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DPT1 > PROM > Flashcards

PROM Flashcards

1
Q

Hip Flexion PROM

A

Supine

Knee to chest

Force put through above the knee

Towel giving modesty

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2
Q

Hip Extension PROM

A

Prone

Knee at 90

Stabilise the lumbar spine

Lift up from the knee

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3
Q

Hip Internal Rotation PROM

A

Supine

Hip & Knee at 90

Hook lower leg over forearm

Force through the thigh

Bring lower leg out to go into IR

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4
Q

Hip External Rotation

A

Supine

Hip & Knee at 90

Hook lower leg over forearm

Force through the thigh

Bring lower leg in to go into ER

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5
Q

Hip Inferior glide (Accessory PROM)

A

Supine

Hip and Knee at 90

Towel for modesty and towel between hands and leg

Clasp hands and pull down on the femur as close to the groin as possible

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6
Q

Knee Flexion PROM

A

Supine

Slide the heel towards the bum

Push the tibia and femur together to apply PROM Force

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7
Q

Knee Extension PROM

A

Prone

Towel under knee & for modesty

One hand above knee, other below lower leg apply contrasting force

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8
Q

Knee Internal Rotation

A

Supine

Stabilise femur

Guide heel inwards to force inward rotation at the knee

Towel for modesty

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9
Q

Knee External Rotation

A

Supine

Therapist facing foot of the bed

Stabilise Femur

Guide heel outwards to force outward rotation at the knee

Towel for modesty

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10
Q

Patellofemoral Joint Glides

A

Inferior/Superior Glide

Medial/Lateral Glide

Perform with diamond shape and apply pressure through the thumbs

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11
Q

Superior Tib/Fib AP & PA Glides

A

Patient in supine

Place the pads of the thumbs over the head of the fibula and lightly press for AP glide

Hook fingers around the back of the fibula and pull back upwards to perform the PA glide

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12
Q

Anterior/Posterior Draw Test

A

Supine

Knee at 90 foot on the bed

Therapist sits on the patients foot to stabilise

Clasp hands around the back of the tibia and pull forward for the Anterior test

Push down through tibia for posterior test

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13
Q

Knee Valgus & Varus Stress Tests

A

Patient in supine

Straight leg

Valgus - Puts stress on MCL - try to push knee in and lower leg out

Varus - Puts stress on LCL - try to push knee out and lower leg in

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14
Q

Dorsi Flexion PROM

A

Supine, towel under knee

One hand grips the calcaneus and pulls, the other hand stabilises the mortise

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15
Q

Plantar Flexion PROM

A

Supine, foot of of bed

One hand grips the calcaneus and pushes the talus into the mortise and the other hand stabilises the mortise above

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16
Q

Supination/Pronation PROM

A

Supine, Foot off of bed

One Hand grips calcaneus and the other applies the force through the forefoot

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17
Q

1st Toe Doris Flexion and Plantar Flexion

A

Supine, foot off of bed

Stabilise the navicular and move the 1st MT into dorsi & plantar flexion

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18
Q

Inferior Tib/Fib Joint Accessory Glide AP & PA

A

Supine

Stabilise the Tibia and use the thumb and finger pads to glide the fibula on the Tibia

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19
Q

Lumbar Spine (Passive intervertebral movements)

A

C Grip, use the soft part of the hand to push vertically down on the spinous processes

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20
Q

Unilateral Zygapophyseal Joint

A

Use points of thumbs (in order to not over-extend the thumb)

Come laterally 2cm from the interspinous space. May need to move the muscle across in order to palpate.

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21
Q

Shoulder Flexion PROM

A

Supine, pillow under head but shifted to the other side

Keep the elbow and guide the shoulder into flexion

Therapist in stride stance, facing the patients face in order to monitor emotion

22
Q

Shoulder Extension PROM

A

Supine, slightly angled across the bed (So there is room to extend the arm off of the bed.

Keep elbow bent (Prevents Passive insufficiency of the biceps). Slowly lower into extension but protect the anterior part of the shoulder

23
Q

Shoulder Abduction PROM

A

Supine, Pillow under head shifted to the other side

Therapist needs to leave sufficient room for patients arm to go in front of you. One hand supports the elbow and the other hand supports the hand.

24
Q

Internal and External Rotation

A

Patient Supine, Shoulder abducted to 90, elbow at 90

Support patient elbow with the therapists leg. One hand supports the the humeral head and the other on the hand.

25
Q

Horizontal Flexion and Extension

A

Supine, body shifted to the side of the bed. Elbow & shoulder at 90.

