Lecture 12 - Additional ax tools Flashcards
Name the 4 new ax tools
Goniometry
FMS
Tuning fork
Dermatome sensation check
3 reasons why use goniometry
- assess flexibility and ROM
- used as a tool to evaluate effectiveness of treatment program
- help motivate the patient
T or F: goniometry can be used as a goal
TRUE
Define starting position in goniometry
Usually taken from anatomical position of 0 degrees
Patient is usually in supine position
Exceptions for starting position in goniometry
SH rotations
Supination/pronation of forearm
Define alignment in goniometry
For sagittal plane, the goniometer is along the lateral side of patient
For frontal plane, the goniometer is aligned either ant. or post.
Define axis in goniometry
The axis coincides with axis of joint
Define moving arm in goniometry
Placed parallel and lateral to the long axis of the moving body segment
Moving segment is distal to the joint
Define stationary arm in goniometry
Placed parallel and lateral to the long axis of the fixed body segment
Fixed segment is proximal to the test joint
Purpose of FMS
Used to assess mobility, stability and flexibility
Assess athletes at risk
FMS uses extreme movements for what?
Make imbalances more noticeable
Explain the scoring of FMS
0-3 for 7 tasks (highest possible is 21)
3 = able to perform the task
2 = able to perform task with compensation
1 = unable to perform task
0 = pain associated with the movement
What do you do if any of the FMS creates pain?
Full assessment of the region to find where the pain comes from
Name the 7 FMS test
- OH deep squat
- In-line lunge
- Hurdle step
- Shoulder mobility
- Stability push-up
- Active SLR
- Rotatory stability
3/3 OH squat criterias
- Upper torso is parallel with tibia or toward vertical
- Femur below horizontal
- Knees are aligned over feet
- Dowel aligned over feet
3/3 Hurdle step criterias
- Hips, knees and ankles remain aligned in the sagittal plane
- Minimal to no movement is notes in lumbar spine
- Dowel and hurdle remain parallel
3/3 In-line lunge criterias
- Dowel contacts are maintained and vertical
- No torso movement is noted
- Dowel and feet remain in sagittal plane
- Knee touches board behind head of front foot
What is the distance of the step for the lunge in FMS?
Length of the tibia (toes to knee)
3/3 Shoulder mobility criteria (2 mtvs)
Fists are within one hand length
Negative for sx on Yocum’s test
3/3 active SLR criterias
- Malleolus (dowel) resides between mid-thigh and ASIS
3/3 trunk stability push-up criterias
Males perform 1 rep with thumbs aligned with the top of the forehead
Females perform 1 rep with thumbs aligned with chin
3/3 rotatory stability criterias
- Performs 1 correct unilateral repetition while keeping spine parallel to board
- Knee and elbow touch in line over the board
If you are suspecting a neurological problem, then ___ should be performed
Sensation check
2 types of sensation check
- sharp vs soft
- hot vs cold
Why use the tuning fork?
Instead of tap test to assess fractures