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EEO > Practical > Flashcards

Practical Flashcards

1
Q

Subjective Interview

A

-establish relationship and trust
-Determine understanding of PT
-Determine understanding of condition
-search for clues about condition
-determine current interventions from other clinicians
-Medications
-look for red flags
-determine what to examine
-formulate hypothesis

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2
Q

Biopsychosocial Model

A

Biology: how does their body work

Psychology: current mindset

Social: what do they do, what is around them, who is around them

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3
Q

Patient History

A

-Determine understanding of condition
-determine current interventions from other clinicians (current and other conditions)
-prior level of function
-health habits/risks
-Medications
-past PT experiences
-Family Hx

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4
Q

Patient Environment

A

-Physical environment
-Living environment/Assistance
-Work/recreation/social/school/sport

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5
Q

Mental Orientation Assessment

A

-AOx3
-Name, location, current date

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6
Q

C1/C2

A

Chin in/up

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7
Q

C3

A

Cervical lateral flexion

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8
Q

C4

A

Shoulder elevation

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9
Q

C5

A

Shoulder abduction

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10
Q

C6

A

-Elbow flexion
-Wrist extension

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11
Q

C7

A

-elbow extension
-wrist flexion

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12
Q

C8

A

Thumb extension

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13
Q

T1

A

Finger abduction/adduction

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14
Q

L2

A

Hip flexion

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15
Q

L3

A

Knee extension

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16
Q

L4

A

Ankle dorsiflexion

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17
Q

L5

A

Big toe extension

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18
Q

S1

A

Ankle Plantarflexion

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19
Q

S2

A

Knee flexion

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20
Q

Sensory Grading

A

Absent: 0
Impaired: 1
Normal: 2
Not Testable: NT

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21
Q

C3 Dermatomes

A

Clavicle

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22
Q

C4 Dermatomes

A

Shoulder

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23
Q

C5 Dermatomes

A

Upper arm

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24
Q

C6 Dermatomes

A

-Lateral forearm
-Thumb
-2nd finger

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25
Q

C7 Dermatomes

A

Middle Finger

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26
Q

C8 Dermatomes

A

Last 2 fingers

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27
Q

T1 Dermatomes

A

Medial forearm

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28
Q

L1 Dermatomes

A

Cooch pit

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29
Q

L2 Dermatomes

A

Upper thigh

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30
Q

L3 Dermatomes

A

Medial knee

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31
Q

L4 Dermatomes

A

Medial Malleolus

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32
Q

S1 Dermatomes

A

-under Lateral Malleolus
-Heel

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33
Q

L5 Dermatomes

A

-front of shin
-dorsum of foot

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34
Q

C2 Dermatomes

A

Back of head/neck

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35
Q

S2 Dermatomes

A

-popliteal space

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36
Q

Deep Tendon Reflex Grades

A

No reflex: 0
Minimal Response: 1+
Normal: 2+
Overly Brisk: 3+
Extremely brisk; cross over reaction: 4+

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37
Q

Biceps Tendon

A

C5
-Elbow flexion

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38
Q

Brachioradialis Tendon

A

C6
-radial dev

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39
Q

Triceps Tendon

A

C7
-elbow extension

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40
Q

Patellar Tendon

A

L4
-knee extension

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41
Q

Achilles Tendon

A

S1
-plantarflexion

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42
Q

CN I

A

Olfactory (sensory)
-smell
1) cover 1 nostril and smell different

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43
Q

CN II

A

Optic (sensory)
-visual acuity
1) consensual contralateral light response
2) eye chart

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44
Q

CN III

A

Oculomotor (motor)
-eye movement
1) eye movements except lateral and down/in
2) consensual ipsi light response
3) cover eye and pupillary constriction of contra

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45
Q

CN IV

A

Trochlear (Motor)
-eye movement (down and in)
-H test

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46
Q

CN V

A

Trigeminal (Both)
-Mandibular movement and face sensation

Motor: clench jaw and feel masseter and temporalis

Sensory: check in forehead (ophamalic), checks (maxillary), and jaw (mandibular)

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47
Q

CN VI

A

Abducens (motor)
-lateral eye movements
-H test

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48
Q

CN VII

A

Facial (both)
-facial movement and taste

Motor:
1) smile
2) frown
3) move eyebrows

Sensory:
-close eyes and place sweet/salt on anterior 2/3rds of tongue

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49
Q

CN VIII

A

Vestibulocochlear (sensory)
-hearing and vestibular

Hearing:
1) rub fingers together
2) whisper word identification
3) Weber Test: tuning fork on head
4) Rhine Test: tuning fork on mastoid

Vestibular:
1) touch nose then pt finger
2) turn head while looking at thumb

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50
Q

CN IX

A

Glossopharyngeal (Both)
-gag reflex and taste

Sensory:
1) sour/bitter taste on posterior 1/3 tongue

Motor:
1) swallowing

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51
Q

CN X

A

Vagus (both)

Motor:
1) saw ah, uvula deviation to strong side
2)Swallowing
3) SCM

Sensory

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52
Q

CN XI

A

Accessory (motor)

1) shoulder shrug
2) head turning

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53
Q

CN XII

A

Hypoglossal (motor)

1) stick tongue out, deviates to weak side

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54
Q

Cerebellar UE

A

-dysmetria finger to nose (5 times)
-Diysdiadochokinesia: pronation/supination
-rebound test

