Musculoskeletal Exam 1 Flashcards

0
Q

Hip extension goni stabilization

A

Pelvis to prevent anterior tilt

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1
Q

Hip Extension Goni testing position

A

Prone

Knee extended

Hip joint in 0 degrees ABD, ADD, Rot

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2
Q

Hip extension end feel

A

Firm to anterior joint capsule and ligaments

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3
Q

Hip extension goni alignment

A

Fulcrum-greater trochanter

Distal arm-lateral condyle of femur (midline of femur)

Proximal arm-lateral midline of pelvis

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4
Q

Hip Extension ROM

A

0-20

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5
Q

Hip ABD goni testing position

A

Supine

Knee extension

Hip joint in 0 degrees FLEX, EXT and ROT

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6
Q

Hip ABD goni stabilization

A

Pelvis to prevent lateral tilting and ROT

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7
Q

Hip ABD normal end feel

A

Firm

secondary to medial joint capsule, ligaments
and muscle tension

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8
Q

Hip ABD goni alignment

A
  • Fulcrum= ASIS
  • Proximal arm= opposite ASIS
  • Distal arm= Patella (anterior midline of femur)
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9
Q

Hip ABD normal ROM

A

0-45 degrees

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10
Q

Hip IR, ER Goniometry testing position

A

Short sitting

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11
Q

Hip IR, ER Goniometry stabilization

A

Distal end of femur

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12
Q

Hip IR, ER normal end feel

A

Firm

secondary to posterior joint capsule and ligaments

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13
Q

Hip IR, ER goni alignment

A
  • Fulcrum= Patella
  • Proximal arm= perpendicular to the floor
  • Distal arm= anterior midline of lower leg
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14
Q

Hip ER, IR ROM

A

0-45

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15
Q

Knee flex goni testing position

A
  • Supine
  • Hip flexed 90 degrees
  • Opposite knee EXT
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16
Q

Knee flex goni stabilization

A

Femur

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17
Q

Knee flex end feel

A

Soft

Secondary to approximation of soft tissue

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18
Q

Knee flex goni alignment

A
  • Fulcrum= Lateral epicondyle of femur
  • Proximal arm= Greater trochanter (lateral midline of femur)
  • Distal arm= lateral malleolus or fibular head
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19
Q

Knee flex normal ROM

A

0-135

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20
Q

Hip flex goni testing position

A
  • Supine
  • Knees EXT
  • Hip joint in 0 degrees ABD, ADD and ROT
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21
Q

Hip flex stabilization

A

•Pelvis to prevent posterior tilt

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22
Q

Hip flex normal end feel

A

Soft

–secondary muscle bulk/soft tissue

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23
Q

Hip flex goni alignment

A
  • Fulcrum= greater trochanter
  • Proximal arm= lateral midline of pelvis
  • Distal arm= lateral epicondyle (lateral midline of femur)
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24
Q

Hip flex normal ROM

A

0-120 degrees

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25
Q

TFL goni testing position

A
  • Sidelying
  • Knee EXT
  • Hip joint in 0 degrees FLEX, EXT, ABD, ADD and ROT
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26
Q

TFL goni stabilization

A

•Iliac crest

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27
Q

TFL normal end feel

A

Firm

–secondary to TFL tension

28
Q

TFL goni alignment

A
  • Fulcrum= ASIS of test extremity
  • Proximal arm= Opposite ASIS
  • Distal arm= Patella (anterior midline of femur)
29
Q

TFL normal ROM

A

Variable from 3-18 degrees of ADD

30
Q

Hip ADD goni testing position

A
  • Supine
  • Knees EXT
  • Opposite hip joint ABD
  • Hip joint in 0 degrees FLEX, EXT and ROT
31
Q

Hip ADD stabilization

A

•Pelvis to prevent lateral tilting and ROT

32
Q

Hip ADD normal end feel

A

Firm

–secondary to lateral joint capsule, ligaments
and muscle tension

33
Q

Hip ADD goni alignment

A
  • Fulcrum= ASIS
  • Proximal arm= opposite ASIS
  • Distal arm= Patella (anterior midline of femur)
34
Q

