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OS2 > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

What makes up mid foot?

A

Cuneiform
Navicular
Cuboid

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2
Q

What makes up the forefoot?

A

Metatarsals

Phalanges

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3
Q

What makes up the medial longitudinal arch?

A 
Calcaneus
Talus
Navicular
Cuneiforms 1-3
Metatarsals 1-3
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4
Q

What makes up the lateral longitudinal arch?

A

Calcaneus
Talus
Cuboid
4th and 5th metatarsals

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5
Q

What makes up the transverse tarsal arch?

A

Navicular
Cuboid
Cuneiforms 1-3
Proximal metatarsals

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6
Q

What makes up the metatarsal arch?

A

Distal metatarsal heads

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7
Q

How do you assess for high ankle sprain?

Where?

A

Squeeze test

Proximal 1/3 of lower extremity

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8
Q

What do you evaluate with ankle drawer sign?

A

Anterior talofibular ligament

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9
Q

What do you evaluate with talar tilt test inversion?

Eversion?

A

Calcaneofibular l.

Deltoid l.

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10
Q

How do you evaluate for Achilles tendon?

A

Thompson test

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11
Q

Dorsiflexion ROM?

plantar flexion?

A

15-20

50-65

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12
Q

Ankle inversion ROM?

Eversion?

A

35

20

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13
Q

Subtalar inversion?

Eversion?

A

5

5

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14
Q

Forefoot adduction?

ABduction?

A

20

10

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15
Q

1st MTP flexion ROM?

Extension?

A

45

70-90

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16
Q

Anterior tibia on talus dysfunction has what FOM?

Restriction?

Due to changes in what?

A

Ankle prefers dorsiflexion and anterior glide

Tibia restricted in gliding posteriorly on the talus

Distal tibia mechanics

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17
Q

Posterior tibia on talus dysfunction has what FOM?

Restriction?

Due to changes in what?

A

Ankle prefers plantar flexion and posterior glide

Tibia restricted in gliding anteriorly on the talus

Distal tibia mechanics

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18
Q

Anterior lateral malleolus has FOM where?

Restriction?

A

Free anterior glide relative to distal tibia

Posterior glide

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19
Q

Posterior lateral malleolus has FOM where?

Restriction?

A

Posterior glide relative to distal tibia

Anterior glide

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20
Q

Dorsiflexed talus and plantar flexed talus dysfunction is due to what kind of mechanics?

A

Changes in talus mechanics

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21
Q

Inversion/Eversion calcaneus dysfunction is due to what kind of mechanics?

A

Changes in subtalar mechanics

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22
Q

With a plantar navicular dysfunction, how does the navicular move?

A

Lateral navicular drops plantar

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23
Q

With a plantar cuboid dysfunction, how does the navicular move?

A

Medial cuboid drops planar

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24
Q

A plantar cuboid dysfunction so commonly associated with what?

A

Posterior fibular head dysfunction

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25
Q

With a plantar flexed talus dysfunction, what do you tell the patients to do?

A

Press on the gas pedal

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26
Q

Trans tarsal thrust of navicular, do you invert or evert the foot into the barrier?

A

Evert foot

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27
Q

Trans tarsal thrust of cuboid, do you invert or evert the foot into the barrier?

A

Invert into barrier

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28
Q

ROM: flexion w/knee extended?

Knee flexed?

A

90

120-135

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29
Q

Hip ROM: ABduction?

ADduction?

A

45-50

20-30

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30
Q

What are the hip flexors?

A

Iliopsoas
Sartorius
Rectus femoris

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31
Q

What are the hip extensors?

A

Glut MAX
Biceps femoris
Semitendinosus
Semimembranosus

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32
Q

What are the hip abductors?

A

Glut Med
Glut Min

Happy now?

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33
Q

ROM knee flexion?

A

135-150

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34
Q

If a knee extends past 0 degrees, what is it called?

A

Genu recurvatum

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35
Q

ROM internal/external rotation of knee?

A

10

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36
Q

Flexion of knee is with what kind of glide?

Extension?

A

Posterior

Anterior

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37
Q

For a knee flexion dysfunction, what position is the patient in?

A

Supine

38
Q

For a knee extension dysfunction, what position is the patient in?

A

Prone

39
Q

Posterior fibular head dysfunction accompanied with what?

A

Plantar flexion, inversion, adduction, lower leg internal rotation

40
Q

Anterior fibular head dysfunction accompanied by what?

A

Dorsiflexion, eversion, abduction, lower leg external rotation

41
Q

Patient with inversion ankle sprain most likely also has what?

A

posterior fibular head

42
Q

Provide set up for posterior fibular head HVLA:

A

Flex hip and knee to 90 degrees
Use 2nd MCP to contact posterior aspect of fibular head
Dorsiflex, evert, abduct, externally rotate foot
Rapid knee flexion w/anterior thrust

43
Q

Provide set up for anterior fibular head HLVA

A

Pt supine, knee extended
Plantar flex, invert, adduct, internally rotate foot
use thenar eminence to contact Anterolateral aspect of fibular head
Slightly flex knee
Exert posteromedial thrust through fibular head

44
Q

For myofascial release for a ant/post fibular head, what is the set up for the hip and knee?

A

Flexed to 45 degrees

45
Q

How do you describe the shoulder joint?

A

Most mobile and unstable

46
Q

What bones make up the shoulder joint?

A

Clavicle
Humerus
Scapula (coracoid and acromion)

47
Q

What are the 3 true synovial joints of the shoulder?