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55
Q

Cerebellar LE

A

-hell shin test: 5 times
-romberg: 30 s arms crossed EO/EC
-toe tapping
-gait

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56
Q

UMNL Testing

A

-hypereflexia, hypertonia
-Clonus: forced DF; foo quickly PF
-Babinski: foot scrape; toe abduction
-Hoffman: middle finger flick; finger flexion with “C”
-Pronator Drift
-Shimizu: twitch of shoulder

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57
Q

Coordination Testing Recommendations

A

-test 1 of each: UP, LE, unsupported gait

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58
Q

Dysmetria

A

-error in trajectory
-inability to touch target

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59
Q

Dysdiadochokinesia

A

-inability to perform rapid alternating mmts

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60
Q

Standing Tests

A

-Romberg
-Tandem Sharpend Romberg

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61
Q

LMNL

A

-hyporeflexia, weakness, atrophy

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62
Q

Sensation Testing Order

A

-test sensation on face EO/EC
-test sensation on extremeties
-dermatomes
-unpredictable pattern
-check dermatome vs peripeheral
-check another tract

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63
Q

Evaluation Testing Order

A

-Dermatome
-Dermatome vs PN
-Myotome
-Reflex
-ROM Screen
-ROM Testing
-Manual Muscle Testing

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64
Q

Red Numbers Goni

A

-0-90

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65
Q

Black Numbers Goni

A

-0-180

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66
Q

Arc Format of ROM

A

Starting (or hyper) -0 (or hypo)- endrange

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67
Q

Spine MMT Scale

A

0: no contraction
1: Contraction w/o movement
2: partial ROM against gravity
3: Full ROM AG, no arms by side
4: Full ROM AG, arms crossed
5: Full ROM AG, hands behind head

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68
Q

Manual Muscle Testing Scale

A

0: no contraction
1: Contraction w/o movement
2-: Move through partial ROM with GR
2: Full ROM with GR
2+: Full ROM with GR and Resistance OR partial ROM against gravity
3: Full ROM AG, no resistance
4: Full ROM AG, some resistance
5: Full ROM AG, max resistance

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69
Q

Elbow ROM Values

A

Flexion: 140-150
Extension: 0
Supination: 80
Pronation: 80

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70
Q

Wrist ROM Values

A

Flexion: 80
Extension: 70
Rad Dev: 20
Ulnar Dev: 30

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71
Q

Finger ROM Values

A

-MCP:
Flex/ext: 90/45

-PIP:
-Flx/Ext: 100/0

-DIP:
-Flx/Ext: 90/0

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72
Q

Cervical Flexion Inclinometer ROM

A

-Cranium to T1
-50

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73
Q

Cervical Flexion Goni ROM

A

-0-40
Stationary: Perp. floor
Axis: Ear hole
Movement: Base of nose

-take resting, subtract from final number

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74
Q

Cervical Extension Tape Measure ROM

A

-Chin to sternal notch

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75
Q

Cervical Extension Inclinometer ROM

A

-superior cranium and T1

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76
Q

Cervical Extension Goni ROM

A

0-50
Stationary: Perpendicular to floor
Axis: ear hole
Movement: Base of nose

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77
Q

Cervical Lateral Flexion ROM Tape Measure

A

-Mastoid to lateral acromion

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78
Q

Cervical Lateral Flexion ROM Inclinometer

A

-Superior cranium to T1 (frontal plane)

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79
Q

Cervical Lateral Flexion ROM Goni

A

-0-22 (180 hold)
Stationary: Perp to floor
Axis: C7
Movement: bisect cranium

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80
Q

Cervical Rotation ROM Tape Measure

A

-Tip of nose to lateral acromion

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81
Q

Cervical Rotation ROM Inclinometer

A

-PROM
-Supine
-Center of forehead (frontal plane)

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82
Q

Cervical Rotation ROM Goni

A

-0-50
Stationary: btwn acromion
Axis: Center of cranium
Movement: nose

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83
Q

Cervical AROM Values

A

Flx: 40
Ex: 50-70
LSB: 22
Rot: 70-90

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84
Q

Thoracolumbar AROM Values

A

Flx: 60
Ex: 25
LSB: 35
Rot: 45

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85
Q

Lumbar AROM Values

A

Flx: 40-50
Ex: 15-20
LSB: 25

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86
Q

Cervical End Feel

A

firm

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87
Q

T/L Spine Flexion/extension: Inclinometer

A

-flex 60 and ext 25
-t1 to s2

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88
Q

T/L Spine Lateral Flexion: Goni

A

-35 (180 hold)
Stationary: perp to ground
Axis: S1
Movement: c7

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89
Q

T/L Spine Lateral Flexion: Inclinometer

A

-25
-t1 to s2

90
Q

T/L Spine Rotation: Goni

A

-45
Stationary: between iliac crest
Axis: top of head
Movement: bwteen acromion

91
Q

Thoracic Spine Flexion/Extension: Tape Measure

A

-C7 to L1
-Stop when pelvis tilts
-for flexion que patient to bend with their head first (slide, hands-down legs)
-for extension que patient to look up at the ceiling and lift their chest

