Various Quiz 6 Flashcards
Capsular Pattern – Sternoclavicular Joint
Pain at extremes of range
Capsular Patterns– Shoulder
External rotation
THEN abduction
THEN internal rotation
Capsular Pattern – Elbow
Flexion
THEN extension
Capsular Pattern– Acromioclavicular
Pain at extremes of range
Capsular Pattern– Distal Radio-ulnar
Pain with extremes of rotation
Normal ROM for shoulder flexion
0-180
Substitution for shoulder flexion
Trunk extension
Normal shoulder extension ROM
0-50/60
Substitution for shoulder extension
Trunk rot/flex or scapular deviation
Normal shoulder abduction/adduction ROM
30-0-180
Substitution for shoulder abduction / adduction
Lateral trunk flexion
Shoulder ER/IR normal ROM
0-140/150
Substitution for elbow flexion/extension
JK! There is none listed
Normal ROM shoulder abduction
0-80
Normal forearm supination ROM
0-80
If a patient abducts and IR shoulder, what is this a substitution for?
Forearm pronation
If a patient adducts and externally rotates shoulder, it is a substitution for…
forearm supination
You suspect a C5-C6 nerve root injury. Which muscles would you test and why?
Deltoid or Teres Minor– Axillary
Brachioradialis– Radial
Biceps/Brachialis– Musculocutaneous
Subscapularis– subscapular
Clavicular fibers of pec major– lateral pectoral
Teres major– lower subscapular
Infraspinatus– suprascapular
If you suspect a C3 C4 nerve root injury, which muscles would you test any why?
Trap (direct)
Rhomboids and Levator scap get inner action from dorsal scapular– so probably one of those and then trapezius…
If you suspect a C6 C7 C8 injury, what would you test?
Lats- thoracodorsal
SC fibers of pec minor- Medial Pectoral (also T1)
Triceps-Radial
Pronator teres- median C6C7
Pronator quadratus- median C7C8
If you suspect a C5C6C7 nerve root injury, which muscles would you test?
SA– long thoracic
Coracobrachialis– Musculocutaneous
Dermatome C6
Lateral arm, thumb
Dermatome C5
Right below clavichord and down middle lateral of arm. Stops at wrist!
Dermatome T1
Upper pec… down middle medial arm, stops before wrist
Dermatome C3
Upper neck and back of upper neck, ear
Dermatome C4
Lower neck, anterior and posterior
Dermatome C7
Very upper back, down middle posterior arm and fingers 2-3
Dermatome C8
Upper back and down medial posterior arm and fingers 4-5
Musculocutaneous nerve supplies which muscles
Biceps, brachialis
Radial nerve supplies which muscles?
Brachioradialis, triceps, supinators
Median nerve supplies which forearm muscles
Pronators
Axillary nerve supplies which muscles?
Deltoid , teres minor
Musculocutaneous nerve supplies which SHOULDER muscle?
Coracobrachialis
Thoracodorsal supplies which muscle
Latissimus dorsi
Lateral pectoral nerve supplies which muscle?
Clavicular fibers of pec major
Medial pectoral nerve supplies which muscle
Sternocostal fibers of pectoralis major
Lower subscapular nerve supplies to which muscle
Teres major (c5c6)
Suprascapular nerve supplies which two muscles
Supraspinatus
Infraspinatus
Subscapular nerve supplies which muscle
Subscapularis
Dorsal scapular nerve supplies which muscles?
- Levator scapulae (c3c4)
- rhomboids (c5)
Long thoracic nerve supplies which muscle
Serratus anterior (c5c6c7)
Cranial nerve Xi supplies which muscles
Upper trap
SCM
Middle and lower traps innervated by
C3-C4 , directly
There is a muscle that is innervated by both dorsal scapular nerve and something else. What is this muscle and what else is it innervated by?
Levator scapulae! Innervated by both dorsal scapular nerve c3 to c4 and directly rom c3 to c5