Week 5 Flashcards

1
Q

Anatomical position is ____ degrees?

A

0 (zero)

  • zero degrees is straight flat-out arm
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2
Q

True or false: you only need to gain consent once when palpating

A

False

–> gain consent every time and be respectful - patient needs to be prepared

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3
Q

How do you know if you are applying the right amount of pressure when palpating?

A

Need a gentle pressure, if pushing too hard you will see white under nail beds

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4
Q

What should you do when palpating?

A

use lumbrical grip: most nerve endings on thumb and index finger

Keep body part well supported: keep the muscle around the area you’re touching relaxed

–> easiest to find when patient is laying down as opposed to sitting (have them laying down if possible)

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5
Q

What are the different structures you should feel when palpating?

A

Muscle: springs/bounces back
ex - thenar eminence: muscle in thumb

Adipose (fatty): spongy/doesn’t spring back like thenar eminence
ex - under chin

Nerve - feels like a cord
ex - edial epicondyle: below elbow

Bone: hard boney
ex - ulna styloid: ball in wrist

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6
Q

Different types of ROM

A

AROM - active range of motion (patient does it themselves)

AAROM - Active assisted range of motion (patient does it with help)

PROM - Passive range of motion (you, the PTA do it)

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7
Q

What is “goniometry”?

Why do it?

A

Measurement of joint angles

–> always start at 0
–> an objective measure, therefore goes in “O” in SOAP notes

Why use it?
1) Sets a baseline/tells us where we’re starting from
2) Measures progress/lets us know if patient is getting better

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8
Q

What do the red numbers and black numbers represent on the goniometer?

A

Red numbers - abduction

Black - flexion and extension

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9
Q

What do you do if a patient can go further than 0 degrees (hyper extend) or if they can’t get to 0

A

If patient can’t get to 0: use a negative number
(ex: -10 degrees means patient is missing 10 degrees of movement)

If patient can hyper extend then use a plus
(ex: +10 degrees means extra ten degrees of movement)

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10
Q

MMT (Manual Muscle Testing) tests the strength of a muscle how? Why?

A

Isometric

Why?
1) Figure out where you’re starting/ get a baseline
2) Track progress

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11
Q

Grading system for MMT (Manual Muscle Testing)

A

0/5 - can’t even see muscle turn on, paralysis

1/5 - can’t move joint, but can see the muscle turn on, contraction without movement

2/5 - can move it, but not all the way

3/5 - goes all the way against gravity, bends all the way, can’t hold against resistance

4/5 - can pull patient’s arm away

5/5 - can hold without being able to take arm away

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12
Q

Which muscle is the strongest and why?

a) Brachialis
b) Brachioradialis
c) Biceps

A

c) Biceps

prime mover

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13
Q

What does L, R, and P mean in terms of documentation?

A

Left, right and pain

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14
Q

What area of SOAP notes does pain go in?

A

S as pain is subjective

–> unless it is “rate your pain from 1-10”/using a pain scale - then it goes in “O” (objective) of SOAP notes

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