92
Q

Lumbar Spine Flexion/Extension: Tape Measure

A

-T12 to S2

93
Q

T/S Spine Flexion/extension: Tape Measure

A

-c7 to S2

Floor: middle finger tip to floor

94
Q

T/S Spine Lateral Flexion: Tape Measure

A

Floor: middle finger tip to floor

95
Q

Lumbar Spine Flx/Ext: Inclinometer

A

-flx: 60 and ex: 25
-t12 to s2

96
Q

Lumbar Spine Lat flx: Inclinometer

A

-25
-t12-s2

97
Q

Shoulder End Feels

A

firm

98
Q

Shoulder ROM Values

A

Flexion: 180
Extension: 50-60
Abd: 180
Internal Rot: 70-80
External Rot: 90

99
Q

Flexion: Shoulder Complex

A

-180
-stabilize trunk
Stationary: mid thorax
Axis: greater tub
Movement: lat epi

100
Q

Flexion: GH

A

-120
-stop when scap moves
-stabilize trunk and scap
Stationary: mid thorax
Axis: greater tub
Movement: lat epi

101
Q

Extension: Shoulder Complex

A

-60
-prone
-stabilize trunk
Stationary: mid thorax
Axis: greater tub
Movement: lat epi

102
Q

Extension: GH

A

-20
-prone; stop when scap moves
-stabilize trunk and scap
Stationary: mid thorax
Axis: greater tub
Movement: lat epi

103
Q

Abduction: Shoulder Complex

A

-180
-supine
Stationary: parallel to sternum
-stabilize trunk
Axis: ant. acromion
Movement: bisect humerus

104
Q

Abduction: GH

A

-100-130
-supine; stop when scap moves
-stabilize trunk and scap
Stationary: parallel to sternum
Axis: ant. acromion
Movement: bisect humerus

105
Q

IR/ER: Shoulder Complex

A

-IR: 70 ER: 90
-supine; 90/90; towel under humerus
-stabilize trunk
Stationary: perp to ground
Axis: olecranon
Movement: bisect ulna

106
Q

IR/ER: GH

A

-IR: 50-60 ER: 90
-supine; 90/90; towel under humerus; stop when scap moves
-stabilize trunk and scap

Stationary: perp to ground
Axis: olecranon
Movement: bisect ulna

107
Q

Elbow Flexion/Extension Goni

A

-0 (hard)-150 (soft)
-supine
-towel under elbow for hyperextension
Stationary: acromion
Axis: lateral epi
Movement: radial styloid

108
Q

Forearm Pronation Goni

A

-80 (firm)
-sitting, elbow flexed

Stationary: midline of humerus
Axis: ulnar styloid
Movement: dorsal wrist

109
Q

Forearm Supination Goni

A

-80 (firm)
-sitting, elbow flexed

Stationary: midline of humerus
Axis: ulnar styloid
Movement: ventral wrist

110
Q

Wrist Extension/Flexion Goni

A

-flexion: 80
-Extension: 70
-firm

Stationary: lateral ulna
Axis: triquetrum
Movement: 5th metacarpal

111
Q

Wrist Radial/Ulnar Deviation Goni

A

-radial: 20 (hard)
-ulnar: 30 (firm)

Stationary: midline of forearm
Axis: dorsal capitate
Movement: 3rd metacarpal

112
Q

MCP 2-5 Flx/ext

A

Flx: 90 (firm)
Ext: 45 (firm)

Stationary: Midline of metacarpal
Axis: Dorsal MCP
Movement: Dorsal phalanx

113
Q

MCP 2-5 Ab/Ad

A

-45 (firm)

Stationary: Midline of metacarpal
Axis: Dorsal MCP
Movement: Dorsal phalanx

114
Q

PIP and DIP Flx/Ext

A

PIP flx: 100
DIP flx: 90

Stationary: Proximal phalanx
Axis: Dorsal IP
Movement: Distal phalanx

115
Q

CMC Thumb Flx/Ext

A

Flx: 15 (soft)
Ext: 20 (firm)

Stationary: Ventral midline of radius
Axis: Palmar 1st CMC
Movement: Midline of 1st MC

116
Q

CMC Thumb Adduction

A

-0

Stationary: Lateral midline of 2nd MC
Axis: Lateral Radial Styloid
Movement: Midline of 1st MC

117
Q

CMC Thumb Abduction

A

-70

Stationary: Ventral midline of radius
Axis: Palmar 1st CMC
Movement: Midline of 1st MC

118
Q

MCP Thumb ROM

A

Flx: 50-60
Ext: 0

Stationary: Dorsal midline of metacarpal
Axis: Dorsal MCP
Movement: Dorsal midline of proximal phalanx

119
Q

IP Thumb

A

Flx: 80
Ext: 20

Stationary: Dorsal midline of proximal phalanx
Axis: Dorsal IP
Movement: Dorsal midline of distal phalanx

120
Q

Thumb Opposition

A

-check if can reach pinky MCP
-measure distance from tip to MCP

121
Q

Composite Flexion

A

-distance of tip of finger to distal palmar crease

122
Q

Deep Cervical Flexors MMT

A

-longus colli (c2-c6)
-use fourth or fifth digit to apply resistance to the chin to untuck it

90/90 arms

-head nod, no lifting

123
Q

Cervical Flexors MMT

A

-longus Capitus, SCM (CN XI and Ventral rami C2 and C3), Ant. scalene

90/90 arms

-Supine
-Chin to test; push forehead; gaurd behind the head

124
Q

Cervical Extensors MMT

A

-errector Spinae (Dorsal rami C1-C8), Capitus, upper Trap

-Prone; 90/90
-Lift head off table (no sternum); push base of cranium; guard front

125
Q

Cervical Anterolateral Flexors MMT

A

-SCM (CN XI and Ventral rami C2 and C3)

-supine; 90/90 arms
-ipsi Lateral flexion and contra rotation; push forehead; guard behind

