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
Hip flex normal ROM
0-120 degrees
25
TFL goni testing position
* Sidelying * Knee EXT * Hip joint in 0 degrees FLEX, EXT, ABD, ADD and ROT
26
TFL goni stabilization
•Iliac crest
27
TFL normal end feel
Firm –secondary to TFL tension
28
TFL goni alignment
* Fulcrum= ASIS of test extremity * Proximal arm= Opposite ASIS * Distal arm= Patella (anterior midline of femur)
29
TFL normal ROM
Variable from 3-18 degrees of ADD
30
Hip ADD goni testing position
* Supine * Knees EXT * Opposite hip joint ABD * Hip joint in 0 degrees FLEX, EXT and ROT
31
Hip ADD stabilization
•Pelvis to prevent lateral tilting and ROT
32
Hip ADD normal end feel
Firm –secondary to lateral joint capsule, ligaments and muscle tension
33
Hip ADD goni alignment
* Fulcrum= ASIS * Proximal arm= opposite ASIS * Distal arm= Patella (anterior midline of femur)
34
Hip ADD normal range of motion
0-15 to 20 degrees
35
Knee ext goni testing position
•Supine
36
Knee ext stabilization
Femur
37
Knee ext normal end feel
Firm –secondary to posterior joint capsule and ligaments
38
Knee ext goni alignment
* Fulcrum= Lateral epicondyle of femur * Proximal arm= Greater trochanter (lateral midline of femur) * Distal arm= lateral malleolus or fibular head
39
Knee extension normal ROM
135 degrees from neutral to 0 degrees (neutral)
40
Plantaflexion goni testing position
* Short sitting or supine | * Foot in 0 degrees INV and EVR
41
Plantarflexion stabilization
•Tibia and fibula
42
Plantarflexion normal end feel
Firm –secondary to joint capsule, muscle tension and ligaments
43
Plantarflexion goni alignment
•Fulcrum= lateral malleolus •Proximal arm= lateral midline of fibula (head of fibula) •Distal arm= lateral aspect of 5th metatarsal
44
Plantarflexion normal ROM
0-45 degrees
45
Dorsiflexion goni testing position
* Short sitting | * Foot in 0 degrees INV and EVR
46
Dorsiflexion stabilization
•Tibia and fibula
47
Dorsiflexion normal end feel
Firm –secondary to joint capsule, muscle tension and ligaments
48
Dorsiflexion goni alignment
•Fulcrum= lateral malleolus •Proximal arm= lateral midline of fibula (head of fibula) •Distal arm= lateral aspect of 5th metatarsal
49
Dorsiflexion normal ROM
0-20
50
Tarsal goni Testing Position
* Short sitting or supine | * Hip in 0 degrees ADD, ABD and ROT
51
Tarsal stabilization
•Tibia and fibula
52
Tarsal normal end feel
Firm –secondary to joint capsule, muscle tension and ligaments
53
Tarsal goni alignment
•Fulcrum= anterior ankle midway between malleoli •Proximal arm= anterior midline of tibia (tibial tuberosity) •Distal arm= anterior midline of 2nd metatarsal
54
Tarsal ROM
INV= 0-35 degrees EVR= 0-25 degrees
55
Subtalar goni Testing Position
* Prone * Hip in 0 degrees ADD, ABD and ROT * Knee EXT * Foot off testing surface
56
Subtalar stabilization
•Tibia and fibula
57
Subtalar normal end feel
Firm –secondary to joint capsule, muscle tension and ligaments
58
Subtalar goni alignment
•Fulcrum= posterior ankle midway between malleoli * Proximal arm= posterior midline of lower leg * Distal arm= posterior midline of calcaneus
59
Subtalar normal ROM
INV= 0-15 degrees EVR= 0-5 degrees
60
MTP and IP FLEX and EXT goni testing position
* Short sitting or supine * Ankle in 0 degrees dorsiflexion, plantarflexion, INV and EVR * MTP joint in neutral
61
MTP and IP FLEX and EXT stabilization
•Metatarsal
62
MTP and IP FLEX and EXT normal end feel
Firm –secondary to joint capsule, muscle tension and ligaments
63
MTP and IP FLEX and EXT goni alignment
* Fulcrum= dorsal aspect of MTP * Proximal arm= dorsal midline of metatarsal * Distal arm= medial midline of proximal phalanx
64
MTP and IP FLEX and EXT normal ROM
Hallux FLEX= 0-45 degrees Hallux EXT= 0-75 degrees Toe FLEX= 0-40 degrees Toe EXT= 0-40 degrees
65
Aggregate hip ext position mmt
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
Aggregate hip ext mmt muscles
Gluteus maximus and hamstrings
67
Hip ext isolate glute max
Flex knee 90 degrees than test and score the same as aggregate
68
Alternate testing position for hip ext
Supine for grades 5,4,3,2