Static Analysis and Motion Testing Lab

Question 1

History Questions for patient evaluation:

Answer 1

Pain WHERE? Numbness, tingling, weakness, bowel or bladder incontinence or retention, recent trauma, diagnosis of cancer, other…

Question 2

NGD

Answer 2

No gross defect

Question 3

ABNL

Answer 3

Abnormal finding

Question 4

Gait inspection:

Answer 4

length of stride/limp
shoulder heights
arm swing
feet orientation

Question 5

Gravitational line should go through…

Answer 5

USE A STRAIGHT WALL OR SOMETHING…

1) External auditory meatus
2) lateral aspect of the head of the humerus at the tip of the shoulder
3) Greater trochanter
4) Lateral condyle of the knee
5) Slightly anterior to lateral malleolus

Question 6

Things to check for side to side differences:

Answer 6

1) Head carriage (tilt) - is the head even on both sides? check from behind using occiput/superior nuchal line
2) Acromion process - are the shoulders even?
3) Angle of the scapula - are they level?
4) Iliac crest - are they level?
5) Posterior superior iliac spine (PSIS) - are they level?
6) Greater trochanter - are they level?
7) Feet/ankles - is there an arch? is the foot angled one way or the other? is the achilies tendon straight or angles?

Question 7

Scoliosis Screen:

Answer 7

Evaluation while standing and have patient slowly bend forward. Look for asymmetries like scalpula or ribs. Scoliosis named for the side of convexity

Question 8

Trunk range of motion testing:

Answer 8

1) Standing: Flexion: touch toes-ish?/Extension - can the head go back past the body?
Side bending L and R - do hands go down to about the same level?
2) Seated (to prevent cheating with hips): Rotation - hands on opposite shoulder. Does elbow get past mid-way?

Question 9

Hip-Knee-Ankle screen

Answer 9

Have patient do a full squat with arms extended.

Question 10

Standing Flexion Test:

Answer 10

For ilio-sacral somatic dysfunction - find PSIS and hook thumbs under - have patient put hands together and slowly bend forward. Feel for one moving more than the other.

Question 11

Seated Flexion Test:

Answer 11

For sacro-illiac somatic dysfunction - find PSIS and hook thumbs under - have patient put hands together and slowly bend forward. Feel for one moving more than the other.

Question 12

Cervical Spine Range of Motion:

Answer 12

ACTIVE (PATIENT DOES THE MOVING) - 1) Flexion (look down) Extension (look up) 2) Side bending 3) Rotation
PASSIVE (PHYSICIAN DOES MOVING) - SAME THING BUT YOU ASSESS FOR END FEEL. For rotation R, my L elbow infront of patient shoulder and hand of L arm on back-ish of patient head. R & L hands move head and L elbow stabilizes

Question 13

Types of end-feel:

Answer 13

elastic (?), hard (?), guarding (something hurts)

Question 14

Upper Extremity Range of Motion

Answer 14

Test for shoulder movement.

1) The hug - tests ADDUCTION
2) Reach above head and down - tests ABDUCTION and EXTERNAL ROTATION
3) Reach behind back and up - tests extension and internal rotation