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OS 1 > Lab Practical 1 > Flashcards

Lab Practical 1 Flashcards

1
Q

surface anatomy structures to assess symmetry

A

ears, scapula, ribs, iliac crest, knees, feet

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2
Q

temperature skin receptors are most concentrated where

A

dorsum of hand

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3
Q

touch skin receptors are most concentrated where

A

pads of fingers

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4
Q

TART

A

tissue texture changes
asymmetry
restriction of motion
tenderness

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5
Q

somatic dysfunction

A

abnormal function of related components of the somatic system (SAM) and their related VLAN

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6
Q

acute texture words

A

erythematous, hot, bogginess, edema, spasm, contraction

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7
Q

chronic texture words

A

pale, cool, ropey, stringy, scar, doughy

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8
Q

appropriate touch protocol

A

explain to the patient “what, where, why”, ask their permission, then document in SOAP note

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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

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10
Q

normal spine curvatures

A

cervical and lumbar lordosis

thoracic and sacral kyphosis

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11
Q

inspections and palpations are a part of what component of SOAP note

A

objective

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12
Q

thoracolumbar spinal motion (not rotation) patient position

A

standing, feet shoulder width apart

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13
Q

thoracolumbar spinal motion (not rotation) linkage to block

A

knees

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14
Q

thoracolumbar spinal motion active flexion at waist prompt

A

touch your toes

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15
Q

thoracolumbar spinal motion active flexion at waist normal ROM

A

40-90

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16
Q

thoracolumbar spinal motion active extension at waist prompt

A

look back over head

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17
Q

thoracolumbar spinal motion active extension at waist normal ROM

A

20-45

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18
Q

thoracolumbar spinal motion active sidebending at waist prompt

A

reach floor down your side without bending forward or leaning back

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19
Q

thoracolumbar spinal motion active sidebending at waist normal ROM

A

15-30

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20
Q

thoracolumbar spinal motion rotation of spine patient position

A

seated, knees snug to table, arms crossed

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21
Q

thoracolumbar spinal motion active rotation of spine linkage to block

A

hips

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22
Q

thoracolumbar spinal motion active rotation of spine normal ROM

A

3-18

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23
Q

thoracolumbar spinal motion passive rotation of spine

A

stand at side and bring patient’s contralateral arm towards you

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24
Q

cervical spinal motion rotation of spine patient position

A

seated, knees snug to table

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25
Q

cervical spinal motion rotation of spine linkage to block

A

T1 by blocking shoulders

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26
Q

cervical spinal motion active rotation of spine normal ROM

A

70-90

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27
Q

cervical spinal motion passive rotation of spine hand positioning

A

one hand stabilizing at T1/C7 and other hand on head

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28
Q

cervical spinal motion active sidebending of spine normal ROM

A

20-45

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29
Q

cervical spinal motion passive sidebending of spine hand positioning

A

one hand stabilizing at T1/C7 and other hand on head

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30
Q

cervical spinal motion active sidebending of spine prompt

A

touch your ear to your shoulder

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31
Q

cervical spinal motion active flexion/extension of spine prompts

A

touch your chin to chest, look up at the ceiling

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32
Q

cervical spinal motion active flexion/extension of spine normal ROM

A

45-90 for both flexion/extension

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33
Q

cervical spinal motion passive flexion/extension of spine hand positioning

A

one hand stabilizing at T1/C7 and other hand on head

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34
Q

cervical spinal motion active flexion/extension of spine linkage to block

A

T1 by blocking shoulders

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35
Q

shoulder motion patient position

A

standing, feet shoulder width apart, or seated

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36
Q

shoulder active flexion prompt

A

raise your hand over your head in sagittal plane

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37
Q

shoulder active flexion/extension linkage to block

A

scapula

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38
Q

shoulder active extension prompt

A

extend your arm behind you in sagittal plane

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39
Q

shoulder active extension normal ROM

A

60

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40
Q

shoulder active flexion normal ROM

A

180

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41
Q

shoulder passive flexion/extension hand positioning

A

one on scapula and other on elbow or wrist

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42
Q

shoulder active abduction prompt

A

raise your hand over head in coronal plane

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43
Q

shoulder active abduction normal ROM

A

180

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44
Q

shoulder active abduction linkage to block

A

thoracolumbar spine

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45
Q

shoulder passive abduction hand positioning

A

one hand stabilizing contralateral shoulder and other hand on elbow or wrist

