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710 > Skills Check off #1 > Flashcards

Skills Check off #1 Flashcards

1
Q

Thoracolumbar flexion (ROM)

A

hold hips and stop when hips rotate backward. The focus here is flexion of your thoracolumbar spine.

*This measurement is from S2 to C7

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2
Q

trunk flexors ROM

A

supine, regular sit up

start at 3, arms to the side

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3
Q

MMT 1-5

A 
0- paralyzed
1-  feel internal flex
2-  movement w/o gravity
3-  movement against gravity
4-  2 fingers
5-  most resistance
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4
Q

Just Lumbar flexion/extension ROM

A

hold hips. measure from s2 go 15cm up. mark spot at 15cm. have flex and measure difference from 15cm.

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5
Q

body land marks on spine

A

c7 is above t1

s2 is just below dimples or PSIS

L4 is top of iliac crest

t12 is last floating

T7 is inferior angle of scapula

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6
Q

trunk extensors

A

lay prone

chest and head up, looking for xiphoid process off the table

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7
Q

ROM thoraco-lumbar rotation

A

arms relaxed, rotate chest cavity

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8
Q

MMT for low ab

A

patient lays supine, help lift up legs, put hand under back, have slowly lower legs and determine when lumbar spin flexes

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9
Q

Angles for low ab MMT

A 
75- is 2
70 is 3-
60 3+
45 4-
30 4

1 is unable to maintain position

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10
Q

quadratus lumborum

A

(side hip raises

*line leg with hips (point leg more lateral then medial)

have them elevate hip and hold it and you put resistance on

5 full resistance
4 some
no three with no gravity (could do standing up)
2- no resistance

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11
Q

lumbar rotators

A

lying supine do crossovers

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12
Q

forward flexion

A

hips don’t move, try to reach floor with hands, mark distance from floor. keep knees extended & feet together

  • this exercise combines hip flexion

4 inches off ground is norm

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13
Q

modified schobers test

A

this is the 15cm

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14
Q

Cervical landmarks

A
  1. Sternal notch
  2. Acromion process
  3. C7
  4. tip of chin
  5. Base of nares
  6. Mastoid Process
  7. Auditory meatus
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15
Q

Normal values for cervical joint motion

for Cx flex

A

CROM 50 (40-60)
G-meter (40)
Tape 1-4cm
I-meter 50 °

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16
Q

Normal values for cervical joint motion

Cx Ext

A

Crom- 70 (49-86)
G-meter 50
tape - 18-22 cm
Imeter 60

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17
Q

Normal values for cervical joint motion

cx Lat Flex

A

Crom- 45 (26-45)
G-meter- 25
Tape 10-12 cm
Imeter- 45

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18
Q

Normal values for cervical joint motion

Cx Rotat

A

Crom- 70 (46-75)
G-meter- 75
Tape 11-13 cm
Imeter- 80

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19
Q

CX Flexion

CROM 50 (40-60)
G-meter (40)
Tape 1-4cm
I-meter 50 °

A

having patient sit with supported T & L.

Flexion-gently push chin to chest, firm end feel

Ext- gently push upward on chin and pull back on occipital

Goniometer- patient with hands on knees
Fulcrum: Auditiory meatus
Prox: perpendicular to ground
Distal: base of nares

Flexion & extension starts at 90°

Tape measure: one end on chin other in sternal notch.

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20
Q

using goniometer for cervical side/lateral flexion

Crom- 45 (26-45)
G-meter- 25
Tape 10-12 cm
Imeter- 45

A

C7 is fulcrum

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21
Q

using goniometer for cervical rotation

Crom- 70 (46-75)
G-meter- 75
Tape 11-13 cm
Imeter- 80

A

fulcrum is over patients head

proximal: parallel to imaginary line between acromial processes

Distal: in line with tip of nose/tongue depressor

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22
Q

tape measure for cervical side flexion

A

mark patients mastoid and acromion process with pen.

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23
Q

tape measure for Cx Rt

Crom- 70 (46-75)
G-meter- 75
Tape 11-13 cm
Imeter- 80

A

mark patients acromion and measure from chin.

