MS: end feels, capsular patterns, and shoulder biomechanics Flashcards

1
Q

First class lever

A

Two forces on either side of axis.

ex: triceps

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2
Q

Second class lever

A

Two forces on same side of axis, resistance lies between effort and axis.

Ex: plantarflexors

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3
Q

Third class lever

A

Two forces on same side of axis, effort lies between resistance and axis.

Ex: biceps

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4
Q

Which type of lever is most common in human body?

A

third

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5
Q

Soft end feel

A

Normal, soft tissue

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6
Q

Firm end feel

A

Normal, capsule/ligament

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7
Q

Hard end feel

A

Normal, bone/cartilage

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8
Q

Boggy end feel

A

Abnormal, edema/joint swelling

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9
Q

Rubbery end feel

A

Muscle spasm

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10
Q

Vertebral open packed position

A

Midway b/w flexion and extension

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11
Q

Vertebral closed packed position

A

full extension

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12
Q

SC open packed

A

arm by side

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13
Q

AC open packed

A

arm by side

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14
Q

SC close packed

A

full elevation

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15
Q

AC close packed

A

90* abduction

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16
Q

Glenohumeral open packed

A

55-70* abduction, 30* horizontal abduction, neutral rotation

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17
Q

GH close packed

A

max abduction and ER

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18
Q

Elbow open packed

A

70* flexion, 10* supination

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19
Q

Elbow close packed

A

full extension and supination

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20
Q

Hip open packed

A

30* flexion, 30* abduction, slight ER

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21
Q

hip close packed

A

Ligament: full extension, abduction, IR

Bony: 90* flexion, slight abduction and ER

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22
Q

knee open packed

A

25* flexion

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23
Q

knee close packed

A

full extension, ER

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24
Q

ankle open packed

A

neutral inv/ev, 10* PF

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25
Q

talocrural close packed

A

full dorsiflexion

26
Q

subtalar close packed

A

full inversion

27
Q

midtarsal and TMT close packed

A

full supination

28
Q

Toe close packed

A

full extension

29
Q

OA capsular pattern

A

flexion limited greater than extension

30
Q

AA capsular pattern

A

rotation limited

31
Q

Lower cervical capsular pattern

A

Side bending/rotation limited more than extension.

flexion not limited

32
Q

GH capsular pattern

A

most limited ER>ABD>IR least limited

33
Q

SC/AC capsular pattern

A

elevation limited with pain at end range

34
Q

elbow capsular pattern

A

flexion limited greater tthan extension

35
Q

Radioulnar capsular pattern

A

pronation and supination equally limited

36
Q

wrist capsular pattern

A

flexion=extension

37
Q

finger capsular pattern

A

flexion> extension

38
Q

T spine capsular pattern

A

SB/Rot> extension>flexion

39
Q

L spine capsular pattern

A

SB/Rot> extension> flexion

40
Q

Hip capsular pattern

A

Flexion/IR> abduction. Little limits in adduction and ER

41
Q

Knee capsular pattern

A

flexion>extension

42
Q

tib fib capsular pattern

A

pain when stressed

43
Q

talocrural capsular pattern

A

plantarflexion more limited than dorsiflexion

44
Q

what is innervated by axillary nerve?

A

deltoid and teres minor

45
Q

what innevervates teres major

A

lower subscapular nerve

46
Q

what innervates latissimus dorsi

A

thoracodorsal nerve

47
Q

what innervated pec minor

A

medial pectoral nerve

48
Q

what does the medial pectoral nerve

A

pec minor and pec major

49
Q

What may compensate when pec major is weak?

A

LHB, coracobrachialis, anterior delt

50
Q

What may compensate for weak shoulder abductors

A

scapular muscles

51
Q

what may compensate for weak hip extensors

A

low back extensors, adductor magnus, QL

52
Q

what may compensate for weak hip flexors

A

lower abs/obliques, hip adductors, lats

53
Q

how does the glenoid fossa face

A

anterior, lateral, superior

54
Q

what is the plane of “true abduction”

A

30* anterior to frontal plane

55
Q

What are the 4 jts of the shoulder?

A

SC, AC, GH, scapulothoracic

56
Q

Which part of shoulder capsule is least supported and most lax?

A

inferior capsule

57
Q

What is the function of the coracohumeral ligament

A

reinforce bicep tendon/superior capsule, prevent caudal dislocation of humerus

58
Q

What part of the capsule do the thee GH ligaments reinforce

A

anterior.

The three parts are superior, middle, and inferior–all located on anterior aspect of GH joint

59
Q

What is the function of the transverse humeral ligament

A

Retinaculum for the LHBT

60
Q

with 180* abduction, what is the ratio of GH-ST motion?

A

2-1

61
Q

For the first 30-60* of shoulder elevation, where does the motion occur?

A

Mainly in the GH joint

62
Q

What must occur at the T-spine for full shoulder elevation

A

straightening of thoracic kyphosis