OS Exam 3 Flashcards
1) what is the correct position in which to evaluate a pt for somatic dysfunction of hip flexion
2) What is the expected range of motion for this motion
3) What is the correct way to block out linkage
1) supine
2) 90 degrees, knee extended, 120-135 degrees knee flexed
3) contralateral ASIS
1) what is the correct position in which to evaluate a pt for somatic dysfunction of hip extension
2) What is the expected range of motion for this motion
3) What is the correct way to block out linkage
1) prone
2) 15-30 degrees
3) ipsilateral ischial tuberosity
1) what is the correct position in which to evaluate a pt for somatic dysfunction of external rotation of the hip
2) What is the expected range of motion for this motion
1) supine; hip and knee flexed to 90 degrees OR
prone with knee flexed to 90 degrees
2) 40-60 degrees
1) what is the correct position in which to evaluate a pt for somatic dysfunction of internal rotation of the hip
2) What is the expected range of motion for this motion
1) supine; hip and knee flexed to 90 degrees OR prone with knee flexed to 90 degrees
2) 30-40 degrees
1) what is the correct position in which to evaluate a pt for somatic dysfunction of abduction of the hip
2) What is the expected range of motion for this motion
1) pt supine with knee extended
2) 45-50 degrees
1) what is the correct position in which to evaluate a pt for somatic dysfunction of adduction of the hip
2) What is the expected range of motion for this motion
1) supine; sweep the leg
2) 20-30 degrees
1) what is the correct position in which to evaluate a pt for somatic dysfunction of internal rotation of the knee joint
2) What is the expected range of motion for this motion
1) pt supine; doc at side of table, hip and knee flexed to 90 degrees OR prone with knee flexed to 90 degrees
2) 10 degrees
1) what is the correct position in which to evaluate a pt for somatic dysfunction of external rotation of the knee joint
2) What is the expected range of motion for this motion
1) pt supine; doc at side of table, hip and knee flexed to 90 degrees OR prone with knee flexed to 90 degrees
2) 10 degrees
1) what is the correct position in which to evaluate a pt for somatic dysfunction of adduction of the knee joint
2) describe the action taken as doc to perform this evaluation
1) pt supine; doc side of table,
2) contact lateral femur and medial ankle. valgus force = aDduction of the proximal tibia
1) what is the correct position in which to evaluate a pt for somatic dysfunction of abduction of the knee
2) describe the action taken as doc to perform this evaluation
1) pt supine; doc at side of table
2) contact medial distal femur and lateral ankle. varus force + aBduction of the proximal tibia
1) what is the correct position in which to evaluate a pt for somatic dysfunction of the proximal fibula
2) describe the action taken as doc to perform this evaluation
1) pt supine, knee flexed and foot flat on table OR supine with knee in extension; doc at side of table
2) grab head of fibula in thumb and finger; apply anterior and posterior force to assess glide
1) what is the correct position in which to evaluate a pt for somatic dysfunction of the anterior/posterior lateral malleolus
2) describe the action taken as doc to perform this evaluation
1) pt supine; knee flexed and foot flat on table; doc at side of table
2) grab the lateral malleolus with thumb and index finger; apply anterior and posterior force to assess glide
1) what is the correct position in which to evaluate a pt for somatic dysfunction of the talus
2) What is the expected range of motion for this motion
1) pt supine; doc at foot of the table
2) passive dorsiflexion = 15-20 degrees; passive plantar flexion = 50-65 degrees
MOTION IS OCCURRING BETWEEN THE TALUS AND THE TIB/FIB
1) what is the correct position in which to evaluate a pt for somatic dysfunction of the calcaneus
2) What is the expected range of motion for this motion
1) pt supine, doctor standing at foot of table; 90 degrees between tibia and foot to avoid laxity in subtalar joint
2) passive inversion = 35 degrees, passive eversion = 20 degrees
1O DEGREES OF MOTION IN THE SUBTALAR JOINT
1) what is the correct position in which to evaluate a pt for somatic dysfunction of the navicular
2) describe the action taken by the doc to perform this evaluation
3) describe dysfunction in the navicular
1) pt supine, doc at foot of table
2) doctor grips the navicular and puts into dorsal and plantar gliding motion
plantar glide is more common; dorsal glide associated with tight plantar fascia
1) what is the correct position in which to evaluate a pt for somatic dysfunction of the cuboid
2) describe the action taken by the doc to perform this evaluation
3) describe dysfunction in the cuboid
1) pt supine, doctor is standing at the foot of the table
2) doctor passively puts cuboid into dorsal and plantar glide.
