Movement Science 2 Unit 5 Flashcards

1
Q

With UE PNF pattens, what are the 2 Diagonals?
Where does movement begin?

A

D1: Flex-ADD-ER and Ext-ABD-IR
D2: Flex-ABD-ER and Ext-ADD-IR

Distal Component begins the pattern
- Hand/wrist->Elbow->Shoulder

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2
Q

With D1 Flexion (Flex/Add/ER), what is the position of the Scapula, Shoulder, Forearm, Wrist, Fingers, and Thumb?

A

Scap: Anterior Elevation
Shoulder: Flex/Add/ER
Forearm: Supination
Wrist: Flexion, Radial Deviation
Fingers: Flexion
Thumb: Flex, Add, Opposition

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3
Q

With D1 Extension (Ext/Abd/IR), what is the position of the Scapula, Shoulder, Forearm, Wrist, Fingers, and Thumb?

A

Scap: Posterior Depression
Shoulder: Ext/Abd/IR
Forearm: Pronation
Wrist: Extension, Ulnar Deviation
Fingers: Extension
Thumb: Palmar Abduction, Extension

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4
Q

With D2 Flexion (Flex/Abd/ER), what is the position of the Scapula, Shoulder, Forearm, Wrist, Fingers, and Thumb?

A

Scap: Posterior Elevation
Shoulder: Flex/Abd/ER
Forearm: Supination
Wrist: Ext, Radial Deviation
Fingers: Extension
Thumb: Extension, Abduction

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5
Q

With D2 Extension (Ext/Add/IR), what is the position of the Scapula, Shoulder, Forearm, Wrist, Fingers, and Thumb?

A

Scap: Anterior Depression
Shoulder: Ext/Add/IR
Forearm: Pronation
Wrist: Flexion, Ulnar Deviation
Fingers: Flexion
Thumb: Flexion, Adduction, Opposition

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6
Q

With UE D1 Flexion (Flex/Add/ER), what is the Pt. and PT position, Movement, and verbal cues?

A
  • Pt. Position: Supine with arm in Ext/Abd/IR
  • PT position: Start facing feet and swivel to and end pattern facing pt’s head. Hips in line with diagonal
  • Movement: Shoulder Flex, Add; wrist flexion; Radial deviation; Thumb adduction
  • Verbal Cues: “Squeeze my hand, pull up and across”
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7
Q

What are Functional Activities with UE D1 Flexion?

A
  • Feeding
  • Dressing
  • Brushing Teeth
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8
Q

With UE D1 Extension (Ext/Abd/IR), what is the Pt. and PT position, Movement, and verbal cues?

A
  • Pt. Position: Supine with arm Flex/Add/ER
  • PT position: Start facing the pt’s head and swivel to end pattern facing pt’s feet. Hips in line with diagonal
  • Movement: Shoulder Ext, Abd, IR; Elbow ext, Forearm pronation, Wrist ext; Ulnar Deviation;Thumb abd
  • Verbal Cues: “Open your hand, Push down and out”
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9
Q

What are Functional Activities with UE D1 Extension?

A
  • Sit to Stand
  • Scooting Forward
  • Sit to Sidelying
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10
Q

With UE D2 Flexion (Flex/Abd/ER), what is the Pt. and PT position, Movement, and verbal cues?

A
  • Pt. Position: Supine with arm Ext/Add/IR
  • PT Position: Stand facing pt feet. Hips in line with diagonal
  • Movement: Shoulder Flex, Abd, ER; Wrist Extension; Radial Deviation; Thumb Extension, Abduction
  • Verbal Cues: “Open your hand, push up and out”
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11
Q

What are Functional Activities with UE D2 Flexion?

A
  • Reaching for seatbelt
  • Reaching for overhead light
  • Reaching into Cabinet
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12
Q

With UE D2 Extension (Ext/Add/IR), what is the Pt. and PT position, Movement, and verbal cues?

A
  • Pt Position: Supine with arm in Flx/Add/IR
  • PT Position: Stand at shoulder, facing pt’s feet. Hips in line with diagonal
  • Movement: Shoulder Ext, Add, IR; Forearm pronation; Wrist flexion; Ulnar Deviation; Thumb flex, Abd, Opposition
  • Verbal Cues: “ Squeeze my hand, pull Down and across”
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13
Q

What are Functional Activities with UE D2 Extension?

A
  • Putting on seatbelt
  • Tucking in shirt
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14
Q

With Bilateral UE Patterns, what is the difference Symmetrical and Asymmetrical patterns?

A

Symmetrical: This is the same pattern
- For example, L/R arm do D2 Flexion

Asymmetrical: This is the opposite pattern
- For example, one does D1 Flexion the other does D2 Flexion

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15
Q

With Bilateral UE Patterns, what is the difference Symmetrical Reciprocal and Asymmetrical Reciprocal patterns?

