Examination Flashcards
Myotome 1/2
Hip flexion
Myotome L3/4
Knee extension
Myotome L4/5
Knee flexion/ankle dorsiflexion
Myotome L5
Big toe extension
Myotome S1/2
Ankle plantarflexion
Tone
Move leg in all ranges of movement
Red flags
Onset of a new complaint under age of 20 or over 50
Persistent night pain
Unexplained weight loss
SOB
chest pain
sudden weakness
changes in bladder function
Progressive neurological symptoms
Changes in balance/coordination
TART
Tissue texture change
Asymmetry
ROM
tenderness
Skin
Temperature
Thickness
Drag
Vitality
Smoothness
Mobility
Functional screening
Cervical spine
Upper extremity
Lumbar/thoracic motion
Thoracic cage
Lower extremity screen
Which do you list and which do you perform
List cervical spine, upper extremity, and thoracic cage. Perform lumbar/thoracic motion and lower extremity
Posture posterior
Ear levels
Cervical spine
Shoulder heights
Inferior scapula angle
Thoracic spine
Pelvic crests
Gluteal folds
Popliteal folds
Achilles tendon
Foot arches
Posture anteriorly
Head position
Shoulder heights
Clavicle heights
Arm carriage
Innominate levels
Anterior superior iliac spine
Q angle
Foot arches
Posture laterally
Head carriage
Cervical spine curve
Scapula position
Thoracic spine curve
Lumbar spine curve
Pelvis
Knees
Ankles
AROM tests
physiological barrier - muscles, ligaments, joint capsules, joint surfaces
PROM tests
elastic barrier - ligaments, joint capsules
Muscle strength gradings
0 - zero, no evidence of muscle contraction
1 - trace, evidence of slight muscular contraction, no joint motion evident
2 - poor, complete ROM with some assistance and gravity eliminated
3 - fair, complete ROM against gravity with no resistance
4 - good, complete ROM against gravity with some resistance
5 - normal, complete ROM against gravity with full resistance
How long do you perform stretches for
15-30 seconds, 3-4x
duration of MET
Stretch to barrier and hold resistance for 3-7 seconds, repeat 3-5 times
MFR
Muscle is stretched whilst longitudinal soft tissue technique is applied for 60-90 secs or until T.T change
Sensitivity
Probability of actually having the condition if the test is positive
Specificity
Probability of not having the condition if the test is negative