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Lab Practical 2 Flashcards

1
Q

Ankle dorsiflexion ROM

A

20 degrees
firm

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2
Q

ankle plantar flexion ROM

A

50 degrees
firm

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3
Q

inversion ROM

A

30-35 degrees
firm

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4
Q

eversion ROM

A

10-15degrees
hard

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5
Q

subtalar inversion ROM

A

5-15 degrees
firm

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6
Q

subtalar eversion ROM

A

5-10 degrees
hard

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7
Q

MTP flexion ROM

A

30-45 degrees
firm

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8
Q

MTP extension ROM

A

50-70 degrees

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9
Q

ankle dorsiflexion goniometer placement

A

fulcrum: lateral malleolus
proximal arm: lateral midline of the fibula up to head of fibula
distal arm: parallel to the lateral aspect of the 5th metatarsal

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10
Q

ankle plantarfelxion goniometer placement

A

fulcrum: lateral malleolus
proximal arm: lateral midline of the fibula up to the head of fibula
distal arm: parallel to the lateral aspect of the 5th metatarsal

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11
Q

ankle inversion goniometer placement

A

fulcrum: anterior ankle between malleoli
proximal arm: anterior midline of leg along tibial tuberosity
distal arm: anterior midline of second metatarsal

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12
Q

ankle eversion goniometer placement

A

fulcrum: anterior ankle between malleoli
proximal arm: anterior midline of leg along tibial tuberosity
distal arm: anterior midline of second metatarsal

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13
Q

subtalar inversion goniometer placement

A

fulcrum: posterior ankle between malleoli
proximal arm: posterior midline of leg
distal arm: posterior midline of calcaneus

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14
Q

subtalar eversion goniometer placement

A

fulcrum: posterior ankle between malleoli
proximal arm: posterior midline of leg
distal arm: posterior midline of calcaneus

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15
Q

MTP flexion goniometer placement

A

fulcrum: over the dorsal aspect of the MTP joint
Proximal arm: over the dorsal midline of metatarsal
distal arm: over the dorsal midline of proximal phalanx

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16
Q

MTP extension goniometer placement

A

fulcrum: over the dorsal aspect of the MTP joint
Proximal arm: over the dorsal midline of metatarsal
distal arm: over the dorsal midline of proximal phalanx

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17
Q

knee distraction prone

A

prone with strap over thigh
towel roll under distal thigh
pull from ankle
loose pack: 25 degrees

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18
Q

knee distraction seated

A

sitting on edge of table
loose pack: 25 degrees
pull down along long axis

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19
Q

knee anterior glide

A

prone with distal thigh supported towel roll
loose pack: 25 degrees flexion
push anteriorly below knee and distract from ankle