Support the elbow and the wrist

Either lower the arm off of the bed to achieve extension or move the arm across the body for flexion

26
Q

ACJ Inferior Glide

A

Supine

Use thumb pads to glide the acromion inferiorly. Take care with pressure

27
Q

GHJ AP Glide (Neutral)

A

Supine, towel under arm

Therapist facing the head of the bed. One hand hooks over and stabilises the scapula and the other hand pushes through the superior humerus (pretty laterally)

28
Q

GHJ AP Glide (90 Abduction)

A

Supine, arm off of the bed abducted to 90

Therapist facing head of bed, one hand holding arm up from the elbow and the other pressing AP force through the proximal humerus.

29
Q

GHJ Inferior Glide (Neutral)

A

Supine, arm slightly off of the bed. Straight arm.

Hand 1 hooks under the armpit and stabilises the scapula, hand 2 pulls the humerus downwards.

30
Q

GHJ Inferior Glide (90 Abduction)

A

Supine, arm abducted to 90.

Hand 1 stabilises the scapula and hand 2 applies traction force to the humerus.

31
Q

Elbow Flexion PROM

A

Supine, Towel underneath the elbow

Hand 1 supports the humerus and hand 2 supports and guides the movement from the wrist.

32
Q

Elbow Extension PROM

A

Supine, Towel underneath the elbow

Hand 1 supports the humerus by wrapping around under it (forearm support the humeral head) and hand 2 supports and guides the movement from the wrist.

33
Q

Elbow Supination and Pronation

A

Sitting, elbow on table with towel underneath

Rotational force applied through the forearm

34
Q

Superior Radioulnar Joint PA Radial Head glide (FACILITATES SUPINATION)

A

Supine, forearm resting across the stomach (Elbow abducted to 90)

Press through the radial head with the thumb pads

35
Q

Superior Radioulnar Joint AP Radial Head glide (FACILITATES PRONATION)

A

Supine, Elbow at 45 degrees, forearm supinated

Radial head is deep to lateral muscles of the forearm. Push the thumbs from the medial cubital fossa laterally to push the musculature out of the way and reach the bony head.

36
Q

Radiohumeral Joint (Distraction Glide)

A

Supine, Elbow flexed to 90 degrees.

Face the head of the bed. One hand stabilises the the humerus and the other hand applies a distraction force to the elbow.

37
Q

Wrist flexion/extension

A

Sitting, Forearm in mid-prone. Guide the hand into flexion and extension

38
Q

Ulnar/Radial Devation

A

Sitting, Forearm in prone. Guide the hand into deviations same as overpressure.

39
Q

PA Glide of Radiocarpal joint

A

Sitting, forearm in prone, hand over the table

Therapist standing and applying force vertically. Hand 1 stabilises forearm and the other hand hooks over the dorsum and the fingers into the palm. Glide the hand downwards without putting the wrist into flexion/extension.

Facilitates Extension

40
Q

AP Glide of Radiocarpal Joint

A

Sitting, forearm in supine, with hand off of the table.

One hand grips the forearm the other holds the hand of the patient.

41
Q

Medial and Lateral Glides of radiocarpal Joint

A

Patient seated, elbow resting on the table Hand in prone

Hand 1 stabilise the radius and ulnar and the other hand webbing space covers the carpal bones.

42
Q

Intercarpal Movements

A

Stabilise the adjacent carpal bone and mobilise the bone.

43
Q

Inferior Radioulnar Joint Glides

A

Seated, forearm on table.

Radius held between the thumb and index fingers and the other holding the ulnar.

44
Q

CMC of Thumb PA and AP & medial/lateral glides

A

Stabilise carpals and move the 1st MC

45
Q

1st MCP joint AP and PA & medial/lateral glides

A

Stabilises the MC and Move the Phalanx

46
Q

MCP & IP 2-5 Joint AP/PA glides & medial/lateral glides

A

Stabilises the proximal bone and glide the distal bone.

47
Q

Cervical Flexion PROM

A

Supine, Towel under Head

Head held in the hands (support the posterior occiput)

Slightly pull the head upwards before bringing them into flexion

48
Q

Cervical Lateral Flexion PROM

A

Supine, Towel under Head

Head held in hands with support of the occiput. Also support the head with the patient stomach (The more contact the better)

Step to the side whilst doing the lateral flexion (Move with the patient).

49
Q

Cervical Rotation PROM

A

Supine, Towel under head

Head held in hands with support of the occiput. Also support the head with the patient stomach (The more contact the better)

Turn the head left and right

50
Q

PA cervical pressure on spinous process

A

Patient in prone, Therapist standing at the head of the bed.

Thumbs press through, fingers pick up lateral musculature. Gently sink into PA pressure.

51
Q

Unilateral PA of Cervical articular pillars

A

Patient in prone, Therapist standing at the head of the bed.

Lateral 2cm from the spinous process.

DPT1 (7 decks)

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