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HA Exam 3 - Wk 9-12 > Musculoskeletal - power points > Flashcards

Musculoskeletal - power points Flashcards

1
Q

What is MMT?

A

Manual muscle testing

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2
Q

What are the systems involved in pain assessment for musculoskeletal disorders?

A

1) Vascular
2) Neuro
3) Musculoskeletal
4) Psych (emotional)

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3
Q

What are some of the descriptors used that indicate vascular pain?

A

Throbbing, pounding, pulsing, beating

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4
Q

What are some of the descriptors used that indicate neurogenic pain?

A

Sharp, crushing, pinching, burning, hot, searing itchy, stinging, pulling, jumping, pricking, gnawing and electrical

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5
Q

What are some of the descriptors used that indicate musculoskeletal pain?

A

Aching, sore, heavy, hurting, dull, cramping and deep

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6
Q

What are some of the descriptors used that indicate emotional pain?

A

Tiring, miserable, viscious, agonizing, nauseating frightful, piercing, dreadful, torturing, punishing, killing, unbearable, annoying, cruel, sickening, and exhausting

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7
Q

What are some systemic pain patterns?

A

1) recent or sudden onset
2) vascular or neurogenic descriptors
3) usually more constant
4) may have pain at night (oncological)
5) unilateral or bilateral
6) other s/sx

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8
Q

What are some musculoskeletal pain patterns?

A

1) sudden or gradual
2) musculoskeletal descriptors
3) may be constant or intermittent
4) normally unilateral
5) rarely may have sweating, nausea or blanching

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9
Q

Superficial pain sources include:

A

1) skin
2) fascia
3) tendon sheaths
4) periosteum

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10
Q

Sources of deep pain include:

A

1) bones
2) nerves
3) muscles
4) tendons
5) ligaments
6) blood vessels
7) deep fascia
8) joint capsules

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11
Q

Common hip complaints are?

A

1) pain increased with weight bearing
2) Pain present with active or passive ROM
3) pain in buttocks or radiating to anterior thigh

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12
Q

What is the term that means outward from the center of the body?

A

Valgus

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13
Q

What is the term that means inward toward the center of the body?

A

Varus

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14
Q

Golfers elbow typically causes pain in what location?

A

Medial epicondyle

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15
Q

Tennis elbow typically causes pain in what location?

A

Lateral epicondyle

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16
Q

The reflex measurement scale ranges from what to what?

A

0-4

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17
Q

What reflex measurement is considered normal?

A

2/4

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18
Q

Who does active ROM?

A

The patient

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19
Q

Who does passive ROM?

A

The provider

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20
Q

Inert structures are non-contractile. Give some examples.

A

Ligaments, bursae, nerves, cartilege

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21
Q

Pain with passive ROM indicates a problem with what structures?

A

Inert structures

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22
Q

Pain with active ROM indicates a problem with what structures?

A

Muscles or tendons

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23
Q

Examples of normal end feels are:

A

1) bony
2) soft tissue
3) stretch

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24
Q

Examples of abnormal end feels are:

A

1) spasm
2) empty
3) bony
4) capsular (fibrosis)
5) springy

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25
Q

What is the normal range of flexion in the shoulder?

A

0-180 degrees

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26
Q

What is the normal range of extension in the shoulder?

A

0-60 degrees

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27
Q

What is the normal range of abduction in the shoulder?

A

0-180 degrees

28
Q

What is the normal range of adduction in the shoulder?

A

0-90 degrees

29
Q

When recording ROM measurements, always record what two things?

A

The starting and ending points in terms of degrees of motion

30
Q

What is the normal range of flexion in the elbow?

A

0-145 degrees

31
Q

What is the normal range of extension in the elbow?

A

0-10 degrees

32
Q

What is the normal range of flexion in the wrist?

A

0-60 degrees

33
Q

What is the normal range of extension in the wrist?

A

0-70 degrees

34
Q

What is the normal range of pronation and supination in the wrist?

A

0-90 degrees

35
Q

What is the normal range of radial deviation in the wrist?

A

0-20 degrees

36
Q

What is the normal range of ulnar deviation in the wrist?

