Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NPTE Musculoskeletal > End Feel and Muscle Testing > Flashcards

End Feel and Muscle Testing Flashcards

1
Q

What is an end-feel?

A

The type of resistance felt when passively moving a joint through the end ROM.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are normal end-feels?

A

Firm (stretch)
Hard (bone to bone)
Soft (soft tissue approximation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

List 4 examples of motions with a firm end-feel.

A

Ankle dorsiflexion
Finger extension
Hip medial rotation
Forearm supination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List an example of a hard end feel.

A

Elbow extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

List 2 examples of soft end feels.

A

Elbow flexion

Knee flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are common causes of empty (painful) end feels?

A

Joint inflammation
Bursitis
Fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are common causes of abnormal firm end feels?

A

Increased tone
Tightening of the capsule
Ligament shortening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are common causes of abnormal soft end feels?

A

Edema
Synovitis
Ligament instability/tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe 0/5 on MMT testing.

A

No palpable muscle contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe 1/5 on MMT testing.

A

Trace

Muscle contraction can be palpated but there is no joint movement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe 2-/5 on MMT testing.

A

Poor minus

Cannot complete ROM in a gravity eliminated position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe 2/5 on MMT testing.

A

Poor

Completes ROM in gravity eliminated position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe 2+/5 on MMT testing.

A

Poor Plus

Can initiate movement against gravity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe 3-/5 on MMT testing.

A

Fair plus

Cannot complete the ROM against gravity but does complete more than half of the range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe 3/5 on MMT testing.

A

Fair

Completes ROM against gravity without resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe 3+/5 on MMT testing.

A

Fair plus

Completes ROM against gravity with only minimal resistance

17
Q

Describe 4-/5 on MMT testing.

A

Good minus

Completes ROM against gravity with minimal-moderate resistance

18
Q

Describe 4/5 on MMT testing.

A

Good

Completes ROM against gravity with moderate resistance

19
Q

Describe 4+/5 on MMT testing.

A

Good plus

Completes ROM against gravity with moderate-maximal resistance

20
Q

Describe 5/5 on MMT testing.

A

Normal

Completes ROM against gravity with maximal resistance

21
Q

What is muscle insufficiency?

A

A muscle contraction that is less than optimal due to an extremely lengthened or shortened position of the muscle

22
Q

What is the difference between active and passive muscle insufficiency?

A

Active: when a two joint muscles contracts across both joints simultaneously

Passive: when a two joint muscles is lengthened across both joints simultaneously

23
Q

What is a power grip? What position is the hand in?

A

A grip used when a strong grip is needed and involves stabilization of the object against the palm.

Fingers are in flexion and the wrist is in ulnar deviation and slight extension

24
Q

What are four types of power grips?

A

Cylindrical grasp
Fist grasp
Spherical grasp
Hook grasp

25
Q

What is a precision grip? What joints are involved?

A

A grip used when accurate and precise movements of the hand are needed.

Involves the IP and MCP joints on the radial side of the hand.

26
Q

What are 3 types of precision grips?

A

Digital prehension grip (three finger grip)
Lateral prehension grip
Tip prehension grip

27
Q

When might you use a digital vs lateral vs tip prehension grips?

A 
Digital = when holding a pencil
Lateral = turning a key
Tip = Holding a needle
28
Q

What are 3 types of dynamometry?

A

Hand held
Isometric
Isokinetic

29
Q

Describe hand held dynamometry.

A

Used to assess grip strength

Pt asked to exert maximal force against the dynamometer, keeping the elbow close to the trunk

30
Q

Describe isometric dynamometry. When is this contraindicated?

A

Measures static strength of a muscle group without any movement

Contraindicated for patients with fractures and significant hypertension.

31
Q

Describe isokinetic dynamometry.

A

Measures the strength of a muscle group during movement with constant, predetermined speed.

32
Q

What is the difference between a make vs a break test?

A

Make test: evaluation procedure where a patient is asked to apply a force against the dynamometer

Break test: evaluation procedure where a patient is asked to hold a contraction against pressure that is applied in the opposite direction of the contraction

NPTE Musculoskeletal (32 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions