Lab Final Flashcards

1
Q

cervical rotation inclinometry

  • spots
  • arrow
  • plane
A
  • top of head and T1 (use headband)
  • red arrow!
  • transverse
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2
Q

Thoracic rotation inclinometrey

  • spots
  • arrow
  • plane
A
  • T1 and T12
  • red arrow
  • transverse
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3
Q

Lumbar rotation inclinometry

  • spots
  • arrow
  • plane
A
  • L1 and S2
  • red arrow
  • transverse plane
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4
Q

Cervical Lateral flexion inclinometry

  • spots
  • arrow
  • plane
A
  • top of head and T1 (headband)
  • yellow arrow
  • frontal plane
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5
Q

thoracic lateral flexion inclinometry

  • spots
  • arrow
  • plane
A
  • T1 and T12
  • yellow arrow
  • frontal plane
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6
Q

Lumbar lateral flexion inclinometry

  • spots
  • arrow
  • plane
A
  • L1 and S2
  • yellow arrow
  • frontal plane
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7
Q

cervical flex/ext inclinometry

  • spots
  • arrow
  • plane
A
  • top of head and T1(headband)
  • yellow arrow
  • sagittal plane
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8
Q

thoracic flex/ext inclinometry

  • spots
  • arrow
  • plane
A
  • T1 and T12
  • yellow arrow
  • sagittal plane
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9
Q

lumbar flex/ext inclinometry

  • spots
  • arrow
  • plane
A
  • top of head and T1 (headband)
  • yellow arrow
  • sagittal plane
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10
Q

Shoulder Flexion- Gonimetry

  • position
  • axis
  • proximal arm
  • distal arm
  • normal ROM
A
  • sagittal plane around coronal axis
  • supine, arm by side on table
  • axis-head of humerus in glenoid fossa
  • proximal–mid axillary line
  • distal–midline of humerous, lateral epicondyle for ref
  • ROM 180
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11
Q

Shoulder extension Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • sagittal plane around coronal axis
  • prone, palm up, elbow straight
  • head of humerous
  • midaxillary line
  • midline of humerous, lateral epi
  • 60
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12
Q

Shoulder Abduction Goniometry

  • plane and axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • frontal plane, A-P axis
  • supine, forearm supinated, palm up
  • acromion process, A-P
  • parallel to sternum
  • midline of humerus
  • 180
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13
Q

Shoulder Adduction Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • *RED SCALE
  • frontal plane, A-P axis
  • supine, shoulder flexed 90, palm facing opposite shouler
  • acromion process
  • parallel to table, pointing away from head
  • anterior mid humeral line
  • 50
  • don’t let scapula raise, arm motion parallel to under their chin
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14
Q

Shoulder Internal Rotation Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • transverse plane, longitudinal axis
  • supine, scooted to edge of table, shoulder and elbow at 90, palm towards feet
  • olecranon
  • perpendicular to table toward floor
  • midline of forearm to ulnar styloid
  • 70
  • make sure shoulder doesn’t roll forward
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15
Q

Shoulder External Rotation Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • transverse plane, longitudinal axis
  • supine, shoulder and elbow at 90
  • olecranon
  • perpendicular to table toward floor
  • midline of forearm
  • 90
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16
Q

Elbow Flexion Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • sagittal plane, coronal axis
  • supine, forearm supinated
  • lateral epicondyle
  • midline humerus
  • midline forearm
  • 150
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17
Q

elbow extension goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • sagittal plane around coronal axis
  • supine, forearm supinated
  • lateral epicondyle
  • midline humerous
  • midline forearm
  • 0
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18
Q

Wrist Flexion Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • sagittal plane around coronal axis
  • supine, elbow at 90, palm facing feet
  • medial wrist thru pisiform
  • midline of forearm
  • along 5th finger
  • 80
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19
Q

Wrist Extension Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • sagittal plane around coronal axis
  • supine, elbow at 90, palm toward feet, make sure fingers relaxed
  • medial wrist thru pisiform
  • midline of forearm
  • along 5th finger
  • 70
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20
Q

