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Review > CP1:Goney review > Flashcards

CP1:Goney review Flashcards

1
Q

UE Systems Review

A 
Shoulder flexion
shoulder abduction 
functional shoulder ER/IR
elbow flex/ext
wrist flex/ext/ulnar dev/rad dev
finger flexion
finger abd
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2
Q

myotomes of UE screen

A 
cervical flexion (C1)
cervical ext (C2)
cervical side bending (C3)
shld shrug (C4)
shld abd (C5)
elbow flex (C5/6)/ext (C7)
wrist flex (C7)/ext (C6)
Finger flex (C8)/ext 
Finger abd (T1)/ add (T1)
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3
Q

cervical screen

A

cervical flex, ext, side bending, and rotation

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4
Q

Shld Flexion Mean ROM& testing position

A

0-180

Supine, hooklying to flatten lumbar spine
elbow ext fully
neutral shld rotation, abd/add
neutral supination/pronation

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5
Q

Shld Flexion goney landmarks and end feel

A

Stationary: mid-axillary line of the thorax
Moving: lateral midline of humerus, lateral epicondyle
Fulcrum: Greater tubercle (lateral aspect)

Firm

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6
Q

shld extension ROM and testing position

A

0-60

Prone, face turned away
neutral shld abd/add/rotation
neutral pronation/supination
slight elbow flexion (tricep length)

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7
Q

shld ext goney land marks and end feel

A

Stationary: mid-axillary line of the thorax
Moving: lateral midline of humerus, lateral epicondyle
Fulcrum: Greater tubercle (lateral aspect)

firm

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8
Q

shld abd ROM and testing position

A

0-180

supine
neutral shld flex/ext
shld lateral rotation
fully supinated
elbow ext
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9
Q

shld abd goney landmark and end feel

A

Stationary: parallel to midline of sternum
Moving: midline of humerus, medial epicondyle
Fulcrum: Acromial process

firm

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10
Q

IR ROM and testing

A

0-70

supine
shld in 90 degrees of abd
neutral pronation/supination
humerus supported bu towel

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11
Q

IR alignment and end feel

A

Stationary: Perpendicular to floor
Moving: midline of ulna, olecranon and ulnar styloid process
Fulcrum: Olecranon process

Firm

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12
Q

ER ROM and testing position

A

0-90

supine
shld in 90 degrees of abd
neutral pronation/supination
humerus supported by towel

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13
Q

ER

goney landmarks and end feel

A

Stationary: Perpendicular to floor
Moving: midline of ulna, olecranon and ulnar styloid process
Fulcrum: Olecranon process

firm

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14
Q

elbow flex

ROM and testing

A

0-150

Supine
Neutral shoulder flexion/extension and abduction/adduction
Place pad under distal humerus
Full supination

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15
Q

Elbow flexion

goney landmarks and end feel

A

Stationary: lateral midline of humerus, center of acromion
Moving: lateral midline of radius, radial styloid process
Fulcrum: lateral epicondyle of the humerus

soft

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16
Q

Elbow ext

ROM and Testing position

A

0

Supine
Neutral shoulder flexion/extension and abduction/adduction
Place pad under distal humerus
Full supination

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17
Q

Elbow ext

alignment and end feel

A

Stationary: lateral midline of humerus, center of acromion
Moving: lateral midline of radius, radial styloid process
Fulcrum: lateral epicondyle of the humerus

hard

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18
Q

Pronation

ROM and testing position

A

0-80

Sitting
Neutral shoulder flexion/extension, abduction/adduction, rotation
Elbow flexed to 90 degrees; forearm supported
Begin with thumb pointed toward ceiling

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19
Q

pronation

aligment and end feel

A

Stationary: parallel to the anterior midline of the humerus
Moving: across dorsal aspect of forearm just proximal to styloid processes
Fulcrum: lateral to ulnar styloid process

hard

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20
Q

supination

ROM and tesdting posion

A

0-80

Sitting
Neutral shoulder flexion/extension, abduction/adduction, rotation
Elbow flexed TO 90 degrees; forearm supported
Begin with thumb pointed toward ceiling

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21
Q

supination goney landmark and end feel

A

Stationary: parallel to the anterior midline of the humerus
Moving: across ventral aspect of forearm just proximal to styloid processes
Fulcrum: medial to ulnar styloid process