126
Q

Grading Scale

A

0, 1, 2 , 3, 4, 5

127
Q

Trunk Flexion MMT: Upper Abs

A

-Rectus ab (T7-t12)

-Supine; inf angle of scap must clear
2: partial
3: stretch toward toes
4: arms crossed
5: arms behind head

128
Q

Trunk Flexion MMT: Lower Abs

A

–Rectus ab (T7-t12)

-Supine w/ hips flexed; arms crossed
2: angle greater than 70 when pelvic tilts
3: angle 70-30 when pelvic tilts
4: angle 30 when pelvic tilts
5: angle 0

129
Q

Trunk Extension MMT

A

-errector spinae (T1-L5)

-Prone; pillow under abdomen; stablize thighs; sternum clears
2: partial
3: arms at side
4: arms behind back
5: arms behind head

130
Q

Pelvic Elevation MMT

A

-quadratus lumborum (T12-L4)

-supine; hold sides of table; elevate test side of pelvis toward shoulder

131
Q

Scapular Elevation MMT

A

Muscle: Upper Trap (CN XI and ventral rami c3-c4) & Levator (C3-c5 dorsal scapular n)

Position: Sitting

Palpate: Trap at clavicle

Movement: Shrug shoulder amd lat flex and rotate head away; with hands crossed at mastoid and top of shoulder resist

Stabilize: Top of shoulder

GR Position: Prone shrug

132
Q

Scapular Adduction MMT

A

Muscle: Middle trap (CN XI and ventral rami c3-c4)

Position: Prone; 90/90 thumb up; head on opposite side

Palpate: middle trap near midline

Movement: Lift arms; push medial border into protraction OR long lever at distal humerus then functional at wrist

Stabilize: Contra thorax

GR Position: Seated; towel under straightened elbow to side; thumb up

133
Q

Scapular Depression and Adduction MMT

A

Muscle: Lower Trap (CN XI and ventral rami c3-c4)

Position: Prone; thumb up; arm in y pose (130 ab), head on opposite side

Palpate: lower trap near SP

Movement: Lift arm and push scap down into hand; resist on medial boarder of scap OR at distal humerus then functional at wrist

Stabilize: contra thorax

GR Position: N/A

134
Q

Scapular Downward Rotation and Adduction MMT

A

Muscle: Rhomboids (C5 dorsal scap n)

Position: Prone; hand behind back; head on opposite side OR UE bent in slight abd (chicken wing)

Palpate: Rhomboids between med border

Movement: lift hand and resist a medial border OR olecranon

Stablize: Contra throax

GR Position: Seated (not for AP)

135
Q

Scapular Upward Rotation and Abduction MMT

A

Muscle: Serratus Ant. (c5-C7 long thoracic)

Position: Seated, scaption (130)

Palpate: btwn ribs and ant scap

Movement: Lift arm and stand in front and resist distal humerus AND lat border of scap resisting UR

Stabilize: Ipsi shoulder GH

GR Position: N/a

136
Q

Shoulder Flexion MMT

A

Muscle: ant. delt (c5-c7 axillary) and coracobrach (c5-c7 musculocute)

Position: Seated, thumb up

Palpate: ant delt

Movement: lift arm; resist distal humerus then wrist for functional

Stablilize: superior acromion

GR Position: sidelying

137
Q

Shoulder Extension MMT

A

Muscle: c5-c8 post delt (axillary), lats (thoracodorsal), teres minor (subscap)

Position: prone; palm up

Palpate: lateral ribs near lat

Movement: lift arm, resist distal humerus

Stabilize: ipsi thorax

GR Position: sidelying

138
Q

Shoulder Scaption MMT

A

Muscle: ant delt, mid delt, supraspinatus (c5-c7)

Position: seated, thumb up

Palpate: supraspinatus

Movement: lift arm, resist distal humerus

Stabilize: superior acromion

GR Position: semi-sidelying

139
Q

Shoulder Abduction MMT

A

Muscle: c5-c6 mid delt and supraspinatus (suprascap)

Position: Sitting,

Palpate: mid delt

Movement: lift arm, resist distal humerus

Stabilize: superior acromion

GR Position: Supine

140
Q

Shoulder Horizontal Abduction MMT

A

Muscle: post delt (c5-c6) axillary

Position: prone, 90 elbow, neural shoulder

Palpate: post delt

Movement: lift elbow toward back, resist distal humerus

Stabilize: ipsi thorax

GR Position: seated with elbow on towel, palm down

141
Q

Shoulder Horizontal Adduction MMT

A

Muscle: pec major (c5-t1 med and lat pectoral nerves)

Position: Supine, edge of bed,

Palpate: pec major lateral side

Movement: General: flexed arm across body; resist at distal humerus
Clavicular: straight arm
Sternal: straight arm; thumb toward opposite ASIS

Stabilize: ipsi lat clavicle

GR Position: sitting; elbow on towel

142
Q

Shoulder External Rotation MMT

A

Muscle: infraspinatus (c5-c6 suprascapular) & teres major (c5-c6 axillary)

Position: Prone; 90/90; use towel

Palpate: teres major

Movement: Lift arm; resist distal radius using webspace

Stabilize: Scapula

GR Position: Prone with dangling arm

143
Q

Shoulder Internal Rotation MMT

A

Muscle: subscap (c5-t1 upper and lower subscapular) & pec major (c5-t1 me and lat pectoral) & lats (c5-t1 thoeracodorsal)

Position: Prone; 90/90; use towel

Palpate: subscap under scap

Movement: Lift arm posteriorly; resist distal radius using webspace, PT in front of