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20
Q

knee posterior glide

A

seated
apply distraction and push on tibia

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21
Q

knee glide with ER or IR

A

prone
towel under knee/right above knee cap

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22
Q

what glide to do if trouble with extension

A

ER

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23
Q

what glide to do if trouble with flexion

A

IR

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24
Q

knee posterior glide supine

A

supine
bent knee
sit on the foot
push tibia posteriorly at joint line

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25
valgus stress test in extension
supine knee extended abduct leg hand on medial ankle and lateral knee push knee medially
26
positive valgus stress test in extension
damage to MCL, posterior oblique ligament, posteromedial capsule, ACL, PCL
27
valgus stress test in 30 degrees flexion
supine abduct leg knee flexed 20-30 degrees hand on medial ankle and lateral knee apply medial force to knee
28
positive valgus stress test in flexion
MCL, PCL
29
varus stress test in extension
supine with knee extended abduct leg hand on lateral ankle and medial knee laterally rotate ankle push on knee in lateral direction
30
positive varus stress test in extension
damage to LCL, lateral capsule, PCL
31
varus stress test 30 degrees flexion
supine with leg abducted knee flexed to 30 degrees hold lateral ankle and medial knee apply lateral force to knee
32
positive varus stress test in flexion
damage to LCL
33
anterior drawer test
supine with knees flexed to 90 degrees place thumbs on anterior aspect of joint lines at knee pull tibia anteriorly
34
positive anterior drawer test
damage to ACL
35
posterior drawer test
supine with knees flexed to 90 degrees placee thumbs on anterior aspect of joint lines push tibia posteriorly
36
positive posterior drawer test
damage to PCL, posterior oblique ligament, ACL
37
Lachmans Test
supine with hip slightly flexed and knee flexed 30 degrees thigh under patients leg stabilize distal femur and pull proximal tibia anteriorly
38
Apley's compression test
prone with the knee flexed to 90 degrees put long axis compression through tibia into femur one hand on ankle to apply compression and other hand on foot to IR and ER
39
positive apley's compression test
pain or clicking with rotation damage to meniscus
40
apley's distraction test
prone with knee flexed to 90 degrees wrap both hands around distal tibia and place long axis distraction on the tibia and IR and ER
41
positive apley's distraction test
pain or greater rotation testing for collateral and cruciate ligaments may provide relief if meniscus injury
42
mcmurrays test
supine hold leg and hold heel while bending knee and flexing hip bring knee laterally and rotate tibia medially while extending knee
43
positive mcmurrays test
palpable clicking or popping in joint with pain meniscus tear
44
pivot shift test
supine lift involved leg and hold at heel and proximal tibia below knee apply valgus (lateral) pressure at knee while internally rotating the tibia and move knee into flexion
45
ankle talocrural distraction
supine with belt over tibia grab foot just below ankle joint pull towards to distract
46
ankle talocrural posterior glide alternative
patient has leg on chair belt around distal tibia and PT waist belt pulls tibia anteriorly while patient flexes knee
47
how to increase ankle dorsiflexion
posterior glide of talus
48
how to increase ankle plantarflexion
anterior glide of talus
49
ankle talocrural anterior glide
prone towel under distal tibia one hand under distal tibia and other pressing down onto heel distract and then push down
50
distal tibiofibular anterior glide improves
PF and eversion
51
distal tibiofibular posterior glide improves
DF and inversion
52
distal tibiofibular anterior glide
prone towel under distal tibia one hand under tibia to stabilize one hand pushing down on fibula supine one hand under tibia and one hand over fibula push down on fibula
53
distal tibiofibular posterior glide
supine towel under distal tibia one hand under tibia and one hand over fibula push down on fibula
54
subtalar distraction
supine towel under ankle stabilize ankle anteriorly pull heel outwards
55
subtalar medial glide of calcaneous
prone towel under distal tibia stabilize ankle posteriorly push heel medially
56
subtalar lateral glide of calcaneous
prone towel under distal tibia stabilize ankle posteriorly push heel laterally
57
what does subtalar medial glide of calcaneous increase?
eversion
58
what does subtalar lateral glide of calcaneous increase?
inversion
59
anterior drawer sign test
patient sitting on edge of table with knees flexed 90 degrees foot relaxed in slight PF one hand on anterior distal tibia to stabilize and other hand on posterior calcaneous and talus apply anterior force
