Orthopedic Eval

Question 1

Functional ROM

Answer 1

no need to goniometer, say “Can you touch your head, back, etc.

Question 2

3 Types of Pinch and grasps

Answer 2

lateral pincher, tripod (thumb on top), 2tip-to-tip

Question 3

TAM

Answer 3

Total Active Motion

Question 4

PAM

Answer 4

Total Passive Motion

Question 5

Edema

Answer 5

accumulation of an excesive amount of watery fluid in cells, tissues and serous cavities

Question 6

Tools for measuring edema

Answer 6

Tape measure, volumeter

Question 7

Tool for total grip strength

Answer 7

Dynanometer

Question 8

Pt position for total grip strength

Answer 8

humerus adductied, elbow 90 degree flexion, OT or pt can hold the dynanometer

Question 9

Functional vs MMT

Answer 9

Functional- not as specific, just doing the motion vs MMT- specific

Question 10

cortical interpretation and appreciation of external stimuli

Answer 10

can they feel the difference between 2 things

Question 11

Most detremental nerve if damaged

Answer 11

median nerve

Question 12

Radial nerve brings sensation where

Answer 12

top of the hand

Question 13

Median nerve brings sensation where

Answer 13

palmar service to top 3 fingers (2-4)

Question 14

which nerve has the most injuries

Answer 14

ulnar nerve

Question 15

Detection -of sensory capacity

Answer 15

ability to distinguish a single point stimulus from background stimuli

Question 16

discrimination- of sensory

Answer 16

distinguish the difference between A and B (this feels different than this)

Question 17

Quantification (Scaling) - of sensory capacity

Answer 17

ability to organize tactile stimuli according to degree

Question 18

Recognition- of sensory capicity

Answer 18

ability to recognize objects by touch

Question 19

Types of Sensory tests: threshold

Answer 19

seeks to determine MINIMAL stimulus that can be percieved by patient (pain, temp, touch, vibration, pressure)

Question 20

Types of Sensory tests: Functional

Answer 20

assess usefullness of sensibility, speaks to disability caused by sensory impairment

Question 21

Types of Sensory tests: proactive

Answer 21

designed to ILLICIT (provoke) an increase of symptoms

Question 22

peripheral nerve injury

Answer 22

shiny skin, no wrinkles

Question 23

Types of Sensory tests: Objective

Answer 23

requires only passive cooperation of the patient (skin temp, color)

Question 24

vasomotor-

Answer 24

skin temp, color

Question 25

sudomotor

Answer 25

sweat

Question 26

trophic functions

Answer 26

skin texture, nail growth

Question 27

pilomotor

Answer 27

goose flesh response (goosebumps)

Question 28

nerve conduction studies

Answer 28

how long it takes sensory to get down the nerve

Question 29

anesthetic

Answer 29

no feeling

Question 30

Tinels Sensibility test

Answer 30

provoking symptoms, tap the area/ nerve (below the palm/ wrist area)

Question 31

Phalen's

Answer 31

look at clock and position test

Question 32

Sensory findings meaning: Intact, Impaired, Absent

Answer 32

Intact= norma, impaired= patient can detect some but not all stimuli, absent = total loss