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46
Q

shoulder horizontal abduction/adduction patient position

A

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

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47
Q

shoulder horizontal abduction/adduction patient position linkage to block

A

scapula

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48
Q

shoulder horizontal abduction normal ROM

A

40-55 or 130-145

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49
Q

shoulder horizontal adduction normal ROM

A

40-50 or 130-140

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50
Q

shoulder passive horizontal abduction/adduction hand positioning

A

one hand stabilizing scapula and other hand on elbow or wrist

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51
Q

shoulder internal/external rotation patient position

A

standing, feet shoulder width apart, or seated

arm like a zombie with elbow at 90 degrees

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52
Q

shoulder internal/external rotation linkage to block

A

scapula

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53
Q

shoulder internal/external rotation normal ROM

A

90 for both internal/external

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54
Q

elbow/forearm/wrist motion patient position

A

seated

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55
Q

elbow active flexion prompt

A

touch your shoulder

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56
Q

elbow active flexion normal ROM

A

140-150

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57
Q

elbow active extension prompt

A

straighten your arms

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58
Q

elbow active extension normal ROM

A

0 to -5

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59
Q

flexibility difference in male and female elbow and wrist flexion/extension

A

females commonly have 5-10 degrees more AROM than males

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60
Q

elbow passive flexion/extension hand positioning

A

one hand on wrist and other providing support

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61
Q

forearm supination/pronation neutral position prompt

A

pretend like you are shaking my hand (patient’s dorsal hand is facing medially, perpendicular to floor)

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62
Q

forearm active supination prompt

A

move palm to ceiling

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63
Q

forearm active pronation prompt

A

move palm to floor

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64
Q

forearm active supination/pronation normal ROM

A

90 for both supination/pronation bilaterally

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65
Q

forearm passive supination/pronation hand positioning

A

one hand “shaking” and other providing support

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66
Q

wrist flexion/extension neutral position prompt

A

straighten your hand

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67
Q

wrist active flexion prompt

A

make a swan with your arm

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68
Q

wrist active extension prompt

A

motion for me to stop using your hand

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69
Q

wrist active flexion normal ROM

A

80-90

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70
Q

wrist active extension normal ROM

A

70

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71
Q

wrist passive extension/flexion hand positioning

A

one hand on each side of wrist

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72
Q

wrist abduction

A

radial deviation

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73
Q

wrist adduction

A

ulnar deviation

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74
Q

wrist active abduction prompt

A

bring your thumb outward

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75
Q

wrist active adduction prompt

A

bring your pinky inward

76
Q

wrist active abduction normal ROM

A

20-30

77
Q

wrist active adduction normal ROM

A

30-40

78
Q

wrist passive abduction/adduction hand positioning

A

one hand on each side of wrist

79
Q

hip flexion patient position

A

supine

80
Q

hip active flexion linkage to block

A

pelvis by blocking contralateral ASIS

81
Q

hip active flexion knee straight normal ROM

A

90

82
Q

hip active flexion knee bent normal ROM

A

120-135

83
Q

hip active flexion knee straight prompt

A

lift foot toward ceiling

84
Q

hip active flexion knee bent prompt

A

pull knee to chest

85
Q

hip passive flexion knee straight hand positioning

A

one hand on ankle and other on contralateral ASIS

86
Q

hip passive flexion knee bent hand positioning

A

one hand on knee and other on contralateral ASIS

87
Q

hip extension patient position

A

prone

88
Q

hip active extension prompt

A

lift back of knee toward ceiling

89
Q

hip active extension linkage to block

A

pelvis by blocking ipsilateral ischial tuberosity using your fist

90
Q

hip active extension normal ROM

A

15-30

91
Q

hip passive extension hand positioning

A

one hand lifting under knee and other hand at ipsilateral ischial tuberosity

92
Q

hip internal/external rotation (IR/ER) patient position

A

prone and supine

93
Q

hip active ER prone prompt

A

bend knee then rotate ankle TOWARD other leg (ankle goes medially)

94
Q

hip active IR prone prompt

A

bend knee then rotate ankle AWAY FROM other leg (ankle goes laterally)

95
Q

hip ER/IR prone linkage to block

A

pelvis by blocking ischial tuberosity using your fist

96
Q

hip active ER supine prompt

A

bend knee then rotate AWAY FROM other leg (knee goes laterally)

97
Q

hip active IR supine prompt

A

bend knee then rotate TOWARDS other leg (knee goes medially)

98
Q

hip passive ER/IR prone hand positioning

A

one hand on ankle and other on ischial tuberosity as needed

99
Q

hip passive ER/IR supine hand positioning

A

one hand on knee and other on ASIS as needed

100
Q

hip ER/IR supine linkage to block

A

pelvis by blocking ASIS

101
Q

hip active ER normal ROM

A

40-60

102
Q

hip active IR normal ROM

A

30-40

103
Q

hip abduction/adduction patient position

A

supine

104
Q

hip active abduction prompt

A

with knee straight, bring leg away from other leg

105
Q

two methods for passive hip adduction

A

bring evaluated leg either above or below non-evaluated leg

106
Q

hip passive abduction/adduction hand positioning

A

ankle

107
Q

can you test hip adduction actively?

