Practical 1 - UQ scan and PNF Flashcards
myotome and ms responsible for: cervical flexion
C1/C2
rectus capitus anterior, SCM
myotome and ms responsible for: cervical extension
C1/C2
rectus posterior
myotome and ms responsible for: cervical lateral flexion
C3
traps, scalenes
C4 myotome: motion and ms responsible
shoulder shrug/elevation
levator scap, UT
C5 myotome: motion and ms responsible
shoulder ABD
delt (supraspinatus/infraspinatus)
C6 myotome: motion and ms responsible
elbow flex/ (wrist extension)
biceps brachii / wrist extensors
C7 myotome: motion and ms responsible
elbow ext/ (wrist flex)
triceps / wrist flexors
C8 myotome: motion and ms responsible
finger flexion
FDP/FDS/lumbricals
T1 myotome: motion and ms responsible
finger ADD
dorsal interossei
C4 dermatome testing location
over UT to ridge of shoulder
C5 dermatome testing location
lateral brachium to elbow
C6 dermatome testing location
lateral forearm/elbow to lateral 1/2 of hand (1st and 2nd digits)
C7 dermatome testing location
“lateral arm” - 3rd digit
- we only tested 3rd digit in lab
C8 dermatome testing location
medial 1/2 of hand (4th and 5th digits) to medial elbow
T1 dermatome testing location
medial elbow to brachium
T2 dermatome testing location
medial side of upper arm to axilla region
biceps reflex: nerve root level, site of stim, expected response
C5-6
biceps tendon
elbow flex
brachioradialis reflex: nerve root level, site of stim, expected response
C6
brachioradialis tendon
elbow flex, slight wrist ext, wrist RD
triceps reflex: nerve root level, site of stim, expected response
C7
triceps tendon, just above olecranon
elbow ext
what motion is happening at the scapula in D1 flex and ext
anterior elevation and posterior depression
what motion is happening at the scapula in D2 flex and ext
posterior elevation and anterior depression
what are indications for rhythmic initiation (3)
difficulty in initiating motion
movement too slow or too fast
uncoordinated movement/dec motor planning
what are the goals of rhythmic initiation (3)
inc ability to initiate motion
teach the movement pattern
improve coordination and stability
what are the indications for dynamic reversals (4)
dec active ROM
weakness of agonistic ms
dec ability to change direction of motion
dec endurance
what are goals of dynamic reversals (4)
inc active ROM
inc strength
develop coordination (smooth reversal of motion)
inc endurance
what are indications for alternating isometrics (4)
joint instability
pain, particularly when motion is attempted
weakness
limited ROM
what are goals of alternating isometrics (3)
inc stability (ability to produce co-contractions)
inc strength
inc AROM and PROM (following the technique)
what are indications for rhythmic stabilization (4)
joint instability
pain, particularly when motion is attempted
weakness
limited ROM
what are goals of rhythmic stabilization (3)
inc stability (ability to produce co-contractions)
inc strength
inc active and passive ROM
what are indications for stabilizing reversals (3)
dec stability
weakness
pt unable to contract ms isometrically
what are goals for stabilizing reversals (3)
inc stability
inc ms strength
inc coordination and enhance balance b/w agonist and antagonist
what are indications for repeated contractions (2)
weakness
dec endurance
what are goals for repeated contractions (4)
facilitate initiation of motion
assis w strengthening
inc AROM
guide motion in desired direction
what are contraindications to repeated contractions (4)
joint instability
pain
unstable bones d/t fx or osteoporosis
ms or tendon damage
what are indications of combination isotonics (3)
dec eccentric control esp body weight
lack of coordination or ability to move in desired direction
poor dynamic postural control
what are goal for combination isotonics (4)
inc strength
improve eccentric control of movement
improve coordination
inc active range of motion and control