L9: Static Analysis/Motion Testing Flashcards
1
Q
Which is more concerning: painless or painful weakness?
A
- Painless weakness concerning for neurological problem. Painful weakness may indicate muscle tear.
2
Q
What does static analysis of a pt reveal to the physician?
A
- Muscle imbalances
- Strain patterns
- SDs
- Neurologic disease (wasiting, weakness)
- Orthopedic disease or deformity
- Emotional state
3
Q
When assessing ROM, always assess passive ROM before active ROM. True / False.
A
- False. Assess, active ROM (from pt) before passive ROM (from physician)
4
Q
With passive ROM, what are normal end-feels? Abnormal?
A
- Normal: elastic, hard (painless), tissue approximation – these depend on location
- Abnormal: guarding (aka empty) voluntary or involuntary, muscle spasm
5
Q
Is OMM contraindicated with guarding and muscle spasm end feels during passive ROM testing?
A
- Yes, contraindicated until underlying condition is diagnosed
6
Q
What is the gravitational line?
A
- Imaginary line in coronal plane which in theoretical ideal posture passes through: external auditory meatus, lateral aspect of head of humerus at tip of shoulder, greater trochanter, lateral condyle of knee, slightly anterior to lateral malleolus
7
Q
What is a hip drop test? What is a negative test? What is a positive test?
A
- A ROM test for lumbar sidebending by evaluating asymmetries of iliac crests
- Pt stands on one leg and observe position of iliac crests.
- Negative: iliac crest on unsupported side drops 20-25 degrees with a smooth lumbar curvature toward weight-bearing side of body, so lumbar spine should side-bend to the side that drops the least
- Positive: iliac crest does not drop 20-25 degrees on unsupported side and there is an angled uneven or poor l-spine curve toward weight-bearing side of body. Indicates that lumbar and / or TL spine has difficulty side-bending toward weight-bearing side
8
Q
Describe positive standing flexion test
A
- PSIS that moves further cephalad, not the one that moves first