Hip ADD normal range of motion

A

0-15 to 20 degrees

35
Q

Knee ext goni testing position

A

•Supine

36
Q

Knee ext stabilization

A

Femur

37
Q

Knee ext normal end feel

A

Firm

–secondary to posterior joint capsule
and ligaments

38
Q

Knee ext goni alignment

A
  • Fulcrum= Lateral epicondyle of femur
  • Proximal arm= Greater trochanter (lateral midline of femur)
  • Distal arm= lateral malleolus or fibular head
39
Q

Knee extension normal ROM

A

135 degrees from neutral to 0 degrees (neutral)

40
Q

Plantaflexion goni testing position

A
  • Short sitting or supine

* Foot in 0 degrees INV and EVR

41
Q

Plantarflexion stabilization

A

•Tibia and fibula

42
Q

Plantarflexion normal end feel

A

Firm

–secondary to joint capsule, muscle tension and ligaments

43
Q

Plantarflexion goni alignment

A

•Fulcrum= lateral malleolus

•Proximal arm= lateral midline of fibula
(head of fibula)

•Distal arm= lateral aspect of 5th metatarsal

44
Q

Plantarflexion normal ROM

A

0-45 degrees

45
Q

Dorsiflexion goni testing position

A
  • Short sitting

* Foot in 0 degrees INV and EVR

46
Q

Dorsiflexion stabilization

A

•Tibia and fibula

47
Q

Dorsiflexion normal end feel

A

Firm

–secondary to joint capsule, muscle tension and ligaments

48
Q

Dorsiflexion goni alignment

A

•Fulcrum= lateral malleolus

•Proximal arm= lateral midline of fibula
(head of fibula)

•Distal arm= lateral aspect of 5th metatarsal

49
Q

Dorsiflexion normal ROM

A

0-20

50
Q

Tarsal goni Testing Position

A
  • Short sitting or supine

* Hip in 0 degrees ADD, ABD and ROT

51
Q

Tarsal stabilization

A

•Tibia and fibula

52
Q

Tarsal normal end feel

A

Firm

–secondary to joint capsule, muscle tension and ligaments

53
Q

Tarsal goni alignment

A

•Fulcrum= anterior ankle midway between
malleoli

•Proximal arm= anterior midline of tibia
(tibial tuberosity)

•Distal arm= anterior midline of 2nd metatarsal

54
Q

Tarsal ROM

A

INV= 0-35 degrees

EVR= 0-25 degrees

55
Q

Subtalar goni Testing Position

A
  • Prone
  • Hip in 0 degrees ADD, ABD and ROT
  • Knee EXT
  • Foot off testing surface
56
Q

Subtalar stabilization

A

•Tibia and fibula

57
Q

Subtalar normal end feel

A

Firm

–secondary to joint capsule, muscle tension and ligaments

58
Q

Subtalar goni alignment

A

•Fulcrum= posterior ankle midway between
malleoli

  • Proximal arm= posterior midline of lower leg
  • Distal arm= posterior midline of calcaneus
59
Q

Subtalar normal ROM

A

INV= 0-15 degrees

EVR= 0-5 degrees

60
Q

MTP and IP FLEX and EXT goni testing position

A
  • Short sitting or supine
  • Ankle in 0 degrees dorsiflexion, plantarflexion, INV and EVR
  • MTP joint in neutral
61
Q

MTP and IP FLEX and EXT stabilization

A

•Metatarsal

62
Q

MTP and IP FLEX and EXT normal end feel

A

Firm

–secondary to joint capsule, muscle tension and ligaments

63
Q

MTP and IP FLEX and EXT goni alignment

A
  • Fulcrum= dorsal aspect of MTP
  • Proximal arm= dorsal midline of metatarsal
  • Distal arm= medial midline of proximal phalanx
64
Q

MTP and IP FLEX and EXT normal ROM

A

Hallux FLEX= 0-45 degrees
Hallux EXT= 0-75 degrees

Toe FLEX= 0-40 degrees
Toe EXT= 0-40 degrees

65
Q

Aggregate hip ext position mmt

A

Grade 5,4,3. 1,0 prone
Grade 2 sidelying

Grade 3 completes range without resistance prone
Grade 2 completes range sidelying

Stabilize pelvis

66
Q

Aggregate hip ext mmt muscles

A

Gluteus maximus and hamstrings

67
Q

Hip ext isolate glute max

A

Flex knee 90 degrees than test and score the same as aggregate

68
Q

Alternate testing position for hip ext

A

Supine for grades 5,4,3,2