Final Practical

Question 1

ulnar glide of thumb improves what

Answer 1

flexion of thumb

Question 2

dorsal glide of thumb improves what

Answer 2

abduction of thumb

Question 3

volar glide of thumb improves what

Answer 3

adduction of thumb

Question 4

radial glide of thumb improves what

Answer 4

extension of thumb

Question 5

Carpal Tunnel Syndrome:

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 5

a. ) Median nerve entrapment. Feels better when shaking it out
b. ) BEST = PIP finger flexion (to look for weakness of flexor digittorum superficialis…..stabilize the Proximal phalange and resist the middle phalange) Wrist flexion and wrist extension ROM
c. ) Phalen’s/reverse phalen’s, figure 8, tinel of the carpal tunnel, r/o vascular involvement with allens test, r/o pronator teres syndrome with pronator teres test
d. ) Massage to carpal tunnel, volar spreading of wrist, dorsal wrist glide to help with wrist flexion or volar wrist glide to help with wrist ext.
e. ) Splinting in neutral, education to keep the hand above the heart to help with swelling, stretched into wrist flexion and extension to use new ROM

Question 6

De Quervain’s:

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 6

a. ) pain in the thumb area on the tendons of extensor pollcis brevis and abductor pollicis longus. inflammation of the extensor pollcis brevis and/or the abductor pollcis longus
b. ) ROM- thumb extension and thumb abduction. MMT- thumb extension and thumb abduction
c. ) Finklestein’s
d. ) Eccentric training for extensor pollcis brevis and/or abductor pollcis longus, 1st CMC radial glide, 1st CMC dorsal glide, and massage to area
e. ) self eccentrics or stretch into thumb extension to use new ROM

Question 7

which myotome is wrist flexion

Answer 7

C7

Question 8

which myotome is elbow flexion

Answer 8

C6

Question 9

which myotome is wrist extension

Answer 9

C6

Question 10

which myotome is elbow extension

Answer 10

C7

Question 11

practice myotome assessmetn

Answer 11

ok

Question 12

practice dermatome assessment

Answer 12

ok

Question 13

Medial Elbow instability:

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 13

a. ) common in pitchers. may hear a “pop”
b. ) MMT- elbow flexion and elbow extension
c. ) Valgus stress test
d. ) stregthen what was found to be weak
e. ) continue to strengthen what was found to be weak

Question 14

Lateral Elbow Instability:

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 14

a. ) Common MOI is trauma due to a fall (FOOSH)
b. ) ROM- wrist flexion (to see if wrist extensors are tight and leading to the pain) MMT wrist flexion or wrist extension.
c. ) Varus stress test
d. ) stregthen what was found to be weak
e. ) continue to strengthen what was found to be weak

Question 15

Lateral Epicondylagia:

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 15

a. ) obvious
b. ) MMT wrist extension or ROM wrist flexion
c. ) Cozen, Mills, Maudsley
d. ) Eccentric training for wrist extensors, massage/trigger point release for ECRB, or contract-relax ti improve wrist flexion ROM
e. ) Theraband for wrist extension strengthening or self stretch into wrist flexion

Question 16

Medial epicondylagia

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 16

a. ) obvious
b. ) MMT wrist flexion or ROM for wrist ext
c. ) rule out ligamentous issue with valgus stress test or look at wrist ext with fingers flexion and extended
d. ) eccentric training for wrist flexors, massage to pronator teres, or contract-relax to improve wrist flex ROM
e. ) Theraband to strengthen wrist flexors or self stretch into wrist ext

Question 17

OA/stiff wrist

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 17

a. ) obvious
b. ) ROM-wrist flex or wrist ext. might could do radial and ulnar deviation too
c. ) Carpal glides to assess for stiffness
d. ) contract-relax for wrist flex/ext, dorsal glide to improve wrist flex ROM or volar glide to improve wrist ext ROM
e. ) Stretch into wrist flex or ext

Question 18

Ulnar nerve entrapment

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 18

a.) ulnar nerve gets entrapped in ulnar groove or tunnel of guyon. this is also known as cubital tunnel syndrome
b.) MMT thumb adduction, MMT 5th finger adduction
c.) Tinel sign at the tunnel of guyon and ulnar groove Froment’s sign and Wartenburg’s sign, figure 8 for
swelling
d.) soft tissue moblization to FCU or FCU stretch
e.) Ulnar nerve slider (snake-stop)

Question 19

Supinator Syndrome

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 19

a. ) burning sensation down lateral forearm. Radial nerve entrapment
b. ) MMT Wrist extension. MMT supination. ROM pronation
c. ) Tinel the radial head
d. ) soft tissue massage to supinator, contract relax to improve pronation ROM and decrease tone of the supinator muscle
e. ) Stretch into wrist flexion and pronation to decr tone of the supinator muscle

Question 20

Pronator Teres Syndrome

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 20

a. ) Median nerve entrapment. Similar presenation to carpal tunnel
b. ) ROM-Supination. MMT-pronation.
c. ) Pronator Teres test
d. ) Contract-relax to improve supination ROM, soft tissue massage to the pronator-flexor group
e. ) Median nerve slide (waiter-come) or self stretch into supination and wrist ext

Question 21

what type of glide to improve shoulder flex ROM

Answer 21

post

Question 22

what types of glides to use for FS

Answer 22

posterior or inferior

Question 23

Tests for labral tear

Answer 23

crank, anterior slide, biceps load, active compression

Question 24

Sprain of UCL of thumb

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 24

a. ) trauma into forced hyperabduction
b. ) ROM- thumb abduction. MMT-thumb abduction
c. ) valgus stress test of the thumb and palpation of thumb to see if the UCL is “bunched up
d. ) Isometric resistance to thumb, propriocpetion work to thumb
e. ) Isometric to thumb or proprioception to thumb

Question 25

Sprain of Carpal Ligaments

a. ) Presentation/what is it?
b. ) MMT/goni
c. ) Special test(s)
d. ) Tx in clinic
e. ) HEP

Answer 25

a. ) usually seen in PT after they have been immobilized. FOOSH is the MOI
b. ) ROM- wrist flexion or wrist extesion
c. ) Figure 8 for swelling, Ballotment Test, Intercapal glide assessment
d. ) Probably want to work on mobliity of the wrist so stretching into the ranges, so AROM or PROM of the wrist is appropriate
e. ) Stretching at home

Question 26

Long axis distraction is good for what

Answer 26

FS or subacromial impingement

Question 27

what type of glide to improve shoulder ER ROM

Answer 27

anterior glide

Question 28

what type of glide to improve shoulder ext ROM

Answer 28

ant

Question 29

what type of glide to improve shoulder Abd ROM

Answer 29

inf

Question 30

what type of glide to improve shoulder IR ROM

Answer 30

post