CPA 2 Flashcards by Tobin Chemplavil

Q

Shoulder ROM

Flexion

Extension

Horizontal Adduction

Horizontal Abduction

Abduction

Internal/External Rotation

A

180

60

130-140

40-55

180

90

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Q

Scapulothoracic SD MFR

A

Elevation/Depression

Abduction/Adduction

Downward Rotation/Upward Rotation

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Q

GH Articulatory Tx: Spencer’s Technique

A

Elephants Fart Constantly To Annoy Intelligent People

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Q

GH Articulatory Tx: Spencer’s Technique

Stage 1: Extension

A

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Q

GH Articulatory Tx: Spencer’s Technique

Stage 2: Flexion

A

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Q

GH Articulatory Tx: Spencer’s Technique

Stage 3: Compression Circumduction

A

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Q

GH Articulatory Tx: Spencer’s Technique

Stage 4: Traction Circumduction

A

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Q

GH Articulatory Tx: Spencer’s Technique

Stage 5A: Adduction and External Rotation

A

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Q

GH Articulatory Tx: Spencer’s Technique

Stage 5B: Abduction

A

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Q

GH Articulatory Tx: Spencer’s Technique

Stage 6: Internal Rotation

A

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Q

GH Articulatory Tx: Spencer’s Technique

Stage 7: Traction with Inferior Glide

A

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Q

GH Joint IR/ER SD: MET

A

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Q

GH Joint Flexion/Extension SD: MET

A

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Q

GH Joint AB/ADduction SD: MET

A

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Q

SC Joint ABduction/ADduction Dx

A

Scapular Elevation (Shoulder Shrug) –> SC ABduction (SC joint inferior movement)

Scapular Depression (Lowering Shoulder) –> SC ADduction (SC joint superior movement)

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Q

SC Joint Flexion/Extension Dx

A

Protraction of Scapula –> SC Flexion (SC Joint Posterior Glide)

Retraction of Scapula –> SC Extension (SC Joint Anterior Glide)

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Q

SC Elevated/Adducted SD: ART

A

Neck flexed against table

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Q

SC Elevated/Adducted SD: MET

A

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Q

SC Horizontal Extension SD: MET

A

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Q

Clavicle Anterior & Superior Glide (Extended and Adducted SD) ART

A

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Q

AC Joint Dx

Reference point

Inspect for asymmetry

Palpate

Motion Screen

Assess glides springing inferiorly on distal clavicle

A

Distal end of clavicle

Look for shifted clavicle: Superior/Inferior, “Step-Off”

Clavicle on Acromion for “Step-Off” or Tenderness/TTA

Cross-Arm Adduction Test (Positive = Pain or Increased TTA)

Resistant to springing inferiorly (Clavicle Superior); Presence of springing inferiorly (Clavicle Inferior); (Ant/Post) - Springing Ant/Post

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Q

Cross Arm Adduction Test

A

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Q

AC Joint IR/ER Evaluation

A

ER of Humerus –> ER of Clavicle at AC Joint

IR of Humerus –> IR of Clavicle at AC Joint

Abduct and Flex to approximately 45 to maximally engage AC component of GH rotation

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Q

AC-Superior Clavicle ART

A

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AC Joint IR SD: MET

AC Joint ER SD: MET

**Elbow ROM** Flexion Extension Supination Pronation Ulnohumeral Adduction Ulnohumeral Abduction

140-150 0 - (-5) 90 90 5 5

Elbow Extension SD MET/ART

Elbow Flexion SD MET/ART

Elbow Adduction SD MET/ART

Elbow Abduction SD MET/ART

Anterior (Supinated) Radial Head SD MET

Posterior (Pronated) Radial Head SD MET

**Wrist ROM** Flexion Extension Adduction Abduction

80-90 70 30-40 20-30

Wrist (Radiocarpal) Flexion SD MET/ART

Wrist (Radiocarpal) Extension SD MET/ART

Wrist (Radiocarpal) Adduction SD MET/ART

Wrist (Radiocarpal) Abduction SD MET/ART

Wrist Isotonic MET

Figure 8 Wrist Articulation

MCP Joint SD ART

PIP/DIP Joint SD ART

**Hip ROM** Flexion Extension IR ER Abduction Adduction

90 (extended knee) & 120-135 (flexed knee) 15-30 30-40 40-60 45-50 20-30

Hip Abduction SD/ITB Hypertonicity MET/ART

Hip Adduction SD (Long Adductors) MET/ART

Hip Adduction SD (Short Adductors) MET/ART

Hip Extension SD MET/ART (Hamstring Hypertonicity)

Hip Extension SD MET/ART (Gluteus Maximus)

Hip IR/ER SD MET/ART

Hip Flexion SD MET/ART

**Knee ROM** Flexion Extension IR ER

145-150 0 10 10

Knee (Tibiofemoral) ER SD MET/ART

Knee (Tibiofemoral) IR SD MET/ART

Knee (Tibiofemoral) Extension SD MET/ART

Knee (Tibiofemoral) Flexion SD MET/ART

Knee (Tibiofemoral) Adduction/Abduction SD MET/ART

Posterior Fibular Head SD MET/ART

Anterior Fibular Head SD MET/ART

**Ankle ROM** Dorsiflexion Plantarflexion Inversion Eversion Subtalar Inversion Subtalar Eversion Forefoot Adduction Forefoot Abduction 1st MP Flexion 1st MP Extension

15-20 55-65 20 10-20 5 5 20 10 45 70-90

Anterior Distal Fibula SD ART

Posterior Distal Fibula SD ART

Dorsiflexed Talus SD MET

Plantarflexed Talus SD MET

Talus Eversion w/ Anteromedial Glide & Talus Inversion with Posteromedial Glide SD ART (Subtalar Joint)

Plantar Glide SD MET (Navicular, Cuboid, Cuneiform)

Dorsal/Plantar Glide SD ART (Cuneiform - Metatarsal Joint)

Patient: Supine/seated Physician: Sitting at foot of table Isolate joint between fingers. Engage barrier, alternating between restrictive barrier and ease of motion until normal physiologic motion is restored