Competencies 2 and 3

Question 1

3b perform active and passive shoulder range of motion evaluation including expected degrees of each motion

Answer 1

Flexion- 180
Extension- 60
Abduction- 180
Horizontal abduction 130-145
Horizontal adduction 40-50
Internal rotation- 90
External rotation- 90

Make sure to do this bilaterally!!

Question 2

3c Perform active and passive elbow and forearm range of motion evaluation including expected degrees of motion for each

Answer 2

Flex elbow- 140-150
Extend elbow- 0–5
Pronate and supinate forearm- 90

Active and passive bilaterally!!

Question 3

3d Perform active and passive wrist range of motion evaluation including expected degrees of each motio

Answer 3

flex wrist- 80-90
Extend wrist- 70
Abduct/radial deviate- 20-30
Adduct/ulnar deviate- 30-40

Assess bilaterally and note assymetry

Question 4

3e Perform active and passive hip range of motion evaluation including expected degrees of motion

Answer 4

Flex hip with knee extended- 90
Flex hip with knee flexed- 120-135
Extend hip- 15-30
Internally rotate- 30-40
Externally rotate- 40-60
Abduct the hip 45-50
Adduct hip 20-30

Assess bilaterally and note asymmetry

Question 5

3f Perform active and passive knee range of motion evaluation including expected degrees of each motion

Answer 5

Knee flexion- 145-150
Knee extension- 0
Bilaterally and asymmetry

Question 6

3g Perform active and passive ankle range of motion evaluation including expected degrees of each motion

Answer 6

Dorsiflex- 15-20
Plantar flex- 50-65
Invert ankle- 35
Evert ankle- 20

Supination- inversion, adduction and plantar flexion
Pronation- eversion, abduction and dorsiflexion

Question 7

2a Light palpation of inanimate objects

Answer 7

Distinguish types of coins, heads and tails
palpate human bone
palpate string in a bag

Question 8

2b light layered palpation of human tissues

Answer 8

Palpate non dominant hand and note it’s contour
temperature differences on the hand

Light touch describing skin texture, moisture and thickness
Spongy or boggy

Pinch the back of the skin checking for dehydration

Slide fingertips along the top of the skin noting the drag

Locate and palpate the veins

Locate radial artery

Apply shearing force on the subcutaneous tissues. Note any asymmetries

Palpate ring finger tendons. Have them flex and extend the finger. Nothing linear movement along the tendon

Palpate proximal and middle joints of your ring finger. Flex and extend ring finger nothing articular surfaces and ROM

Question 9

2c Moderate and deep layered palpation of human tissues

Answer 9

Describe skin temperature, texture, thickness, and moisture
Compare dorsal and palmar surfaces
Use slightly firmer touch on the second layer. Subcutaneous fascia
Increase pressure to feel deep fascial layer.
Identify layers of the muscle
Have them slowly open and close their hand. Quality and rom
Palpate down from the muscle bellies into the tendons

Question 10

2d Palpation of paravertebral tissues and spinal motion

Answer 10

Palpate tissues in seated and prone position
Locate spinous process on c7 into t1, t2, t3…
Find the interspinous ligament
passively flex and extend their head
Lightly palpate and compress the paravertebral soft tissue from the cervical spine to the lower lumbar spine
Slowly increase the pressure to not changes
Find the transverse processes
Load and spring
Say that pressing on right induces left rotation and vice versa
Note presence of hard end-feel
Note a PTP on the right and that it is rotated right because it doesn’t want to rotate left

Question 11

3a Perform active and passive spinal range of motion (seated and standing) evaluation including expected degrees for each motion

Answer 11

Rotates patient right and left with arms crossed
The angle is determined by rotation from neutral using chin or nose 
Forward flex at waist- 40-90
Extend backwards 20-45
Side bend- 15-30
Rotate cervical spine-70-90
Side bend cervical spine 20-45
Extend cervical spine- 45-90
Flex cervical spine- 45-90