PD Lower Limb

Question 1

general order of tests

Answer 1

1) inspection/palpation (gait too)
2) AROM/PROM
3) Strength testing
4) neurovascular testing (sensation too)
5) special tests

Question 2

lower limb pulses

Answer 2

1) femoral
2) popliteal
3) posterior tibial
4) dorsalis pedis

Question 3

ROM of hips

Answer 3

Flexion: 120
Extension: 30
Abduction: 45-50
Adduction: 20-30
Internal Rot: 35
External Rot: 45

Question 4

0-5 power scale

Answer 4

0: ZERO: no muscle contraction
1: TRACE :muscle contracts, no joint movement
2: POOR: complete ROM without gravity
3: FAIR: complete ROM with gravity
4: GOOD: complete ROM against gravity with some resistance
5: NORMAL: complete ROM against gravity with full resistance

Question 5

hip special tests

Answer 5

Patrick (FABER + force),

FABER

Question 6

knee inspection/palpation

Answer 6

ballot to check for effusion

Question 7

knee ROM

Answer 7

flexion: 135
extension: 0

Question 8

ankle integrated function tests

Answer 8

Pulses.
Capillary refill.
Sensation: great toe web space (deep peroneal nerve).
Sensation: mid, lateral, medial plantar surface

Question 9

special tests knee

Answer 9

Valgus/varus.
Anterior/posterior drawer signs.
Lachman's test.
McMurray's test.
Patellar apprehension test.
Gait.

Question 10

ankle strength testing

Answer 10

Ankle dorsiflexion.
Foot plantarflexion.
Inversion/eversion.
Great toe flexion/extension.

Question 11

ankle/foot special tests

Answer 11

Thompson Test (achilles)