MIDTERM Flashcards
4 T’s of palpation
TEMPERATURE
TEXTURE
TENDERNESS
TONE
LANDMARKS - anterior view
-check medial longitudinal arches
-compare levels of superior surfaces of both patellae
-check level of ASIS
-check level of iliac crest
-check levels & angles of clavicles
-assess position of head
-check levels of both external auditory meatus
LANDMARKS - posterior view
-compare levels of medial malleoli
-compare levels of fibular heads
-check levels of both greater trochanters
-check level of PSIS
-check level of iliac crests
-assess levels of inferior borders of scapula & compare distance from medial borders & spinous processes
-check levels of acromioclavicular joints
-check levels of both external auditory meatus
LANDMARKS - lateral view
lateral malleolus (slightly anterior)
head of fibula (slightly anterior)
greater trochanter
acromion
external auditory meatus
level of PSIS & ASIS → pelvic angle
ANATOMICAL barrier
-farthest a joint can move structurally
-barrier never reached -> risk of injury to joint
PHYSIOLOGICAL barrier
normal barriers / soft & pliable end feels to ROM
PATHOLOGICAL barrier
-adaptation in physiological barrier that causes protective function to limit ROM
-stiffness, pain, a “catch”
C-SPINE degrees of ROM
-flexion: 80-90
-extension: 70
-side flexion: 20-45
-rotation: 70-90
ELBOW degrees of ROM
-flexion: 140-150
-extension: 0-10
-supination: 90
-pronation: 80-90
GH degrees of ROM
-flexion: 160-180
-extension: 50-60
-ABD: 170-180
-ADD: 50-75
-external rotation: 80-90
-internal rotation: 60-100
-horizontal ABD/ADD: 130
capsular pattern - GH joint
-lateral rotation
-ABDuction
-medial rotation
capsular pattern - HIP joint
-flexion
-ABDuction
-medial rotation
pelvic angles - male vs. female
FEMALE: 5-15 degrees
MALE: 0-5 degrees
examples of “SPRINGY” end feels
bounce & spring in joints with menisci (knee internal derangement/ meniscus tears)
-rebound effect that occurs earlier than expected
examples of “BONE TO BONE” end feels
normal & abnormal
-hard, non-giving (elbow extension)
-painful/ hard (osteophytes, anklyosis)
normal end feels - TISSUE STRETCH
hard/ firm quality with slight give, movement limited by tension in muscle fascia (cervical lateral flexion)