Lab Practical 1 Flashcards
1
Q
surface anatomy structures to assess symmetry
A
ears, scapula, ribs, iliac crest, knees, feet
2
Q
temperature skin receptors are most concentrated where
A
dorsum of hand
3
Q
touch skin receptors are most concentrated where
A
pads of fingers
4
Q
TART
A
tissue texture changes
asymmetry
restriction of motion
tenderness
5
Q
somatic dysfunction
A
abnormal function of related components of the somatic system (SAM) and their related VLAN
6
Q
acute texture words
A
erythematous, hot, bogginess, edema, spasm, contraction
7
Q
chronic texture words
A
pale, cool, ropey, stringy, scar, doughy
8
Q
appropriate touch protocol
A
explain to the patient “what, where, why”, ask their permission, then document in SOAP note
9
Q
questions to ask yourself when assessing a joint
A
end of feel motion?
equal motion?
end feel hard or soft?
compare to other side
10
Q
normal spine curvatures
A
cervical and lumbar lordosis
thoracic and sacral kyphosis
11
Q
inspections and palpations are a part of what component of SOAP note
A
objective
12
Q
thoracolumbar spinal motion (not rotation) patient position
A
standing, feet shoulder width apart
13
Q
thoracolumbar spinal motion (not rotation) linkage to block
A
knees
14
Q
thoracolumbar spinal motion active flexion at waist prompt
A
touch your toes
15
Q
thoracolumbar spinal motion active flexion at waist normal ROM
A
40-90
16
Q
thoracolumbar spinal motion active extension at waist prompt
A
look back over head
17
Q
thoracolumbar spinal motion active extension at waist normal ROM
A
20-45
18
Q
thoracolumbar spinal motion active sidebending at waist prompt
A
reach floor down your side without bending forward or leaning back
19
Q
thoracolumbar spinal motion active sidebending at waist normal ROM
A
15-30
20
Q
thoracolumbar spinal motion rotation of spine patient position
A
seated, knees snug to table, arms crossed
21
Q
thoracolumbar spinal motion active rotation of spine linkage to block
A
hips
22
Q
thoracolumbar spinal motion active rotation of spine normal ROM
A
3-18
23
Q
thoracolumbar spinal motion passive rotation of spine
A
stand at side and bring patient’s contralateral arm towards you
24
Q
cervical spinal motion rotation of spine patient position
A
seated, knees snug to table
25
cervical spinal motion rotation of spine linkage to block
T1 by blocking shoulders
26
cervical spinal motion active rotation of spine normal ROM
70-90
27
cervical spinal motion passive rotation of spine hand positioning
one hand stabilizing at T1/C7 and other hand on head
28
cervical spinal motion active sidebending of spine normal ROM
20-45
29
cervical spinal motion passive sidebending of spine hand positioning
one hand stabilizing at T1/C7 and other hand on head
30
cervical spinal motion active sidebending of spine prompt
touch your ear to your shoulder
31
cervical spinal motion active flexion/extension of spine prompts
touch your chin to chest, look up at the ceiling
32
cervical spinal motion active flexion/extension of spine normal ROM
45-90 for both flexion/extension
33
cervical spinal motion passive flexion/extension of spine hand positioning
one hand stabilizing at T1/C7 and other hand on head
34
cervical spinal motion active flexion/extension of spine linkage to block
T1 by blocking shoulders
35
shoulder motion patient position
standing, feet shoulder width apart, or seated
36
shoulder active flexion prompt
raise your hand over your head in sagittal plane
37
shoulder active flexion/extension linkage to block
scapula
38
shoulder active extension prompt
extend your arm behind you in sagittal plane
39
shoulder active extension normal ROM
60
40
shoulder active flexion normal ROM
180
41
shoulder passive flexion/extension hand positioning
one on scapula and other on elbow or wrist
42
shoulder active abduction prompt
raise your hand over head in coronal plane
43
shoulder active abduction normal ROM
180
44
shoulder active abduction linkage to block
thoracolumbar spine
45
shoulder passive abduction hand positioning
one hand stabilizing contralateral shoulder and other hand on elbow or wrist
46
shoulder horizontal abduction/adduction patient position
standing, feet shoulder width apart, or seated
| hold arms either like a zombie straight out in front or use your arms to make a T-shape straight out the sides
47
shoulder horizontal abduction/adduction patient position linkage to block
