LQ Checkout Flashcards

1
Q

Clearing the Lumbar Spine

A

AROM
-Flexion: Bend forward
-Extension: hands on hips
-Lat SB: arms to the side
-Rotation: arms crossed, stabilize hips

RROM
-Flexion: resist being pulled back
-Extension: resist being pushed
-Lat SB: push shoulder down, stabilize contra pelvis
-Rotation: Pull one shoulder back, stabilize contra pelvis

Overpressure
-Flexion: sitting, Bend forward hands together, stabilize low back with forearm and push upper back with other forearm
-Extension: sitting, cross arms and arch back, stabilize low back with forearm and push chest
-Lat SB: sitting, lean to one side using trunk only, push ipsi shoulder down, stabilize contra pelvis
-Rotation: arms crossed, rotate to one side, push isi shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Passive SLR & Dural Stretch

A

-hamstring shortness and mobility

-flx hip w/ extended knee
-DF ankle and tthen ask to flex head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

SLUMP Tests

A

-neural tension

-hands behind back, slouched
-knee extended off table and ankle DF
-have patient tuck chin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Valsalva Test

A

-neuro involvement of spine

-hold breath and press down
-increases intraabdominal pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Compression Test

A

-SI pain test

-sidelying, press on iliac crest creating ant pressure on SI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Distraction Test

A

-SI pain test

-supine, press on ASIS down and laterally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Sacral Thrust

A

-SI pain test

-prone, push on sacrum with overlapping hands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Thigh Thrust

A

-SI pain test

-supine, 90 deg hip flx
-one hand on sacrum, another on bent leg patella
-push into hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Quadratus Test

A

-quadratus lumborum strength

-side plank
-lift side up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Trunk & Neck Elevation Test

A

-prone, hands behind back, raise trunk
-take height

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Quadrant Testing (Spine)

A

-spine pathology

-Flx and RSB: disc on left
-Flx and LSB: disc on right
-Ext and RSB: foramen on right
-Ext and LSB: foramen on left

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hip Flexion ROM

A

-120 (soft)
-supine, knee flexed
-stabilize pelvis

Stationary: lat midline Pelvis
Axis: greater trochanter
Movement: midline of femur to Lateral epicondyle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hip Abduction and Adduction ROM

A

-45 ab, 20 add (firm)
-supine, knee extended
-stabilize pelvis

Stationary: Opposite ASIS
Axis: ASIS
Movement: Midline of femur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hip Extension ROM

A

-20 (firm)
-prone, knee extended
-stabilize pelvis

Stationary: lat midline Pelvis
Axis: greater trochanter
Movement: midline of femur to Lateral epicondyle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hip IR/ER ROM

A

-45 (firm)
-sitting or prone, knee flexed
-stabilize pelvis, towel under

Stationary: Perpendicular to ground or table
Axis: Patella
Movement: Midline of tibia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Q Angle

A

-Males: 13-15 & Female: 17-20
-supine
-stabilize pelvis

Stationary: ASIS
Axis: Mid patella
Movement: Tibial tubercle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Knee Flexion ROM

A

-150 (soft)
-supine, knee flexed

Stationary: lat midline femur to g troch
Axis: lat epi
Movement: lat mal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Knee Extension ROM

A

-5 (firm)
-supine, knee ext
-towel under ankle

Stationary: lat midline of femur to greater troch
Axis: Lateral Epicondyle
Movement: Lateral malleolus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Hip Flexion MMT

A

Muscle: Psoas Major (L2-L4)

Position: Sitting, holding onto plinth

Palpate: Distal to inguinal lig

Movement: bring Knee up, resist at distal femur

Stabilize: Ipsi pelvis

GR Position: Sidelying, leg supported by PT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hip Flexion, Abduction, ER MMT

A

Muscle: Sartorius (L2-L3)

Position: Siting, holding onto plinth

Palpate: Below ASIS

Movement: flex hip, ER, abduction; resist at distal thigh and ankle

Stabilize: N/a

GR Position: Supine, slide heel on shin of opposite leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Hip Extension MMT

A

Muscle: Glute max (L5-S2), Hamstrings (L5-s2)

