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SOM Final > MMT, UE - Spine > Flashcards

MMT, UE - Spine Flashcards

1
Q

Muscle performance is based on what 2 factors

A
  1. Muscle strength
  2. Muscle length
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2
Q

How does Medical research council score their MMT’s ***

A

5
4+
4
4-
3+
3
3-
2+
2
2-
1
0

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3
Q

How does Daniel and Worthingham score their MMT’s ***

A

Normal **
Good +
Good **
Good -
Fair +
Fair **
Fair -
Poor +
Poor **
Poor -
Trace **
0

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4
Q

What is the myotome for C3

A

Cervical lateral flexion

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5
Q

What is the myotome for C4

A

Shoulder elevation (shrug)

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6
Q

What is the myotome for C5

A

Shoulder ABD

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7
Q

What is the myotome for C6

A

Elbow flexion; wrist extension

(Waiter position)

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8
Q

What is the myotome for C7

A

Elbow extension; wrist flexion

(Shooting a basketball )

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9
Q

What is the myotome for C8

A

Thumb extension; finger flexion

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10
Q

What is the myotome for T1

A

Finger ABD and ADD

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11
Q

What is the myotome for T2

A

None

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12
Q

What is the myotome for L1

A

None

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13
Q

What is the myotome for L2

A

Hip flexion

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14
Q

What is the myotome for L3

A

Knee extension

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15
Q

What is the myotome for L4

A

Ankle dorsiflexion; ankle inversion

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16
Q

What is the myotome for L5

A

Great toe extension

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17
Q

What is the myotome for S1

A

Ankle plantar flexion; ankle eversion

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18
Q

What is the myotome for S2

A

Knee flexion; ankle plantar flexion

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19
Q

Resting length LONG, may develop what?

A

Stretch weakness

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20
Q

Stretch weakness contribute to what ??

A
  1. Contributes to inefficient movement patterns
  2. Decreased postural support
  3. Pain
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21
Q

Resting length SHORT, may develop what ?

A

Adaptive shortening

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22
Q

Adaptive shortening contributes to what ?

A
  1. Contributes to restricted ROM
  2. Poor skeletal alignment
  3. Pain
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23
Q

What is one joint muscles

A

Cross and influence the motion of the only one joint

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24
Q

What are examples of one joint muscles

A

Hip ADD - adductor longus, adductor magnus

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25
What is two joint muscle
Cross and influence the motion of 2 joints
26
What are examples of 2 joint muscles
Triceps Rectus femoris
27
Measure PROM in direction opposite of the muscles AROM Is this one joint or two joint muscle?
One joint
28
Normal one joint muscles have sufficient length to allow full PROM of joint One or two joint ?
One joint muscle
29
Movement in opposite direction will be limited with firm end feel d/t muscular stretch One or two joint muscle ??
One joint muscle
30
Normal length is not sufficient to allow full PROM simultaneously at both joints One joint or two joint muscle ?
Two joint muscle
31
Patient must be positioned so that passive tension does not limit the joint’s PROM One joint or two joint muscle ?
Two joint muscle
32
Muscle must be put on slack at all of the joint the muscle crosses that are not being assessed One or two joint muscle?
Two joint muscle
33
What is the purpose of grip strength test
Bell curve distribution btw grip strength and age
34
What age is peak grip strength
20-40 years old, declines the older you get
35
In older adults, grip strength is a reliable predicator of what ?
Mortality
36
What is the population tested for grip strength
SCI Cerebral palsy Myopathies Neuropathies Elderly Muscle weakness Post surgically
37
What is the purpose of the Neck Disability Index (NDI)
Self reported questionnaire assess how neck pain affects patients daily life
38
How is the NDI scored from?
0 = no disability 5 = complete disability
39
What is the population tested for NDI
Cervical radiculopathy Chronic neck pain Post traumatic neck pain S/p cervical spinal fusion Symptomatic cervical disc disease Whiplash disorders
40
What is considered NO DISABILITY for the NDI
0-4
41
What is considered MILD DISABILITY for NDI
5-14
42
What is considered MODERATE DISABILITY for NDI
15-24
43
What is considered SEVERE DISABILITY for NDI
25-34
44
What is considered COMPLETE DISABILITY for NDI
35 or more
45
What is the purpose of the DASH
Evaluates disorders and measures disability of the UE
46
What does DASH stand for
Disabilities of the arm, shoulder, and hand questionnaire
47
What is the population tested for the DASH
Adults w/ wrist Hand Elbow And shoulder disorder Psoriatic arthritis and inflammatory diseases RA Athletes Carpal tunnel syndrome Elbow arthroplasty Neck pain Post traumatic
48
(T/F) the DASH is not valid if more than 3 items are missing
TRUE
49
What is the purpose of Oswestry Disability Index (ODI)
To assess how patient back pain affects their ability to manage in everyday life
50
What is the population tested for ODI
Patient with acute Subacute Chronic back pain
51
(T/F) the ODI is the “gold standard” of low back functional outcome tools
TRUE
52
(T/F) the ODI can determine a patient’s permanent functional disability ***
True
53
What is the ODI interpretation for a score of 0-20%: minimal disability
Patient can cope with most living activities Usually NO treatment indicated
54
What is the ODI interpretation for a score of 21-40%: moderate disability
Patient experiences more pain and difficulty sitting, lifting, and standing
55
What is the ODI interpretation for a score of 41-60%: severe disability
Pain remains the main problem in this group but activities of daily living are affected
56
What is the ODI interpretation for a score of 61-80%: crippled
Back pain impinges on all aspects of the patients life Positive intervention is required
57
What is the ODI interpretation for a score of 81-100%
These patients are either BED BOUND or EXAGGERATING THEE SYMPTOMS
58
What is the purpose of back endurance muscle test
Assess spinal isometric muscular endurance
59
What is the purpose of the prone bridge test
Test for abdominal muscle strength
60
what is the MCID for the Q-DASH
10

SOM Final (7 decks)

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