A

no

108
Q

hip active abduction ROM

A

45-50

109
Q

hip passive adduction ROM

A

20-30

110
Q

knee flexion/extension patient position

A

prone

111
Q

knee at rest extension normal ROM

A

0

112
Q

knee active flexion prompt

A

touch heel to buttocks

113
Q

knee active flexion normal ROM

A

145-150

114
Q

knee passive flexion hand positioning

A

ankle with pelvic linkage block as needed

115
Q

ankle plantar flexion/dorsiflexion patient position

A

seated

116
Q

ankle active plantar flexion prompt

A

step on the gas

117
Q

ankle active dorsiflexion prompt

A

point your foot to the ceiling

118
Q

ankle active plantar flexion normal ROM

A

55-65

119
Q

ankle active dorsiflexion normal ROM

A

15-20

120
Q

ankle passive plantar flexion/dorsiflexion hand positioning

A

each side of ankle

121
Q

can you test subtalar (calcaneal) inversion/eversion actively?

A

no

122
Q

ankle active inversion prompt

A

keep bottom of foot perpendicular to leg, point bottom of foot towards other foot

123
Q

ankle active eversion prompt

A

keep bottom of foot perpendicular to leg, point bottom of foot away from other foot

124
Q

ankle active inversion normal ROM

A

20

125
Q

ankle active eversion normal ROM

A

10-20

126
Q

ankle passive inversion/eversion hand positioning

A

each side of ankle

127
Q

ankle passive subtalar (calcaneal) hand positioning

A

one hand on distal tibiofibular joint and other hand on calcaneus (heel)

128
Q

supination of lower extremity is compound motion of

A

inversion, adduction, and plantar flexion

129
Q

pronation of lower extremity is compound motion of

A

eversion, abduction, and dorsiflexion

130
Q

lower extremity pronation/supination normal ROM

A

angles cannot be determined, assess for symmetry only

131
Q

words used to describe end feel ROM

A

elastic, abrupt, hard, empty, crisp

132
Q

elastic end feel ROM

A

like a rubber band

133
Q

abrupt end feel ROM

A

OA or hinge joint

134
Q

hard end feel ROM

A

somatic dysfunction

135
Q

empty end feel ROM

A

stops due to voluntary guarding

136
Q

crisp end feel ROM

A

involuntary muscle guarding (pinched nerve)

137
Q

myofascial release (MFR) OMT

A

continual palpatory feedback to achieve release

138
Q

integrated neuromuscular release (INR) OMT

A

combined procedures stretch and reflexively release patterned soft tissue and joint related restrictions

139
Q

basics of MFR OMT

A

same as MFR/INR without REM

140
Q

basics of MFR/INR OMT

A

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
Q

release enhancing maneuver (REM)

A

has the patient move a body region that will affect the musculature under the somatic dysfunction

142
Q

thoracolumbar MFR/INR patient position and activating forces

A

prone
MFR: inhalation/exhalation
INR REM: leg extension/flexion, leg IR/ER, arm abduction/adduction

143
Q

prone regional thoracic MFR/INR patient position and activation forces

A

prone
MFR: inhalation/exhalation
INR REM: leg extension/flexion, leg IR/ER, arm abduction/adduction

144
Q

prone sacral base MFR/INR patient position and activating forces

A

prone
MFR: inhalation/exhalation
INR REM: leg extension/flexion, leg IR/ER

145
Q

vertebral artery provocative test patient position and prompt

A

standing or seated

look over shoulder then up

146
Q

vertebral artery provocative test positive sign

A

patient becomes dizzy or nauseated or develops nystagmus

147
Q

cervical MFR/INR patient position and activating forces

A

supine
MFR: inhalation/exhalation
INR REM: eye, tongue, and UE movement

148
Q

what simultaneous motions to avoid during cervical/craniocervical MFR/INR to protect vertebral arteries

