The Evaluation, Functional Tests Flashcards
Which portion of the evaluation is considered by the CFS authors to be one of the most comprehensive components of a back care program?
The Subjective Evaluation
What are the purposes to a subjective evaluation?
Establish a rapport with the patient
Gain information about the patient’s functional status, lifestyle, symptoms, etc.
Assist the patient in self assessment and becoming responsible for his/her problem
When should objective data be graded?
As often as possible
What questions should be asked about a patient’s pain each time they are seen to determine progress and current presenting symptoms?
Location of pain
Frequency of pain
Duration of pain
Intensity of pain
Immediate onset of pain is typical of pain that is ________ in nature
Mechanical
Delayed onset of pain is typical of pain that is _________ in nature
Inflammatory
Pain with an immediate onset can be linked to _____________
A specific movement, activity, or posture
Pain with an immediate onset can or cannot be monitored by a patient during treatment and exercise?
Can
When a patient is not able to determine what aggravated their symptoms this is most likely due to a _________ onset of pain
Delayed.
A therapist can minimize the problems that a delayed onset of symptoms can created by _______
Limiting the treatment performed.
Patients with delayed onset of pain need to be placed on a _____________
Progressive Exercise Program.
Questions related to ADL response that are important for therapists building corefirst strategies are:
Aggravating activities
Easing activities
It can be helpful to classify functionally a patient into one of the following categories related to activity based pain:
Load Sensitive
Pressure Sensitive
Position Sensitive
Stasis Sensitive
The person who came up with functional classifications in pain was _____________
Eileen Volowitiz
The Saliba functional classification is a ratio of two components, the first is the ___________ the second is the _____________
Thoracic block position over the pelvis
Angulation of the thoracic block.
Efficient alignment in the saliba postural classification lines up the _________ over the __________
Diaphragm
Pelvic Floor
When confirming a vertical/posterior posture by VCT will cause __________________
Accentuated extension in T/L region and upper lumbar region
When confirming a posterior/posterior posture by VCT will cause __________________
Accentuated extension in lumbar spine coupled with a forward shear of the pelvis
When confirming a posterior/anterior posture by VCT will cause __________________
Slight flexion in the thoracic and upper lumbar spine coupled with a forward shear of the pelvis.
When confirming an anterior posterior posture by VCT will cause __________________
Extension in the upper/mid lumbar and posterior shear of the pelvis.
When confirming an anterior posterior posture by VCT will cause __________________
Overall flexion of the trunk
Using a vertical compression test as a pre test allows the therapist to:
Demonstrate the effect of mechanical, neuromuscular, or motor control dysfunctions on ACE and strength to patient
Gather objective data related to the patients structural and functional strategies
Using Vertical Compression as a post test allows the therapist to:
Demonstrate to the patient the effect of efficient structure on alignment and ACE.
The purpose of the vertical compression test is:
To use vertical loading on the system to confirm the Saliba Postural Classification System and Identify Mechanical Stress Points
During a vertical compression test the therapist is evaluating and recording:
The translation of the applied force through the kinetic chain and into the base of support.
The patient’s position during the VCT is
Any weight bearing position
In standing the patient is asked to stand in a neutral position and relax everything but the knees.
During a vertical compression test the therapist must ensure that their forearms are _______ to the floor at all times
Vertical
During a vertical compression test in standing the hands are placed on the patient’s shoulders between the _______ and the _______
Acromion
First Rib Insertion
For a vertical compression test in sitting the hands may be placed on the hands or on the ______ to determine its position for sitting
Pelvis
When performing a VCT you should not lean on the patient as this will __________
Pre Activate a response
A grade of 1 on a VCT is the amount of pressure needed to:
Feel the pressure of the patient’s bony surfaces through the soft tissue covering the carpal ridge.
A score of three on a VCT is _________ times the pressure of a grade of one
Three
An efficient response on a VCT is on in which the pressure applied by the therapist translates evenly into the __________
Base of support
An efficient end feel for a vertical compression test is _________
Springy
The base of support that should be felt during a vertical compression is __________ for standing and ________ for sitting
The arch of the foot into the second ray
The pelvic floor
An inefficient response for a vertical compression test causes the spine to ________ or is a _________ end feel
Move
Hard
During a vertical compression test a hard end feel of the whole body indicates:
A holding pattern
When a vertical compression test is graded the grade is the level at which
The dysfunction or failure is noted
As well as the grade, ___________ should be included with documentation of a vertical compression test
Description of the associated compensatory dysfunction
PHIT during functional testing stands for:
Position
Hover
Instruct
Test
The purpose of the Elbow Flexion Test is
To test the proper timing of core and global muscles in response to an external load through the forearms and confirm findings of the CoreFirst Based Postural Classification System
When Evaluating an Elbow Flexion Test the therapist looks for firing in this sequence of muscles
Core
Scapular Stabilizers
Global Arm Muscles
Global Balance Response
During an elbow flexion test the patient’s arms are flexed to ______ degrees and the patients forearms are __________
90
Supinated (Loose packed position)
During an elbow flexion test the patient’s arms are positioned with the humerus _________ to the floor
Perpendicular
During an elbow flexion test the patient is not allowed to use __________ to assist in stabilization
Shoulder adduction
When testing an elbow flexion test the therapists arms must be ____________
Perpendicular to the floor or Vertical
The verbal command given when performing an elbow flexion test is:
Don’t let me straighten your elbows.
A grade of one on the elbow flexion test is defined as:
The amount of pressure required to feel the bones of your hands on the bones of the patient’s forearms
An Efficient state for the elbow flexion test is one in which the patient can
Maintain the elbow position through automatic engagement of core, rotator cuff, shoulder girdle, and global shoulder and arm muscles
In the inefficient state during the EFT the patient will attempt to maintain the position with _______ muscles, will give at the ___________ or will lose their __________
Global
Arms, shoulder girdle, or spine
Balance
The purpose of the Lumbar Protective Mechanism is to:
Determine the patient’s automatic trunk response to external force
The components of the lumbar protective mechanism to be evaluated are
Initiation
Strength
Endurance
When testing a patient’s lumbar protective mechanism it is best to stand in the ________ of movement
Diagonal
When testing a lumbar protective mechanism the hands are placed on the anterior aspect of the patient’s ________ region just below the ___________
Shoulder
Coracoid process
When placing hands for a lumbar protective mechanism a _______ grip is used
Lumbrical
During testing of an LPM the core can only respond with slow pressure, the test is then graded as ________ initiation
Sluggish
Endurance for the LPM is tested up to _______ seconds
30
During an LPM the patient is allowed to give at the ___________ but not the trunk or hips
Ankles