Position: Prone, knee extended
-PT on contra side

Palpate: Glute max

Movement: Extend leg and resist distal femus

Stabilize: Pelvis

GR Position: Sidelying, knee extended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Hip Extension isolating Gluteus Maximus MMT

A

Muscle: Glute max (L5-S2)

Position: Prone, knee flexed
-PT on contra side

Palpate: Glute max

Movement: Extend leg and resist distal femus

Stabilize: Pelvis

GR Position: Sidelying, knee flexed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Hip Extension w/ Tight Hip Flexors MMT

A

Muscle: Glute max (L5-s2)

Position: Prone, bent over and holding plint, knee extended
-PT on contra side

Palpate: Glute max

Movement: Extend leg and resist distal femus

Stabilize: Pelvis

GR Position: N/a

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Hip Abduction MMT

A

Muscle: Glute Medius (L4-S1)

Position: Sidelying, testing knee extended

Palpate: Below iliac crest

Movement: Abduct hip, resist distal femur

Stabilize: Iliac Crest

GR Position: Supine, abduct while suine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Hip Abduction & Flexion w/ TFL MMT

A

Muscle: TFL (L4-s1)

Position: Sidelying, knee extended, hip flexed to 45

Palpate: TFL, supeprior lat glute

Movement: Lift leg, resist at distal femur

Stabilize: Iliac crest

GR Position: Longsitting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Hip Adduction MMT

A

Muscle: Adductors (L2-L4)

Position: Sidelying on testing side, knees extended, PT suppporting higher leg

Palpate: Medial Thigh

Movement: Support non test leg and resist testing leg adduction at distal femur

Stabilize:

GR Position: Supine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Hip ER MMT

A

Muscle: Piriformis (L4-S1)

Position: Sitting, knee flexed with towel

Palpate: Btwn sacrum and greater trochanter

Movement: inner ankle

Stabilize: Outer knee

GR Position: Supine, knee extended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Hip IR MMT

A

Muscle: Gluteus Min and TFL (L4-S1)

Position: Sitting, knee flexed with towel

Palpate: Anterior glut/TFL

Movement: Resist at inner knee and outer ankle

Stabilize: inner knee

GR Position: Supine, knee extended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Knee Flexion MMT

A

Muscle:
-Medial: semitendinosis
-Lateral: biceps femoris (L5-s2)

Position: Prone, flexed knee

Palpate: Hammies

Movement:
-Normal: resist distal tibia
-Medial: IR tibia and resist obliquely (lateral)
-Lateral: ER and resist obliquely (medially)

Stabilize: Pelvis

GR Position: Sidelying on test leg, PT in front of pt

30
Q

Knee Extension MMT

A

Muscle: Quads (L2-L4)

Position: Sitting, knee slightly flexed, hold plinth

Palpate: Mid quad

Movement: flex knee and resist distal tibia

Stabilize: Pelvis

GR Position: Sidelying on test limb

31
Q

Talo-Cural DF/PF ROM

A

-DF: 20 and PF: 50 (firm)
-supine,leg off plinth for PF
-prone, leg flexed for DF
-stabilize calf

Stationary: lateral fibula
Axis: Lateral malleolus
Movement: 5th metatarsal

32
Q

Tarsal Joints SUP/PRON/In/Ev ROM

A

-SUP: 35 & PRON: 20 (firm)
-supine, legs off plinth
-stabilize calf, “down and in” or “up and out”

Stationary: midline of tibia
Axis: Anterior ankle btwn malleoli
Movement: midline of 2nd metatarsal

33
Q

Subtalar ROM

A

-inversion and eversion 5 (firm)
-prone, legs off plinth

Stationary: midline of lower leg
Axis: posterior ankle btwn malleoli
Movement: midline of calcaneus

34
Q

MTP all Toes ROM

A

-Great toe flx: 45, ext: 70
-2-5 flx: 40, ext: 40
(firm)
-supine, legs off plinth, ankle flexed
-stabilize metatarsals

Stationary: midline of metatarsals
Axis: medial MTP joint
Movement: midline of proximal phalanx

