Overview/Physical Assessment

Question 1

AROM

Answer 1

Active Range of Motion => PT performs self

Question 2

PROM

Answer 2

Passive Range of Motion => Examiner performs, while the patient relaxes

Question 3

RROM

Answer 3

Resisted Range of Motion => Patient performs while Examiner provides resistance

Question 4

Manual resistance is applied to a limb or other body part after it has completed (stopped moving) its ROM is called _______

Answer 4

Break testing

Question 5

Break testing is also referred as ________

Answer 5

Resisted Isometric Movements -or-

Resisted Range of Motion (RROM)

Question 6

Break testing is used for

Answer 6

Testing myotomes and muscle/tendon lesions

Test for a ‘locked’ feeling

Question 7

Manual resistance is applied to a limb or other body part against an actively contracting (moving) muscle or group of muscles

Answer 7

Active resistance testing

Question 8

Active resistance testing is use for

Answer 8

Testing myotomes and muscle/tendon lesions

Question 9

Tests for myotome and muscle/tendon lesion

Answer 9

• Break testing

* Active resistance testing

Question 10

For MMT (manual muscle testing) test what first? Why?

Answer 10

Normal side first to

• establish a baseline
• give the patient heads up for what to expect

Question 11

What comes first active or passive?

Answer 11

Active b/c more clear of what the patient is capable of

Question 12

What movements are left toward the end? Why?

Answer 12

Painful movemt, avoids pain overflow

Question 13

What movements do the patients have to do in order to see what increases the pain?

Answer 13

• repeat movement several times

* hold position

Question 14

What are PROM or ligamentous tests showing?

Answer 14

The DEGREE OF OPENING and the END FEEL

Question 15

When testing myotomes when performing manual muscle testing, how long should the patient hold the contraction? Why?

Answer 15

5 seconds b/c myotome weakness takes time to develop

Question 16

What should you inform the patient of when testing?

Answer 16

Post testing soreness

Question 17

Referring patient out when

Answer 17

condition is beyond scope of practice, needing surgery etc.

Question 18

While testing PROM and AROM/RROM with muscle injury, what kind of pains are to expect?

Answer 18

PROM = stretch pain
AROM/RROM = contraction pain

Question 19

With muscle rupture what is noticed?

Answer 19

• Absence of pain b/c nerve is torn

* No Strength/Weakness

Question 20

Muscle grading ranges from

Answer 20

0 to 5

Question 21

5 for muscle grading is given when

Answer 21

Complete ROM against gravity with maximal resistance = NORMAL

Question 22

ZERO for muscle grading is given when

Answer 22

NO contraction palpated

Question 23

The quality of movement perceived by the practitioner at the very end of the available ROM.

Answer 23

End Feel

Question 24

Test ligaments slowly (PROM) from gently to stronger to prevent

Answer 24

muscle spasm

Question 25

normal vs. abnormal elbow extension (osteophyte formation) hard feel Example of ?

Answer 25

Bone to Bone End Feel

Question 26

Knee flexion, mushy feel | Example of ?

Answer 26

Soft tissue approximation

Question 27

Hamstring or Calf Stretch, springy feel | Example of ?

Answer 27

Tissue stretch

Question 28

Can occur if moving too quickly when testing, sudden & hard Example of ?

Answer 28

Muscle spasm

Question 29

Swelling, frozen shoulder, thicker stretch quality feel | Example of ?

Answer 29

Capsular

Question 30

Pain stops movement, no end feel | Example of ?

Answer 30

Empty

Question 31

Limited knee extension with meniscal damage, springy where you won't expect it Example of ?

Answer 31

Springy

Question 32

Is the degree to which a special test produces consistent results

Answer 32

Reliability

Question 33

Is how well a test measures what it is supposed to.

Answer 33

Validity

Question 34

How well a GROUP of practitioners perform multiple repetitions of a test retrieves consistent results.

Answer 34

INTER-rater reliability

Question 35

How well a ONE practitioner performs multiple repetitions of a test retrieves consistent results.

Answer 35

INTRA-rater reliability

Question 36

What types of tests are there? (5)

Answer 36

* Joint & Muscle Function Assessment * Joint Stability Test * Special Test * Neurological Assessment * Vascular Assessment