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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
wrist ext goney landmarks and end feel
``` Stationary: lateral midline of ulna, olecranon Moving: lateral midline of fifth metacarpal Fulcrum: lateral aspect of triquetrum ``` firm
26
wrist radial dev ROM and testing
0-20 Shoulder abducted 90 degrees Elbow flexed 90 degrees Rest forearm on supporting surface Third metacarpal parallel to dorsal midline of the forearm
27
wrist radial dev goney land marks and end feel
``` Stationary: dorsal midline of forearm, lateral epicondyle Moving: dorsal midline of third metacarpal Fulcrum: dorsal aspect of capitate ``` hard
28
wrist ulnar dev ROM and testing
0-30 Shoulder abducted 90 degrees Elbow flexed 90 degrees Rest forearm on supporting surface Third metacarpal parallel to dorsal midline of the forearm
29
wrist ulnar dev goney and end feel
``` Stationary: dorsal midline of forearm, lateral epicondyle Moving: dorsal midline of third metacarpal Fulcrum: dorsal aspect of capitate ``` firm
30
MCP flex ROM and Testing
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
31
MCP Flex goney landmarks and end feel
``` Stationary: dorsal midline of metacarpal Moving: dorsal midline of proximal phalanx Fulcrum: dorsal aspect of MCP joint ``` hard or firm
32
MCP ext ROM and testing
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
33
MCP Ext goney landmarks and end feel
``` Stationary: dorsal midline of metacarpal Moving: dorsal midline of proximal phalanx Fulcrum: dorsal aspect of MCP joint ``` firm
34
MCP abd ROM and testing
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
MCP abd goney landmark and end feel
``` Stationary: dorsal midline of metacarpal Moving: dorsal midline of proximal phalanx Fulcrum: dorsal aspect of MCP joint ``` firm
36
PIP flex ROM and testing
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
PIP flex goney landmarks and end feel
``` Stationary: dorsal midline of proximal phalanx Moving: dorsal midline of middle phalanx Fulcrum: dorsal aspect of PIP joint ``` hard
38
PIP Ext ROM and testing
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
PIP ext goney landmark and end feel
``` Stationary: dorsal midline of proximal phalanx Moving: dorsal midline of middle phalanx Fulcrum: dorsal aspect of PIP joint ``` firm
40
DIP flex ROM and Testing
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
DIP flex goney landmark and endfeel
``` Stationary: dorsal midline of middle phalanx Moving: dorsal midline of distal phalanx Fulcrum: dorsal aspect of DIP joint ``` firm
42
DIP ext ROM and testing
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
DIP ext goney landmark and end feel
``` dorsal midline of middle phalanx Moving: dorsal midline of distal phalanx Fulcrum: dorsal aspect of DIP joint ``` firm
44
thumb flexion ROM and testing
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
thumn flex goney land marks and end feel
``` Stationary: anterior midline of radius, radial head Moving: anterior midline of first metacarpal Fulcrum: palmar aspect of CMC joint ``` soft/firm
46
thumb ext ROM and testing
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
thumb ext goney landmark and end feel
``` Stationary: anterior midline of radius, radial head Moving: anterior midline of first metacarpal Fulcrum: palmar aspect of CMC joint ``` firm
48
thumb abd ROM and testing
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
thumb abd goney landmark and end feel
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
cervical flexion goney ROM and testing
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
cervical flexion goney goney landmarks and end feel
Stationary: Perpendicular or Parallel to ground Moving: Base of the nares Fulcrum: External auditory meatus firm
52
cervical flex inclinometer ROM and testing
80-90 Seated Good upright posture Neutral rotation and lateral flexion of spine
53
cervical flexion inclino position
``` 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
cervical ext goney ROM and testing
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
cervical ext goney giney landmarks and end feel
