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ECOS II Midterm > Lab- Extremity Counterstrain > Flashcards

Lab- Extremity Counterstrain Flashcards

1
Q

what is the normal flexion ROM of the shoulder?

A

180 degrees

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2
Q

what is the normal extension ROM of the shoulder?

A

60 degrees

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3
Q

what is the normal horizontal adduction ROM of the shoulder?

A

130-140 degrees

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4
Q

what is the normal horizontal abduction ROM of the shoulder?

A

40-55 degrees

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5
Q

what is the normal abduction ROM of the shoulder?

A

180 degrees

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6
Q

where is the tenderpoint of the supraspinatus located?

A

midsupraspinatus muscle just superior to the spine of scapula

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7
Q

what is the treatment position for the supraspinatus tenderpoint?

A

patient’s arm is flexed 45 degrees, abducted 45 degrees, and externally rotated

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8
Q

where is the tenderpoint of the levator scapulae located?

A

in the levator at the superior angle of the scapula

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9
Q

what is the treatment position for the levator scapulae tenderpoint?

A

internal rotation of the patient’s shoulder with mild to moderate traction with minimal abduction

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10
Q

where is the tenderpoint of the subscapularis located?

A

anterolateral border of the scapula on the subscapularis muscle

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11
Q

what is the treatment position for the subscapularis tenderpoint?

A

extension of the patient’s shoulder with internal rotation and traction

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12
Q

where is the tenderpoint of the long head of the biceps brachii located?

A

over the long head of the biceps tendon in the bicipital groove

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13
Q

what is the treatment position of the tenderpoint of the long head of the biceps brachii?

A

pt’s elbow and shoulder are flexed, arm is minimally abducted and internally rotated

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14
Q

where is the tenderpoint of the biceps brachii (short head) coracobrachialis located?

A

inferolateral aspect of the coracoid process on the short head tendon of biceps or coracobrachialis

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15
Q

what is the treatment position for the tenderpoint of the short head of the biceps brachii?

A

pt’s elbow and shoulder are flexed, arm is minimally adducted and internally rotated

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16
Q

where is the tenderpoint of the radial head located?

A

supinator muscle; the anterolateral aspect of the radial head at the supinator attachment

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17
Q

what is the treatment position for the tenderpoint of the radial head?

A

pt’s elbow is fully extended, forearm is markedly supinated, fine tune with valgus force

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18
Q

where is the tenderpoint for the medial epicondyle?

A

pronator teres muscle; near the medial epicondyle of the humerus associated with the common flexor tendon and pronator teres

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19
Q

what is the treatment position for the medial epicondyle?

A

the patient’s elbow is flexed, marked pronation, forearm adducted

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20
Q

what is the normal ROM of wrist flexion?

A

80-90 degrees

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21
Q

what is the normal ROM of wrist extension?

A

70 degrees

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22
Q

what is the normal ROM of wrist adduction/ ulnar deviation?

A

30-40 degrees

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23
Q

what is the normal ROM of wrist abduction/ radial deviation?

A

20-30 degrees

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24
Q

what is flexion of the wrist coupled with?

A

posterior/dorsal glide of the proximal carpal bones

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25
Q

what is extension of the wrist coupled with?

A

anterior/ventral glide of the proximal carpal bones

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26
Q

where is the tenderpoint for the dorsal wrist-extensor carpi radialis?

A

the dorsal surface of the second metacarpal associated with extensor carpi radialis muscle

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27
Q

what is the treatment position for the tenderpoint of the extensor carpi radialis?

A

pt’s wrist is passively extended and abducted

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28
Q

where is the tenderpoint located for the dorsal wrist- extensor carpi ulnaris?

A

the dorsal surface of the 5th metacarpal associated with the extensor carpi ulnaris muscle

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29
Q

what is the treatment position for the extensor carpi ulnaris tenderpoint?

A

pt’s wrist is passively extended and adducted

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30
Q

where is the tenderpoint located for the flexor carpi radialis muscle?

A

the palmar base of the second or third metacarpal in the flexor carpi radialis muscle

31
Q

what is the treatment position for the flexor carpi radialis tenderpoint?

A

pt’s wrist is passively flexed and abducted

32
Q

where is tenderpoint for the flexor carpi ulnaris muscle?

A

palmer base of the 5th metacarpal in the flexor carpi ulnaris muscle

33
Q

what is the treatment position for the flexor carpi ulnaris tenderpoint?

A

pt’s wrist is passively flexed and adducted

34
Q

where is tenderpoint located for the abductor pollicis brevis muscle?

A

the palmer base (radial aspect) of the first metacarpal in the abductor pollicis brevis muscle

35
Q

what is the treatment position for the abductor pollicis brevis tenderpoint?

A

pt’s wrist is passively flexed and the thumb is abducted

36
Q

what is the normal ROM of the hip flexion with the knee flexed?

A

120-135 degrees

37
Q

what is the normal ROM of hip flexion with knee straight?

