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Examination And Evaluation > Goni And Mmt Of Elbow And Forearm > Flashcards

Goni And Mmt Of Elbow And Forearm Flashcards

0
Q

Describe the humeroulnar joint

A

Proximal humeral trochlea: convex, distal notch is concave. The ulna slides anteriorly with flexion stopped by soft tissue. The ulna slides posteriorly with extension stopped by the olecranon.

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1
Q

What are the motions of the elbow and forearm

A

Flexion
Extension
Supination
Pronation

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2
Q

Describe the humeroradial joint

A

Proximal is the convex capitulum, distal is the concave radial head. The radial head slides anteriorly with flexion. The radial head slides posteriorly with extension.

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3
Q

Describe the superior and inferior radio ulnar joints

A

Radial notch of the ulna and annular ligament form a concave joint surface. The radial aspect is concave. The articular surface of the radius spins posteriorly during pronation and anteriorly during supination. The concave articular surface of the radius slides anteriorly during pronation and posteriorly during supination

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4
Q

What motions decline with age

A

Extension, flexion, and pronation

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5
Q

Females tend to have more _____ than men

A

Flexion

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6
Q

Using a telephone requires about _____ of flexion

A

135 degrees

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7
Q

What is extension required for

A

Rising from a chair
Or
Reaching for ones shoes

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8
Q

What is pronation needed for

A

Cutting with a knife and pouring from a pitcher

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9
Q

What is supination needed for

A

Eating with a fork

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10
Q

What is the position to measure elbow flexion

A

Supine, support head and knees for low back protection, support humerus with a towel

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11
Q

What are normal values for elbow flexion

A

Ranges from 140-150 depending on biceps

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12
Q

What’s the fulcrum, SA, and MAof elbow flexion

A

Fulcrum: lateral epicondyle of the humerus
SA: proximal, parallel to the midline of the humerus toward the acromion
MA: align with the lateral midline of the radius using the radial head and the styloid

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13
Q

What is normal values for elbow extension

A

It’s the return of elbow flexion so it will be from 0-140. If there is no contracture, not reaching 0: 6-135 degrees or -6 degrees of extension.

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14
Q

What’s the position to measure elbow pronation

A

Sitting, shoulder at the side and elbow at 90 flexion, forearm mideway between pronation and supination, thumb up. Stabilize the distal end of the humerus to prevent internal rotation.

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15
Q

What are normal ranges of pronation

A

76-84

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16
Q

What is the fulcrum, SA. MA of pronation

A

Fulcrum: laterally and proximally to the ulnar styloid process
SA: parallel to the anterior midline of the humerus or perpendicular to the floor.
MA: across the dorsal aspect of the forearm just proximal to the styloid process where the forearm is most level and free of muscle bulk

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17
Q

What is the position for supination

A

Sitting, shoulder at the side and elbow at 90 flexion, forearm mideway between pronation and supination, thumb up. Stabilize the distal end of the humerus to prevent internal rotation.

18
Q

What are the normal values for supination

A

77-82

19
Q

What is the fulcrum, SA and MA of supination

A

Fulcrum: medially and proximally to the ulnar styloid process or perpendicular to the floor.
SA: parallel to the anterior midline of the humerus
MA: across the ventral aspect of the forearm just proximal to the styloid process wheee the forearm is most level and free of muscle bulk.

20
Q

What tests for the elbow and forearm are done in sitting for mmt

A

Flexion
Pronation
Supination

21
Q

What tests are done for prone in the elbow and forearm mmt

A

Extension

22
Q

What muscle are you testing in elbow flexion

A

Biceps, musculocutaneous C5-C6 Brachialis, brachioradialis, radial c5-c6

23
Q

What is the tester position for mmt elbow flexion

A

In front of the client, client sitting, biceps supinsted, Brachialis pronation, and brachioradialis is in neutral or mid forearm position

24
Q

What is the stabilizing/palpating arm doing in mmt of elbow flexion

A

Cupping over the anterior superior shoulder, counterforce

25
Q

What is the resisting arm doing in mmt elbow flexion and what is the direction of resistance

A

Flexor surface of the forearm, proximal to the wrist

Downward

26
Q

What grade can we test elbow flexion in the sitting position

A

5, 4, and 3

27
Q

How do you test mmt of elbow flexion on a two one or zero

A

Position of the client is supine or sitting with the arm supported. Then test all three muscles with all three forearm positions. Palpate the muscle contraction.

28
Q

What muscle are you testing in elbow extension mmt

A

Triceps , radial C5-C6

29
Q

What is the tester position in mmt of elbow extension

A

To the side of the client, client is prone

30
Q

Where is the stabilizing /palpating arm in elbow extension mmt

A

Support just above the elbow

31
Q

What is the resisting arm doing in mmt elbow extension and what is the direction

A

Dorsal surface just proximal to the wrist

Downward

32
Q

What muscle grades of elbow extension can you test in the prone position

A

5, 4, 3

33
Q

How to test muscle grade of two one or zero for elbow extension

A

The tester position is to the side of the client supporting the elbow and forearm, client is sitting

34
Q

What muscle are you testing for pronation

A

Pronator teres median c6-c7 and pronator quadratus (c6-c8)

35
Q

What muscle are you testing for supination

A

Supinator radial c5-c6, biceps musculocutaneous c5-c6.

36
Q

What is the tester position for pronation

A

On the side of the client, client sitting, forearm neutral

37
Q

What is the tester position for supination

A

Side of the client, client siting, forearm neural

38
Q

What is the stabilizing/palpating arm doing in mmt of pronation

A

Cupping over the anterior surface of the shoulder, counterforce

39
Q

What is the stabilizing/palpating arm doing in mmt of supination

A

Support the elbow cupping

40
Q

What is the resisting arm doing in mmt of pronation. And direction

A

Dorsal surface of the forearm, proximal to the wrist

Into supination

41
Q

What is the resisting arm doing in mmt of supination, And direction

A

Violas surface of the forearm, proximal to the wrist

Into pronation

42
Q

What muscle grades can you test in sitting or elbow pronation and supination

A

5, 4, 3, 1, and 0

43
Q

What should we have the patient do if they are a 2 for pronation or supination

A

Grade 2 the client elevates the shoulder between 45-90 degrees

Examination And Evaluation (7 decks)

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