Stabilize: upper scap

GR Position:

144
Q

Elbow Flexion MMT (Biceps)

A

Muscle: Bicep (c5-c6)

Position: Sitting; palm up

Palpate: Bicep

Movement: Flex then go to 90; pull wrist

Stabilize: ipsi acromion

GR Position: Sitting w/ arm on table, palm facing pt

145
Q

Elbow Flexion MMT (Brachialis)

A

Muscle: Brachialis (C5-c6)

Position: Siting, palm down

Palpate: Medial to bicep

Movement: Flex then go to 90; pull wrist

Stablize: ipsi acromion

GR Position: Sitting w/ arm on table, thumb dragging

146
Q

Elbow Extension MMT

A

Muscle: Tricep (C7-c8)

Position: Supine; shoulder at 90, supination

Palpate: Tricep

Movement: Extend elbow; push distal wrist

Stablize: ipsi acromion

GR Position: Sitting w/ arm on table

147
Q

Elbow Flexion MMT (Brachioradialis)

A

Muscle: Brachioradialis (C5-c6)

Position: Siting, thumb up

Palpate: Anterolateral forearm

Movement: Flex then go to 90; pull wrist

Stablize: ipsi acromion

GR Position: Sitting w/ arm on table, thumb facing patient

148
Q

Forearm Supination MMT

A

Muscle: Supinator (PIN c5-c6)

Position: Sitting, elbow 90, pronated

Palpate: Supinator; anterior lateral radius

Movement: Supinate; try to put them into pronation

Stabilize: Elbow

GR Position: Sitting, arm up, transverse plane

149
Q

Forearm Pronation MMT

A

Muscle: Pronator Teres (median c6-c7)

Position: Sitting, elbow 90, supinated

Palpate: Pronator Teres

Movement: Go into pronation, try to put into supination

Stabilize: Elbow

GR Position: Sitting, arm up, transverse plane

150
Q

Radial Wrist Flexion MMT

A

Muscle: FCR (c6-c7) Median

Position: Supinated wrist flexion

Palpate: Proximal forearm over radius

Movement: Flexion; reisist over metacarpals 1 and 2 into flexion and ulnar dev

Stabilize: Dorsal forearm

GR Position: Forearm in midpronation; test both FCU and FCR

151
Q

Ulnar Wrist Flexion MMT

A

Muscle: FCU (c7-c8) Ulnar

Position: Supinated wrist flexion

Palpate: Proximal forearm over ulna

Movement: Flexion; reisist over 5th metacarpal into extension and rad dev

Stabilize: Dorsal forearm

GR Position: Forearm in midpronation; test both FCU and FCR

152
Q

Radial Wrist Extension MMT

A

Muscle: ECRL Radial (c6-c7)

Position: Sitting; arm pronated

Palpate: Dorsal Proximal Forearm over radius

Movement: Extend Wrist; resist using metacarpals 1 and 2 into flexion and ulnar dev

Stabilize: Ventral forearm

GR Position: Forearm in midpronation; test both ECU

153
Q

Ulnar Wrist Extension

A

Muscle: ECU (PIN c7-c8)

Position: Sitting; arm pronated

Palpate: Dorsal Proximal Forearm over ulna

Movement: Extend Wrist; resist using 5th metacarpal into flexion and rad dev

Stabilize: Ventral forearm

GR Position: Forearm in midpronation; test both ECU and ECRL

154
Q

Finger MCP Flexion MMT

A

Muscle: Lumbricals (c8-t1)

Position: Sitting; palm up

Palpate: Palm, in between metacarpals on radial side, fingers extended

Movement: Flex then go to 90; pull proximal phalynx all together

Stabilize: Wrist

GR Position: Sitting w/ arm on table, neutral forearm; allow MCP flx

155
Q

Finger PIP Flexion MMT

A

Muscle: FDS (c8-t1)

Position: Sitting; palm up

Palpate: Middle forearm

Movement: Flex then go to 90; hold proximal phalynx, and resist middle phalynx 1 finger at a time

Stabilize: Proximal phalynx

GR Position: Sitting w/ arm on table, neutral forearm; allow MCP flx

156
Q

Finger DIP Flexion MMT

A

Muscle: FDP (c8-t1)

Position: Sitting; palm up

Palpate: Middle forearm over ulna

Movement: Flex then go to 90; hold middle phalynx, and resist distal phalynx 1 finger at a time

Stabilize: Middle phalynx

GR Position: Sitting w/ arm on table, neutral forearm

157
Q

Finger MCP Extension MMT

A

Muscle: Extensor Digitorum (c7-c8)

Position: Sitting; palm down, wrist over edge

Palpate: Middle forearm

Movement: Extend MCPs, and resist proximal phalynx 1 at a time

Stabilize: Metacarpals

GR Position: Sitting w/ arm on table, neutral forearm;

158
Q

Finger Abduction MMT

A

Muscle: DABS (c8-t1)

Position: Sitting; palm down, wrist over edge

Palpate: Dorsal side of hand between metacarpals

Movement: Splay finger and use 1 finger to apply resistance

Stabilize: Wrist

GR Position: N/a

159
Q

Thumb MCP Flexion MMT

A

Muscle: Flexor Pollicis Brevis (c8-t1)

Position: Sitting; palm up

Palpate: Thenar pad

Movement: Flex; resist at proximal phalanx ; IP stays extended

Stabilize: 1st metacarpal

GR Position: N/a

160
Q

Thumb IP Flexion MMT

A

Muscle: FPL (c8-t1)

