Quizes Flashcards
Ms. Jones is a 45 year old female patient who works as a press operator in a factory. She presents with the following right hand strength: Three trials show that she has 37lbs., 34 lbs., and 30 lbs. of grip strength. Following the standardization of this assessment, what is this patients grip strength?
33.6 lb
Using the norms developed by Mathiowetz (under the course documents button in Blackboard) Ms. Jones is functioning at ______ standard deviations below the mean
-1.89
Knowing what we know about Ms. Jones’s grip strength measurements we determine that
her SD score does not warrant treatment although she could benefit from some home exercises to increase hand strength
You have a 55 year old patient that is exercising at 70% of his maximal heart rate and is using 70% of his VO2. His heart rate maximum should not exceed
165 bpm
The nine hole peg test is an evaluation of
fine motor coordination/dexterity and speed
The Box and Block test is an evaluation of
gross motor coordination/dexterity and speed
When the pads of the second and third digit are placed on top of the pinch meter and the thumb is placed below this evaluates which type of prehension
palmer pinch
When the thumb is placed on top of the pinch meter and the side of the index finger is placed below this evaluates which type of prehension
key pinch
When hypertension or cardiovascular conditions are present, then ____________ should be avoided or performed with caution so that the patient does not hold his/her breathe
isometric exercise
An ambulatory male subject does the following activites listed below. Which of the following activities has the highest level of intensity
carrying a bag of groceries from the garage to the kitchen taking 45 seconds
Name the joint where the distal row of carpal bones (trapezium) articulates with the base of metacarpal 1
CMC
You have a patient with a diagnosis of wrist fracture. Following cast removal you evaluate the degrees of ROM present at the wrist. Results show that AROM for wrist flexion is 30-50 degrees. PROM is 20-50 degrees. Since the patient cannot assume the zero start position for wrist extension you note that wrist extension AROM is none. You further clarify this limitation as being actually _________ for AROM wrist extension.
-30 degrees
The radioulnar or forearm joint is classified as a
uniaxial - pivot joint
Which of the following is the best statistic for reliability(r)
1.0
High intrarater reliability is
the same therapist getting nearly the same results in test-retest
Interpretation of a reevaluation that shows improvement has occurred following treatment must be tempered with the realization of changes that occur simply as a result of measurement. For a change in a ROM to be considered “true” the amount of change must exceed measurement error, which is ________ for the upper extremity.
5 degrees
Jeremy has a diagnosis of elbow fracture 8 weeks post. He presents with AROM of elbow extension/flexion of 55-120. PROM is 45-130. As part of his treatment intervention he holds a 1 lb. weight in his hand, is told to relax the elbow and let the weight cause stretching. This treatment intervention is a form of _______exercise.
passive range of motion
The therapist does a functional active range of motion scan to determine if measurements need to be taken. She asks the patient to touch the back of his head with his hand to determine the amount of ________ present whereas she asks the patient to touch the small of his back to determine the amount of _______ present.
external rotation; internal rotation
Which of the following statements is false
passive range of motion measurements are more reliable that active range of motion measurements
Initial evaluation of a hand patient shows volumetric displacement of 240 ml. Following treatment volumetric displacement is 255 ml. You decide that
There has been an increase in edema and you will discontinue this treatment
The following terms are all synonymous and are all used to describe the surface of the back of the hand.
posterior and dorsal
The metacarpal phalangeal joint of digit 1 of the hand is _______ to the carpal metacarpal joints of digit 1 of the hand.
Distal
The left ventricle of the heart is ______ to the left atrium of the heart
inferior
The eyes are _______ to the nose
lateral and superior
In anatomical position, the 2nd. digit of the hand (index finger) is _______ to the 3rd. digit (middle finger
lateral
A forward movement of the shoulder is _______ whereas a movement away from the center of the body is__________
flexion; abduction
Extension of the upper extremity occurs at the following joints
shoulder, elbow, wrist, MCP, PIP, DIP, CMC and IP
In anatomical position, flexion at the elbow is movement of the ________ surfaces of the body _______ whereas flexion of the knee is movement of the _______ surfaces of the body ______
anterior, coming closer together; posterior, coming closer together
Radial and ulnar deviation is a movement of the ____________ plane
frontal
Palmar Abduction of the CMC joint of the thumb results in the thumb being ________.
perpendicular to the palm of the hand
