Questions from little book

Question 1

If your patient is able to achieve full ROM but in a gravity minimized position, what would you rate them on the MMT scale?

Answer 1

2/5

Question 2

C6 DTR test is done where?

Answer 2

biceps (C5-6) or brachioradialis (C6)

Question 3

What are the myotomes for the upper quarter?

Answer 3

C5 = biceps
C6 = wrist extensors
C7 = triceps
C8 = finger flexors
T1 = finger abductors

Question 4

When testing C6 myotome, what are you testing?

Answer 4

wrist extensors?

Question 5

What nerve is biased with a SLR and dorsiflexion with inversion?

Answer 5

sural

Question 6

With the standing flexion test, what indicates a positive sign of SI joint dysfunction?

Answer 6

the side moving first or higher is hypomobile
- with hypermobility between the sacrum and the iliacus, they have to just move together instead of iliacus moving first, then sacrum counternutating

Question 7

What 5 SI tests should be performed together as part of a cluster?

Answer 7

1) gaeslen’s (leg hanging off, other knee to chest)
2) distraction at pelvis
3) thigh thrust
4) sacral thrust
5) compression at pelvis (in sidelying)

Question 8

What is arthrogryposis?

Answer 8

nonprogressive, congential disorder characterized by rigid joints of the extremities and weak/nonfunctioning muscles

Question 9

How might you differential diagnose complex regional pain syndrome?

Answer 9

look for signs of pain, edema, decreased circulation

- additionally look for dry or sweaty skin, decreased proprioception, and muscle atrophy in area

Question 10

At what degrees would you expect a straight leg raise to indicate radicular symptoms, aka stretch on neural tissue? (and not capsular, hamstring tightness)

Answer 10

35-70deg = neural tension

0-35deg = capsular
>70deg = hamstring stretch, lumbar/SI joint issues

Question 11

What is the external rotation lag sign?

Answer 11

position pt’s arm in 90/90 with external rotation when standing
- if their arm springs forward, then infraspinatus/teres minor are weak or painful

Question 12

What is the internal rotation lag sign?

Answer 12

position pt’s arm in extension and IR behind his back, supporting his arm and hand

• instruct him to maintain your position
• let go of hand, and see if it falls back into his back :(

Question 13

T/F: Frozen shoulder has lots of pain with MMT.

Answer 13

false, minimal pain

- but loss of AROM/PROM both

Question 14

T/F: You should use closed-chain exercise for patients with CRPS.

Answer 14

true

Question 15

Your patient arrives at your clinic with a history of an ankle fracture 1 year ago. He is experiencing continued pain and swelling in that ankle now. Upon your examination, you note some atrophy of the muscle around the ankle, as well as a faint pedal pulse. Poor proprioception is noted. What could be going on?

Answer 15

CRPS

• poor proprioception, edema, trophic changes (dry skin), decreased circulation, pain, atrophy of muscles in surrounding area