Skills Check

Question 1

Manual muscle test grading

Answer 1

5 holds against maximum resistance

4+ holds against moderate to strong resistance

4 holds against moderate resistance

4- holds against slight to moderate resistance

3+ full ROM against gravity, able to hold against slight resistance

3 full ROM against gravity, able to hold with no resistance

3- full ROM against gravity, unable to hold

2+ completes full ROM in gravity minimized, able to hold against mild resistance

2 completes full ROM in gravity minimized

2- completes partial ROM in gravity minimized

1 palpable contraction, no movement

0 no palpable contraction or movement

Question 2

Reflex grading

Answer 2

4+ very brisk response, associated with clonus

3+ Brisk response, possibly hyperreflexive

2+ normal, average response

1+ low normal response

0 no response

1+(R) absent response which appears with reinforcement

0(R) no response even with reinforcement

Question 3

What are common sites for pressure sores in supine?

Answer 3

Back of head

Scapulae

Elbows

Spinous processes

Sacrum

Posterior calf

Heels

Question 4

What are common sites for pressure sores in lateral?

Answer 4

Ear

Acromion process

Ribs

Greater trochanter

Medial and lateral Condyles

Lateral malleolus

Question 5

What are common sites for pressure sores in prone?

Answer 5

Cheek and ear

Acromion process

Anterior chest

Iliac crest

Thigh

Knees

Dorsum of foot

Question 6

What are the common pressure sores of sitting in a wheelchair?

Answer 6

Scapulae

Sacrum and coccyx

Ischial tuberosity

Popliteal

Heels

Plantar surface

Question 7

Dorsiflexion AAOS

Answer 7

20

Question 8

Plantarflexion AAOS

Answer 8

50

Question 9

Ankle inversion AAOS

Answer 9

35

Question 10

Ankle eversion AAOS

Answer 10

20

Question 11

Knee flexion AAOS

Answer 11

135

Question 12

Knee extension AAOS

Answer 12

0

Question 13

Hip flexion AAOS

Answer 13

120

Question 14

Hip extension AAOS

Answer 14

20

Question 15

Hip abduction AAOS

Answer 15

45

Question 16

Hip adduction AAOS

Answer 16

20

Question 17

Hip internal rotation AAOS

Answer 17

45

Question 18

Hip external rotation AAOS

Answer 18

45

Question 19

Minimal assistance

Answer 19

Patient performs at 75% or more of activity

Question 20

Moderate assistance

Answer 20

Patient performs 50-74% of activity

Question 21

Maximal assistance

Answer 21

Patient performs 25-49% of activity

Question 22

Upper extremity sensory test

Answer 22

Cheek

Anterior shoulder

Lateral elbow

Pinky side of hand

Thumb side of hand

Question 23

Lower extremity sensory test

Answer 23

Anterior thigh

Medial knee

Big toe

Under Lateral malleolus

Bottom of foot