Objective Exam (Accessory ROM) - Musculoskeletal Flashcards

1
Q

accessory movements

A

joint integrity and mobility

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2
Q

accessory movements are

A

occur b/w joint surfaces

involuntary

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3
Q

cannot…

A

have normal physiological motions w/o accessory motions

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4
Q

how are accessory movements assessed

A

passive movements of joint surfaces

checking slide and glide of joint

compare to other side

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5
Q

grading accessory movements

A

0-6

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6
Q

0 –> grading accessory movements

A

no movement

ankylosis

fused

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7
Q

1 –> grading accessory movements

A

considerable decrease in movement

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8
Q

2 –> grading accessory movements

A

slight decrease in movement

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9
Q

3 –> grading accessory movements

A

normal

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10
Q

4 –> grading accessory movements

A

slight increase in movement

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11
Q

5 –> grading accessory movements

A

considerable increase in movement

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12
Q

6 –> grading accessory movements

A

complete instability

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13
Q

degree of mobility

A

hypermobility

hypomobility

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14
Q

hypermobility

A

suggests a loss of continuity, a partial tear or a complete rupture

grades 4-6

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15
Q

how do we tx hypermobility

A

strengthening

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16
Q

hypomobility

A

may suggest
-fibrosis
-chronic stress or strain to surrounding tissue
-low grade inflammation
-adhesions to adjacent structures

17
Q

hypomobility grades

A

0-2

18
Q

tx hypomobility w/

A

stretching and joint mobs

19
Q

other method of assessment

A

normal w/ or w/o pain

hypomobility w/ or w/o pain

hypermobility w/ or w/o pain

20
Q

normal, painless mobility

A

no lesion at the structure

21
Q

normal, painful mobility

A

minor strain of the structure

22
Q

hypomobility and painless

A

contracture or adhesion of the involved structures

23
Q

hypomobility and painful

A

muscle guarding

24
Q

hypermobility and painless

A

a rupture of the structure where there is no intact fibers to conduct pain sensations

no nerve fibers attached

25
Q

hypermobile and painful

A

partial tear w/ enough fibers intact to conduct pain sensations