60
postitive anterior drawer sign test
anterior translation of talus tear of anterior talofibular ligament
61
ankle lateral stability
sitting on edge of table with ankle slightly PF knees flexed 90 degrees one hand on medial aspect of tibia and other with calcaneus push the calcaneus and talus into inversion
62
positive ankle lateral stability test
if talus rocks tears of anterior and posterior talofibular and calcaneofibular ligaments
63
ankle medial stability test
sitting on edge of table with ankle neutral knees flexed 90 degrees one hand on lateral aspect of tibia and other with calcaneus push the calcaneus and talus into eversion
64
positive ankle medial stability test
if talus rocks tear of deltoid ligament
65
homan's sign
supine with knee extended passively and forcibly DF foot
66
positive homan's sign
pain in calf DVT/ blood clot
67
thompson test
prone with knees extended and feet over the edge squeeze the gastrocnemius / soleus
68
positive thompson test
absence of PF rupture of achilles tendon
69
knee flexion MMT
prone testing knee flexed stabilize posterior pelvis apply pressure to posterior leg above ankle joint biceps femoris: lower leg ER, toes out semi: lower leg IR, toes in
70
knee flexion MMT gravity eliminated
side lying with test leg below stabilize pelvis and support uppermost lower extremity
71
knee extension MMT
seated with towel under test knee pt. stabilizes by holding sides of table stabilize femur, pelvis or trunk as necessary apply resistance to anterior aspect of LE just above ankle
72
knee extension MMT gravity eliminated
sidling with test leg below stand behind pt. pelvis and stabilize and support upper leg
73
knee extensor muscles
rectus femoris vastus lateralis vastus intermedius vastus medialis
74
knee flexor muscles
semimembranosus semitendinosus biceps femoris
75
ankle plantar flexion MMT
stand on one leg and lift heel off ground gastrocnemius: knee extended soleus: knee flexed
76
ankle plantar flexion MMT grading
5=25 reps 4/5= 10-24 reps 3/5= 1-9 reps
77
ankle plantar flexion MMT gravity eliminated
side lying with leg being tested on bottom extend hip and knee, ankle neutral
78
foot dorsiflexion and inversion MMT
seated with legs off side of table, ankle neutral stabilize posterior aspect of distal thigh apply resistance on dorsal surface of medial side of foot in direction of plantar flexion and eversion
79
tibialis anterior motion
DF and inversion
80
foot inversion MMT
side lying on side to be tested ankle slightly PF, foot extended over edge of tablee stabilize over anterior medial aspect of tibia apply resistance over medial aspect of foot in direction of eversion
81
foot inversion MMT gravity eliminated
supine with LE extendeed ankle of test limb slightly PF foot extended over table
82
foot dorsiflexion and inversion
supine LE extended, ankle of test foot neutral foot extended beyond edge of table
83
tibialis posterior action
inversion
84
ankle eversion MMT
side lying with limb to be tested above ankle neutral, foot extended over table stabilize medial aspect of distal leg apply resistance against lateral border and plantar surface of foot in direction of inversion peroneus longus: resistance on plantar surface of head of 1st metatarsal peroneus brevis: resistance applied on lateral border of foot along shaft of fifth metatarsal
85
ankle eversion MMT gravity eliminated
supine with lower extremity extended ankle of test leg neutral foot beyond edge of table
86
action of Peroneus longus and brevis
ankle eversion
87
MTP flexion of 1st toe MMT
supine with ankle neutral stabilize the great toe apply resistance in direction of MTP extension applied over plantar surface of proximal phalanx of big toe
88
MTP flexion of 1st toe MMT grading
3/5= pt. flexes joint through full ROM without resistance 2/5= pt. flexes joint through partial ROM 1 or 0/5= unable to move
89
MTP extension of 1st toe MMT
supine with ankle neutral stabilize metatarsals palpate extensor digitorum brevis and longus apply resistance over dorsal of proximal phalanx of great toe in direction of MTP flexion
90
MTP extension of 1st toe MMT grading
3/5= pt flexes joint through full ROM 2/5= pt flexes joint through partial ROM 1/5= no motion but palpation is present 0/5= no motion present
91
IP flexion of 1st toe MMT
supine stabilize proximal phalanges of great toe apply resistance against distal phalanx of great toe
92
IP extension great toe MMT
supine with ankle neutral stabilize proximal phalanx of great toe palpate extensor halicus longus apply resistance on dorsum of distal phalanx of great toe in direction of IP flexion
93
positive pivot shift test
damage to ACL pain and subluxation of tibia

Musculoskeletal (6 decks)

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