Homework #4 Flashcards
In our study of goniometry, we will be using the 0 to 180 degree notation system or neutral zero method. How can zero be different using the terms anatomical position and fundamental/neutral position?
All ROM measurements utilize fundamental position
Fundamental position is not utilized in ROM measurements
Fundamental position is the zero-degree/neutral position for UE rotational movements and measurements
Anatomical position is the only position utilized in ROM measurements
Fundamental position is the zero-degree/neutral position for UE rotational movements and measurements
Typically, when we lose PROM, we lose it in a specific “capsular pattern”. When limitation does not follow its typical pattern, it is called what?
Non-capsular pattern
Capsular pattern
Atrophy
Joint contracture
Non-capsular pattern
Non-capsular patterns are usually caused by what?
Condition involving the nerve roots for the specific joint
Condition involving structures other than the joint capsual like muscle strains, contractures, and ligament shortening
Condition involving the capsule within a joint
Condition involving the synovial fluid within a joint
Condition involving structures other than the joint capsual like muscle strains, contractures, and ligament shortening
Often age-related and gender-related norms for ROM have not been established. In these situations, the ROM of the patient’s joint should be compared with what?
Research demonstrated in your textbook
Evidence based research
The most distal joint
The contralateral joint
The contralateral joint
What is the purpose of muscle length testing?
To determine the nerve conduction rate for that joints specific nerve root
To determine the strength of that specific muscle group
To determine whether hypo or hypermobility are caused by the length of the inactive antagonist muscle or other structures
To determine whether hypo or hypermobility are caused by the length of the inactive antagonist muscle or other structures
Chapter 2 of your ROM textbook states that learning how to stabilize requires what?
A soft surface for your patient to be positioned upon
Practice
AROM from your patient
Two persons
practice
Why can stabilization during a ROM measurement be difficult for some students?
The examiner must stabilize with one hand while simulatenously moving the distal joint segment with the other hand
The action is simple and easy for most students
It takes practice to learn how to instruct your tech in assisting
The examiner must stabilize with one hand while simulatenously moving the distal joint segment with the other hand
Whenever we align our goniometer with the joint to be meaured, the examiner should use what to assist in placement?
Palpation of specific muscles
None of these will assist
Anatomical bony landmarks
Visual estimation
Anatomical bony landmarks
Placement of the fulcrum of the goniometer during measurements is important. Where is the fulcrum of the goniometer placed generally?
Over the most distal aspect of the joint being measured
Over the most proximal aspect of the joint being measured
Over the approximate location of the axis of motion being measured
Over the muscle belly of the muscle being activated
Over the approximate location of the axis of motion being measured
What does an inclinometer do?
Use’s gravity effect on pointers and fluid levels to measure joint position and motion
Provides an incline plane for the patient to work through
Provides an angled surface for MMT
Measure the strength of the patient
Use’s gravity effect on pointers and fluid levels to measure joint position and motion
A muscle that has a contracture and therefore has limited range of motion can never be graded 5/5.
True
False
false
One joint muscles are usually tested at _________________________, however, two joint muscles are typically test at _________________________ because the length-tension relationship is more favorable there.
mid-range/end range
mid-range/mid-range
end range/mid-range
end range/end range
end range/mid-range
The grading system for MMT can be written in quantitative or qualitative terms. Select all of the qualitative terms used for grading MMT. x6
Normal
Good
Fair
Poor
Trace
Zero
Bad
Slight
Normal
Good
Fair
Poor
Trace
Zero
Weakened muscles are tested in a plane horizontal to the direction of gravity. This is called “gravity “. This position is used to test a muscle for grades , , & .
Minimized; 2, 1, & 0
Maximized; 5, 4, & 3
Maximized; 2, 1, & 0
Minimized; 5, 4, & 3
Minimized; 2, 1, & 0
When performing a MMT, the placement of resistance is typically where?
Near the distal end of the segment to which the muscle attaches
Near the proximal end of the segment to which the muscle attaches
Near the midshaft
Near the distal end of the segment to which the muscle attaches