A

GAS
Glenohumeral
Acromioclavicular
sternoclavicular

48
Q

What are the functional joints of the shoulder?

A

Suprahumeral

Scapulothoracic

49
Q

What are the accessory joints of the shoulder?

A

Costosternal

Costovertebral

50
Q

What is responsible for EARLY shoulder abduction?

A

Glenohumeral + suprahumeral

51
Q

What is responsible for MID-LATE shoulder abduction?

A

Scapulothoracic + sternoclavicular + acromioclavicular

SAS

52
Q

What muscles attach on the coracoid process?

A

Short head biceps brachii

Pec minor

53
Q

ROM of adduction of shoulder in coronal plane?

A

40-50

54
Q

ROM of horizontal abduction horizontal plane?

Horizontal adduction?

A

130-145

40-50

55
Q

What position must the shoulder be in to maximize motion at the AC joint?

A

GH joint into 60 degrees horizontal abduction

60 degrees coronal abduction

56
Q

Internal rotation of GH joint causes what in the AC joint?

A

internal rotation

57
Q

Normal AC rotation ROM?

A

10 degrees

58
Q

What are the 6 motions of the scapula?

A

Elevation/depression
Protraction/retraction
Upward/downward rotation aka tilt

59
Q

What are the 2 dysfunctions of the SC joint?

A

Abduction

Flexion

60
Q

In abduction of the SC joint, how does the proximal clavicle move?

A

Inferior

61
Q

If during abduction the proximal clavicle does not move inferior and stays cephalad/superior, what kind of dysfunction is that?

A

Adduction dysfunction

62
Q

During flexion of the AC joint how does the proximal clavicle move?

Distal clavicle?

A

Posterior

Anterior

63
Q

If on palpation of the proximal clavicle 1 side stays anterior and does not move posterior, what is the dysfunction?

What is the restriction?

A

Extension dysfunction

Restricted to flexion

64
Q

Spencer technique is described how?

A

LVHA, articulately technique for GH dysfunction

65
Q

What position is the pt in for Spencer’s technique?

Block what linkage?

A

Lateral recumbent, dysfunction side up
Dr. Stands on side of table facing patient

Lock the shoulder girdle

66
Q

How many times is the spencer technique repeated per motion?

Stop when?

A

6-8

If painful

67
Q

Give the 7 motions of spencer in order

A 
Extension
Flexion
Circumduction
Circumduction w/traction
Abduction/Adduction
Internal rotation
Traction Stretch
68
Q

Describe the HLVA set up for SC Adduction dysfunction:

A

Pt supine, dr head of table
Dr applies inferior force with thenar eminence of monitoring hand over SC joint that is restricted
Dr grasps pt’s arm on side of dysfunction and exerts a cephalad traction force on arm
Downward thrust and rapid traction force simultaneously

69
Q

Describe set up for SC horizontal extension dysfunction ME:

A

Pt supine, dr on side of affected shoulder
Place 1 hand on clavicle and other behind axilla to cover scapula
Dr flexes clavicle up
Pt activating force down to table

70
Q

Describe set up for SC adduction dysfunction ME:

A

Pt supine, dr on side of affected shoulder
Dr places hand on prox clavicle, other hand grabs pt wrist
EXTEND and IR arm
Pt activating force to ceiling

71
Q

What is a cubitus valgus deformity?

A

Carrying angle of elbow > 15 degrees

72
Q

What is a cubitus varus deformity?

Also called what?

A

Carrying angle of elbow of less than 5 degrees

Gunstock deformity

73
Q

What runs between the medial epicondyle and olecranon?

A

Ulnar nerve

74
Q

How does the radial head glide with supination of the forearm?

What motion of ulna?

A

Anteriorly

ADduction

75
Q

How does the radial head glide with pronation of the forearm?

What motion of ulna?

A

Posteriorly

ABduction

76
Q

Bouchard’s is due to what?

Affects what?

A

RA

PIP

77
Q

Heberden’s is due to what?

Affects what?

A

Osteoarthritis

DIP

78
Q

Extension of the wrist is paired with what?

A

Ventral carpal dysfunction

79
Q

Flexion of the wrist is paired with what?

A

Dorsal carpal dysfunction

80
Q

For HVLA or wrist extension/flexion dysfunction where do you grasp the patient?

A

Thumbs grasp dorsally at the Radiocarpal joint

81
Q

How do you perform HVLA for any phalange all dysfunction?

A

Traction with hyper flexion thrust

82
Q

What is the sympathetic innervation of the upper extremity?

A

T3-T8

83
Q

What makes up the hind foot?

A

Talus

Calcaneus

84
Q

Where is the 1st tender point associated with a postural decompensation pattern located?

A

Iliolumbar ligament

85
Q

What does the hip drop test screen for?

A

Lumbar side bending restrictions

86
Q

What does the pelvic side-shift test asses for?

A

Fascial connections between the lumbo-pelvic hip complex

87
Q

What test screens for lumbar radiculopathies, hip flexion restriction, IT band tension, and tightness of hamstrings?

What degrees indicates this?

A

Straight leg raise

30-60

88
Q

When performing a hip drop test, what indicates restriction?

A

Less than 20 degrees ROM

89
Q

How can the acromion drop test be divided?

A

Lateral
Middle
Medial thirds

90
Q

The medial third testing of the acromion drop test assesses for what?

A

SB restriction of upper thoracics

OS2 (2 decks)

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