Objective Exam (2) - Musculoskeletal

Question 1

resisted tests

Answer 1

muscles performance

includes MMT and testing contractile structures and their attachments

Question 2

MMT

Answer 2

assignment of grade to either a particular muscle or joint movement

Question 3

contractile tissue

Answer 3

the response to resisted movements

pts response

is there any pain

Question 4

response to resisted movements

Answer 4

strong and painless

strong and painful

weak and painless

weak and painful

all movements are painful

pain with repetitive movement

Question 5

strong and painless

Answer 5

implies normal muscle power

implies contractile tissue probably not involved

may be pain @ rest

Question 6

pain @ rest –> strong and painless

Answer 6

w/ resistance added there is no chance in sxs

Question 7

strong and painful

Answer 7

indicative of a minor lesion in a muscle or tendon

contractile tissue is probably involvled

Question 8

wake and painless

Answer 8

may indicate a full rupture or a disruption of the innervation to the muscle

Question 9

weak and painful

Answer 9

may indicate a gross lesion (Severe)

such as a fx, secondary deposits of cancer or psychogenic in origin

Question 10

all movements are painful

Answer 10

may indicate a psychogenic, emotional disorder or a very serious problem

Question 11

pain w/ repetitive movement

Answer 11

overuse

vascular compromise

Question 12

technique for contractile testing

Answer 12

pt must contract isometrically against our resistance

MMT

dont move the joint

Question 13

neurological testing

Answer 13

important part of the eval for pts w/ MS dysfxn

Question 14

when should neurological testing be performed

Answer 14

all MS spinal problems

peripheral problems if we suspect any neurological involvement

Question 15

what does neurological testing include

Answer 15

sensory testing

DTRs

pathological reflexes

proprioception

Question 16

sensory testing

Answer 16

done in dermatomes

Question 17

dermatomes

Answer 17

skin innervated by a single spinal nerve root

Question 18

DTRs

Answer 18

compare responses on corresponding sides

symmetric visible or palpable responses should be noted

Question 19

DTRs have nothing to do w/

Answer 19

muscle strength

Question 20

pathological reflexes

Answer 20

asses for upper neuron dzs

or

lesions of the corticospinal tracts

Question 21

ex of pathological relfexes

Answer 21

babinskis response

Question 22

proprioception

Answer 22

test of deep sensory receptors

Question 23

where are deep sensory receptors located

Answer 23

muscles

tendons

joints

Question 24

what can injuries to areas involving deep sensory receptors cause

Answer 24

impairment in passive motion sense and static position sense

Question 25

passive position sense

Answer 25

ability of the pt to perceive the direction of passive limb or digit movement w/o visual stimuli

Question 26

static position sense

Answer 26

kinesthesia

ability of the pt to mimic the position of a body part after the therapist has passively moved the body part

Question 27

modified rhomberg test is also known as

Answer 27

SLS test

Question 28

what does the modified rhomberg test test

Answer 28

somatosensory system

proprioception

Question 29

modified rhomberg test

Answer 29

pt is asked to stand on unaffected leg and the affected leg

1st w/ eye opened and then with eyes closed

Question 30

positive modified rhomeberg if

Answer 30

increased sway

cant stay up as long

opposite foot down

difficulty maintaining balance