A

sidebending and extension

149
Q

craniocervical MFR/INR patient position and activating forces

A

supine
MFR: inhalation/exhalation
INR REM: eye, tongue, and UE movement

150
Q

hip region MFR/INR patient position and activating forces

A

supine
MFR: inhalation/exhalation
INR REM: knee/hip flexion/extension, abduction/adduction, IR/ER

151
Q

popliteal space MFR/INR patient position and activating forces

A

supine
MFR: inhalation/exhalation
INR REM: knee flexion/extension, hip IR/ER

152
Q

knee MFR/INR patient position and activating forces

A

supine
MFR: inhalation/exhalation
INR REM: knee flexion/extension

153
Q

ankle MFR/INR patient position and activating forces

A

supine
MFR: inhalation/exhalation
INR REM: dorsiflexion/plantarflexion

154
Q

plantar fascia MFR/INR direct or indirect

A

direct only

155
Q

plantar fascia MFR/INR patient position and activating forces

A

supine
MFR: inhalation/exhalation
INR REM: dorsiflexion/plantarflexion

156
Q

glenohumeral & scapular MFR/INR patient position and activating forces

A

prone, target arm handing off table
MFR: inhalation/exhalation
INR REM: arm flexion/extension, IR/ER, adduction/abduction

157
Q

elbow MFR/INR patient position and activating forces

A

supine
MFR: inhalation/exhalation
INR REM: arm pronation/supination

158
Q

wrist “sunburn” MFR/INR patient position and activating forces

A

sitting
MFR: inhalation/exhalation
INR REM: wrist flexion/extension, radial/ulnar deviation, and clenching/unclenching fists

159
Q

Still’s wrist MFR/INR patient position and activating forces

A

sitting
MFR: inhalation/exhalation
INR REM: wrist flexion/extension, radial/ulnar deviation, and clenching/unclenching fists

160
Q

ulnohumeral adduction normal ROM

A

5 (pull elbow laterally and push wrist medially)

161
Q

ulnohumeral abduction normal ROM

A

5 (push elbow medially and pull wrist laterally)

162
Q

wrist flexion coupled with posterior/dorsal glide of proximal carpal bones normal ROM

A

80-90

163
Q

wrist extension coupled with anterior/ventral glide of proximal carpal bones

A

70

164
Q

ulnar deviation/adduction normal ROM

A

30-40

165
Q

radial deviation/abduction normal ROM

A

20-30

166
Q

soft tissue OMT

A

forces are more deeply directed into the tissue in a rhythmic alternating fashion

167
Q

soft tissue OMT styles

A

parallel traction, perpendicular traction, inhibition

168
Q

parallel traction soft tissue OMT

A

force directed parallel to muscle and fascial components, causing overall increase in length of the structure

169
Q

perpendicular traction soft tissue OMT

A

force directed away from the longitudinal axis

170
Q

basics of soft tissue OMT

A

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
Q

cervical traction soft tissue OMT patient position

A

supine

172
Q

cervical forward bending (unilateral fulcrum) soft tissue OMT patient position

A

supine

173
Q

cervical forward bending (bilateral fulcrum) soft tissue OMT patient position

A

supine

174
Q

cervical contralateral traction soft tissue OMT patient position

A

supine

175
Q

cervical cradling with traction soft tissue OMT patient position

A

supine

176
Q

cervical suboccipital release soft tissue OMT patient position

A

supine

177
Q

thoracic prone pressure soft tissue OMT patient position

A

prone

178
Q

thoracic prone pressure with counterpressure soft tissue OMT patient position

A

prone

179
Q

subscapular stretch soft tissue OMT patient position

A

prone

180
Q

upper thoracic with shoulder block soft tissue OMT patient position

A

lateral recumbent

181
Q

lower thoracic under the shoulder soft tissue OMT patient position

A

lateral recumbent

182
Q

paraspinal inhibitory technique soft tissue OMT patient position

A

prone or supine

183
Q

lumbar prone pressure soft tissue OMT patient position

A

prone

184
Q

lumbar prone pressure with counterleverage soft tissue OMT patient position

A

prone

185
Q

lumbar paraspinal perpendicular stretch soft tissue OMT patient position

A

lateral recumbent

186
Q

lower extremity iliotibial band prone counterleverage soft tissue OMT patient position

A

prone

187
Q

lower extremity iliotibial band effleurage/petrissage soft tissue OMT patient position

A

lateral recumbent

OS 1 (4 decks)

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