Lecture 3 and 4 - ROM and flexibility - RISOM and MMT

Question 1

T/F

Adipose soft tissue approximation is an abnormal type of end feel

Answer 1

T

Question 2

Answer the ???

Short structures, s/a joint capsules, will stretch over a very small range < ??? °

Answer 2

<5°

Question 3

What type of e/f indicates a 
1. hypomobile joint
2. hypermobile joint
Gives the impression of 
3. rebound sensation
4. viscous resistance
Associated with
5. joint effusion
6. fracture
7. meniscal tear in the knee

Answer 3

What type of e/f indicates a 
1. hypomobile joint - early/capsular
2. hypermobile joint - soft capsular
Gives the impression of 
3. rebound sensation - springy block
4. viscous resistance - boggy
Associated with
5. joint effusion - boggy
6. fracture - empty
7. meniscal tear in the knee - springy block

Question 4

T/F

Neural structures are considered inert

Answer 4

T : Neural structures are inert in nature.

Question 5

What is: osteokinematic?

Answer 5

Physiological Movements (osteokinematic) – movements that can be voluntarily controlled through forces generated by contractile tissue.

Question 6

what is arthrokinematic?

Answer 6

Accessory Movement (arthrokinematic) – movements that occur during physiological movements, but that are generally not actively controlled.

Question 7

What are contraindications to ROM assessment (4)?

Answer 7

Dislocation
Unhealed fracture* (Fx or #)
͞p surgery* (Sx)
Myositis ossificans or ectopic ossification (PROM)

Question 8

What are some precautions to ROM assessment (name as many as you can, total: 11)

Answer 8

Active infection
Active inflammation
Analgesic meds
Ms relaxants
Osteoporosis or bone fragility
Hypermobile / subluxing jt
Hemophilia
Newly united #
͞p prolonged immobilization
͞p serious trauma
Myositis ossificans or ectopic ossification (AROM)

Question 9

What are contraindication (c-i) and precautions (pr) for MMT and RISOM testing (5)?

Answer 9

contraindication (c-i) and precautions (pr)

Acute injury
- Muscle strain (RISOM-pr ; MMT-c-i)
- Ligament / capsular sprain -pr
- Fracture, etc -c-i
Active Inflammation - pr
Pain - pr
Valsalva Maneuver
- Cardiovascular problems -pr
- Post abdominal or thoracic surgery -pr
Fatigue related to illness / disease condition -pr

Question 10

What is the MMT grading for gravity negligible mouvements?

Answer 10

5	maximal resistance
4 +	near - maximal resistance
4	moderate resistance 
4 -	near - moderate resistance 
3 +	minimal resistance 
3	unable to hold against resistance
2	 >50% AROM 
1 +	 <50% AROM 
1	No movement, palpable contraction 
0	No movement, no muscle contraction

Question 11

T/F about capsular pattern:

It is based on total jt reaction : capsular contraction often accompanied with capsular e/f

Answer 11

F

It is based on total jt reaction : capsular contraction often accompanied with MS SPASMMMEE