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24
Q

Cx flexion with dual inclinometer

A
  1. C7 @ zero
  2. posterior head

flex chin to chest and take difference

25
Q

Cx ext with dual inclinometer

A
  1. spine of scapula
  2. posterior head

extend head and record distance

26
Q

Cx side flexion with dual inclinometer

A
  1. over c7 and other over top of head, both set @ zero

- side flex and record the difference

27
Q

Cx Rot with I-meter

A

just use one, lay supine, put on forehead and have patient rotate

28
Q

Cervical muscle groups for

forward flexion

A 
longus capitis
longus colli
rectus capitus  (maybe anterior?)
anterior scalene
sternocleidomastoid
29
Q

Cervical muscle groups for

Anterolateral flexion

A

sternocleidomastiod

30
Q

Cervical muscle groups for

Extension

A

obliques capités superior
Rectus capitis posterior ( maj & minor)
semispinalis capitis & cervicis
splenius capitis and cervicis

Upper trapezius

31
Q

MMT neck flexion

A

patient in supine with shoulders abducted to 90°

stabilize: abs and or thorax

Palpation: longus capitis and longus colli anterior to sternocleidomastoid (SCM)

apply resistance to forehead (for 4 or 5)

give 1-5

32
Q

MMT anterolateral neck flexion

A

patient supine with abducted 90° and head turned to contralateral side

Stabilize: abs and/or thorax

palpate: SCM

Patient: laterally flex the neck to the side of resistance

Grade 3 is no resistance, 2 is partial rom in lateral flexion

33
Q

MMT in Neck extension

A

Patient: prone, shoulders abducted 90° & elbows flexed

Stab: upper thorax

palp: neck extensors lateral to spinous process
examiner: stabilize thorax as needed and apply resistance on the occiput as the patient attempts extension

Patient: extend the head and neck through complete ROM

34
Q

Muscles of mastication

A

Medial Pterygoid: jaw protrusion & lateral deviation

Lateral Ptyergoid: opening your mouth

temporalis:

Masseter:

35
Q

muscles of facial expression

A

Occipitofrontalis: raising eyebrows

Corrugator supercilli: frowning

orbicularis Occuli: close the eyes tightly

36
Q

Muscles of facial expression

A

Procerus: raising skin of nose

Nasalis: widening nostrils

Levator labii superioris- raising upper lip to show teeth

Zygomaticus major- smiling

orbicularis oris- whistling

Buccinator: blowing flute or trumpet

37
Q

We need _____% of Cx ROM to perform ADL

A

70%

38
Q

Spine Anterior Aspects

A

ribs
edge of rib cage
umbilicus
iliac crests- anterior superior iliac spine

39
Q

Spine Posterior Aspects

A

twelfth rib
posterior superior iliac spine (PSIS) dimples
sacrum
spinous processes of vertebrae

40
Q

what is the significance of t2

A

superior angle of scapula

41
Q

what is significance of t7

A

inferior angle of scapula

42
Q

what is significant of t12

A

twelfth rib

43
Q

what is significance of l4

A

iliac crest

44
Q

finder transverse spin

A

have lie prone and about 1 inch from SP in thoracic and 2 inches in lumbar

45
Q

what is the lamina groove

A

area north or south of two transverse vertebrae

46
Q

AMA prefer which measurement tool

A

inclinometers

47
Q

If you find PSIS you have

A

S2 in the middle

48
Q

how do you use tape measure for T-L flexion

A

stabilize spine then look at C7 and s2. take difference of two

49
Q

dual inclinometer forward flexion and extension for TL spine

A

inclinometers at midline of S2 and T1

***T1 not C7

50
Q

dual inclinometer for forward flexion and extension for lx spine

A

inclinometers at s2 & t12(last rib)

51
Q

dual inclinometer for lateral flexion for TL spine

A

S2 & T1

52
Q

goniometer for lateral flexion for T-L Spine

A

fulcrum is at s2 SP

proximal is perpendicular to ground

Distal follows C7

53
Q

goniometer for rotation for T-L spine

A

fulcrum is top of head

proximal is acrominal process

distal is movement of head

54
Q

modified schooners test for lumbar flexion

A

1st mark midpoint of sacrum at PSIS

measure 15cm above that point

55
Q

normal value for forward flexion and side flexion with tape measure

A

4 inches forward

21.6 cm side flexion

56
Q

normal value with goniometer for side flexion and rotation

A

side flexion- 35°

rotation 45°

57
Q

normal value of forward flexion, extension, and side flexion with inclinometer

A

60° (lumbar motion s1 & t12)

ext 25°
side flexion 25°

58
Q

males vs females with ext & flexion of spine

A

women- better extent

men- better flex

710 (7 decks)

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