Skills Check 2

Question 1

Pectoralis Major-Clavicular Fibers

Answer 1

SA: parallel to support surface
F: acromion process
MA: lateral epicondyle of humerus

supine; measure angle from supporting surface to humerus; arm straight out at 90 degrees (not at an angle)

Question 2

Pectoralis Major-Sternal Fibers

Answer 2

SA: parallel to support surface
F: acromion process
MA: lateral epicondyle of humerus

supine; arm is at a diagonal from contralateral hip; measure angle from supporting surface to humerus

Question 3

Pectoralis Minor

Answer 3

supine; measure distance from anterior acromion to supporting surface; arms should be at side with palms up and lumbar spine flat

Question 4

Latissimus Dorsi/Teres Major

Answer 4

SA: lateral midline of trunk
F: lateral acromion process
MA: lateral epicondyle of humerus

patient is supine; assess amount of flexion; make sure the back does not arch up, and go back to the point where the back still remains flat

Question 5

Biceps

Answer 5

SA: trunk midline
F: lateral acromion
MA: lateral epicondyle of humerus

start in full flexion supine, and extend and internally rotate (palm to the floor) fully; measure angle

Question 6

Triceps

Answer 6

SA: midline of humerus
F: lateral epicondyle of humerus
MA: radial styloid process

have arm fully extended above head, patient sitting; have patient drop palm back as far as possible without moving humerus; measure the angle

Question 7

Thomas Test

Answer 7

detects hip flexor tightness or hip joint capsular contracture;

patient sits on the edge of a table, grabs knees and rocks back to supine; therapist passively positions the knees to ensure the pelvis is in a neutral position (place hand at base of back to check); then, patient holds one knee and releases the other;

a positive test if the thigh doesn’t lower to the table (tight hip flexors); may have tight rectus if knee extends slightly

Question 8

Obers Test

Answer 8

tests the length of IT band, glute med, and TFL; Patient in sidelying; is done in top leg straight and bent;

place inclinometer on lateral epicondyle of femur, and stabilize the pelvis; allow the top leg to drop, while pelvis remains stable

Question 9

Ely’s Test (Hip Flexor Length)

Answer 9

SA: greater trochanter
F: lateral epicondyle of humerus
MA: lateral malleolus

patient is prone; have patient bring heel to butt and measure angle; make sure the hip does not go into flexion and the trunk remains flat on the table

Question 10

90/90 Hamstring Length Test

Answer 10

in supine; performed actively for the skills check;

SA: greater trochanter
F: lateral epicondyle
MA: lateral malleolus

have femur at 90 degrees, then ask patient to extend at knee as much as possible; measure this angle