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CATA 337 > Lecture 2: Physical Exam > Flashcards

Lecture 2: Physical Exam Flashcards

1
Q

What is being tested in AROM

A

Contractile tissue
Nervous tissue
Inert tissue (lig, bones, etc)

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2
Q

What does the Beighton score for hypermobility test

A

Digiti minimi extension
Thumb hyperflexion
elbow hyper extension
Dorsiflexion
Lumbar spine (bending over to touch your toes)

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3
Q

What is the max score for the beighton tests

A

9/9

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4
Q

What are abnormal end feels

A

Muscle spasm (early or late)
Capsular (hard or soft)
Bone to bone
Empty (pain)
Springy block

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5
Q

What causes non capsular patterns

A

Internal derangement
Extra-articular lesions
Constant length

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6
Q

Postural = ______

A

Tight, hypertonic/facilitated

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7
Q

Phasic = ____

A

weak, inhibited

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8
Q

What occurs in upper crossed syndrome

A

Inhibited:
- Deep cervical flexors, lower trap/serratus anterior
Facilitated:
- SCM/pectoralis, Upper trap/levator scap

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9
Q

What occurs in lower crossed syndrome

A

Inhibited: Abdominals, glut min/med/max
Facilitated: Rectus femoris/illiopsoas, thoracolumbar extensors

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10
Q

what are normal end feels

A

bone to bone
soft tissue approximation
tissue stretch

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11
Q

Elbow extension would be what type of end feel

A

bone to bone

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12
Q

Which joints have capsular patterns

A

Only synovial joints

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13
Q

What is the capsular pattern for the GH joint

A

Ext, Abduction, internal rotation

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14
Q

What is an example of internal derangement

A

Meniscus tear

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15
Q

What is an example of extra-articular lesions

A

osteophyte

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16
Q

What is an example of constant legnth

A

SLR for lumbar disc lesion

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17
Q

What type of testing is resisted ROM

A

Isometric testing

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18
Q

What does resisted ROM test?

A

Contractile tissue (muscle, tendon, attachments, nervous tissue)

19
Q

How long should myotome testing be held for?

A

5 seconds

20
Q

What is a 5 for MMT grading

A

Complete range of motion against gravity with maximal resistance

21
Q

What is a 4 in MMT grading

A

Complete range of motion against gravity with some (moderate) resistance

22
Q

what is a 3+ in the MMT grading

A

Complete range of motion against gravity with minimal resistance

23
Q

What is a 3 in MMT grading

A

Complete range of motion against gravity

24
Q

What is a 3- in MMT grading

A

Some but not complete range of motion against gravity

25
Q

What is a 2+ in MMT grading

A

Initiates motion against gravity

26
Q

What is a 2 in MMT grading

A

Complete range of motion with gravity eliminated

27
Q

What is a 2-in MMT grading

A

Initiates motion if gravity is eliminated

28
Q

What is a 1 in MMT grading

A

Evidence of slight contractility but no joint motion

29
Q

T/F Special tests can be used alone to diagnose an injury

A

False

30
Q

T/F If a special test is negative then an injury can be ruled out

A

False

31
Q

What are 4 considerations for special tests

A
  • Patient’s ability to relax
  • Presence of pain
  • Patient apprehension
  • Clinician skill
32
Q

Define reliability

A

The consistency of a measure/tool over time

33
Q

Define validity

A

The ability of a test to measure what it says is measured

34
Q

Define sensitivity

A

The ability of a tool to be positive when the condition/disease/injury is present

35
Q

Define specificity

A

The ability of a tool to be negative when the condition/disease/injury is not present

36
Q

Define responsiveness

A

The ability of a tool to detect change over time

37
Q

What are the reflex grades

A

0- Absent
1- Diminished
2- Average
3- Exaggerated
4- Clonus

38
Q

Osteokinematic-

A

Movement you can see

39
Q

Arthrokinematic

A

Movement you can feel

40
Q

What is the convex-concave rule when the convex is fixed and concave is moving?

A

They (concave) glide and roll in the same direction

41
Q

What is the convex-concave rule when convex is moving and concave is fixed?

A

Glide and roll are in opposite direction

42
Q

What is the maitland’s grades

A

1-4
5= manipulation ex chiropractors

43
Q

What is the kaltenborn’s grades of traction

A

1-2 (point of limitation)
3 anatomical end ROM

44
Q
A

CATA 337 (3 decks)

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