scapula
48
shoulder horizontal abduction normal ROM
40-55 or 130-145
49
shoulder horizontal adduction normal ROM
40-50 or 130-140
50
shoulder passive horizontal abduction/adduction hand positioning
one hand stabilizing scapula and other hand on elbow or wrist
51
shoulder internal/external rotation patient position
standing, feet shoulder width apart, or seated
| arm like a zombie with elbow at 90 degrees
52
shoulder internal/external rotation linkage to block
scapula
53
shoulder internal/external rotation normal ROM
90 for both internal/external
54
elbow/forearm/wrist motion patient position
seated
55
elbow active flexion prompt
touch your shoulder
56
elbow active flexion normal ROM
140-150
57
elbow active extension prompt
straighten your arms
58
elbow active extension normal ROM
0 to -5
59
flexibility difference in male and female elbow and wrist flexion/extension
females commonly have 5-10 degrees more AROM than males
60
elbow passive flexion/extension hand positioning
one hand on wrist and other providing support
61
forearm supination/pronation neutral position prompt
pretend like you are shaking my hand (patient's dorsal hand is facing medially, perpendicular to floor)
62
forearm active supination prompt
move palm to ceiling
63
forearm active pronation prompt
move palm to floor
64
forearm active supination/pronation normal ROM
90 for both supination/pronation bilaterally
65
forearm passive supination/pronation hand positioning
one hand "shaking" and other providing support
66
wrist flexion/extension neutral position prompt
straighten your hand
67
wrist active flexion prompt
make a swan with your arm
68
wrist active extension prompt
motion for me to stop using your hand
69
wrist active flexion normal ROM
80-90
70
wrist active extension normal ROM
70
71
wrist passive extension/flexion hand positioning
one hand on each side of wrist
72
wrist abduction
radial deviation
73
wrist adduction
ulnar deviation
74
wrist active abduction prompt
bring your thumb outward
75
wrist active adduction prompt
bring your pinky inward
76
wrist active abduction normal ROM
20-30
77
wrist active adduction normal ROM
30-40
78
wrist passive abduction/adduction hand positioning
one hand on each side of wrist
79
hip flexion patient position
supine
80
hip active flexion linkage to block
pelvis by blocking contralateral ASIS
81
hip active flexion knee straight normal ROM
90
82
hip active flexion knee bent normal ROM
120-135
83
hip active flexion knee straight prompt
lift foot toward ceiling
84
hip active flexion knee bent prompt
pull knee to chest
85
hip passive flexion knee straight hand positioning
one hand on ankle and other on contralateral ASIS
86
hip passive flexion knee bent hand positioning
one hand on knee and other on contralateral ASIS
87
hip extension patient position
prone
88
hip active extension prompt
lift back of knee toward ceiling
89
hip active extension linkage to block
pelvis by blocking ipsilateral ischial tuberosity using your fist
90
hip active extension normal ROM
15-30
91
hip passive extension hand positioning
one hand lifting under knee and other hand at ipsilateral ischial tuberosity
92
hip internal/external rotation (IR/ER) patient position
prone and supine
93
hip active ER prone prompt
bend knee then rotate ankle TOWARD other leg (ankle goes medially)
94
hip active IR prone prompt
bend knee then rotate ankle AWAY FROM other leg (ankle goes laterally)
95
hip ER/IR prone linkage to block
pelvis by blocking ischial tuberosity using your fist
96
hip active ER supine prompt
bend knee then rotate AWAY FROM other leg (knee goes laterally)
97
hip active IR supine prompt
bend knee then rotate TOWARDS other leg (knee goes medially)
98
hip passive ER/IR prone hand positioning
one hand on ankle and other on ischial tuberosity as needed
99
hip passive ER/IR supine hand positioning
one hand on knee and other on ASIS as needed
100
hip ER/IR supine linkage to block
pelvis by blocking ASIS
101
hip active ER normal ROM
40-60
102
hip active IR normal ROM
30-40
103
hip abduction/adduction patient position
supine
104
hip active abduction prompt
with knee straight, bring leg away from other leg
105
two methods for passive hip adduction
bring evaluated leg either above or below non-evaluated leg
106
hip passive abduction/adduction hand positioning
ankle
107
can you test hip adduction actively?