A

90 degrees

38
Q

what is the normal ROM of hip extension?

A

15-30 degrees

39
Q

what is the normal ROM of hip internal rotation?

A

30-40 degrees

40
Q

what is the normal ROM of hip external rotation?

A

40-60 degrees

41
Q

what is the normal ROM of hip adduction?

A

20-30 degrees

42
Q

what is the normal ROM of hip abduction?

A

45-50 degrees

43
Q

where is the tenderpoint of the tensor fasciae latae?

A

just inferior to the iliac crest in the body of the TFL

44
Q

what is the treatment position of the TFL tenderpoint?

A

patient’s knee is abducted and slightly flexed

45
Q

where is the tenderpoint for the iliotibial band?

A

along the iliotibial band distal to the greater trochanter

46
Q

what is the treatment position for the IT band tenderpoint?

A

patient’s hip/ thigh is abducted and slightly flexed

47
Q

where is the lateral hamstring tenderpoint?

A

the distal aspect of the biceps femoris near the attachment to the posterolateral surface of the fibular head

48
Q

what is the treatment position for the lateral hamstring tenderpoint?

A

knee is flexed and the tibia is externally rotated with slight abduction; compression on the calcaneus is added to plantar flex the ankle

49
Q

where is the medial hamstring tenderpoint located?

A

the distal aspect of the medial hamstring tendons near their attachment to the posterior medial surface of the tibial condyle

50
Q

what is the treatment position for the medial hamstring tenderpoint?

A

patient’s knee is flexed and the tibia is internally rotated with slight adduction; compression on the calcaneus is added to plantar flex the ankle

51
Q

what is the normal ROM of knee flexion?

A

145-150 degrees

52
Q

what is the normal ROM of knee extension?

A

0 degrees

53
Q

where is the lateral meniscus/ lateral collateral ligament tenderpoint located?

A

lateral aspect of the meniscus along the joint line

54
Q

what is the treatment position for the lateral meniscus/ lateral collateral ligament tenderpoint?

A

pt’s thigh is abducted so leg is off tble, flex knee to 35-40 degrees, tibia is abducted and externally or internally rotated until tenderness is reduced

55
Q

where is the anterior cruciate tenderpoint located?

A

superior aspect of the popliteal fossa adjacent to the hamstring tendons

56
Q

what is the treatment position for the anterior cruciate tenderpoint?

A

towel roll or pillow under the distal femur for fulcrum, apply a force to the proximal tibia to translate the tibia posteriorly on distal femur

57
Q

where is the posterior cruciate tenderpoint located?

A

slightly below the center of the popliteal fossa

58
Q

what is the treatment position of the posterior cruciate tenderpoint?

A

towel roll or pillow under the proximal tibia for fulcrum, apply force on distal femur to translate femur posteriorly on the proximal tibia

59
Q

where is the popliteus tenderpoint located?

A

in the muscle belly just inferior to the popliteal space

60
Q

what is the treatment position for the popliteus tenderpoint?

A

the patient’s knee is flexed and the tibia is internally rotated

61
Q

where is the gastrocnemius tenderpoint located?

A

within the proximal grastrocnemius muscles distal to the popliteal margin

62
Q

what is the treatment position for the gastrocnemius tenderpoint?

A

pt’s knee is flexed and dorsum of foot is placed on doc’s thigh; add compressive force through the calcaneus

63
Q

what is the normal ROM of the dorsiflexion of the ankle?

A

15-20 degrees

64
Q

what is the normal ROM of the plantarflexion of the ankle?

A

55-65 degrees

65
Q

what is the normal ROM of inversion of the ankle?

A

20 degrees

66
Q

what is the normal ROM of eversion of the ankle?

A

10-20 degrees

67
Q

where is the medial ankle: tibialis anterior tenderpoint located?

A

anterior and inferior to the medial malleolus along the deltoid ligament

68
Q

what is the treatment position for the medial ankle tenderpoint?

A

apply inversion force to foot and ankle with slight internal rotation

69
Q

where is the lateral ankle (fibularis longus, brevis, and tertius) tenderpoint located?

A

anterior and inferior to the lateral malleolus in the sinus tarsi

70
Q

what is the treatment position for the lateral ankle tenderpoint?

A

apply eversion force to foot and ankle with slight external rotation

71
Q

where is the quadratus plantae tenderpoint located?

A

anterior aspect of the plantar surface of the calcaneus at attachment of plantar fascia

72
Q

what is the treatment position for the quadratus plantae tenderpoint?

A

pt’s knee is flexed, dorsum of foot on doc’s thigh, marked flexion while translating calcaneus toward the forefoot

73
Q

where is the navicular tenderpoint located?

A

medial side of the foot just below the navicular bone

74
Q

what is the treatment position of the navicular tenderpoint?

A

pt’s knee is flexed, dorsum of foot on doc’s thight, plantar flexion of the subtalar joint, supination of the forefoot

ECOS II Midterm (19 decks)

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