Position: Sitting; palm up

Palpate: 2 inch above wrist on radius

Movement: Flex IP; hold proximal phalynx, and resist Distal phalynx

Stabilize: Proximal phalynx

GR Position: N/a

161
Q

Thumb MCP Extension MMT (EPB)

A

Muscle: EPB (c7 -c8)

Position: Sitting; palm up

Palpate: dorsal didtal wrist

Movement: Extend MCP; hold metacarpal, and resist proximal phalynx

Stabilize: 1st metacarpal

GR Position: N/a

162
Q

Thumb IP Extension MMT

A

Muscle: EPL (c7-c8)

Position: Sitting; palm up

Palpate: 2 inch above dorsal wrist midline

Movement: Extension IP; hold proximal phalynx, and resist Distal phalynx

Stabilize: MCP joint

GR Position: N/a

163
Q

Thumb Abduction MMT (APL)

A

Muscle: APL (c6-c7)

Position: Sitting; palm up

Palpate: base of the 1st metacarpal

Movement: Abduction; and resist metacarpal

Stabilize: n/a

GR Position: Pronation

164
Q

Thumb Abduction MMT (APB)

A

Muscle: APB (c8-ti)

Position: Sitting; palm up

Palpate: base of the 1st metacarpal

Movement: Abduction; and resist prox phalynx

Stabilize: n/a

GR Position: Neutral

165
Q

Finger Adduction MMT

A

Muscle: PADS (c8-t1)

Position: Sitting; palm down, wrist over edge

Palpate: Dorsal side of hand between metacarpals 4 and 5

Movement: Bring fingers together and use 1 finger to apply resistance

Stabilize: Wrist

GR Position: N/a

166
Q

Thumb Adduction MMT

A

Muscle: Adductor Pollicis (c8-t1)

Position: Sitting; palm down

Palpate: Thenar webspace

Movement: Adduction; and resist medial proximal phalynx

Stabilize: Metacarpals

GR Position: Neutral

167
Q

Opposition MMT

A

Muscle: Opponens Pollicis and Opponens digiti minimi (c8-ti)

Position: Sitting; palm up

Palpate: Lateral 1st and 5th metacarpal

Movement: Opposition; and resist 1st and 5th metacarpal

Stabilize: n/a

GR Position: N/a

168
Q

Thomas Test

A

-LE flexibility

-edge of plinth
-bend both knees
-bend one, let other down and check for discrepancies

-flexed hip with knee 90: iliopsoas
-ext hip with >90: rectus
-abducted: ITB
-flx hip and ER: short sartorius

169
Q

Ober’s Test

A

-tightness of TFL and ITB

-sidelying, lower leg flexed
-abduct, ER, extend hip
-lower and look for movement

170
Q

Straight Leg Raise Test

A

-short hamstrings

-supine, both knees extended
-passive SLR to 70 deg is norm
-more than 91 deg hypermobile

171
Q

Popliteal Angle Test

A

-distal hamstring flexibility

-supine witth test leg 90 deg hip with relaxed knee

woman: can extend to 30
men: can extend to 40

172
Q

Ely’s Test

A

-short rectus fem

-prone, passive knee flexion
-check for hip rise

173
Q

FABER

A

-like quadrant without compression
-test for inguinal pain, SI pain

-hip flex, abducted, ER
-press on opposite ASIS

174
Q

Piriformis Flexibility Test

A

-hip flexed to 100, maximally ER
-slowly adduct to get stretch of piriformis
-stand on opp side

175
Q

Clearing the Lumbar Spine

A

AROM
-Flexion: Bend forward
-Extension: hands on hips
-Lat SB: arms to the side
-Rotation: arms crossed, stabilize hips

RROM
-Flexion: resist being pulled back
-Extension: resist being pushed
-Lat SB: push shoulder down, stabilize contra pelvis
-Rotation: Pull one shoulder back, stabilize contra pelvis

Overpressure
-Flexion: sitting, Bend forward hands together, stabilize low back with forearm and push upper back with other forearm
-Extension: sitting, cross arms and arch back, stabilize low back with forearm and push chest
-Lat SB: sitting, lean to one side using trunk only, push ipsi shoulder down, stabilize contra pelvis
-Rotation: arms crossed, rotate to one side, push isi shoulder

176
Q

Leg Length

A

Apparent leg length: umbilcus to med mall

True length: ASIS to med mall

*3 bridges first

177
Q

Quadrant Scour Test

A

-degeneration of hip/labrum

-flex hip to 90
-compress joint in 4 quadrants

178
Q

FADIR Test

A

-like quadrant without compression
-test for labral, impingement, normal end feels

-hip flex, adducted, IR

179
Q

Normal ROM Hip

A

Flx: 120
Ext: 20
IR: 45
ER: 45
Abd: 45
Add: 45
SLR: 90F and 70M

180
Q

Normal End Feels Hip

A

-Flx: soft
-Everything: firm

181
Q

Casular Pattern Hip

A

-IR < Ext < Abd

182
Q

Functon ROM Hip

A

Standing from seated: 100 hip flx

Tie shoes: 115 hip flx, 18 abd, 13 ER

Sitting Cross legged: 85 hip flx, 35 Abd, 45 ER

183
Q

Hip Flexion ROM

A

-120 (soft)
-supine, knee flexed
-stabilize pelvis

Stationary: lat midline Pelvis
Axis: greater trochanter
Movement: midline of femur to Lateral epicondyle