no
108
hip active abduction ROM
45-50
109
hip passive adduction ROM
20-30
110
knee flexion/extension patient position
prone
111
knee at rest extension normal ROM
0
112
knee active flexion prompt
touch heel to buttocks
113
knee active flexion normal ROM
145-150
114
knee passive flexion hand positioning
ankle with pelvic linkage block as needed
115
ankle plantar flexion/dorsiflexion patient position
seated
116
ankle active plantar flexion prompt
step on the gas
117
ankle active dorsiflexion prompt
point your foot to the ceiling
118
ankle active plantar flexion normal ROM
55-65
119
ankle active dorsiflexion normal ROM
15-20
120
ankle passive plantar flexion/dorsiflexion hand positioning
each side of ankle
121
can you test subtalar (calcaneal) inversion/eversion actively?
no
122
ankle active inversion prompt
keep bottom of foot perpendicular to leg, point bottom of foot towards other foot
123
ankle active eversion prompt
keep bottom of foot perpendicular to leg, point bottom of foot away from other foot
124
ankle active inversion normal ROM
20
125
ankle active eversion normal ROM
10-20
126
ankle passive inversion/eversion hand positioning
each side of ankle
127
ankle passive subtalar (calcaneal) hand positioning
one hand on distal tibiofibular joint and other hand on calcaneus (heel)
128
supination of lower extremity is compound motion of
inversion, adduction, and plantar flexion
129
pronation of lower extremity is compound motion of
eversion, abduction, and dorsiflexion
130
lower extremity pronation/supination normal ROM
angles cannot be determined, assess for symmetry only
131
words used to describe end feel ROM
elastic, abrupt, hard, empty, crisp
132
elastic end feel ROM
like a rubber band
133
abrupt end feel ROM
OA or hinge joint
134
hard end feel ROM
somatic dysfunction
135
empty end feel ROM
stops due to voluntary guarding
136
crisp end feel ROM
involuntary muscle guarding (pinched nerve)
137
myofascial release (MFR) OMT
continual palpatory feedback to achieve release
138
integrated neuromuscular release (INR) OMT
combined procedures stretch and reflexively release patterned soft tissue and joint related restrictions
139
basics of MFR OMT
same as MFR/INR without REM
140
basics of MFR/INR OMT
i) identify TART findings consistent with somatic dysfunction
ii) evaluate region in at least three dimensions
iii) apply treatment technique directly or indirectly
iv) release enhancing maneuver (REM)
v) hold until creep has occurred (30-60 seconds or until palpable release)
vi) reassess barrier
141
release enhancing maneuver (REM)
has the patient move a body region that will affect the musculature under the somatic dysfunction
142
thoracolumbar MFR/INR patient position and activating forces
prone
MFR: inhalation/exhalation
INR REM: leg extension/flexion, leg IR/ER, arm abduction/adduction
143
prone regional thoracic MFR/INR patient position and activation forces
prone
MFR: inhalation/exhalation
INR REM: leg extension/flexion, leg IR/ER, arm abduction/adduction
144
prone sacral base MFR/INR patient position and activating forces
prone
MFR: inhalation/exhalation
INR REM: leg extension/flexion, leg IR/ER
145
vertebral artery provocative test patient position and prompt
standing or seated
| look over shoulder then up
146
vertebral artery provocative test positive sign
patient becomes dizzy or nauseated or develops nystagmus
147
cervical MFR/INR patient position and activating forces
supine
MFR: inhalation/exhalation
INR REM: eye, tongue, and UE movement
148
what simultaneous motions to avoid during cervical/craniocervical MFR/INR to protect vertebral arteries
sidebending and extension
149
craniocervical MFR/INR patient position and activating forces
supine
MFR: inhalation/exhalation
INR REM: eye, tongue, and UE movement
150
hip region MFR/INR patient position and activating forces
supine
MFR: inhalation/exhalation