Wrist Radial Deviation Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • frontal plane around A-P axis
  • supine, elbow 90, palm facing body
  • midline of wrist near capitate
  • midline of forearm
  • midline of third finger
  • 20
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21
Q

Wrist Ulnar Deviation Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • frontal plane around A-P axis
  • supine, elbow 90, palm facing body
  • midline of wrist near capitate
  • midline of forearm
  • thru third finger
  • 30
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22
Q

Hip Flexion Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • sagittal plane around coronal axis
  • supine, knee starts in extension but flexes as hip does, dont let opposite knee come off table
  • greater trochanter
  • midline of body
  • midline of femur
  • 120
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23
Q

Hip Extension Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • sagittal plane around coronal axis
  • prone, knee extended, don’t let either ASIS lift off table
  • greater trochanter
  • midline of body
  • midline of femur
  • 30
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24
Q

Hip Abduction Goniometry

  • plane/axis
  • position
  • axis
  • proximal arm
  • distal arm
  • ROM
A
  • frontal plane around A-P axis
  • supine
  • over ASIS
  • over both ASIS, pt holds
  • midline of femur
  • 45
  • red scale
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25
Hip Adduction Goniometry - plane/axis - position - axis - proximal arm - distal arm - ROM
- frontal plane around A-P axis - supine, opposite leg bent over side of table, and doc stands for stability - ASIS on side being tested - ASIS to ASIS, pt holds - midline femur - 30 * red scale
26
Hip External Rotation Goniometry - plane/axis - position - axis - proximal arm - distal arm - ROM
- transverse plane around longitudinal axis - supine with hip and knee at 90, make sure leg doesn't abduct, leg goes in - center of patella - parallel to side of table - midline of tibia - 45
27
Hip Internal Rotation Goniometry - plane/axis - position - axis - proximal arm - distal arm - ROM
- transverse plane around longitudinal axis - supine and hip and knee at 90, make sure thigh doesn't abduct, leg goes out - center of patella - parallel to side of table - midline of tibia - 45
28
Knee flexion Goniometry - plane/axis - position - axis - proximal arm - distal arm - ROM
- sagittal plane around coronal axis - prone, knee extended - lateral condyle - midline of femur - midline of calf - 135
29
Knee Extension Goniometry - plane/axis - position - axis - proximal arm - distal arm - ROM
- sagittal plane around coronal axis - supine, knee extended - lateral condyle - midline of femur - midline of leg - 0
30
Plantar Flexion Goniometry - plane/axis - position - axis - proximal arm - distal arm - ROM
- sagittal plane around coronal axis - prone, knee and foot at 90 - lateral malleolus - midline of leg - parallel to 5th metatarsal - 50 * red scale
31
Ankle Dorsiflexion Goniometry - plane/axis - position - axis - proximal arm - distal arm - ROM
- sagittal plane around coronal axis - pone, knee and foot at 90 - lateral malleolus - midline of leg - parallel to 5th metatarsal - 20 * red scale
32
Subtalar Inversion Goniometry - plane/axis - position - axis - proximal arm - distal arm - ROM
- frontal plane around A-P axis - prone, knee extended, foot off table - mid calcaneous between lateral and medial malleolus - midline of leg - midline of calcaneal bone - 5
33
Subtalar Eversion Goniometry - plane/axis - position - axis - proximal arm - distal arm - ROM
- frontal plane around A-P axis - prone, knee extended, foot off table - mid calcaneal bone b/t lateral and medial malleolus - midline of tibia - midline of calcaneal bone - 5
34
Rules of muscle testing
- test at halfway point of ROM - doctors vector is opposite action - test all bilaterally
35
Extensor Hallicus Longus - Innervation - position - stabilze - pressure
- Deep peroneal - supine - support calcaneous - against distal dorsal surface of big toe in direction of flexion
