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Massage Therapy > Orthopedic Testing Test 1 > Flashcards

Orthopedic Testing Test 1 Flashcards

1
Q

Translations

A

Anterior, posterior, lateral, medial, superior, inferior

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2
Q

Active ROM

A

Client moves

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3
Q

Passive ROM

A

Therapist moves

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4
Q

End feel

A

How far the joint can go

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5
Q

Different motions of joints

A

Roll - bending knee
Slide - patella movement
Traction - pulling the joint apart
Distraction - moving joint perpendicular
Compression - compressed joint

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6
Q

Types of end feel

A

Soft (tissue on tissue)
Firm (ligaments)
Hard (bone on bone)

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7
Q

Contraindications

A

Hypermo
Instability
Joint effusion
Infection
Inflammation
Active Rheumatoid Arthritis
Active cancer
Bowel/bladder issues
Bilateral parentheses

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8
Q

Precautions

A

Osteoporosis
Spondylolithesis
Pregnancy
Positive vertebral artery test
Spinal fractures
Spinal stenosis
Neurological changes during testing

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9
Q

Pain resistance sequence

A

Pain before resistance : acute lesion

Pain with resistance : sub acute

Pain after resistance : chronic

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10
Q

Posterior view assessment

A

Height of arches (high, flat, symmetrical)
Medial malleoli (symmetrical)
Achilles tendons (width, symmetry)
GN muscle bulk
Fibular heads
Varus or valgus knees
Skin folds at knees and glutes
Greater trochanters, iliac crests, PSIS
Spinous process
Torso skin folds
Arm orientation relative to trunk
Scapula borders, flat or winged
Muscle bulk of traps and ESG
AC joints
Head position , mandible, ear holes, occiputs
Any scars

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11
Q

Anterior view assessment

A

Feet for pes varus (pigeon) or pes valgus( splay)
Pronation or supination of medial long arches
Assess the knees valgus or varus orientation
Patella superior surfaces
Bulk of quads
ASIS, iliac crests, pelvic tilt?
Fingertip levels
Hands to thighs?
Palms facing
Shape of rib cage ( flat, barrel)
Clavicles
Head position
Mandible
Ear holes
Scars

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12
Q

Lateral view assessment

A

Plumb line assessments
1. Lat malleolus slightly ant
2. Fib head slightly ant
3. At greater trochanter
4. Acromion
5. Ear hole

Knee orientation hyper extension, both knees visible

PSIS and ASIS levels, pelvic angle (goniometer test)
Pelvic rotation
Lumbar lordosis
Thoracic kyphosis
Shld protracted, retracted or neutral
Trunk rotation
Cervical lordosis or kyphosis
Scars?

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13
Q

Superior view assessment

A

Head position (rotation or deviation)
Shlds, hands
Pelvis, knees, feet

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14
Q

Head ROMs

A

Mandibular depression 40-55mm
Mandibular elevation (teeth together)
Lateral deviation 8-10 mm
Protrusion 3-6mm
Retrusion 3mm

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15
Q

Chvosteks test

A

Tap parotid gland over masseter mm. Twitching of facial MMs indicates a positive test. Jaw relaxed and mouth closed to test. Sitting. Cranial nerve 7

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16
Q

Reciprocal Clicking

A

Anterior displacement of disc

Sitting or supine
Begin with mouth closed, perform full opening followed by full closing slowly.

17
Q

TMJ assessment

A

Slow opening and closing of mouth. Watching for an S wobble or a C wobble. S indicates muscular and c indicates capsular with deviation towards restricted side.

18
Q

3 knuckle test

A

Positive test if a person can only get 1-2 knuckles between incisors

Open jaw insert knuckles between teeth. Functional should be 3 knuckles.

19
Q

Anterolateral neck flexors strength test

A

Supine
Arms 90 degrees back of hands on table by head
Stabilize shoulder on side being tested
Rotate head away from side being tested
Lift head and hold against gravity
Push test

20
Q

Posterolateral nexk flexors strength test

A

Prone
Arms at 90 with palms on table by head
Extend neck and rotate towards side being tested and hold
Stabilize shoulder being tested
Apply pressure

To test up traps rotate away from side being tested.

21
Q

Cervical spine ROM percents

A

Normal 20-40
Flexion 80-90
Extension 70
Rotation 70-90
Lateral flex 45

22
Q

Cervical transverse pressure

A

Prone
At side to be mobilized, place thumbs next to spinous process (stabilize them)
Press away from body

23
Q

Cervical manual traction

A

Supine
At patients head
Hands on posterior neck where traction is desired
Gentle distraction force

24
Q

Vertebral artery test

A

Checking for compromise of vertebral arteries

Sitting (hands behind client bracing body)

Rot head to end of range, being head into extension, patients eyes remain open, count to 15 slowly

Support head and look for any changes.

Looking for nystagmus, vertigo, changes in voice or speech, pupil changes, personality changes,

25
Q

Thoracic ROM percentages

A

Normal 20-40
Flex 20-45
Exten 25-45
Lat flex 20-40
Rot 35-50

26
Q

Thoracic transverse pressure

A

Prone
At side to be mobilized, place thumb pads beside spinous process
Apply pressure with both thumbs stabilized away from therapist

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