Muscle movement Flashcards

1
Q

What type of muscle testing involves contraction of a muscle?

A

Isometric muscle testing

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2
Q

What are the 3 ways to test the function of a muscle?

A

Active
Passive
Isometric

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3
Q

With a complete rupture of a tendon what would the test findings be?

A

Active- lost
Passive- normal
Resisted- weak and painless

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4
Q

With a ligament sprain what would the test findings be?

A

Active- decreased and painful
Passive- decreased and painful
Resisted- normal

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5
Q

With a muscle strain what would the test findings be?

A

Active- painful, possibly diminished
Passive- loss of movement, painful
Resisted- pain

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6
Q

A traumatic episode that damages contractile tissue is called?

A

Strain- muscle, tendon

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7
Q

What is damage to capsule or ligaments and the most common injury to non-contractile tissue?

A

Sprain- ligaments, joint capsule, bursa, cartilage

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8
Q

What are the 4 types of strains?

A

Traumatic
Exertional- overuse or fatigue
Postural- overuse from statically sustained position
Mechanical-poor body mechanics

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9
Q

A recent incident in which a joint is taken to a greater than normal ROM usually leads to a?

A

Ligament sprain- pain usually localized

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10
Q

What are the 3 common causes of a muscle strain?

A

Isotonic or isometric contraction
Over stretching
Prolonged isometric contraction

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11
Q

What are the 3 grades of a muscle/tendon strain?

A

1- less than 33% tearing, minor stretching, no palpable defect
2- 33-66% tear, palpable defect
3- extensive tearing >66% or complete rupture, large palpable depression

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12
Q

Which type of contraction causes muscle shortening?

A

Concentric

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13
Q

Which type of contraction causes muscle lengthening?

A

Eccentric

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14
Q

Which type of contraction causes muscle to shorten but cant overcome the load?

A

Isometric

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15
Q

Movement of joint and Shortening or lengthening of muscle is constant

A

Isokinetic

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16
Q

Resistance against muscle causes constant contraction

A

Isoinertial

17
Q

Load on a muscle is constant throughout ROM

A

Isotonic

18
Q

what are 3 common joint distracting or angulation tests that cause pain with a ligament sprain?

A

knee varus or valgus
gaenslens- sacroiliac ligaments
extremes or vertebral flexion or extension

19
Q

what is a primary feature of sprains or internal joint disorders that distinguishes it from a muscle sprain or injury?

A

isometric/ resisted muscle contraction causes little to no pain, particularly after the setting of position by shunt muscle contraction

20
Q

pressure or irritation of spinal cord or nerve roots prior to exiting vertebral foramen

A

nerve root lesion

21
Q

what 3 things test for nerve root compression?

A

sensation (dermatome)
motor function (myotome)
reflex

22
Q

what tract is being tested when testing light touch?

A

anterior spinothalmic

23
Q

what tract is involved with pain and temperature?

A

lateral spinothalmic

24
Q

what tract is involved with vibration?

A

dorsal columns

25
Q

what are a group of muscles supplied by a single anterior spinal nerve root?

A

myotomes

26
Q

a lesion of the corticospinal tract is what type of lesion?

A

UMNL

27
Q

a lesion of the final common pathway is what type of lesion?

A

LMNL

28
Q

what are the grades of muscle contraction?

A

5- normal; complete ROM
4- GOOD; complete ROM with some resistance
3- FAIR; complete ROM enough to put joint through range
2- POOR; complete ROM with gravity eliminated
1- TRACE; can feel muscle contract but no joint movement
0- no evidence of contraction

29
Q

tendon reflex aka

A

myotatic stretch reflex- sudden stretch of skeletal muscle that results in reflex contraction of that muscle

30
Q

what 3 things are evaluated when testing a reflex?

A

speed of reaction
vigor of response
length of contraction

31
Q

grading of reflexes

A
0- reflex absent
1- reflex low to normal
2- normal
3- brisk
4- very brisk
32
Q

what type of muscle pain would a patient feel with a nerve root lesion?

A

deep muscle pain

33
Q

what is a physiologic injury to a nerve with no anatomic damage present?

A

neurapraxia- recovery within a few hours to days

34
Q

what is a complete loss of both physiologic and anatomic function of nerve fiber and sheath. can only be fixed with surgery?

A

neurotmesis

35
Q

a palsy caused by median nerve compression from lover’s head resting on arm

A

bridegroom palsy

36
Q

a palsy of the radial nerve from arm hanging over side of chair

A

saturday night palsy