CPA 2 Flashcards

1
Q

GH Articulatory Tx: Spencer’s Technique

Stage 4: Traction Circumduction

A
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2
Q

GH Articulatory Tx: Spencer’s Technique

Stage 1: Extension

A
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3
Q

Anterior Fibular Head SD MET/ART

A
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4
Q

Cross Arm Adduction Test

A
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5
Q

Plantar Glide SD MET (Navicular, Cuboid, Cuneiform)

A
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6
Q

Dorsal/Plantar Glide SD ART (Cuneiform - Metatarsal Joint)

A

Patient: Supine/seated

Physician: Sitting at foot of table

Isolate joint between fingers. Engage barrier, alternating between restrictive barrier and ease of motion until normal physiologic motion is restored

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7
Q

SC Elevated/Adducted SD: MET

A
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8
Q

GH Articulatory Tx: Spencer’s Technique

Stage 3: Compression Circumduction

A
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9
Q

Elbow Abduction SD MET/ART

A
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10
Q

Hip Abduction SD/ITB Hypertonicity MET/ART

A
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11
Q

Wrist (Radiocarpal) Abduction SD MET/ART

A
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12
Q

Figure 8 Wrist Articulation

A
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13
Q

Plantarflexed Talus SD MET

A
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14
Q

AC Joint IR/ER Evaluation

A

ER of Humerus –> ER of Clavicle at AC Joint

IR of Humerus –> IR of Clavicle at AC Joint

Abduct and Flex to approximately 45 to maximally engage AC component of GH rotation

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15
Q

Clavicle Anterior & Superior Glide (Extended and Adducted SD) ART

A
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16
Q

GH Joint IR/ER SD: MET

A
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17
Q

GH Articulatory Tx: Spencer’s Technique

Stage 2: Flexion

A
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18
Q

SC Horizontal Extension SD: MET

A
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19
Q

Anterior (Supinated) Radial Head SD MET

A
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20
Q

Knee (Tibiofemoral) IR SD MET/ART

A
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21
Q

Posterior Distal Fibula SD ART

A
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22
Q

Hip Extension SD MET/ART (Gluteus Maximus)

A
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23
Q

GH Joint AB/ADduction SD: MET

A
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24
Q

Hip Extension SD MET/ART (Hamstring Hypertonicity)

A
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25
Q

MCP Joint SD ART

A
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26
Q

Knee (Tibiofemoral) Flexion SD MET/ART

A
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27
Q

Elbow ROM

Flexion

Extension

Supination

Pronation

Ulnohumeral Adduction

Ulnohumeral Abduction

A

140-150

0 - (-5)

90

90

5

5

28
Q

AC Joint ER SD: MET

29
Q

GH Articulatory Tx: Spencer’s Technique

Stage 6: Internal Rotation

30
Q

Shoulder ROM

Flexion

Extension

Horizontal Adduction

Horizontal Abduction

Abduction

Internal/External Rotation

A

180

60

130-140

40-55

180

90

31
Q

AC Joint IR SD: MET

32
Q

Elbow Adduction SD MET/ART

33
Q

SC Elevated/Adducted SD: ART

A

Neck flexed against table

34
Q

Knee (Tibiofemoral) ER SD MET/ART

35
Q

Talus Eversion w/ Anteromedial Glide & Talus Inversion with Posteromedial Glide SD ART (Subtalar Joint)

36
Q

Posterior (Pronated) Radial Head SD MET

37
Q

GH Articulatory Tx: Spencer’s Technique

A

Elephants Fart Constantly To Annoy Intelligent People

38
Q

Wrist (Radiocarpal) Adduction SD MET/ART

39
Q

Hip Adduction SD (Short Adductors) MET/ART

40
Q

Knee (Tibiofemoral) Extension SD MET/ART

41
Q

GH Articulatory Tx: Spencer’s Technique

Stage 7: Traction with Inferior Glide

42
Q

AC-Superior Clavicle ART

43
Q

SC Joint ABduction/ADduction Dx

A

Scapular Elevation (Shoulder Shrug) –> SC ABduction (SC joint inferior movement)

Scapular Depression (Lowering Shoulder) –> SC ADduction (SC joint superior movement)

44
Q

Wrist Isotonic MET

45
Q

AC Joint Dx

Reference point

Inspect for asymmetry

Palpate

Motion Screen

Assess glides springing inferiorly on distal clavicle

A

Distal end of clavicle

Look for shifted clavicle: Superior/Inferior, “Step-Off”

Clavicle on Acromion for “Step-Off” or Tenderness/TTA

Cross-Arm Adduction Test (Positive = Pain or Increased TTA)

Resistant to springing inferiorly (Clavicle Superior); Presence of springing inferiorly (Clavicle Inferior); (Ant/Post) - Springing Ant/Post

46
Q

Wrist (Radiocarpal) Extension SD MET/ART

47
Q

Elbow Extension SD MET/ART

48
Q

Knee ROM

Flexion

Extension

IR

ER

A

145-150

0

10

10

49
Q

GH Joint Flexion/Extension SD: MET

50
Q

PIP/DIP Joint SD ART

51
Q

Hip ROM

Flexion

Extension

IR

ER

Abduction

Adduction

A

90 (extended knee) & 120-135 (flexed knee)

15-30

30-40

40-60

45-50

20-30

52
Q

Knee (Tibiofemoral) Adduction/Abduction SD MET/ART

53
Q

Posterior Fibular Head SD MET/ART

54
Q

GH Articulatory Tx: Spencer’s Technique

Stage 5A: Adduction and External Rotation

55
Q

Anterior Distal Fibula SD ART

56
Q

Hip IR/ER SD MET/ART

57
Q

GH Articulatory Tx: Spencer’s Technique

Stage 5B: Abduction

58
Q

Dorsiflexed Talus SD MET

59
Q

Hip Adduction SD (Long Adductors) MET/ART

60
Q

Wrist ROM

Flexion

Extension

Adduction

Abduction

A

80-90

70

30-40

20-30

61
Q

SC Joint Flexion/Extension Dx

A

Protraction of Scapula –> SC Flexion (SC Joint Posterior Glide)

Retraction of Scapula –> SC Extension (SC Joint Anterior Glide)

62
Q

Elbow Flexion SD MET/ART

63
Q

Ankle ROM

Dorsiflexion

Plantarflexion

Inversion

Eversion

Subtalar Inversion

Subtalar Eversion

Forefoot Adduction

Forefoot Abduction

1st MP Flexion

1st MP Extension

A

15-20

55-65

20

10-20

5

5

20

10

45

70-90

64
Q

Hip Flexion SD MET/ART

65
Q

Wrist (Radiocarpal) Flexion SD MET/ART

66
Q

Scapulothoracic SD MFR

A

Elevation/Depression

Abduction/Adduction

Downward Rotation/Upward Rotation