3) more common to have plantar glide dysfunction; dorsal glide dysfunction associated with posterior fibular head
1) what is the correct position in which to evaluate a pt for somatic dysfunction of the cuneiform
2) describe the action taken by the doc to perform this evaluation
3) describe dysfunction in the cuneiform
1) pt supine, doctor at foot of the table
2) passive dorsal and plantar glide
3) more common to have plantar glide dysfunction
1) what is the correct position in which to evaluate a pt for somatic dysfunction of the metatarsals
2) describe the action taken by the doc to perform this evaluation
3) What is the correct way to block out linkage
1) pt supine, doc standing at foot of the table
2) doc applies passive force to place metatarsal into dorsal and plantar glide; more common to have plantar glide dysfunction
3) block out linkage at neighboring metatarsals with opposite thumb and index finger
1) what is the correct position in which to evaluate a pt for somatic dysfunction of metatarso-phalangeal joint
2) describe the action taken by the doc to perform this evaluation
3) What is the correct way to block out linkage
1) pt supine doctor standing at foot of the table; grasp metatarsal-phalangeal joint with thumb and index finger
2) passive dorsi/plantarflexion, aB/aDuction, internal/external rotation
3) blocks linkage at the associated metatarsal head with opposite thumb and index finger
1) describe the motions performed to evaluate the glenohumeral joint
2) What is the correct way to block out linkage
1) flexion - 180 degrees extension - 60 degrees, abduction - 180 degrees adduction - 40-50 degrees, internal/external rotation - 90 degrees anterior/inferior glide posterior superior glide 2) contact olecranon to block out linkage
1) describe the motions performed to evaluate the acromioclavicular joint
1) bring glenohumeral joint into 60 degrees coronal abduction and 60 degrees horizontal abduction to maximize AC joint motion; maintain position and internally and externally rotate glenohumeral joint
1) what is the correct position in which to evaluate a pt for somatic dysfunction of the sternoclavicular joint
2) describe the motion of the clavicle in horizontal flexion and extension of the SC joint
1) pt supine, fingers anteriorly on the clavicular head
pt flexes shoulders to 90 degrees and reaches for ceiling
2) proximal end moves posterior in flexion; proximal end moves anterior in extension
1) describe the motion of the clavicle in sternoclavicular aBduction and aDduction
1) doc places index fingers of both hands on the superior aspect of the head of both clavicles and has patient shrug their shoulders
2) proximal end moves inferiorly in abduction; proximal end moves superiorly in adduction
1) what is the correct position in which to evaluate a pt for somatic dysfunction of the scapulothoracic joint
1) lateral recumbent, doc facing the patients anterior, contacting inferior angle of the scapula with their caudad hand, acromion with their cephalad hand
what muscles are responsible for scapular elevation
upper trapezius
levator scapulae
what muscles are responsible for scapular depression
lower trapezius
lower rhomboids
what muscles are responsible for scapular retraction
rhomboids and middle trapezius
what muscles are responsible for scapular protraction
serratus anterior
what muscles are responsible for scapular upward rotation
serratus anterior and upper trapezius
what muscles are responsible for scapular downward rotation
levator scapulae, rhomboid major and minor, latissimus dorsi
what force is applied to evaluate ulnar aBduction
valgus force
what force is applied to evaluate ulnar aDuction
varus force
how should to doc contact the pt when evaluating radial head motion
one hand on the wrist and the other hand on the radial head
describe the motions of the radial head in posterior glide
posterior radial head dysfunction will have ease of motion to posterior glide and forearm pronation with restriction anterior glide and forearm supination
describe the motions of the radial head in anterior glide
anterior radial head dysfunction will have ease of motion to anterior glide and forearm supination with restriction to posterior glide and forearm pronation
describe the motions that occur during wrist flexion
carpal bones have posterior glide with wrist flexion
describe the motions that occur during wrist extension
carpal bones have anterior glide with wrist extension
wrist abduction is also called what
radial deviation
wrist adduction is also called what
ulnar deviation
describe the motion occurring at rib 1
50% bucket 50% pump handle
describe the motion occurring at rib 2
primarily pump handle respiratory motion
describe hand placement for the evaluation of bucket handle somatic dysfunction in the upper ribs
thumbs posteriorly on angles of rib 1
index fingers in supraclavicular fossa anterior to traps to feel the superior lateral aspect of rib 1
describe hand placement for the evaluation of pump handle somatic dysfunction in the upper ribs
index fingers move posterior the clavicle over superior anterior aspect of rib 1
middle and ring fingers are placed over the anterior aspect of rib 2
which rib do we treat in an inhalation somatic dysfunction
most inferior/bottom
which rib do we treat in an exhalation somatic dysfunction
most superior/top
describe the motion present at ribs 3-6
mix; less pump handle as you move inferiorly; rib 6 is approximately 50/50
describe hand placement in the evaluation of ribs 3-6 for pump handle motion
costochondral articulations
describe hand placement in the evaluation of ribs 3-6 for bucket handle motion
midaxillary line
describe the motion present in ribs 11 and 12
caliper motion
describe hand placement in evaluation of floater ribs for somatic dysfunction
pt prone
examiner at side of table
thumbs to palpate the posterior aspect
2nd and 3rd fingers to palpate the lateral and anterior aspects of ribs 11 and 12 bilaterally
restriction of motion in the 11th and 12th ribs is influenced by what muscle?
quadratus lumborum