35
Q

MTP Great Toe AB/AD ROM

A

-Abd: 10
-Add: 30
(firm)
-supine, feet on floor
-stabilize metatarsals

Stationary: dorsal midline of metatarsals
Axis: dorsal MTP joint
Movement: dorsal midline of proximal phalanx

36
Q

Toes IP ROM

A

-Great toe: flx: 60, ext: 0
(firm)
-PIPs: flx: 35, ext: 0
-DIPs: flx: 60, ext: 5
-supine, legs off plinth, ankle flexed
-stabilize metatarsals

Stationary: Dorsal midline of proximal phalanx
Axis: dorsal IP joint
Movement: midline of distal phalanx

37
Q

Ankle Plantarflexion MMT

A

Muscle: Gastroc and soleus (S1-s2)

Position: Standing, 2 fingers for balance

Palpate: Achilles

Movement: Heel Raises
5: 25+
4: 10-24
3:1-9
2+: full range prone with resistance
2: partial range in standing and completes full range without resistance
2-: partial range prone

Stabilize: n/a

GR Position: Prone, feet off plinth

38
Q

Dorsiflexion and Subtlar Inversion MMT

A

Muscle: Tibialis Anterior (L4-L5)

Position: Sitting

Palpate: Ant tib

Movement: Patient puts foot up and in, resist

Stabilize: Ankle

GR Position: Long sit/supine

39
Q

Inversion MMT

A

Muscle: Tibialis Posterior (l4-L5)

Position: Sidelying on test side, foot off plinth

Palpate: btwn medial mal and navicular

Movement: Hold foot inward, and down, resist over medial side

Stabilize: Calf/ankle

GR Position: Longsit/supine

40
Q

Eversion with Plantarflexion MMT

A

Muscle: Fibularis Longus/Brevis (L5-S2)

Position: Sidelying on non testing side, foot off plinth

Palpate: Lateral fibula

Movement: Move foot outward, resist laterally

Stabilize: ankle/calf

GR Position: Longsit/supine

41
Q

Great Toe Abduction MMT

A

Muscle: Abductor Hallucis (L5-S1)

Position: Long sit, feet off

Palpate: Medial, plantar big toe

Movement: Move toe outward, resist

Stabilize: Foot

GR Position: N/a

42
Q

2-4 and Hallux MTP Flexion MMT

A

Muscle: Lumbricals and Flexor hallucis Brevis (L5-S3)

Position: Long sitting, foot off table

Palpate: Lumbricals, proximal big toe plantar side

Movement: Flex toes, resist at proximal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: foot

GR Position: N/A

43
Q

2-4 and Hallux DIP and PIP Flexion MMT

A

Muscle: Flexor digitorum (both) and Flexor hallucis longus (L5-S2)

Position: Long sitting, foot off table

Palpate: FDL, posterior leg medial to achilles

Movement: Flex toes, resist at distal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: Metarsald or proximal phalanx

GR Position: N/A

44
Q

2-4 and Hallux MTP and IP Extension MMT

A

Muscle: Extensor digitorum (both) and Extensor hallucis Brevis (L4-S1)

Position: Long sitting, foot off table

Palpate: EDL: anterior, medial lower leg
EDB/EHB: lateral dorsum of foot

Movement: extend toes, resist at proximal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: metatarsals

GR Position: N/A

45
Q

Big Toe Extension MMT

A

Muscle: Extensor hallucis longus (L5-S1)

Position: Long sitting, foot off table

Palpate: EHL: dorsal proximal phalanx of toe

Movement: Extend toes, resist at distal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: proximal phalanx

GR Position: N/A

46
Q

Thomas Test

A

-LE flexibility

-edge of plinth
-bend both knees
-bend one, let other down and check for discrepancies

-Thigh doesn’t touch first: extended knee
-flexed hip with knee 90: iliopsoas
-ext hip with >90: rectus
-abducted: ITB
-flx hip and ER: short sartorius

47
Q

Ober’s Test

A

-tightness of TFL and ITB

-sidelying, lower leg flexed
-abduct, ER, extend hip
-lower and look for movement

