Spinal MMT Flashcards

1
Q

what muscles are involved in neck flexion

A

longus capitis
longus colli
rectus capitis anterior
anterior scalene
sternocleidomastoid

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2
Q

gravity resisted test for neck flexion

A

supine with shoulders in 90/90 and forearms resting on testing surface

chin is passively tucked and flexed

patient is told to repeat and hold at end range of motion

resistance applied over forehead with stabilization of the anterior thorax

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3
Q

gravity eliminated test for neck flexion

A

no gravity eliminated

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4
Q

what over compensation will occur during neck flexion?

A

SCM
patient will lose the chin tuck

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5
Q

muscles involved in neck anterolateral flexion

A

SCM

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6
Q

gravity resisted test for neck anterolateral flexion

A

same as neck flexion testing
head rotated to opposite side of testing side

laterally flexed with rotation passively

patient to repeat and hold at end range

resistance applied over lateral aspect of forehead toward table with stabilization of the thorax

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7
Q

gravity eliminated test for neck anterolateral flexion

A

aint one

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8
Q

what can be an issue with neck anterolateral flexion testing

A

compromise of the vertebral arteries blood flow

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9
Q

muscles involved in neck extension

A

erector spinae
– iliocostalis cervicis, longissimus capitis, longissimus
oblique capitis superior
rectus capitis posterior major/minor
semispinalis capitis/cervicis
spinalis cervicis/capitis
splenius capitis/cervicis
upper trap

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10
Q

gravity resisted test for neck extension

A

prone with shoulders/elbows in 90/90 position with forearms resting on table

head/neck passively taken through extension and returned

patient does it/ holds at end range

resistance applied over occiput toward flexion while stabilizing the thorax

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11
Q

gravity eliminated test for neck extension

A

aint one

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12
Q

muscles used in trunk flexion

A

rectus abdominis

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13
Q

gravity resisted test for trunk flexion

A

supine with hands behind neck
lower extremities extended and pelvis posteriorly tilted

trunk is passively flexed until the scapulae have cleared the table

patient asked to repeat the motion

no application of resistance

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14
Q

gravity eliminated test for trunk flexion

A

aint one

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15
Q

what should one be cautious for when instructing a trunk flexion test

A

fixation/stabilization of the feet when performing the test

will allow for hip flexors to assist the sit up

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16
Q

how is the sit up test graded?

A

5 - arms behind neck and scapulae clear the table with PPT

4 - arms folded across chest

3+ - arms by their side

3 - able to raise head, spine, and a portion of the scapulae off table with arms by their side

2 - able to raise head and spine but not scapulae with arms at their side

1 - no motion but palpable contraction

17
Q

trunk flexion alternative tests

A

patient is supine with arms across the chest and hips flexed to 90 with legs extended

patients legs are slowly lowered to the table with their back pressed into the table

examiner places one hand under their lower back and asked to repeat the motion

no resistance applied, examiner notes where the spine begins to arch for grading

18
Q

grading scale for trunk flexion alternative test

A

5 - able to complete motion without losing PPT

4+ - angle between LE and table is 0-15 when PPT is lost

4 - angle between LE and table is 15-30 when PPT is lost

4- = angle between LE and table is at 30-45 when lost

3+ - angle between LE and table is 45-60 when PPT is lost

3 - angle between LE and table is 60-70 when PPT is lost

2 - angle between LE and table is >70 when PPT is lost

1 = palpable contraction

19
Q

muscles used during trunk rotation

A

external/internal abdominal oblique

20
Q

trunk rotation gravity resisted test

A

supine with hands behind neck and legs fully extended

passively flexed and rotated until scapulae have cleared table

patient asked to repeat and move elbow/UE toward opposite hip

stabilize anterior aspect of LE if needed

21
Q

grading scale for trunk rotation test

A

5 - able to perform motion with arms behind back and clearance of inferior angle of scapulae occurs

4 - with arms folded across the chest

3 - arms by their side

22
Q

gravity eliminated test for trunk rotation

A

seated with arms at their side and not allowed to grip table

passively rotated then asked to repeat the motion

stabilize pelvis and palpating a contraction of the external oblique

23
Q

muscles involved in trunk extension

A

erector spinae
– iliocostalis thoracis, iliocostalis lumborum, longissimus thoracis
multifidus
semispinalis thoracis
spinalis thoracis
quadratus lomborum

24
Q

gravity resisted test for trunk extension

A

prone with hands behind the neck and LE extended with a pillow under the abdomen

trunk is passively extended and returned

patient is asked to actively extend trunk through ROM

25
Q

gravity eliminated test for trunk extension

A

aint one

26
Q

grading scale for trunk extension

A

5 - able to clear entire sternum including xiphoid process with hands behind neck

4 - able to clear both with arms behind their back

3 - able to clear both but with arms by their sides

2 - extend through partial range of motion with arms at their side

1 - no motion, palpable contraction

27
Q

muscles involved in pelvic elevation

A

quadratus lumborum
iliocostalis lumborum

28
Q

testing procedure for pelvic elevation

A

no gravity resisted test

patient is positioned supine or prone with feet off the table and hip of testing side slightly abducted

passively elevated through ROM
asked to repeat the hip hike

when at end range, examiner is to pull on LE in the opposite direction of the hip hike

patient is able to hold onto table

29
Q

grading scale of pelvic elevation test

A

5 - pelvic elevation is maintained against max resistance

4 - pelvic elevation is maintained against moderate resistance

3 - pelvic elevation is maintained against min resistance

2 - elevates through full ROM but cannot hold against resistance

1 - no motion, contraction of quadratus lumborum right above posterior iliac crest lateral to erector spinae