36
Tibialis Anterior - innervation - position - stabilze - pressure
-deep peroneal -dorsiflexion and inversion - -against medial dorsum of foot in direction of down and out
37
Peroneus longus and brevis - innervation - position - stabilize - pressure
- superficial peroneal - supine with foot medially rotated - calf above ankle joint - up and in
38
Psoas Major - innervation - position - stabilize - pressure
- lumbar plexus - supine, legs in extension - opposite iliac crest - against anteromedial leg down and out
39
Tensor Facia Lata - innervation - position - stabilize - pressure
- superior gluteal, L4, L5, S1 - supine, leg abducted, flexed, medial rotated - opposite shin - against leg in direction of extension and adduction (down and in)
40
Piriformis? - innervation - position - stabilize - pressure
- sacral plexus - supine, knee and hip at 90, lateral/external rotation - lower leg medial to lateral - against thigh lateral to medial (push knee toward body)
41
Sartorius? - innervation - position - stablize - pressure
- femoral, L2, L3 - supine, lateral rotation, abduction and flexion of knee - above ankle - against anterolateral lower thigh in direction of hip extension, adduction and medial rotation? (push in and pull foot down)
42
Soleus - innervation - position - stabilize - pressure
- tibial nerve - prone, knee flexed at 90 - calcaneus - against forefoot in the direction of dorsiflexion
43
Gastrocnemius - innervation - position - stabilize - pressure
- tibial - prone, leg straight off table - calcaneous - against forefoot in direction of dorsiflexion
44
Medial Hamstring Group - muscles - innervation - position - stabilize - pressure
- semitendinosus & semimembranosus - sciatic nerve, tibial branch - prone, flexion of knee with thigh in medial rotation and leg medially rotated on thigh - above knee but not on muscle - proximal leg in direction of knee extension
45
Lateral Hamstrings - muscles - innervation - position - stabilize - pressure
- biceps femoris - long head=tibial branch of sciatic and short head=peroneal branch of sciatic - prone, flexion of knee with thigh in lateral rotation and leg laterally rotated on thigh - above knee but do not cover muscle belly - against leg proximal to ankle in direction of knee extension
46
Gluteus Maximus - innervation - position - stabilize - pressure
- inferior gluteal - prone with knee flexed to 90 - above and below hip joint - against lower part of posterior thigh in direction of hip flexion
47
Gluteus Medius - innervation - position - stabilize - pressure
- superior gluteal - pt on side with bottom knee flexed to 90, top leg extended - hip - down?
48
Hip adductor group - muscles - innervations - position - pressure
- adductor magnus- obturator and sciatic - adductor brevis and longus- obturator - gracilis-obturator - pectineus- obturator and femoral - pt on side, holds table, doc holds upper leg, pt moves lower leg into adduction - dr applies pressure in direction of abduction
49
Quadriceps Group - muscles - innervation - position - stabilize - pressure
- rectus femoris, vastus lateralis, vastus medialis, vastus intermedius - femoral nerve - seated - below knee and under thigh - against leg above ankle in direction of flexion
50
Pec Major Superior - Innervation - Position - Stabilization - Pressure
- Lateral Pectoral N. - Supine, elbow extended, shoulder flexed 90* w/ slight medial rotation and adducted towards sternoclavicular jxn - Stabilize opposite shoulder - Pull just distal to elbow into horizontal abduction
51
Pec Major Inferior - innervation - position - stabilization - pressure
- Lateral & medial Pectoral - Supine, elbow extended, shoulder flexed 90* and slight medial rotation - Stabilize opposite Iliac crest - Pressure obliquely against forearm, laterally and towards the cranium.
52
Rectus Abdominus - innervation - position - stabilize - pressure
- iliohypogastric/ilioinguinal - supine, knees bent, feet flat - across knees - ask pt to perform partial sit up and cross arms, pressure against crossed arms from A to P