A

Symmetrical Reciprocal: Same Diagonal/Opposite Direction
- For example, One does D2 Flexion and the other does D2 Extension

Asymmetrical Reciprocal: Opposite Diagonal/Opposite Direction
- For example, One does D1 Flexion the other does D2 Extension

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16
Q

Why are Bilateral UE patterns useful?

A
  • This allows use of irradiation from the patient’s strong UE to facilitate weaker muscles
  • Also places greater demand on trunk
17
Q

What is the Bilateral UE Pattern: Chop? What is the movement for this pattern and what are the functional activities with this?

A

This is a Bilateral Asymmetrical UE Extension with Neck Flexion

Movement: Trunk Rotation with Flexion
- Lead UE: D1 Extension (Ext. Abd/IR)
- Assisting UE: D2 Extension (Ext/Add/IR)
- Neck: Flexion

Functional Activities:

  • Rolling - Supine to sidelying/prone
  • Supine to sit
18
Q

What is the Bilateral UE Pattern: Lift? What is the movement for this pattern and what are the functional activities with this?

A

This is a Bilateral Asymmetrical UE Flexion with neck Extension

Movement: Trunk Extension with Rotation
- Lead UE: D2 Flexion (Flex/Abd/ER)
- Assisting UE: D1 Flexion (Flex/Add/ER)
- Neck: Extension

Functional Activities:
- Rolling - Sidelying to supine

19
Q

With LE PNF pattens, what are the 2 Diagonals?
Where does movement begin?

A

D1: Flex-ADD-ER and Ext-ABD-IR
D2: Flex-ABD-IR and Ext-ADD-ER

Distal component begins the pattern
- Toes/foot/ankle ->Knee->Hip

20
Q

With D1 Flexion (Flex/Add/ER), what is the position of the Hip, Foot/Ankle, Toes?

A

Hip: Flex, Add, ER
Foot/Ankle: DF, Inversion
Toes: Extension, Medial Deviation

21
Q

With D1 Extension (Ext/Abd/IR), what is the position of the Hip, Foot/Ankle, Toes?

A

Hip: Ext, Abd, IR
Foot/Ankle: PF, Everson
Toes: Flexion, Lateral Deviation

22
Q

With D2 Flexion (Flex/Abd/IR), what is the position of the Hip, Foot/Ankle, Toes?

A

Hip: Flex, Abd, IR
Foot/Ankle: DF, Eversion
Toes: Extension, Lateral Deviation

23
Q

What D2 Extension (Ext/Add/ER), what is the position of the Hip, Foot/Ankle, Toes?

A

Hip: Ext, Add, ER
Foot/Ankle: PF, Inversion
Toes: Flexion, Medial Deviation

24
Q

With LE D1 Flexion (Flex/Add/ER), what is the Pt. and PT position, Movement, and verbal cues?

A
  • Pt. Position: Supine with LE in D1 Extension (Ext/Abd/IR)
  • PT Position: Standing at ankle facing head. Hips in line with diagonal
  • Movement: Hip flex, add, ER; Knee flexion; Ankle DF, inversion, Toe extension and medial deviation \
  • Verbal Cues: “Pull up and across”
25
Q

What are the Functional Activities with LE D1 Flexion?

A
  • Swing phase of gait
  • Ascending stair
26
Q

With LE D1 Extension (Ext/Abd/IR), what is the Pt. and PT position, Movement, and verbal cues?

A
  • Pt. Position: Supine with LE in D1 Flexion (Flex/Add/IR)
  • PT Position: Stand at ankle facing head. Hips in line with diagonal
  • Movement: Hip ext, abd, IR; Knee ext; Ankle PF, eversion; Toe flex and lateral deviation
  • Verbal Cues: “Push down and out”
27
Q

What are the Functional Activities with LE D1 Extension?

A
  • Stance phase of gait
  • Descending stairs
28
Q

With LE D2 Flexion (Flex/Abd/IR), what is the Pt. and PT position, Movement, and verbal cues?

A
  • Pt. Position: Supine with Le in D2 Extension (Ext, Add, ER), contralateral LE slightly abducted
  • PT Position: Stand at hip facing foot. Hips in line with diagonal
  • Movement: Hip flex, abd, IR; Knee flexion; Ankle DF, Eversion; Toe extension, lateral deviation
  • Verbal Cues: “Toes up, push out”
29
Q

What are the Functional Activities with LE D2 Flexion?

A
  • Stepping into shower
  • Sitting to side lying
30
Q

With LE D2 Extension (Ext/Add/ER), what is the Pt. and PT position, Movement, and verbal cues?

A
  • Pt. Position: Supine with LE in D2 Flexion (Flex, Abd, IR)
  • PT Position: Stand at hip facing foot. Hips in line with diagonal
  • Movement: Hip ext, add, er; Knee ext; Ankle PF, inversion; Toe flexion, medial deviation
  • Verbal Cues: “Toes down, Pull in”
31
Q

What are the Functional Activities with LE D2 Extension?

A

Rolling supine to sidelying