Firm

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22
Q

Wrist flexion ROM and testing

A

0-80

Shoulder abducted 90 degrees
Elbow flexed 90 degrees
Rest forearm on supporting surface
Avoid radial or ulnar deviation and finger flexion

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23
Q

wrist flexion goney stab and end feel

A 
Stationary: 
lateral midline of ulna, olecranon
Moving: 
lateral midline of fifth metacarpal
Fulcrum: 
lateral aspect of triquetrum

firm

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24
Q

Wrist ext ROM and testing

A

0-70

Shoulder abducted 90 degrees
Elbow flexed 90 degrees
Rest forearm on supporting surface
Avoid radial or ulnar deviation and finger flexion

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25
Q

wrist ext

goney landmarks and end feel

A 
Stationary: 
lateral midline of ulna, olecranon
Moving: 
lateral midline of fifth metacarpal
Fulcrum:	
 lateral aspect of triquetrum

firm

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26
Q

wrist radial dev

ROM and testing

A

0-20

Shoulder abducted 90 degrees
Elbow flexed 90 degrees
Rest forearm on supporting surface
Third metacarpal parallel to dorsal midline of the forearm

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27
Q

wrist radial dev

goney land marks and end feel

A 
Stationary: 
dorsal midline of forearm, lateral epicondyle
Moving: 
dorsal midline of third metacarpal
Fulcrum: 
dorsal aspect of capitate

hard

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28
Q

wrist ulnar dev

ROM and testing

A

0-30

Shoulder abducted 90 degrees
Elbow flexed 90 degrees
Rest forearm on supporting surface
Third metacarpal parallel to dorsal midline of the forearm

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29
Q

wrist ulnar dev

goney and end feel

A 
Stationary:
 dorsal midline of forearm, lateral epicondyle
Moving: 
dorsal midline of third metacarpal
Fulcrum: 
dorsal aspect of capitate

firm

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30
Q

MCP flex

ROM and Testing

A

0-90

Patient in sitting, forearm and hand resting on a supporting surface
Wrist in neutral flexion/extension and radial/ulnar deviation
Radioulnar joints in neutral pronation/supination

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31
Q

MCP Flex

goney landmarks and end feel

A 
Stationary: 
dorsal midline of metacarpal
Moving: 
dorsal midline of proximal phalanx
Fulcrum: 
dorsal aspect of MCP joint

hard or firm

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32
Q

MCP ext

ROM and testing

A

0-45

Patient in sitting, forearm and hand resting on a supporting surface
Wrist in neutral flexion/extension and radial/ulnar deviation
Radioulnar joints in neutral pronation/supination
Avoid full flexion or extension of PIP and DIP joints

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33
Q

MCP Ext

goney landmarks and end feel

A 
Stationary: 
dorsal midline of metacarpal
Moving: 
dorsal midline of proximal phalanx
Fulcrum: 
dorsal aspect of MCP joint

firm

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34
Q

MCP abd

ROM and testing

A

0-20

Patient in sitting, forearm and hand resting on a supporting surface
Wrist in neutral flexion/extension and radial/ulnar deviation
Radioulnar joints in neutral pronation/supination
Neutral MCP flexion/extension

35
Q

MCP abd

goney landmark and end feel

A 
Stationary: 
dorsal midline of metacarpal
Moving: 
dorsal midline of proximal phalanx
Fulcrum: 
dorsal aspect of MCP joint

firm

36
Q

PIP flex

ROM and testing

A

0-90

Patient in sitting, forearm and hand resting on a supporting surface
Wrist in neutral flexion/extension and radial/ulnar deviation
Radioulnar joints in neutral pronation/supination
Neutral MCP flexion/extension

37
Q

PIP flex

goney landmarks and end feel

A 
Stationary: 
dorsal midline of proximal phalanx
Moving: 
dorsal midline of middle phalanx
Fulcrum: 
dorsal aspect of PIP joint

hard

38
Q

PIP Ext

ROM and testing

A

0

Patient in sitting, forearm and hand resting on a supporting surface
Wrist in neutral flexion/extension and radial/ulnar deviation
Radioulnar joints in neutral pronation/supination
Neutral MCP flexion/extension

