Ortho Lab with Nathan Apple Flashcards
what side of the curve is the rib hump on?
the side of the convexity
scoliosis is named for which side?
the side of the convexity
What is the scoliosis rib hump test?
Adams forward bend test
what do u have the pt do before adams fwd bend test
side bend to each side, hand slide down leg, look for blocked differences in bend in trunk from the anterior side
what is Galleazi and what does it test for?
test where kids are supine with knees in hooklying, u look at knees and see if they are level, tests for LLD and DDH.
Whats an exact way to measure for LLD?
use a tape measure from ASIS to most distal point of medial malleoli and compare bilaterally
how to preform ortolani’s test
have kid lying supine, have both legs in hands with legs abducted and hips/knees at 90/90. Place index femur along the side of the femur and slowly abduct and distract one leg at a time. (Distract just enough until u feel the skin get tight)
how do u perform a barlow’s test
Start with baby’s legs abducted and at 90/90 of hip and knee flexion, as u move one leg inward (adduction) place a downward pressure through the femur and posterior hip joint
why perform an ortolani’s or a barlow?
ortolani is better bc u are relocated a dislocated hip, however, if that was negative but u still are unsure about hip intregity based on a hx of tort. or traumatic birth or family history of DDH, or mom says she notices when she changes diapers etc… do the barlows, if it’s not a sound hip it will displace, if it is a sound hip, it’ll stay put!
tests for measureing hip/knee ROM
thomas test
ober test
popliteal angle test
hamstring length
whats the popliteal angle test and how do u figure hamstring length?
pt supine, place hip in 90 deg. flxn, make lower leg loosy goosy and then raise heel straight up until first place of resistance. Measure the angle, ex. rachel’s angle was 140 degrees, this means her hamstring length was -40 degrees, (180-140).
in an ober test, what is normal?
10 degrees below the horizontal
what is an abnormal ober’s test
a lack of the ability of the leg to fall 10 degrees below the horizontal line= tight IT band
describe thomas test findings:
if thigh hovers over the table= either iliopsoas or rectus femoris tightness, if the leg is really straight, the rectus is tight, also, if u then straighten the leg and it helps, it was the rectus that was tight, if it doens’t help they are either both tight or it’s just the iliopsoas. If it swings out, then the abductors are tight.
how should u begin a thomas test?
start with both knees to chest and place one leg down at a time, this keeps back in neutral much better.
