Lab 1: Tone assessment Flashcards
(24 cards)
This is how the modified ashworth (for spasiticity) is scored
This is how muscle tone is scored
This is the reason we test muscle tone
Rigidity:
* velocity independent (unlike tone / spasticity)
* typically both agonist and antagonist are impacted here
* No point in testing w/ velocity, maybe just take them through the movement (unlike modified ashworth)
* Cogwheel / Lead Pipe
When testing muscles w/ modified ashworth start in fully shortened position and move to lenghened position to see what that muscle does as it stretches
* EX: Elbow flexion: Start in full flexion –> extension to see if it tenses up when lengthening it
* velocity dependent (speed matters
* 3 total tests, 2 w/ speed, 1 to assess ROM
NOTE: Every movement in modified ashworth is done in supine
Remember, on these tests were going through the avilable range and not trying to push into ROM they don’t have
* This is not a muscle length test
Mofidied ashworth scoring I took better notes in the lecture slides
Explain how to test shoulder Abduction
Shoulder starts in abduction –> adduction to stretch the abductors
* forearm in neutral (should natrally be there)
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
Explain how to test shoulder Adduction
Shoulder starts in adduction –> abduction
* forearm in neutral (should natrally be there)
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
Explain how to test shoulder flexion
Start w/ pt in shoulder flexion –> extension
* forearm neutral
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
Explain how to test shoulder extension
Start in shoulder extension –> flexion
* forearm neutral
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
Explain how to test elbow flexion
Start in elbow flexion –> extension
* forearm in neutral
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
Explain how to test elbow extension
Start in elbow extension –> flexion
* forearm in neutral
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
Explain how to test wrist flexion
Start w/ pt in wrist flexion –> extension
* Forearm in pronation
* never going toward table w/ movement
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
Explain how to do wrist extension
start w/ pt in flexion –> extension
* forearm in supination
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
explain how to test hip flexion
Start w/ hip flexed and knee bent
* straighten the entire leg out
* However, make sure to keep hand just distal to knee (under gastroc area) to avoid the popliteral fossa slapping down on the table
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
Explain how to test hip extension
start w/ leg in extension and knee in extension –> hip and knee flexion
* essentially the opposite of the way it was performed in hip flexion
For the LE test the flexors before the extensors
Explain how to test knee extension (quads)
Start w/ hip ~90 degrees of flexion and full knee extension –> full knee flexion
* Note you can decrease that hip angle from the table to get more full knee extension
* The starting position is essnetially that SLR position
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
Explain how to test knee flexion (hamstrings)
Start w/ hip and knee in 90 degrees of flexion –> full knee extension
* this will test the length of those hamstring muscles (knee flexors)
* Note your hip doesnt have to be exactly 90 degrees
* you should end near that SLR position
1 trial (4 seconds long) slow to test ROM
2 trials (1 second long) fast
NOTE: a lot of these postions are libal to bring on clonus > 5 beats
* just take them out of that stretched position to fix it
