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MS Test 1 : Concepts > Lecture 1: Physical Examination and Evaluation > Flashcards

Lecture 1: Physical Examination and Evaluation Flashcards

1
Q

What are some of the goals of a physical examination?

A

determine what anatomical structures are involved, reproduce pt symptoms, link current issues with patient history

establish objective baseline info

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2
Q

When should you perform an Upper Quarter Scan?

A

any pt with an UE issue that causes is unknown

ex) shoulder pain vs rotator cuff surgery

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3
Q

What are components of UQS?

A

cervical AROM, reflexes, myotomes, dermatomes

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4
Q

What reflexes are tested in UQS?

A

biceps, brachioradialis, triceps

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5
Q

What is C1-2 myotome?

A

neck flexion

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6
Q

What is C3 myo?

A

neck side bend

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7
Q

What is C4 myo?

A

shoulder elevation

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8
Q

What is C5 myo?

A

shoulder Abduction

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9
Q

What is c6 myo?

A

elbow flexion, wrist extension

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10
Q

What is c7 myo?

A

elbow extension, wrist flexion

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11
Q

What is c8 myo?

A

thumb extension, ulnar deviation

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12
Q

What is t1 myo?

A

hand intrinsics

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13
Q

What reflexes are tested for LQS?

A

patella and achilles

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14
Q

What is L1-2 myo?

A

hip flexion (ilopsoas)

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15
Q

What is L3 myo?

A

knee extension

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16
Q

What is L4 myo?

A

ankle DF

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17
Q

What is L5 myo?

A

great toe extension (EHL)

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18
Q

What is S1-2 myo?

A

ankle PF

19
Q

What is protective posture?

A

pt puts body into abnormal position to reduce pain, putting into correct alignment produces symptoms

20
Q

What is a non protective structural posture?

A

deformity that is not correctable, long standing scoliosis

21
Q

What is non protective behavioral posture?

A

result of pts personality, emotions, poor awareness, correction does not produce pain,

ex: slumped sitting posture

22
Q

What are two forms of passive motion?

A
  1. physiological/ osteokinematic- flexion, extension etc.

2. accessory/arthrokinematic- between joint surfaces- glide/slide translate

23
Q

If during passive motion patient presents with pain before tissue resistance what stage is it in?

A

acute inflammation

24
Q

If pain at same time as tissue resistance?

A

subacute condition

25
Q

If pain after tissue resistance?

A

chronic with tissue fibrosis

26
Q

For joint mobility what is grade 0 and what is treatment?

A

no movement, fused

do not mobilize, surgical intervention

27
Q

What are grades 1-2?

A

1- marked hypo mobility

2- slight hypo

treat- with mobility

28
Q

What is grade 3?

A

normal no treatment needed

29
Q

What are grades 4 and 5?

A

4- slight hyper

5- marked hyper

assess if nearby jts are hypo and treat with exercise, taping, bracing

30
Q

What is grade 6?

A

unstable possible subluxation

tx- bracing, splinting, casting, surgery

31
Q

What is indicative of a early muscle spasm during joint mobilization?

A

protection following an injury

32
Q

What about late ms spasm?

A

protection from instability or pain

33
Q

What about an early tissue stretch?

A

tight muscle

for example stretch appears way before normal range

34
Q

What about spasticity?

A

UMNL

35
Q

What about a hard capsular end feel?

A

adhesive capsulitis

36
Q

What about a soft capsular end feel?

A

synovitis, soft tissue edema

37
Q

What about bone to bone?

A

osteophyte formation

38
Q

What is an empty end feel?

A

pain before tissue resistance is likely an acute injury

39
Q

What about a springy block?

A

meniscal injury

40
Q

What does it mean if patient has a strong painless contraction?

A

normal

41
Q

If pt has a strong painful contraction?

A

minor muscle/ tendon lesion problem

42
Q

If pt has a weak and painful contraction?

A

major muscle/ tendon lesion

43
Q

If pt has a weak and painless contraction?

A

rupture of muscle/tendon or neurological lesion

44
Q

What are three options PT has after exam?

A
  1. do they need additional info
  2. can they state a PT diagnosis
  3. do they need to refer pt out

MS Test 1 : Concepts (6 decks)

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