53
Oblique abdominal group - innervation - position - stabilize - pressure
- iliohypogastric and ilioinguinal - supine, arms crossed, knees bent, partial sit up, lat flex and rotate away from tested side - across knees - pressure against crossed arms A to P
54
Teres Major - innervation - position - stabilize - pressure
- Lower sub scapular n - Prone, place their hand on their back so elbow sticks out - Stabilize opposite shoulder being tested - Pressure to move elbow into table (hand above their elbow)
55
Anterior medial neck flexors - muscles and innervation - position - stabilize - pressure
- scalenus Anticus, Medius, Posticus= C3-C8 - longus colli and capitus= C1-C6 - supine, head slightly 10d rotated to opposite side tested, pt lifts head - below head - pressure AtoP above hairline
56
Posterior Neck Extensor - muscles - innervation - position - stabilize - pressure
- semispinalis capitus, cervicis - splenuis capitus, cervicis - C1-C8 - prone, head rotated 10d to same side, pt lifts head - below head - pressure form P-A
57
Elbow Flexor Group - muscles - innervation - position - stabilize - pressure
- biceps brachii, brachialis - musculocutaneous nerve - seated, arm at side, elbow at 90, palm up - stabilize above elbow - pressure in direction of extension
58
Brachioradialis - innervation - position - stabilize - pressure
- radial nerve - seated, arm slightly away from side, elbow flexed at 90, palm toward midline - above elbow - direction of extension
59
Triceps Brachii - innervation - position - stabilize - pressure
- radial nerve | - just like ortho
60
Anterior Deltoid - innervation - position - stabilize - pressure
- axillary - seated, arm and elbow at 90, slightly anterior - above shoulder joint, stand behind - S to I and A to P (down and back)
61
Middle Deltoid - innervation - position - stabilize - pressure
- axillary - seated, arm and elbow 90 - stand behind, stabilize above shoulder - pressure straight down
62
Posterior Deltoid - innervation - position - stabilize - pressure
- axillary - seated, arm and elbow at 90, slightly posterior - above shoulder - S to I and P to A (down and forward)
63
Serratus Anterior - innervation - position - stabilization - pressure
- Long Thoracic N. - Supine, elbow extended, shoulder at 90*, patient projects arm forward - Stabilize under shoulder at inferior angle of scapula - Pressure arm down into table holding proximal to wrist
64
Subscapularis - innervation - position - stabilize - pressure
- Upper & Lower Subscapular N. - Prone, laying close to opposite edge of table to support upper arm, elbow & shoulder 90* medially rotated - Stabilize under biceps - Pressure against forearm trying to externally rotate humerus
65
Teres Minor - innervation - position - stabilize - pressure
- Axillary N. - Seated, elbow 90*, arm slightly abducted. - Stabilize upper arm proximal to elbow - Pressure forearm into their side to medially rotate humerus
66
Trapezius Superior - innervation - position - pressure
- Spinal Accessory N. - Seated, head laterally flexed to side tested, elevate that shoulder and rotate head away. - Pressure - against side of head and shoulder trying to separate them
67
Rhomboids - innervation - position - stabilize - pressure
- Dorsal Scapular N - Seated, elbow flexed w/ shoulder slightly adducted - Stabilize ipsilateral shoulder - Pressure in slight circular/oblique motion drawing elbow forward and out
68
Latissimus Dorsi - innervation - position - stabilize - pressure
- Thoracodorsal N - Standing, arm adducted w/ extension and medially rotated - Stabilize anterior shoulder being tested - Pressure against forearm P-A
69
Supraspinatus - innervation - position - stabilize - pressure
- Suprascapular N. - Standing, head laterally flexed to side tested, extend head and rotate away, abduct arm ~15-20* - Stabilize the opposite upper arm - Press on forearm lateral to medial
70
when to use red scale goniometry
``` Shoulder Adduction Hip abduction Hip adduction ankle dorsiflexion ankle plantar flexion ```
71
SCM
- spinal accessory nerve | - same test and anterior neck flexors