quiz 3 Flashcards

1
Q

what is the opposite of adaptive shortening

A

stretch weakness or positional weakness resulting from muscles remaining in an elongated position

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2
Q

how long to hold a muscle test?

what type of contraction is used in a mm test?

A

5 seconds

resisted isometric

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3
Q

how many degrees of hip flexion is anticipated w a straight leg raise

A

80 degrees of hamstrings

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4
Q

muscle grading chart:

normal = ?

A

100% patient can maintain position against applied position

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5
Q

muscle grading chart:

good = ?

A

75%

pt can maintain position against gravity & against applied examiner resistance

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6
Q

muscle grading chart:

fair = ?

A

50% movement against gravity but not against resistance

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7
Q

muscle grading chart:

poor - ?

A

25%

mvment possible but not against gravity

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8
Q

muscle grading chart:

trace = ?

A

5% evidence of slight contractility

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9
Q

muscle grading chart:

zero = ?

A

0% no palpable or perceivable evidence of contractility

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10
Q

what mm groups are being tested during the scratch test in the upper arm

A

GH internal rotators

pec major
teres major
anterior deltoid
subscapularis
lat dorsi

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11
Q

what mm are being tested during scratch test in the lower arm

A

GH external rotators

infraspinatus
posterior deltoid
teres minor

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12
Q

what is passive insufficiency

A

shortness of a two joint muscle

when not allowing normal elongation over both joints simultaneously

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13
Q

what is active insufficiency

A

inability of a multi joint muscle to generate effective force when placed in a fully shortened position

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14
Q

what mm’s attach to coracoid process

A

pec minor
coracobrachialis
short head biceps brachii

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15
Q

what are some cheats you see during a hip flexor length test

A

posterior thigh is lifted off table
knee extends
leg abducts
leg externally or internally rotated

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16
Q

what to be aware of when doing a mm test

A

does contraction cause pain
note intensity, quality and location

strength of contraction 0-5

any substitutions - if weakness in mm testing, client will have other mm take over

17
Q

Which muscle fibres are being tested /lengthened when the client is supine with the arm abducted to 135 degrees and elbow straight?

A

pec major lower fibres

18
Q

strong and pain free

A

indicates no lesion of contractile unit being tested or the nervous tissue supplying that contractile unit

19
Q

strong and painful

A

indicates local lesion of the muscle or tendon

ex) mm strain

amount of strength is limited by pain

20
Q

weak and painful

A

indicates severe lesion around joint

ex) partial tear of tendon

21
Q

weak and pain free

A

indicates a rupture of a mm (3rd degree strain) or its tendon or lesion of the peripheral nerve or nerve root supplying that muscle