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OS > OS Exam 3 > Flashcards

OS Exam 3 Flashcards

1
Q

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

A

1) supine
2) 90 degrees, knee extended, 120-135 degrees knee flexed
3) contralateral ASIS

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2
Q

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

A

1) prone
2) 15-30 degrees
3) ipsilateral ischial tuberosity

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3
Q

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

A

1) supine; hip and knee flexed to 90 degrees OR
prone with knee flexed to 90 degrees
2) 40-60 degrees

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4
Q

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

A

1) supine; hip and knee flexed to 90 degrees OR prone with knee flexed to 90 degrees
2) 30-40 degrees

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5
Q

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

A

1) pt supine with knee extended

2) 45-50 degrees

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6
Q

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

A

1) supine; sweep the leg

2) 20-30 degrees

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7
Q

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

A

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

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8
Q

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

A

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

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9
Q

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

A

1) pt supine; doc side of table,

2) contact lateral femur and medial ankle. valgus force = aDduction of the proximal tibia

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10
Q

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

A

1) pt supine; doc at side of table

2) contact medial distal femur and lateral ankle. varus force + aBduction of the proximal tibia

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11
Q

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

A

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

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12
Q

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

A

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

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13
Q

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

A

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

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14
Q

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

A

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

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15
Q

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

A

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

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16
Q

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

A

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

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17
Q

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

A

1) pt supine, doctor at foot of the table
2) passive dorsal and plantar glide
3) more common to have plantar glide dysfunction

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18
Q

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

A

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

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19
Q

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

A

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

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20
Q

1) describe the motions performed to evaluate the glenohumeral joint
2) What is the correct way to block out linkage

A 
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
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21
Q

1) describe the motions performed to evaluate the acromioclavicular joint

A

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

22
Q

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

A

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

23
Q

1) describe the motion of the clavicle in sternoclavicular aBduction and aDduction

A

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

24
Q

1) what is the correct position in which to evaluate a pt for somatic dysfunction of the scapulothoracic joint

A

1) lateral recumbent, doc facing the patients anterior, contacting inferior angle of the scapula with their caudad hand, acromion with their cephalad hand

25
Q

what muscles are responsible for scapular elevation

A

upper trapezius

levator scapulae

26
Q

what muscles are responsible for scapular depression

A

lower trapezius

lower rhomboids

27
Q

what muscles are responsible for scapular retraction

A

rhomboids and middle trapezius

28
Q

what muscles are responsible for scapular protraction

A

serratus anterior

29
Q

what muscles are responsible for scapular upward rotation

A

serratus anterior and upper trapezius

30
Q

what muscles are responsible for scapular downward rotation

A

levator scapulae, rhomboid major and minor, latissimus dorsi

31
Q

what force is applied to evaluate ulnar aBduction

A

valgus force

32
Q

what force is applied to evaluate ulnar aDuction

A

varus force

33
Q

how should to doc contact the pt when evaluating radial head motion

A

one hand on the wrist and the other hand on the radial head

34
Q

describe the motions of the radial head in posterior glide

A

posterior radial head dysfunction will have ease of motion to posterior glide and forearm pronation with restriction anterior glide and forearm supination

35
Q

describe the motions of the radial head in anterior glide

A

anterior radial head dysfunction will have ease of motion to anterior glide and forearm supination with restriction to posterior glide and forearm pronation

36
Q

describe the motions that occur during wrist flexion

A

carpal bones have posterior glide with wrist flexion

37
Q

describe the motions that occur during wrist extension

A

carpal bones have anterior glide with wrist extension

38
Q

wrist abduction is also called what

A

radial deviation

39
Q

wrist adduction is also called what

A

ulnar deviation

40
Q

describe the motion occurring at rib 1

A

50% bucket 50% pump handle

41
Q

describe the motion occurring at rib 2

A

primarily pump handle respiratory motion

42
Q

describe hand placement for the evaluation of bucket handle somatic dysfunction in the upper ribs

A

thumbs posteriorly on angles of rib 1

index fingers in supraclavicular fossa anterior to traps to feel the superior lateral aspect of rib 1

43
Q

describe hand placement for the evaluation of pump handle somatic dysfunction in the upper ribs

A

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

44
Q

which rib do we treat in an inhalation somatic dysfunction

A

most inferior/bottom

45
Q

which rib do we treat in an exhalation somatic dysfunction

A

most superior/top

46
Q

describe the motion present at ribs 3-6

A

mix; less pump handle as you move inferiorly; rib 6 is approximately 50/50

47
Q

describe hand placement in the evaluation of ribs 3-6 for pump handle motion

A

costochondral articulations

48
Q

describe hand placement in the evaluation of ribs 3-6 for bucket handle motion

A

midaxillary line

49
Q

describe the motion present in ribs 11 and 12

A

caliper motion

50
Q

describe hand placement in evaluation of floater ribs for somatic dysfunction

A

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

51
Q

restriction of motion in the 11th and 12th ribs is influenced by what muscle?

A

quadratus lumborum

OS (6 decks)

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