184
Q

Hip Abduction and Adduction ROM

A

-45 ab, 20 add (firm)
-supine, knee extended
-stabilize pelvis

Stationary: Opposite ASIS
Axis: ASIS
Movement: Midline of femur

185
Q

Hip Extension ROM

A

-20 (firm)
-prone, knee extended
-stabilize pelvis

Stationary: lat midline Pelvis
Axis: greater trochanter
Movement: midline of femur to Lateral epicondyle

186
Q

Hip IR/ER ROM

A

-45 (firm)
-sitting or prone, knee flexed
-stabilize pelvis

Stationary: Perpendicular to ground or table
Axis: Patella
Movement: Midline of tibia

187
Q

Q Angle

A

-Males: 13-15 & Female: 17-20
-supine
-stabilize pelvis

Stationary: ASIS
Axis: Mid patella
Movement: Tibial tubercle

188
Q

Knee Flexion ROM

A

-150 (soft)
-supine, knee flexed

Stationary: lat midline femur to g troch
Axis: lat epi
Movement: lat mal

189
Q

Knee Extension ROM

A

-5 (firm)
-supine, knee ext
-towel under ankle

Stationary: lat midline of femur to greater troch
Axis: Lateral Epicondyle
Movement: Lateral malleolus

190
Q

Hip Flexion MMT

A

Muscle: Psoas Major (L2-L4)

Position: Sitting, holding onto plinth

Palpate: Distal to inguinal lig

Movement: bring Knee up, resist at distal femur

Stabilize: Ipsi pelvis

GR Position: Sidelying, leg supported by PT

191
Q

Hip Flexion, Abduction, ER MMT

A

Muscle: Sartorius (L2-L3)

Position: Siting, holding onto plinth

Palpate: Below ASIS

Movement: flex hip, ER, abduction; resist at distal thigh and ankle

Stabilize: N/a

GR Position: Supine, slide heel on shin of opposite leg

192
Q

Hip Extension MMT

A

Muscle: Glute max (L5-S2), Hamstrings (L5-s2)

Position: Prone, knee extended
-PT on contra side

Palpate: Glute max

Movement: Extend leg and resist distal femus

Stabilize: Pelvis

GR Position: Sidelying, knee extended

193
Q

Hip Extension isolating Gluteus Maximus MMT

A

Muscle: Glute max (L5-S2)

Position: Prone, knee flexed
-PT on contra side

Palpate: Glute max

Movement: Extend leg and resist distal femus

Stabilize: Pelvis

GR Position: Sidelying, knee flexed

194
Q

Hip Extension w/ Tight Hip Flexors MMT

A

Muscle: Glute max (L5-s2)

Position: Prone, bent over and holding plint, knee extended
-PT on contra side

Palpate: Glute max

Movement: Extend leg and resist distal femus

Stabilize: Pelvis

GR Position: N/a

195
Q

Hip Abduction MMT

A

Muscle: Glute Medius (S1-S2)

Position: Sidelying, testing knee extended

Palpate: Below iliac crest

Movement: Abduct hip, resist distal femur

Stabilize: Iliac Crest

GR Position: Supine, abduct while suine

196
Q

Hip Flexion w/ TFL MMT

A

Muscle: TFL (L4-s1)

Position: Sidelying, knee extended, hip flexed to 45

Palpate: TFL, supeprior lat glute

Movement: Lift leg, resist at distal femur

Stabilize: Iliac crest

GR Position: Longsitting

197
Q

Hip Adduction MMT

A

Muscle: Adductors (L2-L4)

Position: Sidelying on testing side, knees extended, PT suppporting higher leg

Palpate: Medial Thigh

Movement: Support non test leg and resist testing leg adduction at distal femur

Stabilize:

GR Position: Supine

198
Q

Hip ER MMT

A

Muscle: Piriformis (L4-S1)

Position: Sitting, knee flexed with towel

Palpate: Btwn sacrum and greater trochanter

Movement: Resist at outer knee and inner ankle

Stabilize: Outer knee

GR Position: Supine, knee extended

199
Q

Hip IR MMT

A

Muscle: Gluteus Min and FL (L4-S1)

Position: Sitting, knee flexed with towel

Palpate: Anterior glut/TFL

Movement: Resist at inner knee and outer ankle

Stabilize: inner knee

GR Position: Supine, knee extended

200
Q

Knee Flexion MMT

A

Muscle:
-Medial: semitendinosis
-Lateral: biceps femoris (L5-s2)

Position: Prone, flexed knee

Palpate: Hammies

Movement:
-Normal: resist distal tibia
-Medial: IR tibia and resist obliquely (lateral)
-Lateral: ER and resist obliquely (medially)

Stabilize: Pelvis

GR Position: Sidelying on test leg, PT in front of pt

201
Q

Knee Extension MMT

A

Muscle: Quads (L2-L4)

Position: Sitting, knee slightly flexed, hold plinth

Palpate: Mid quad

Movement: flex knee and resist distal tibia

Stabilize: Pelvis

GR Position: Sidelying on test limb

202
Q

Talo-Cural DF/PF ROM

A

-DF: 20 and PF: 50 (firm)
-supine,leg off plinth for PF
-prone, leg flexed for DF
-stabilize calf

Stationary: lateral fibula
Axis: Lateral malleolus
Movement: 5th metatarsal

203
Q

Tarsal Joints SUP/PRON ROM

A

-SUP: 35 & PRON: 20 (firm)
-supine, legs off plinth
-stabilize calf, “down and in” or “up and out”

