Dexter Exam #2 Flashcards by elizabeth martin

cervical spine resting position

midway between flexion and extension

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cervical spine closed packed position

full extension

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cervical spine capsular pattern

side flexion and rotation equally limited extension

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normal end feels for cervical spine

flexion= tissue stretch
extension= tissue stretch
side flexion left and right= tissue stretch
rotation left and right = tissue stretch

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cervical myotomes

neck flexion= c1-c2
neck side flexion= c3
shoulder elevation= c4
shoulder abduction/ER= c5
elbow flexion and/or wrist extension= c6
elbow extension and/or wrist flexion= c7
thumb extension and/or ulnar deviation= c8
add/abd of finger intrinsics= T1

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reflexes of the cervical spine assessment

biceps c5, c6
triceps c7, c8
hoffman’s sign UMN

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TMJ resting position

mouth slightly open, lips together, teeth not in contact, tongue at roof of mouth

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TMJ close packed position

teeth tightly clenched

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TMJ capsular pattern

limitation of mouth opening

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cranial nerve testing I

olfactory- smell coffee or chocolate with eyes closed

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cranial nerve testing II

optic- read something with one eye closed

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cranial nerve testing III, IV, VI

oculomotor, trochlear, abducens- track eye movements, note any ptosis

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cranial nerve testing V

trigeminal- contract muscles of mastication (masseter, temporalis)

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cranial nerve testing VII

facial nerve- make faces, raise eyebrows

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cranial nerve testing VIII

vestibulocochlear- auditory, patient closes eyes and repeats what you say

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cranial nerve testing IX

glossopharyngeal- swallow, say “ah”

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cranial nerve testing X

vagus- swallow, say “ah”

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cranial nerve testing XI

spinal accessory- shrug shoulders, contract SCM

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cranial nerve testing XII

hypoglossal- stick out tongue and move it left to right

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normal end feel at TMJ

opening: tissue stretch
closing: bone to bone

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GH joint resting position

40-55 abduction, 30 horizontal adduction (scapular plane)

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GH joint close packed position

full abduction, lateral rotation

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GH joint capsular pattern

lateral rotation, abduction, medial rotation

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AC joint resting position

arm resting by side in normal physiological position

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AC joint close packed position

90 abduction

AC joint capsular pattern

pain at extremes of ROM, especially horizontal adduction and full elevation

SC joint resting position

arm resting by side in normal physiological position

SC joint close packed position

full elevation and protraction

SC joint capsular pattern

pain at extremes of ROM, especially horizontal adduction and full elevation

GH painful arc

60-120

AC painful arc

170-180

Scapulohumeral Rhythm

phase 1- humerus: 30 abduction, scapula: minimal movement, clacvicle: 0-5 elevation phase 2- humerus: 40 abduction, scapula: 20 rotation, clavicle: elevation 15 phase 3- humerus: 60 abduction, 90 ER, scapula: 30 rotation, clavicle: 30-50 posterior rotation, up to 15 elevation

Shoulder complex normal end feel

forward flexion: tissue stretch abduction: bone to bone or tissue stretch abduction of GH joint only: bone to bone or tissue stretch ER/IR: tissue stretch extension: tissue stretch adduction: tissue approximation horizontal adduction: tissue stretch or approximation horizontal abduction: tissue stretch

ulnohumeral joint resting position

70 elbow flexion, 10 supination

ulnohumeral close packed position

extension with supination

ulnohumeral capsular pattern

flexion, extension

radiohumeral joint resting position

full extension and full supination

radiohumeral joint close packed position

elbow flexed to 90, forearm supinated to 5

radiohumeral capsular pattern

flexion, extension, supination, pronation

superior radioulnar joint resting position

35 supination, 70 elbow flexion

superior radioulnar joint close packed position

5 supination

superior radioulnar joint capsular pattern

equal limitation of supination and pronation

elbow complex end feels

elbow flexion: tissue approximation elbow extension: bone to bone forearm supination/pronation: tissue stretch

distal radioulnar joint resting position

10 supination

distal radioulnar joint close packed position

5 supination

distal radioulnar joint capsular pattern

full ROM, pain at extremes of rotation

radiocarpal (wrist) joint resting position

neutral with slight ulnar deviation

radiocarpal (wrist) joint close packed position

extension with radial deviation

radiocarpal (wrist) joint capsular pattern

flexion and extension equally limited (works with midcarpal joints)

intercarpal joints resting position

neutral or slight flexion

intercarpal joints close packed position

extension

intercarpal joints capsular pattern

none

midcarpal joint resting position

neutral or slight flexion with ulnar deviation

midcarpal joint close packed position

extension with ulnar deviation

midcarpal joint capsular pattern

equal limitation of flexion and extension (works with radiocarpal joints)

carpometacarpal joint resting position

thumb: midway between abduction and adduction, and midway between flexion and extension fingers: midway between flexion and extension

carpometacarpal joint close packed position

thumb: full opposition fingers: full flexion

carpometacarpal joint capsular pattern

thumb: abduction, extension fingers: equal limitation in all directions

metacarpophalangeal joint resting position

slight flexion

metacarpophalangeal close packed position

thumb: full opposition fingers: full flexion

metacarpophalangeal capsular pattern

flexion, extension

Interphalangeal joint resting position

slight flexion

interphalangeal joint close packed position

full extension

interphalangeal capsular pattern

flexion, extension

Normal end feels of the forearm, wrist, hand

``` pronation, supination: tissue stretch radial, ulnar deviation: bone to bone wrist flexion/extension: tissue stretch finger flexion/extension: tissue stretch finger abduction: tissue stretch thumb flexion/extension: tissue stretch thumb abduction: tissue stretch thumb adduction: tissue approximation opposition: tissue stretch ```

Stages of Grip

1. opening of the hand- simultaneous action of the intrinsic muscles of the hand and the long extensor muscles 2. positioning and closing the fingers and thumb to grasp the object and adapt to its shape (intrinsic and extrinsic flexor and opposition muscles) 3. exerted force (varies depending on weight, surface characteristics, fragility, use of the object) involving the extrinsic and intrinsic flexor and opposition muscles 4. release, in which the hand opens to let go of the object- action of intrinsic muscles and long extensor muscles

Dexter Exam #2 Flashcards

(66 cards)