Last Minute Notes

Question 1

2 functional joints of shoulder

Answer 1

Suprahumeral and scapula thoracic

Question 2

2 accessory joints of should

Answer 2

Costosternal and costovertebral

Question 3

Position to maximize AC joint motion

Answer 3

60 deg horizontal abduction

60 deg coronal abduction

Question 4

What type of technique is Spencer’s?

Answer 4

Low velocity high amplitude springing articulatory

Question 5

What can Spencer’s treat/prevent?

Answer 5

Hypertonic muscles, early adhesive capsulitis, healed fractures and dislocations

Question 6

7 steps of Spencer’s

Answer 6

Extension, flexion, circumduction, circumduction w traction, ab/adduction, internal rotation, traction

Question 7

Technique for SC adduction dysfunction

Answer 7

Supine, arm down off table, internally rotate and extend. Patient flexes against reduction

Question 8

ME technique for posterior radial head dysfunctions?

Anterior?

Answer 8

Take pt into full supination, have pt pronate to activate

Pronation for anterior

Question 9

In reference to ulna:

Varus =
Valgus =

Answer 9

Adduction

Abduction

Question 10

Nodes in the Hand

Answer 10

Bouchards (PIP)

Heberdens (DIP)

Question 11

Ulnar deviation goes with?

Answer 11

Wrist adduction

Question 12

Articulatory technique for wrist/carpal dysfunctions

Answer 12

Place carpals between interlocked hands, squeeze and make a figure 8 motion

Question 13

Phalangeal dysfunction articulatory technique

Answer 13

Apply traction and move finger in clockwise and counter clockwise motion

Question 14

Intersegmental bonus technique

Answer 14

Isolate MCP and put into anterior/posterior glide and rotation

Question 15

Alternative articulatory squeeze technique

Answer 15

Using thumbs on side of dysfunction, fingers on other side of the hand

This is instead of using the near eminences on either side

Question 16

Order of the Ambulatory Exam (12)

Answer 16

Have patient walk several steps
Perform postural assessment
Palpate iliolumbar ligament
ROM of shoulders
Check for scoliosis
Standing and seated flexion tests
Spinal motions (flex, extend, side bend, rotate)
Acromion drop test
Hip drop test
Pelvic side shift test
Evaluate 1st rib
Straight leg raise test

Question 17

Importance of iliolumbar ligament?

Answer 17

This is the first tender point associated with postural decompensation

Question 18

What is the acromion drop test?

Answer 18

Divide area between neck and acromion into thirds:
Lateral 1/3: inferior force does side bending of lower thoracic
Middle 1/3: does side bending of middle thoracics
Medial 1/3: side bending of upper thoracics

Question 19

Hip drop test results:

Answer 19

Positive test on the right (hip doesn’t drop more than 20 degrees) = side bent right, restricted to side bending left

Question 20

Pelvic side shift test

Answer 20

Assesses fascial connection between lumbo-pelvic-hip complex

Question 21

Positive straight leg test between 30-60 degrees?

Answer 21

Radiculopathy!

Question 22

What can the hip extension ME be used for?

Answer 22

Hypertonic hamstrings or gluteus maximus

Question 23

When testing anteroposterior slide, which motions?

Answer 23

First pull anterior, then push posterior

Question 24

Difference between treating position fibular head and anterior?

Answer 24

Posterior: hold fibular head between thumb and finger
Anterior: press on fibular head with thenar eminence

Question 25

Which ligament tested with talar tilt test (inversion)?

Answer 25

Calcaneofibular ligament

Question 26

Which ligament tested with talar tilt test (eversion)?

Answer 26

Deltoid ligament

Question 27

Which parts of the navicular and cuboid bones move?

Answer 27

Lateral part of the navicular
Medial part of the cuboid

Both will move plantar

Question 28

Expected motion for forefoot adduction or forefoot abduction?

Answer 28

Adduction: 20 deg
Abduction: 10 deg

Question 29

Which part of the talus is more prominent in anterior lateral malleolus? Posterior?

Answer 29

Anterior: medial border
Posterior: lateral

Question 30

Plantar navicular dysfunction is most associated with?

Answer 30

Posterior fibular head dysfunction

Question 31

Transtarsal thrust for navicular/cuboid:

Answer 31

Cuboid = inversion
Navicular = eversion 

FABER position

Question 32

Anterior knee pain is caused by?

Answer 32

Tight IT bands

See a positive Obers test

Question 33

Internal rotator of the knee?

Answer 33

Biceps femoris