39
Q

PIP ext

goney landmark and end feel

A 
Stationary: 
dorsal midline of proximal phalanx
Moving: 
dorsal midline of middle phalanx
Fulcrum: 
dorsal aspect of PIP joint

firm

40
Q

DIP flex

ROM and Testing

A

0-90

Patient in sitting, forearm and hand resting on a supporting surface
Wrist in neutral flexion/extension and radial/ulnar deviation
Radioulnar joints in neutral pronation/supination
Neutral MCP flexion/extension
PIP in 70 to 90 degrees of flexion

41
Q

DIP flex

goney landmark and endfeel

A 
Stationary: 
dorsal midline of middle phalanx
Moving: 
dorsal midline of distal phalanx
Fulcrum: 
dorsal aspect of DIP joint

firm

42
Q

DIP ext

ROM and testing

A

0-10

Patient in sitting, forearm and hand resting on a supporting surface
Wrist in neutral flexion/extension and radial/ulnar deviation
Radioulnar joints in neutral pronation/supination
Neutral MCP flexion/extension
PIP in 70 to 90 degrees of flexion

43
Q

DIP ext

goney landmark and end feel

A 
dorsal midline of middle phalanx
Moving:
 dorsal midline of distal phalanx
Fulcrum: 
dorsal aspect of DIP joint

firm

44
Q

thumb flexion

ROM and testing

A

0-15

Patient in sitting, forearm and hand resting on a supporting surface
Wrist in neutral flexion/extension and radial/ulnar deviation
Radioulnar joints in full supination
CMC joint in 0 degrees of abduction
1st MCP and IP joints in slight flexion

45
Q

thumn flex

goney land marks and end feel

A 
Stationary: 
anterior midline of radius, radial head
Moving:
 anterior midline of first metacarpal
Fulcrum: 
palmar aspect of CMC joint

soft/firm

46
Q

thumb ext

ROM and testing

A

0-20

Patient in sitting, forearm and hand resting on a supporting surface
Wrist in neutral flexion/extension and radial/ulnar deviation
Radioulnar joints in full supination
CMC joint in 0 degrees of abduction
1st MCP and IP joints in slight flexion

47
Q

thumb ext

goney landmark and end feel

A 
Stationary: 
anterior midline of radius, radial head
Moving:
 anterior midline of first metacarpal
Fulcrum: 
palmar aspect of CMC joint

firm

48
Q

thumb abd

ROM and testing

A

0-70

Patient in sitting, forearm and hand resting on a supporting surface
Wrist in neutral flexion/extension and radial/ulnar deviation
Radioulnar joints in neutral supination/pronation
1st CMC, MCP and IP joints at 0 degrees of flexion

49
Q

thumb abd

goney landmark and end feel

A

Stationary:
lateral midline of the 2nd metacarpal, MCP joint
Moving:
lateral midline of 1st metacarpal, MCP joint
Fulcrum:
lateral aspect of radial styloid process

firm

50
Q

cervical flexion goney

ROM and testing

A

80-90 (45 common)

Seated
Good upright posture
Neutral rotation and lateral flexion of spine
Ask the patient to tuck the chin in toward the chest and bend head down until resistance is felt.

51
Q

cervical flexion goney

goney landmarks and end feel

A

Stationary: Perpendicular or Parallel to ground
Moving: Base of the nares
Fulcrum: External auditory meatus

firm

52
Q

cervical flex inclinometer

ROM and testing

A

80-90

Seated
Good upright posture
Neutral rotation and lateral flexion of spine

53
Q

cervical flexion inclino

position

A 
Stabilization
Stabilize at shoulder girdle if using 1 inclinometer. 
Patient places hands on knees
Proximal inclinometer
Over spinous process of T1
Distal inclinometer
On top of head
54
Q

cervical ext goney

ROM and testing

A

70

Seated
Good upright posture
Neutral rotation and lateral flexion of spine
Ask the patient to tuck the chin in toward the chest and bend head back and look up.