48
Q

Single Leg Raise Test

A

-short hamstrings

-supine, both knees extended
-passive SLR to 70 deg is norm
-more than 91 deg hypermobile

49
Q

Popliteal Angle Test

A

-distal hamstring flexibility

-supine witth test leg 90 deg hip with relaxed knee

woman: can extend to 30
men: can extend to 40

50
Q

Ely’s Test

A

-short rectus fem

-prone, passive knee flexion
-check for hip rise

51
Q

FABER

A

-like quadrant without compression
-test for inguinal pain, SI pain

-hip flex, abducted, ER
-press on opposite ASIS

52
Q

Craig’s Test

A

-femoral retro/anteversion

-prone, knee flexed
-ER and IR until Greater troch is parallel with mat

-light reliable

53
Q

Piriformis Flexibility Test

A

-hip flexed to 100, maximally ER
-slowly adduct to get stretch of piriformis
-stand on opp side

54
Q

Clearing the Lumbar Spine

A

AROM
-Flexion: Bend forward
-Extension: hands on hips
-Lat SB: arms to the side
-Rotation: arms crossed, stabilize hips

RROM
-Flexion: resist being pulled back
-Extension: resist being pushed
-Lat SB: push shoulder down, stabilize contra pelvis
-Rotation: Pull one shoulder back, stabilize contra pelvis

Overpressure
-Flexion: sitting, Bend forward hands together, stabilize low back with forearm and push upper back with other forearm
-Extension: sitting, cross arms and arch back, stabilize low back with forearm and push chest
-Lat SB: sitting, lean to one side using trunk only, push ipsi shoulder down, stabilize contra pelvis
-Rotation: arms crossed, rotate to one side, push isi shoulder

55
Q

Leg Length

A

Apparent leg length: umbilcus to med mall

True length: ASIS to med mall

*3 bridges first

56
Q

Quadrant Scour Test

A

-degeneration of hip/labrum

-flex hip to 90
-compress joint in 4 quadrants

57
Q

FADIR Test

A

-like quadrant without compression
-test for labral, impingement, normal end feels

-hip flex, adducted, IR

58
Q

Girth Meausurement

A

-Mid mal on dorsum
-head of 5th metatarsal
-under heel
-above mal
-back to center

59
Q

Windlass Test

A

-test plantar fascia

-check for medial arch drop with WB
-if dropped, extend big toe and look for rise

60
Q

Feiss Line

A

-draw line from med mall to first met head
-if navicular tuberosity is above: high arch
-if navicular tuberosity is below: low arch

61
Q

Dorsiflexion Lunge Test

A

-how close can the toes get when lunging without heel lifting
<9cm is restriction of DF

62
Q

Y Balance Test

A

-hip mobility, quad strength, single leg strength

-anterior, posteriorlateral, posteriormedial

63
Q

8 Inch Step Down

A

-DF, single leg strength, quad, hip

-hands on hip, step down and tap heel
-# in 30s
-no pelvic drop, arms

64
Q

Passive SLR & Dural Stretch

A

-hamstring shortness and neural

-flx hip w/ extended knee
-DF ankle and then ask to flex head

65
Q

SLUMP Tests

A

-neural tension

-hands behind back, slouched
-knee extended off table and ankle DF
-have patient tuck chin

66
Q

Compression Test

A

-SI pain test

-sidelying, press on iliac crest creating ant pressure on SI

67
Q

Distraction Test

A

-SI pain test

-supine, press on ASIS down and laterally

68
Q

Sacral Thrust

A

-SI pain test

-prone, push on sacrum with overlapping hands

69
Q

Thigh Thrust

A

-SI pain test

-supine, 90 deg hip flx
-one hand on sacrum, another on bent leg patella
-push into hand

70
Q

Quadratus Test

A

-quadratus fem strength

-side plank
-lift side up

71
Q

Trunk & Neck Elevation Test

A

-prone, hands behind back, raise trunk
-take height

72
Q

Quadrant Testing

A

-spine pathology

-Flx and RSB: disc on left
-Flx and LSB: disc on right
-Ext and RSB: foramen on right
-Ext and LSB: foramen on left