Quiz #2: Elbow, Forearm & Pain Scales

Question 0

What is normal ROM for the forearm?

Answer 0

Supination 80*

Pronation 80*

Question 1

What is normal ROM of the elbow?

Answer 1

0-150* Extension-Flexion

Question 2

Convex/Concave Rule: Humeroulnar Joint?

Answer 2

Convex trochlea of humerus articulates with the concave trochlear notch of ulna.

Question 3

Convex/Concave Rule: Humeroradial Joint?

Answer 3

Conveys capitulum of humerus articulates with concave radial head.

Question 4

What are the average carrying angles for men and women?

Answer 4

Men- 10-12*

Women- 13-17*

Question 5

What is the capsular pattern of the elbow?

Answer 5

ROM in flexion is MORE limited than extension.

Question 6

Convex/Concave Rule: Superior Radioulnar Joint?

Answer 6

Convex radial head pivots in the concave radial notch of the proximal ulna. Stabilized by annular ligament.

Question 7

Convex/Concave Rule: Inferior Radioulnar Joint?

Answer 7

Convex ulnar head pivots in convex ulnar notch of distal radius.

Question 8

What is the capsular pattern of the forearm?

Answer 8

Equal limitation of pronation and supination.

Question 9

What muscles are being tested during Elbow Flexion? What nerves?

Answer 9

Biceps- musculotaneous
Brachialis- musculotaneous
Brachioradialis- radial

Question 10

What muscles are being tested during Elbow Extension? What nerves?

Answer 10

Triceps- radial

Question 11

What muscles are being tested during Forearm Supination? What nerves?

Answer 11

Supinator- deep radial nerve

Question 12

What muscles are being tested during Forearm Pronation? What nerves?

Answer 12

Pronator Teres- median

Question 13

What substitutions can occur during pronation?

Answer 13

Patient may IR shoulder or ABD shoulder

Question 14

What substitutions can occur during supination?

Answer 14

Patient may ER and ADD arm across body

Patient should be instructed to keep wrist and fingers relaxed to avoid substitution by wrist extensors.

Question 15

What substitutions can occur during external rotation?

Answer 15

Patient sitting with arm ABD, may ER the shoulder and gravity extends the elbow.

Question 16

What substitutions can occur during horizontal adduction?

Answer 16

Distal segment fixed, patient horizontally adducts the arm and thrusts the elbow into extension. Used by patients with cervical SCI.

Question 17

Special test positive finding: pain along lateral epicondyle or objective ms weakness with discomfort may indicate lateral epicondylitis?

Answer 17

Resistive tennis elbow test (cozen’s test)

Question 18

Special test positive finding: report of oain along lateral epicondyle may indicate lateral epicondylitis?

Answer 18

Passive tennis elbow test

Question 19

Special test positive finding: report of pain along the medial aspect of the elbow indicates medial epicondylitis?

Answer 19

Golfer’s elbow test

Question 20

Special test positive findings: damage to radial collateral ligament?

Answer 20

Varus stress test

Question 21

Special test positive findings: indicates ulnar nerve compromise?

Answer 21

Tinel’s sign

Question 22

Special test positive findings: indicates pathology of the anterior interosseous nerve?

Answer 22

Pinch grip test

Question 23

What 4 joints does the Biceps brachii cross?

Answer 23

Glenohumeral
Humeroulnar
Humeroradial
Superior Radioulnar

Question 24

What 2 joints does the Triceps Brachii cross?

Answer 24

Glenohumeral

Humeroulnar

Question 25

Pain Scales: Numeric Pain Scale

Answer 25

Verbal rating scale

0-10 point scale is used

Obtain a subjective rating of pain intensity from the patient. Used for quick measurement.

Question 26

Pain Scales: Visual Analog Scale

Answer 26

Provides quantitative measures of a patients pain intensity.

Instrument consists of a 10cm line with descriptions at each end.

Question 27

Pain Scales: McGill pain Questionaire

Answer 27

Provides quantitative measures of clinical pain that can be treated statistically.

20 categories of words used to describe pain or the patients pain experience.

Question 28

Pain Scales: Pain Drawing

Answer 28

Is an aid to document the spatial distribution of a patients pain symptoms.

Different symbols represent different types of pain.

Question 29

Pain Scales: Wong-Baker Faces Pain Rating Scale

Answer 29

6 faces are used that are numbered 0-5 underneath.

Used for kids to show pain level.

Question 30

Pain Scales: Dallas Pain Questionnaire

Answer 30

Designed to assess the impact of chronic pain on a patients life.

16 item visual analog tool

Question 31

Pain Scales: Oswestry Low Back Pain Disinility Questionnaire

Answer 31

This questionnaire measure a patients perceived disability as it relates to low back pain.