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(9th) > Motion Palpation > Flashcards

Motion Palpation Flashcards

1
Q

8pt. check

A

SCP: PSIS/S2 (upper), PIIS/S4 (lower)
CP: drs thumbs

NEM: When pt raises ipsilateral leg, PSIS will rotate posterior/inferior without P/I rotation of sacrum.
When pt raises contralateral leg, scarum will rotate P/I without P/I rotation of the ilium.

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2
Q

Iliolumbar Ligament

A

SCP: L5 SP and across on the iliac crest (1/2” above PSIS)
CP: drs thumbs

NEM: for ilium to move P/I without rotation of L5 spinous to opposite side

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3
Q

Sacrotuberous Ligament

A

SCP: non-specific contact, holding pt pelvis
CP: drs hands

NEM: ilium flexion to occur without supporting leg buckling

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4
Q

Sacrospinous Ligament

A

SCP: ischial tuberosity
CP: fingers

NEM: for ischial tuberosity to deviate laterally.

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5
Q

Sitting Axial Rotation of SI joint

A

PSIS w/middle finger, S2 w/index finger
Rotate pt towards you

NEM: ilium and sacrum to separate

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6
Q

Sitting Lateral Flexion of SI joint

A

“I’m going to contact your pelvis and you will bend either to the right or the left depending what I tell you, without lifting your buttocks off the chair”

Contact both PSIS w thumbs

NEM: PSIS’s to remain level

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7
Q

Sitting Forward Flexion of SI joint

A

“I’m going to contact your pelvis and have you crunch forward, without lifting your buttocks off the chair”

Thumbs on each PSIS

NEM: PSIS’s to remain level

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8
Q

Standing Forward Flexion of SI joint

A

“I’m going to contact below your waistband, is that okay? When I say so, please bend forward and touch your toes”

Contact S4 and PSIS on one side

NEM: for PSIS and S4 to separate

*S4 touch the floor

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9
Q

Lumbar Flexion

A

SCP: 2-3 interspinous spaces
CP: 2-3 fingers
SH: dr’s arms across the back of pts neck

NEM: separation of SPs

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10
Q

Lumbar Extension

A

SCP: 2-3 interspinous spaces
CP: 2-3 fingers
SH: dr’s arms across the back of pts neck

NEM: closing of SPs

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11
Q

Lumbar Hyperextension

A

SCP: SP of involved segment
CP: pincher hold using thumb and index
SH: still holding on the pts elbows as in extension

NEM: P-A jt play of the ALL

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12
Q

Lumbar Facetal Extension

A

SCP: mamillary process of facet, superior and lateral to SP
CP: dr’s thumb
SH: pts elbows

NEM: P-A jt play of capsular ligament

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13
Q

Lumbar Axial Rotation, using MP of facet

A

SCP: mamillary process of facet
CP: drs thumb and dr sits on side they will be rotating towards
SH: the doctor contacts pt elbow

NEM: P-A rotation of facet past inferior vertebra

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14
Q

Lumbar Lateral Flexion

A

SCP: 2-3 SP
CP: drs fingertips of hand opposite side of LF
SH: across back of pts neck along shoulders

NEM: spinous should deviate (rotate) to the opposite side (convexity)

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15
Q

Cervical Flexion

A

SCP: 2 SP
CP: index/chiro index
SH: knife edge contact on forehead

NEM: flaring/opening of SP

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16
Q

Cervical Extension

A

SCP: 2 SP
CP: index/chiro index
SH: knife edge contact on forehead

NEM: closing of SPs

17
Q

Cervical Axial Rotation

A

SCP: 2 SP
CP: index/chiro index
SH: knife edge contact on forehead

NEM: rotation of SP to opposite side

18
Q

Cervical Lateral Flexion

A

SCP: 2 SP
CP: index/chiro index
SH: knife edge contact on forehead

NEM: SP to rotate to opposite side of rotation

19
Q

Occiput-C1 Extension (Jaw jut)

A

SCP: under the mastoid at C1 TP or behind mastoid
CP: index finger
SH: on top of pt head, fingers pointing forward or knife edge if contacting behind mastoid

NEM: P-A/S-i glid of occipital condyles on the lateral masses of C1

20
Q

C1-C2 Rotation

A

SCP: C1-C2 TP
CP: index and chiro index
SH: lightly on top of pts head or forehead

NEM: C1 rotates anterior to C2 TP

21
Q

Thoracic Flexion

A

SCP: 3 SP or spinous/interspinous spaces
CP: 3 fingers
SH: drs arm across pts back of neck across shoulders

NEM: SPs to separate

22
Q

Thoracic Extension

A

SCP: 3 SP or spinous/interspinous spaces
CP: 3 fingers
SH: drs arm across pts back of neck across shoulders

NEM: SPs to close

23
Q

Thoracic Hyperextension (not at T1-T2)

A

SCP: SP of involved segment
CP: pincher grasp w thumb and index
SH: holding onto pts elbows

NEM: P-A joint play of the ALL

24
Q

Thoracic Facetal Extension

A

SCP: facet at appropriate level
CP: dr thumb
SH: grasping pts elbows

NEM: P-A joint play of the capsular ligament

25
Q

Thoracic Axial Rotation, using TPs

A

SCP: TP opposite side pt rotation
CP: drs thumb
SH: dr grasps pt elbow

NEM: TPs to rotate P-A past the TPs of inferior vertebra

26
Q

Thoracic Axial Rotation, using SP

A

SCP: top of SP
CP: drs fingertips
SH: dr grasps pt elbows

NEM: SP to rotate to opposite side

27
Q

Thoracic Lateral Flexion

A

SCP: on top of 2-3 SPs
CP: 3 fingers if using 3 SPs
SH: dr arm across back of pt neck across shoulders

NEM: SP to rotate to opposite side

(9th) (10 decks)

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