. Hip in neutral flexion/extension and neutral hip abduction/adduction
190
Stabilization Knee Extension
stabilize femur to prevent hip motion
191
End Feel Knee Extension
Firm, due to the tension of the: 1. posterior joint capsule 2. the oblique & arcuate popliteal ligaments 3. the collateral ligaments 4. ACL/PCL
192
Goni Alignment Knee Extension
1. Fulcrum = lateral epicondyle of femur 2. Stationary arm = lateral midline of femur, greater trochanter 3. Moving arm = lateral midline of fibula, towards the lateral malleolus
193
Mean ROM Ankle/Talocrural Dosiflexion
20
194
Testing Position Ankle/Talocrural dorsiflexion
1. short sitting 2. knee flexed to 900 3. neutral inversin/eversion
195
Stabilization Ankle/Talocrural dorsiflexion
stabilize the tibia and fibula to prevent knee and hip motion
196
End Feel Ankle/Talocrural dorsiflexion
firm
197
Goni Alignment Ankle/Talocrural dorsiflexin
1. Fulcrum = lateral malleolus 2. Stationary arm = lateral midline of fibula, head of the fibula 3. Moving arm = parallel lateral aspect of the 5th metatarsal
198
Mean ROM Ankle/Talocrural Plantarflexion
50
199
Testing Position Ankle/Talocrural Plantarflexion
1. short sitting 2. knee flexed to 900 3. neutral inversion/eversion
200
Stabilization Ankle/Talocrural Stabilization
stabilize the tiba and fibular to prevent knee and hip motion
201
End feel Ankle/talocrural Plantarflexion
Firm
202
Goni Alignment Ankle/Talocrural Plantarflexion
1. Fulcrum = lateral malleolus 2. stationary arm = lateral midline of the fibula, head of the fibula 3. moving arm = parallel to lateral aspect of the 5th metatarsal
203
Mean ROM Inversion (combo of supination/adduction/ and plantarflexion)
35
204
Testing position Inversion (combo of supination/adduction/ and plantarflexion)
1. sitting 2. knee flexed at 900 3. hip in neutral rotation, abduction/adduction
205
Alternative position Inversion (combo of supination/adduction/ and plantarflexion)
patient in supine with the leg extended and foot extended off the table to allow for free movment
206
Stabilization Inversion (combo of supination/adduction/ and plantarflexion)
stabilize tibia and fibula to prevent knee extension and lateral rotation and abduction of the hip
207
End Feel Inversion (combo of supination/adduction/ and plantarflexion)
Firm
208
Goni Alignment Inversion (combo of supination/adduction/ and plantarflexion)
1. Fulcrum = anterior aspect of ankle midway between the malleoli 2. Stationary arm = anterior midline of the leg, towards the tibial tuberosity 3. Moving arm = anterior midline of 2nd metatarsal
209
Mean ROM Eversion (combo pronation, abduction, and dorsiflexion)
15
210
Testing position Eversion (combo pronation, abduction, and dorsiflexion)
1. sitting 2. knee flexed to 900 3. hip in neutral rotation, abduction/adduction
211
Alternative Position Eversion (combo pronation, abduction, and dorsiflexion)
patient in supine with the leg extended and foot extended off the table to allow for free movment
212
End Feel Eversion (combo pronation, abduction, and dorsiflexion)
some note _hard_ end feel due to bone or _firm_ due to tension in the joint capsule
213
Goni Alignment Eversion (combo pronation, abduction, and dorsiflexion)
1. Fulcrum = anterior aspect of ankle midway betwen the malleoli 2. Stationary arm = anterior midline of the leg, towards the tibial tuberosity 3. Moving arm = anterior midline of 2nd metatarsal
214
Mean ROM Subtalar/Rearfoot Inversion
5 (up to 15)
215
Testing position Subtalar/Rearfoot inversion
1. Prone 2. Knee in neutral flexion/extension 3. Hip in neutral rotation, abduction/adduction
216
Stabilization Subtalar/Rearfoot Inversion
stabilize tibia and fibula to prevent lateral hip and knee rotation and adduction of the hip
217
End Feel Subtalar/Rearfoot Inversion
Firm (tension in lateral joint capsule and ligament)
218
Goni Alignmnet Subtalar/Rearfoot Inversion
1. Fulcrum = posterior aspect of ankle midway between the malleolus 2. Stationary arm = posterior midline of the lower leg 3. Moving arm = posterior midline of the calcaneus
219
Mean ROM Subtalar/Rearfoot Eversion
5 (up to 12)
220
Testing position Subtalar/Rearfoot Eversion
1. Prone 2. Knee in neutral flexion/extension 3. Hip in neutral rotation, abduction/adduction
221
Stabilization Subtalar/Rearfoot Eversion
stabilize tibia and fibular to prevent medial hip and knee rotation and abduction of the hip
222
End Feel Subtalar/Rearfoot Eversion
1. Hard or firm in some people 1. hard due to contact of the calcaneus and the floor of the sinus tarsi 2. firm due to the tension of the deltoid ligament, medial talocalcaneal ligament, and the tibialis posterior muscle
223
Goni Alignment Subtalar/Rearfoot Eversion
1. Fulcrum = posterior aspect of ankle midway between the malleoli 2. Stationary arm = posterior midline of the lower leg 3. Moving arm = posterior midline of the calcaneus
224
Mean ROM 1st MTP extension
70
225
Tesing Position 1st MTP extension
1. Supine or sitting 2. Neutral dorsiflexion/plantarflexion, inversion/eversion 3. MTP joitn in neutral abduction/adduction 4. IP joint in neutral flexion/extension
226
Stabilization 1st MTP extension
1. stabilize the metatarsal to prevent ankle motion 2. do not flex other MTP joints
227
End feel 1st MTP Extension
Firm
228
Goni Alignment 1st MTP Extension
1. Fulcrum = dorsal aspect of 1st MTP joint 2. Stationary arm = dorsal midline of hte 1st metatarsal 3. Moving arm = dorsal midling of the proximal phalanx of 1st toe

DPT Semester 1 (12 decks)

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