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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

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2
Q

Passive SLR & Dural Stretch

A

-hamstring shortness and mobility

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

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3
Q

SLUMP Tests

A

-neural tension

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

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4
Q

Valsalva Test

A

-neuro involvement of spine

-hold breath and press down
-increases intraabdominal pressure

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5
Q

Compression Test

A

-SI pain test

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

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6
Q

Distraction Test

A

-SI pain test

-supine, press on ASIS down and laterally

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7
Q

Sacral Thrust

A

-SI pain test

-prone, push on sacrum with overlapping hands

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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

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9
Q

Quadratus Test

A

-quadratus lumborum strength

-side plank
-lift side up

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10
Q

Trunk & Neck Elevation Test

A

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

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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

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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

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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

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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

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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

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16
Q

Q Angle

A

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

Stationary: ASIS
Axis: Mid patella
Movement: Tibial tubercle

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17
Q

Knee Flexion ROM

A

-150 (soft)
-supine, knee flexed

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

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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

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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

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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

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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

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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

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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

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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

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25
Hip Abduction & Flexion w/ TFL MMT
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
26
Hip Adduction MMT
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
27
Hip ER MMT
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
28
Hip IR MMT
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
29
Knee Flexion MMT
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
Knee Extension MMT
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
Talo-Cural DF/PF ROM
-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
Tarsal Joints SUP/PRON/In/Ev ROM
-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
Subtalar ROM
-inversion and eversion 5 (firm) -prone, legs off plinth Stationary: midline of lower leg Axis: posterior ankle btwn malleoli Movement: midline of calcaneus
34
MTP all Toes ROM
-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
MTP Great Toe AB/AD ROM
-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
Toes IP ROM
-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
Ankle Plantarflexion MMT
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
Dorsiflexion and Subtlar Inversion MMT
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
Inversion MMT
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
Eversion with Plantarflexion MMT
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
Great Toe Abduction MMT
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
2-4 and Hallux MTP Flexion MMT
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
2-4 and Hallux DIP and PIP Flexion MMT
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
2-4 and Hallux MTP and IP Extension MMT
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
Big Toe Extension MMT
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
Thomas Test
-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
Ober's Test
-tightness of TFL and ITB -sidelying, lower leg flexed -abduct, ER, extend hip -lower and look for movement
48
Single Leg Raise Test
-short hamstrings -supine, both knees extended -passive SLR to 70 deg is norm -more than 91 deg hypermobile
49
Popliteal Angle Test
-distal hamstring flexibility -supine witth test leg 90 deg hip with relaxed knee woman: can extend to 30 men: can extend to 40
50
Ely's Test
-short rectus fem -prone, passive knee flexion -check for hip rise
51
FABER
-like quadrant without compression -test for inguinal pain, SI pain -hip flex, abducted, ER -press on opposite ASIS
52
Craig's Test
-femoral retro/anteversion -prone, knee flexed -ER and IR until Greater troch is parallel with mat -light reliable
53
Piriformis Flexibility Test
-hip flexed to 100, maximally ER -slowly adduct to get stretch of piriformis -stand on opp side
54
Clearing the Lumbar Spine
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
Leg Length
Apparent leg length: umbilcus to med mall True length: ASIS to med mall *3 bridges first
56
Quadrant Scour Test
-degeneration of hip/labrum -flex hip to 90 -compress joint in 4 quadrants
57
FADIR Test
-like quadrant without compression -test for labral, impingement, normal end feels -hip flex, adducted, IR
58
Girth Meausurement
-Mid mal on dorsum -head of 5th metatarsal -under heel -above mal -back to center
59
Windlass Test
-test plantar fascia -check for medial arch drop with WB -if dropped, extend big toe and look for rise
60
Feiss Line
-draw line from med mall to first met head -if navicular tuberosity is above: high arch -if navicular tuberosity is below: low arch
61
Dorsiflexion Lunge Test
-how close can the toes get when lunging without heel lifting <9cm is restriction of DF
62
Y Balance Test
-hip mobility, quad strength, single leg strength -anterior, posteriorlateral, posteriormedial
63
8 Inch Step Down
-DF, single leg strength, quad, hip -hands on hip, step down and tap heel -# in 30s -no pelvic drop, arms
64
Passive SLR & Dural Stretch
-hamstring shortness and neural -flx hip w/ extended knee -DF ankle and then ask to flex head
65
SLUMP Tests
-neural tension -hands behind back, slouched -knee extended off table and ankle DF -have patient tuck chin
66
Compression Test
-SI pain test -sidelying, press on iliac crest creating ant pressure on SI
67
Distraction Test
-SI pain test -supine, press on ASIS down and laterally
68
Sacral Thrust
-SI pain test -prone, push on sacrum with overlapping hands
69
Thigh Thrust
-SI pain test -supine, 90 deg hip flx -one hand on sacrum, another on bent leg patella -push into hand
70
Quadratus Test
-quadratus fem strength -side plank -lift side up
71
Trunk & Neck Elevation Test
-prone, hands behind back, raise trunk -take height
72
Quadrant Testing
-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

EEO (37 decks)

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