INR REM: knee/hip flexion/extension, abduction/adduction, IR/ER
151
popliteal space MFR/INR patient position and activating forces
supine
MFR: inhalation/exhalation
INR REM: knee flexion/extension, hip IR/ER
152
knee MFR/INR patient position and activating forces
supine
MFR: inhalation/exhalation
INR REM: knee flexion/extension
153
ankle MFR/INR patient position and activating forces
supine
MFR: inhalation/exhalation
INR REM: dorsiflexion/plantarflexion
154
plantar fascia MFR/INR direct or indirect
direct only
155
plantar fascia MFR/INR patient position and activating forces
supine
MFR: inhalation/exhalation
INR REM: dorsiflexion/plantarflexion
156
glenohumeral & scapular MFR/INR patient position and activating forces
prone, target arm handing off table
MFR: inhalation/exhalation
INR REM: arm flexion/extension, IR/ER, adduction/abduction
157
elbow MFR/INR patient position and activating forces
supine
MFR: inhalation/exhalation
INR REM: arm pronation/supination
158
wrist "sunburn" MFR/INR patient position and activating forces
sitting
MFR: inhalation/exhalation
INR REM: wrist flexion/extension, radial/ulnar deviation, and clenching/unclenching fists
159
Still's wrist MFR/INR patient position and activating forces
sitting
MFR: inhalation/exhalation
INR REM: wrist flexion/extension, radial/ulnar deviation, and clenching/unclenching fists
160
ulnohumeral adduction normal ROM
5 (pull elbow laterally and push wrist medially)
161
ulnohumeral abduction normal ROM
5 (push elbow medially and pull wrist laterally)
162
wrist flexion coupled with posterior/dorsal glide of proximal carpal bones normal ROM
80-90
163
wrist extension coupled with anterior/ventral glide of proximal carpal bones
70
164
ulnar deviation/adduction normal ROM
30-40
165
radial deviation/abduction normal ROM
20-30
166
soft tissue OMT
forces are more deeply directed into the tissue in a rhythmic alternating fashion
167
soft tissue OMT styles
parallel traction, perpendicular traction, inhibition
168
parallel traction soft tissue OMT
force directed parallel to muscle and fascial components, causing overall increase in length of the structure
169
perpendicular traction soft tissue OMT
force directed away from the longitudinal axis
170
basics of soft tissue OMT
i) identify TART findings consistent with somatic dysfunction
ii) engage the tight soft tissue elements/barriers
iii) apply treatment technique
iv) hold until creep has occurred (30-60 seconds or until palpable release)
v) reassess barrier
171
cervical traction soft tissue OMT patient position
supine
172
cervical forward bending (unilateral fulcrum) soft tissue OMT patient position
supine
173
cervical forward bending (bilateral fulcrum) soft tissue OMT patient position
supine
174
cervical contralateral traction soft tissue OMT patient position
supine
175
cervical cradling with traction soft tissue OMT patient position
supine
176
cervical suboccipital release soft tissue OMT patient position
supine
177
thoracic prone pressure soft tissue OMT patient position
prone
178
thoracic prone pressure with counterpressure soft tissue OMT patient position
prone
179
subscapular stretch soft tissue OMT patient position
prone
180
upper thoracic with shoulder block soft tissue OMT patient position
lateral recumbent
181
lower thoracic under the shoulder soft tissue OMT patient position
lateral recumbent
182
paraspinal inhibitory technique soft tissue OMT patient position
prone or supine
183
lumbar prone pressure soft tissue OMT patient position
prone
184
lumbar prone pressure with counterleverage soft tissue OMT patient position
prone
185
lumbar paraspinal perpendicular stretch soft tissue OMT patient position
lateral recumbent
186
lower extremity iliotibial band prone counterleverage soft tissue OMT patient position
prone
187
lower extremity iliotibial band effleurage/petrissage soft tissue OMT patient position
lateral recumbent