A

0-30 degrees

37
Q

What is the normal range of flexion in the hip?

A

0-125 degrees

38
Q

What is the normal range of extension in the hip?

A

0-30 degrees

39
Q

What is the normal range of abduction in the hip?

A

0-45 degrees

40
Q

What is the normal range of adduction in the hip?

A

0-25 degrees

41
Q

What is the normal range of external rotation in the hip?

A

0-40 degrees

42
Q

What is the normal range of internal rotation in the hip?

A

0-60 degrees

43
Q

What is the normal range of flexion in the knee?

A

0-140 degrees

44
Q

What is the normal range of extension in the knee?

A

0-5 degrees

45
Q

What is the normal range of dorsiflexion in the ankle?

A

0-20 degrees

46
Q

What is the normal range of plantar flexion in the ankle?

A

0-45 degrees

47
Q

What is the normal range of inversion (supination) in the ankle?

A

0-30 degrees

48
Q

What is the normal range of eversion (pronation) in the ankle?

A

0-20 degrees

49
Q

What is the name of the test?

Active elbow extension

A

Elbow extension test

elbow trauma if +

50
Q

What is the name of the test?

Make a relaxed fist with thumb tucked and go into ulnar deviation

A

Finkelstein
checks for tenosynovitis of thumb
+ if pain (DeQuervain’s)

51
Q

What is the name of the test?

With hand flat, extend thumb to create dimple beside carpals

A

Snuffbox test
Tests for scaphoid fx
+ if pain on compression

52
Q

What is the name of the test?
Supine, unaffected leg straight, other knee bent at 90 degrees and rest ankle on other leg. Passive downward and lateral force

A

Patrick’s Test
arthritis in hip if + pain in anterior hip or in
sacroiliac joint if + in SI

53
Q

What is the name of the test?

Weight on on leg

A

Trendelenberg
Checks strength of GM
+ if lack of elevation on supporting side

54
Q

What is the name of the test?

Patient on unaffected side, lift leg, bend knee, take into abduction then extension

A

Obre test
Checks for IT band stiffness
+ if remains abducted

55
Q

What is the name of the test?

A

Nobel’s Compression Test
checks IT friction
+ if pain to lateral epicondyle

56
Q

What is the name of the test?

Prone with knee at 90 degrees, palpate trochanter, rotate externally and interally until trochanter parallel with table

A

Craig’s Test

femoral torsion

57
Q

What is the name of the test?

Supine, one leg straight, one knee flexed into chest

A

Thomas Test
hip contracture
+ if thigh off the table

58
Q

What is the name of the test?

Patient prone, one leg out, other knee flexed and bring toward buttock, should be able to touch and leave pelvis on mat

A

Ely’s Test
femoral nerve irritation
+ if anterior/medial thigh pain

59
Q

What is the name of the test?

A

Joint line tenderness

checks meniscus, + if pain

60
Q

What is the name of the test?
Have patient squat while palpating meniscus
Inward feet for lateral tears and outward feet for medial tears

A

Ege’s test

checks meniscus, + if clicking

61
Q

What is the name of the test?

Compress tibia and fibula above ankle

A

Squeeze Test
checks for tibiofibular syndesmosis
+ if pain

62
Q

What is the name of the test?

Grasp the medial border of the foot and stabilize, support lateral tib/fib with other hand, externally rotate foot

A

External Rotation Stress Test
checks for tibiofibular syndesmosis injury
+ if pain at distal syndesmosis

63
Q

What is the name of the test?

A

Crossed Leg Test
Checks for syndesmotic injury
+ if pain

64
Q

What is the name of the test?

Squeeze calf

A

Thompson Test
Checks for achilles tear
+ if lack of plantar flexion

65
Q

What is the name of the test?

Tap around the ankle

A

Tinel sign
Checks for nerve compression
+ if reproduction of pain or sensory symptoms

66
Q

What is the name of the test?

patient seated, move foot into inversion.

A

Talar tilt
Checks for calcaneofibular ligament injury
+ if instability or empty end

HA Exam 3 - Wk 9-12 (10 decks)

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