Quiz 6 - starting at question 3 Flashcards
What are the four aspects of successful ankle taping?
Anchors: proximal and distal
3 Stirrups (medial to lateral)
Medial and lateral heel locks
Closure
PART B: What is the common MOI for ankle sprain?
Inversion
PART C: What ligament is commonly implicated?
ATFL (anterior talofibular ligament)
Part D: name another ligament involved in inversion injury of the ankle
CFL (calcaneofibular ligament)
Define carrying angle
The normal valgus angle that is created by the elbow in extension
PART B: What is the normal carrying angle in the elbow for males?
5-10*
PART C: What is the normal carrying angle for females?
10-15*
PART D: What is the axis for measuring the carrying angle?
Cubital Fossa
PART E: Why do we need to look at carrying angle?
Excessive valgus can lead to problems on the medial side and insufficient angle can lead to problems on the lateral side
Part A: What is the most commonly dislocated carpal bone?
Lunate
Part B: Name a special test that implicates that structure?
lunate
Murphy’s sign
Part C: If a patient has a (+) Murphy’s sign, which MCP is affected?
3rd MCP
Part D: What is the most commonly fractured carpal bone?
Scaphoid
Part E: What test implicates that carpal bone? (scaphoid)
Scaphoid Stress Test
Watson’s test
Describe the general procedure for CKC UE stability test.
Lines 3 feet apart
Touch both hands to each line as many times as possible in 15 seconds
Perform 3 rounds and average the scores
PART B: What position should males be in? Females?
Males: push-up position
Females: knee push-up position
PART C: What are the norms for males & females?
Males: 21 touches
Females: 23 touches
PART D: What is the newer version of this test?
Pinwheel
Part E: What percentage of patients vomit after the pinwheel test?
10%
What are some patient-reported outcome measures for the shoulder?
DASH (Disability of Arm, Shoulder, & Hand), ASES (American Shoulder and Elbow Society), KJOC (Kerlan-Jobe Orthopedic Clinic)
PART B: Which is the best test to use for athletes?
KJOC
Why is KJOC best to use with athletes?
Does not have a ceiling effect
PART D: What is an outcome measure that you shouldn’t use?
DASH with module for Sports/Performing Arts
Normal ROM for wrist flexion?
80 deg
PART B: What is normal ROM for wrist extension?
70 deg
PART C: Ulnar deviation
30 deg
PART D: Radial deviation
20 deg
normal ROM at the elbow
0-150 flexion
Pronation 0-80
Supination 0-80
If a patient undergoes carpal tunnel decompression surgery, yet they still feel symptoms of carpal tunnel syndrome, what is a differential diagnosis you should consider (or what should have been ruled out before the surgery)?
Pronator teres syndrome
Part B : Describe how to perform the special test used to diagnose part A - (CTS)?
Therapist holds patient’s hand (patient’s elbow flexed by side in supination). Patient attempts to pronate (therapist resists). Therapist will passively extend elbow and flex shoulder (looks like the patient is doing a scap punch).
https://www.youtube.com/watch?v=od-sE6XcXZE (she grabs forearm, Davies taught “handshake” position)
Part C: What is a positive for this test?
A positive is numbness/tingling along median nerve distribution
Part A: What is the in clinic controlled throwing test?
Functional Throwing Performance Index (FTPI)
Part B: Prior to administering this (FTPI) test, what is necessary for the patient to do to avoid injury?
A sub-max to max controlled gradient warm-up
Part C: What are the 4 percentages of effort that should be completed in the warm-up prior to testing?
25/50/75/100%
Part D: What is measured in each set of the FTPI?
% of accurate throws in 30 seconds
- Which scapulothoracic muscle was shown to be the strongest in the Turner 2009 study?
Upper traps
PART B: Which was shown to be the weakest?
Lower traps
Name 3 parameters that you consider for analysis after testing:
Bilateral comparison
TAS, TBS
Unilateral ratio of agonist/antagonist
Normative data
Functional correlation
Sport specific correlation