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E&M > MMT head and trunk > Flashcards

MMT head and trunk Flashcards

1
Q

Innervation of capital extension

A

suboccipital nerve C1 - T1

greater occipital nerve C1 - T1

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2
Q

fair and above position capital extension

A

prone with head over edge of table

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3
Q

resistance for capital extension

A

patient extends head by tilting chin (looks at wall)

resistance is applied over occiput towards floor

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4
Q

below fair position for capital extension

A

supine head weight supported to reduce friction

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5
Q

palpation for capital extension

A

difficult to palpate

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6
Q

innervation of cervical extension

A

C1 - C8

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7
Q

fair and above position for cervical extension

A

prone with head over edge of table

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8
Q

resistance for cervical extension

A

patient extends head without tilting chin (looks at floor)

resistance is applied over parieto-occipital area towards floor

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9
Q

below fair position for cervical extension

A

supine - pushes into surface

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10
Q

palpation for cervical extension

A

distal to occiput at level of cervical vertebrae

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11
Q

position for combined extension

A

prone with head over edge of table

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12
Q

resistance for combined extension

A

patient extends head (look at ceiling)

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13
Q

below fair position for combined extension

A

partial range

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14
Q

palpation for combned extension

A

base of occiput and cervical region

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15
Q

innervation for capital flexion

A

C1 - C3

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16
Q

fair and above position for capital flexion

A

supine head supported by table

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17
Q

resistance for capital flexion

A

patient tucks chin

resistance under chin by cupping mandible in, up and backward direction

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18
Q

palpation for capital flexion

A

difficult due to carotid arteries

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19
Q

innervation of cervical flexion

A

C2 - C8

Cranial nerve XI

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20
Q

fair and above cervical flexion

A

supine head supported by table

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21
Q

resistance for cervical flexion

A

patient lifts head off table, keeping eyes on ceiling

resistance over forehead with two fingers towards table

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22
Q

below fair position for cervical flexion

A

supine, roll head to side SCM

23
Q

palpation for cervical flexion

A

palpate SCM

24
Q

substitutions for cervical flexion

A

platysma - see facial grimacing and skin wrinkling on anterior surface of neck

25
Q

position of combined flexion

A

supine head supported by table

26
Q

resistance for combined flexion

A

patient lifts head and neck, chin to chest

resistance over forehead

27
Q

below fair position for combined flexion

A

supine, rolle head to side (SCM)

28
Q

palpation for combined flexion

29
Q

Combined flexion with rotation, isolate SCM position

A

supine head supported by table, rotated to right or left side

30
Q

resistance for combined flexion with rotation, isolate SCM position

A

patient lifts head keeping head turned

resistance over temporal area over ear

31
Q

below fair position for combined flexion with rotation, isolate SCM

A

supine roll head to side (SCM)

32
Q

cervical rotation testing position

A

supine, cervical spine in neutral, head rotated to one side to start

33
Q

cervical rotation resistance

A

patient turns head toward ceiling

resistance applied at side of head above ear

34
Q

position of thoracic extension

A

prone with head and upper trunk over edge of table (nipple line)

therapist stabilizes LE fair grade with hands at side

35
Q

resistance for thoracic extension

A

patient extends to horizontal position

fair grade = clears umbilicus (combined with lumbar extension)

36
Q

position for lumbar extension

A

prone with hands clasped behind the head

therapist stabilizes at ankles or pelvis if hips are weak

fair grade is with hands at sides

37
Q

resistance for lumbar extension

A

patient extends spine to clear umbilicus

38
Q

palpation for lumbar extension

A

adjacent to spinous processes

39
Q

pelvic elevation innervation

40
Q

position for pelvic elevation

A

supine or prone

41
Q

resistance for pelvic elevation

A

patient hikes pelvis

resistance is applied around ankle in caudal direction

42
Q

palpation for pelvic elevation

A

not palpable unless atrophy in area

43
Q

substitutions for pelvic elevation

A

abdominal

spinal extensors

44
Q

innervation for trunk flexion

45
Q

position for trunk flexion

A

supine

stabilize at legs if hips are weak

46
Q

resistance for trunk flexion

A

curl up until scapula clear table

N=hands behind head
G=hands crossed over chest
F = arms along trunk

47
Q

below fair position for trunk flexion

A

supine knees flexed

P = rib cage depresses
T = cough
48
Q

palpation for trunk flexion

A

midline of thorax over linea alba - use 4 fingers of both hands

49
Q

subsitutions for trunk flexion

A

umbilicus will deviate toward strongest part

50
Q

innervation for trunk rotation

51
Q

position for trunk rotation

52
Q

resistance for trunk rotation

A

flexes and rotates to one side

arm position same as for trunk flexion

53
Q

below fair position for trunk rotation

A

supine - knees flexed supported head

54
Q

substitutions for trunk rotation

A

pec major - see shoulder shrug and raising with limited trunk rotation

E&M (3 decks)

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