Stationary: midline of tibia
Axis: Anterior ankle btwn malleoli
Movement: midline of 2nd metatarsal

204
Q

Subtalar ROM

A

-inversion and eversion 5 (firm)
-prone, legs off plinth

Stationary: midline of lower leg
Axis: posterior ankle btwn malleoli
Movement: midline of calcaneus

205
Q

MTP all Toes ROM

A

-Great toe flx: 45, ext: 70
-2-5 flx: 40, ext: 40
(firm)
-supine, legs off plinth, ankle flexed
-stabilize metatarsals

Stationary: midline of metatarsals
Axis: medial MTP joint
Movement: midline of proximal phalanx

206
Q

MTP Great Toe AB/AD ROM

A

-Abd: 10
-Add: 30
(firm)
-supine, feet on floor
-stabilize metatarsals

Stationary: dorsal midline of metatarsals
Axis: dorsal MTP joint
Movement: dorsal midline of proximal phalanx

207
Q

Toes IP ROM

A

-Great toe: flx: 60, ext: 0
(firm)
-PIPs: flx: 35, ext: 0
-DIPs: flx: 60, ext: 5
-supine, legs off plinth, ankle flexed
-stabilize metatarsals

Stationary: Dorsal midline of proximal phalanx
Axis: dorsal IP joint
Movement: midline of distal phalanx

208
Q

Normal ROM Ankle

A

PF: 50
DF: 20
Inv: 30
Ev: 20

Rearfoot
-Inv: 5
- Ev: 5

209
Q

Normal Toe ROM

A

Hallux First MTP
-Flx: 45
-ext: 70
-Abd:10
-Add: 30

First Ip
-flx: 60

Digits 2-5
-PIP flx: 35
-DIP flx: 60

210
Q

End feels of Ankle

A

-firm

211
Q

Ankle Plantar Flexion MMT

A

Muscle: Gastroc and soleus (S1-s2)

Position: Standing, 2 fingers for balance

Palpate: Achilles

Movement: Heel Raises
5: 25+
4: 10-24
3:1-9
2+: full range prone with resistance
2: partial range in standing and completes full range without resistance
2-: partial range prone

Stabilize: n/a

GR Position: Prone, feet off plinth

212
Q

Dorsiflexion and Inversion MMT

A

Muscle: Tibialis Anterior (L4-S1)

Position: Sitting

Palpate: Ant tib

Movement: Patient puts foot up and in, resist

Stabilize: Ankle

GR Position: Long sit

213
Q

Inversion MMT

A

Muscle: Tibialis Posterior (l5-s1)

Position: Sidelying on test side

Palpate: btwn medial mal and navicular

Movement: Hold foot inward, resist over medial side

Stabilize: Calf/ankle

GR Position: Longsit

214
Q

Eversion with Plantar Flexion MMT

A

Muscle: Fibularis Longus/Brevis (L4-SI)

Position: Sidelying on non testing side

Palpate: Lateral fibula

Movement: Move foot outward, resist laterally

Stabilize: ankle/calf

GR Position: Longsit

215
Q

Great Toe Abduction MMT

A

Muscle: Abductor Hallucis

Position: Long sit, feet off

Palpate: Medial big toe

Movement: Move toe outward, resist

Stabilize: Foot

GR Position: N/a

216
Q

2-4 and Hallux MTP Flexion MMT

A

Muscle: Lumbricals and Flexor hallucis Brevis (L5-S3)

Position: Long sitting, foot off table

Palpate: Lumbricals, proximal big toe plantar side

Movement: Flex toes, resist at proximal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: foot

GR Position: N/A

217
Q

2-4 and Hallux DIP and PIP Flexion MMT

A

Muscle: Flexor digitorum (both) and Flexor hallucis longus (L5-S2)

Position: Long sitting, foot off table

Palpate: FDL, posterior leg medial to achilles

Movement: Flex toes, resist at distal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: Metarsald or proximal phalanx

GR Position: N/A

218
Q

2-4 and Hallux MTP and IP Extension MMT

A

Muscle: Extensor digitorum (both) and Extensor hallucis Brevis (L4-S1)

Position: Long sitting, foot off table

Palpate: EDL: anterior, medial lower leg
EDB/EHB: lateral dorsum of foot

Movement: extend toes, resist at proximal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: metatarsals

GR Position: N/A

219
Q

Big Toe Extension MMT

A

Muscle: Extensor hallucis longus (L4-S1)

Position: Long sitting, foot off table

Palpate: EHL: dorsal proximal phalanx of toe

Movement: Flex toes, resist at distal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: proximal phalanx

GR Position: N/A

220
Q

Girth Meausurement

A

-Mid mal on dorsum
-head of 5th metatarsal
-under heel
-above mal
-back to center

221
Q

Clearing the Lumbar Spine

A

AROM
-Flexion: Bend forward
-Extension: hands on hips
-Lat SB: arms to the side
-Rotation: arms crossed, stabilize hips

RROM
-Flexion: resist being pulled back
-Extension: resist being pushed
-Lat SB: push shoulder down, stabilize contra pelvis
-Rotation: Pull one shoulder back, stabilize contra pelvis

Overpressure
-Flexion: sitting, Bend forward hands together, stabilize low back with forearm and push upper back with other forearm
-Extension: sitting, cross arms and arch back, stabilize low back with forearm and push chest
-Lat SB: sitting, lean to one side using trunk only, push ipsi shoulder down, stabilize contra pelvis
-Rotation: arms crossed, rotate to one side, push isi shoulder

EEO (37 decks)

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