55
Q

cervical ext goney

giney landmarks and end feel

A

Stationary: Perpendicular to ground
Moving: Base of the nares
Fulcrum: External auditory meatus

firm

56
Q

cervical ext inclino

ROM and testing

A

70

Seated
Good upright posture
Neutral rotation and lateral flexion of spine

57
Q

cervical ext inclino landmarks

A

Proximal inclinometer
Over the Spine of the scapula or lateral to the T1 Spinous Process
Distal inclinometer
On top of head

58
Q

cervical lateral flexion gonio

ROM and testing

A

20-45

Sitting
Good upright posture
Neutral flexion/extension
Neutral rotation

59
Q

cervical lateral flexion gonio

goney landmarks and end feel

A

Stationary: spinous processes of thoracic spine/perpendicular to ground
Moving: dorsal midline of head, occipital protuberance
Fulcrum: spinous process of C7

firm

60
Q

cervical lateral flexion inclino

ROM and testing

A

20-45

Seated
Good upright posture
Neutral rotation and flexion/extension of spine

61
Q

cervical lateral flex inclino landmarks

A

Proximal inclinometer
Over spinous process of T1
Distal inclinometer
On top of head

62
Q

cervical rotation goney

ROM and testing

A

70-90

Seated
Good upright posture
Neutral flexion/extension, lateral flexion

63
Q

cervical rotation goney

landmarks and end feel

A

Stationary: parallel to imaginary line between acromion processes
Moving: tip of the nose
Fulcrum: center of cranial aspect of the head

firm

64
Q

cervical rotation inclino

ROM and testing

A

70-90

Supine
Neutral rotation and lateral flexion of spine

65
Q

cervical rotation inclino

landmarks

A

Middle of patient’s forehead

66
Q

thoracolumnar flexion- DB inclino

ROM and testing

A

40-60

Standing, knees extended and feet shoulder width apart
Neutral rotation and lateral flexion of spine

67
Q

throacolumnar flex DB inclino

landmarks and end feel

A

Proximal inclinometer
Spinous process of T1
Distal inclinometer
Spinous process of S2 (level with PSIS)

firm

68
Q

thoracocolumnar ext DB inclino

ROM and Testing

A

25-45

Standing, knees extended and feet shoulder width apart
Neutral rotation and lateral flexion of spine

69
Q

thoracocolumnar ext DB inclino

landmarks and end feel

A

Proximal inclinometer
Spinous process of T1
Distal inclinometer
Spinous process of S2 (level with PSIS)

Firm

70
Q

Thoracolumnar lateral flexion goney

ROM and testing

A

15-20

Standing
Neutral flexion/extension and rotation of spine

71
Q

thoracocolumnar lateral flexion goney

landmark and end feel

A

Stationary: Perpendicular to ground
Moving: Spinous process of T1
Fulcrum: Spinous process of S2

Firm

72
Q

thoracocolumnar lateral flexion DB inclino

ROM and testing

A

40-60

Standing
Neutral flexion/extension and rotation of spine

73
Q

thoracocolumnar lateral flexion DB inclino

landmarks

A

Proximal inclinometer
Over spinous process of T1
Distal inclinometer
Over spinous process of S2

74
Q

thoracocolumnar rotation goney

ROM and testing

A

35-50

Seated with back unsupported
Neutral flexion/extension and lateral flexion of spine

75
Q

thoracocolumnar rotation goney

landmark and end feel

A

Stationary: Parallel to imaginary line between ASISs
Moving: Parallel to imaginary line between two acromion processes
Fulcrum: Center of cranial aspect of head

firm

76
Q

thoracolumnar rotation inclino

ROM and testing

A

35-50

Standing, flexed forward to place back parallel to floor

77
Q

thoracolumnar rotation inclino

landmarks

A

Proximal inclinometer
Over spinous process of T1

Distal inclinometer
Over spinous process of S2

78
Q

lateral flexion DB inclino

ROM and testing

A

40-60

Standing, knees extended and feet shoulder width apart
Neutral rotation and lateral flexion of spine

79
Q

lumbar flexion DB inclino landmarks

A

Proximal inclinometer
Over spinous process of T12

Distal inclinometer
Over spinous process of S2

80
Q

lumbar ext DB inclino

ROM and testing

A

20-35

Standing, knees extended and feet shoulder width apart
Neutral rotation and lateral flexion of spine

81
Q

lumbar ext db inclino

landmarks and end feel

A

Proximal inclinometer
Over spinous process of T12

Distal inclinometer
Over spinous process of S2

Firm

82
Q

lumbar lateral flexion DB inclino

ROM and testing

A

15-20

Standing, knees extended and feet shoulder width apart
Neutral rotation and lateral flexion of spine

83
Q

lumbar lateral flexion DB inclino

landmarks and end feel

A

Proximal inclinometer
Over spinous process of T12

Distal inclinometer
Over spinous process of S2

Firm

Review (4 decks)

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