Objective Exam (2) - Musculoskeletal Flashcards
resisted tests
muscles performance
includes MMT and testing contractile structures and their attachments
MMT
assignment of grade to either a particular muscle or joint movement
contractile tissue
the response to resisted movements
pts response
is there any pain
response to resisted movements
strong and painless
strong and painful
weak and painless
weak and painful
all movements are painful
pain with repetitive movement
strong and painless
implies normal muscle power
implies contractile tissue probably not involved
may be pain @ rest
pain @ rest –> strong and painless
w/ resistance added there is no chance in sxs
strong and painful
indicative of a minor lesion in a muscle or tendon
contractile tissue is probably involvled
wake and painless
may indicate a full rupture or a disruption of the innervation to the muscle
weak and painful
may indicate a gross lesion (Severe)
such as a fx, secondary deposits of cancer or psychogenic in origin
all movements are painful
may indicate a psychogenic, emotional disorder or a very serious problem
pain w/ repetitive movement
overuse
vascular compromise
technique for contractile testing
pt must contract isometrically against our resistance
MMT
dont move the joint
neurological testing
important part of the eval for pts w/ MS dysfxn
when should neurological testing be performed
all MS spinal problems
peripheral problems if we suspect any neurological involvement
what does neurological testing include
sensory testing
DTRs
pathological reflexes
proprioception
sensory testing
done in dermatomes
dermatomes
skin innervated by a single spinal nerve root
DTRs
compare responses on corresponding sides
symmetric visible or palpable responses should be noted
DTRs have nothing to do w/
muscle strength
pathological reflexes
asses for upper neuron dzs
or
lesions of the corticospinal tracts
ex of pathological relfexes
babinskis response
proprioception
test of deep sensory receptors
where are deep sensory receptors located
muscles
tendons
joints
what can injuries to areas involving deep sensory receptors cause
impairment in passive motion sense and static position sense
passive position sense
ability of the pt to perceive the direction of passive limb or digit movement w/o visual stimuli
static position sense
kinesthesia
ability of the pt to mimic the position of a body part after the therapist has passively moved the body part
modified rhomberg test is also known as
SLS test
what does the modified rhomberg test test
somatosensory system
proprioception
modified rhomberg test
pt is asked to stand on unaffected leg and the affected leg
1st w/ eye opened and then with eyes closed
positive modified rhomeberg if
increased sway
cant stay up as long
opposite foot down
difficulty maintaining balance