Stationary: Perpendicular to ground Moving: Base of the nares Fulcrum: External auditory meatus firm
56
cervical ext inclino ROM and testing
70 Seated Good upright posture Neutral rotation and lateral flexion of spine
57
cervical ext inclino landmarks
Proximal inclinometer Over the Spine of the scapula or lateral to the T1 Spinous Process Distal inclinometer On top of head
58
cervical lateral flexion gonio ROM and testing
20-45 Sitting Good upright posture Neutral flexion/extension Neutral rotation
59
cervical lateral flexion gonio goney landmarks and end feel
Stationary: spinous processes of thoracic spine/perpendicular to ground Moving: dorsal midline of head, occipital protuberance Fulcrum: spinous process of C7 firm
60
cervical lateral flexion inclino ROM and testing
20-45 Seated Good upright posture Neutral rotation and flexion/extension of spine
61
cervical lateral flex inclino landmarks
Proximal inclinometer Over spinous process of T1 Distal inclinometer On top of head
62
cervical rotation goney ROM and testing
70-90 Seated Good upright posture Neutral flexion/extension, lateral flexion
63
cervical rotation goney landmarks and end feel
Stationary: parallel to imaginary line between acromion processes Moving: tip of the nose Fulcrum: center of cranial aspect of the head firm
64
cervical rotation inclino ROM and testing
70-90 Supine Neutral rotation and lateral flexion of spine
65
cervical rotation inclino landmarks
Middle of patient’s forehead
66
thoracolumnar flexion- DB inclino ROM and testing
40-60 Standing, knees extended and feet shoulder width apart Neutral rotation and lateral flexion of spine
67
throacolumnar flex DB inclino landmarks and end feel
Proximal inclinometer Spinous process of T1 Distal inclinometer Spinous process of S2 (level with PSIS) firm
68
thoracocolumnar ext DB inclino ROM and Testing
25-45 Standing, knees extended and feet shoulder width apart Neutral rotation and lateral flexion of spine
69
thoracocolumnar ext DB inclino landmarks and end feel
Proximal inclinometer Spinous process of T1 Distal inclinometer Spinous process of S2 (level with PSIS) Firm
70
Thoracolumnar lateral flexion goney ROM and testing
15-20 Standing Neutral flexion/extension and rotation of spine
71
thoracocolumnar lateral flexion goney landmark and end feel
Stationary: Perpendicular to ground Moving: Spinous process of T1 Fulcrum: Spinous process of S2 Firm
72
thoracocolumnar lateral flexion DB inclino ROM and testing
40-60 Standing Neutral flexion/extension and rotation of spine
73
thoracocolumnar lateral flexion DB inclino landmarks
Proximal inclinometer Over spinous process of T1 Distal inclinometer Over spinous process of S2
74
thoracocolumnar rotation goney ROM and testing
35-50 Seated with back unsupported Neutral flexion/extension and lateral flexion of spine
75
thoracocolumnar rotation goney landmark and end feel
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
thoracolumnar rotation inclino ROM and testing
35-50 Standing, flexed forward to place back parallel to floor
77
thoracolumnar rotation inclino landmarks
Proximal inclinometer Over spinous process of T1 Distal inclinometer Over spinous process of S2
78
lateral flexion DB inclino ROM and testing
40-60 Standing, knees extended and feet shoulder width apart Neutral rotation and lateral flexion of spine
79
lumbar flexion DB inclino landmarks
Proximal inclinometer Over spinous process of T12 Distal inclinometer Over spinous process of S2
80
lumbar ext DB inclino ROM and testing
20-35 Standing, knees extended and feet shoulder width apart Neutral rotation and lateral flexion of spine
81
lumbar ext db inclino landmarks and end feel
Proximal inclinometer Over spinous process of T12 Distal inclinometer Over spinous process of S2 Firm
82
lumbar lateral flexion DB inclino ROM and testing
15-20 Standing, knees extended and feet shoulder width apart Neutral rotation and lateral flexion of spine
83
lumbar lateral flexion DB inclino landmarks and end feel
Proximal inclinometer Over spinous process of T12 Distal inclinometer Over spinous process of S2 Firm

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