Biomechanical Exam Flashcards
(73 cards)
Functional Motion for Extremities: —— ask patient what?
Ask the patient to perform essential ADLs
-i.e. reaching, walking, partial squat, heel raise, single limb stance, etc. per scan
If essential ADLs are WNL and more investigation is needed, ask the patient to perform ________ ADLs
-example:
higher level; lifting, throwing, jumping, or running per scan
-Positions patient to apply a gliding motion gently and passively along with joint surface
-Observe quantity and quality of motion, partially the end feel and including facial responses.
-Determines P! and point of limitation relationship
Accessory Motion Testing
What is normal Accessory Motion Testing?
appropriate gliding with firm end feel; no P!, click clunk or spasm
If Accessory Motion Testing has limited gliding and firm end feel; consistent limitation with ROM then that indicates:
Hypomobility- reduced accessory motion; intra-articular restriction
If Accessory Motion Testing has click, clunk, spasm; later, softer and/or empty end feel; may be more than expected gliding with limited ROM then that indicates:
Hypermobility- excessive accessory motion-extra-articular restriction
If Provocative Test is abnormal then that indicates:
involved tissue based on symptoms per test
What is a normal Stability Test when stress is applied?
No symptoms, laxity, m. guarding with normal end feel
If Stability Test has immediate symptoms click, clunk, spasm; later soft and/or empty end feel when stress is applied then that indicates?
Acute condition
If no immediate symptoms when performing the stability test you should:
hold for 10 sec, like with stress tests
If no immediate symptoms when performing the stability test you should:
hold for 10 sec, like with stress tests
If Stability Test is abnormal when you hold for 10 sec. you should repeat it with:
M. activation, CPP, corrected posture, and/or external support.
If Stability Test (w/10sec hold) is repeated and pt. has improved symptoms, motion activation, and or function then that indicates:
normal - need for stabilization
If Stability Test (w/10sec hold) is repeated and pt. has NO improved symptoms, motion activation, and or function then that indicates:
abnormal- worse case of instability
M.length test had limited motion then which indicates:
abnormal- shortened muscle
Following biomechanical exams initially positions the pt. in the mid-range position and away from any painful position.
-Instructs the patient “don’t let me move you”
-Apply smooth, exponentially increasing, and appropriate resistance on the distal segment of the joint being tested for 3 sec.
MMT
If MMT is only painful in the lengthed range then that indicated:
grade I contractile strain
When retest of MMT was performed; pt. had improved P!/function then that indicates:
Inhibited m./regional interdependence
When restest of MMT was performed; pt. had fatiguing weakness then that indicates:
decreased nerve conduction
When restest of MMT was performed; pt. had consistent weakness that indicates:
deconditioned/persistent contractile rupture
When restest of MMT was performed; pt. had worse P!/function then that indicates:
severe/acute condition
Which of the following Biomechanical Exams asses for activation endurance through palpation, observation, and use of either test for specific muscles typically a local muscle
Muscle Activation & Endurance
What is a normal Muscle Activation and Endurance Test?
Good activation and control with 20 reps and 20 sec holds for local muscles.
If Muscles Activation and Endurance Test has poor activation and control with < 20 reps or > 20 sec holds; global m. compensation then that indicates:
inhibited
