Practical 1 - UQ scan and PNF

Question 1

myotome and ms responsible for: cervical flexion

Answer 1

C1/C2
rectus capitus anterior, SCM

Question 2

myotome and ms responsible for: cervical extension

Answer 2

C1/C2
rectus posterior

Question 3

myotome and ms responsible for: cervical lateral flexion

Answer 3

C3
traps, scalenes

Question 4

C4 myotome: motion and ms responsible

Answer 4

shoulder shrug/elevation
levator scap, UT

Question 5

C5 myotome: motion and ms responsible

Answer 5

shoulder ABD
delt (supraspinatus/infraspinatus)

Question 6

C6 myotome: motion and ms responsible

Answer 6

elbow flex/ (wrist extension)
biceps brachii / wrist extensors

Question 7

C7 myotome: motion and ms responsible

Answer 7

elbow ext/ (wrist flex)
triceps / wrist flexors

Question 8

C8 myotome: motion and ms responsible

Answer 8

finger flexion
FDP/FDS/lumbricals

Question 9

T1 myotome: motion and ms responsible

Answer 9

finger ADD
dorsal interossei

Question 10

C4 dermatome testing location

Answer 10

over UT to ridge of shoulder

Question 11

C5 dermatome testing location

Answer 11

lateral brachium to elbow

Question 12

C6 dermatome testing location

Answer 12

lateral forearm/elbow to lateral 1/2 of hand (1st and 2nd digits)

Question 13

C7 dermatome testing location

Answer 13

“lateral arm” - 3rd digit
- we only tested 3rd digit in lab

Question 14

C8 dermatome testing location

Answer 14

medial 1/2 of hand (4th and 5th digits) to medial elbow

Question 15

T1 dermatome testing location

Answer 15

medial elbow to brachium

Question 16

T2 dermatome testing location

Answer 16

medial side of upper arm to axilla region

Question 17

biceps reflex: nerve root level, site of stim, expected response

Answer 17

C5-6
biceps tendon
elbow flex

Question 18

brachioradialis reflex: nerve root level, site of stim, expected response

Answer 18

C6
brachioradialis tendon
elbow flex, slight wrist ext, wrist RD

Question 19

triceps reflex: nerve root level, site of stim, expected response

Answer 19

C7
triceps tendon, just above olecranon
elbow ext

Question 20

what motion is happening at the scapula in D1 flex and ext

Answer 20

anterior elevation and posterior depression

Question 21

what motion is happening at the scapula in D2 flex and ext

Answer 21

posterior elevation and anterior depression

Question 22

what are indications for rhythmic initiation (3)

Answer 22

difficulty in initiating motion
movement too slow or too fast
uncoordinated movement/dec motor planning

Question 23

what are the goals of rhythmic initiation (3)

Answer 23

inc ability to initiate motion
teach the movement pattern
improve coordination and stability

Question 24

what are the indications for dynamic reversals (4)

Answer 24

dec active ROM
weakness of agonistic ms
dec ability to change direction of motion
dec endurance

Question 25

what are goals of dynamic reversals (4)

Answer 25

inc active ROM inc strength develop coordination (smooth reversal of motion) inc endurance

Question 26

what are indications for alternating isometrics (4)

Answer 26

joint instability pain, particularly when motion is attempted weakness limited ROM

Question 27

what are goals of alternating isometrics (3)

Answer 27

inc stability (ability to produce co-contractions) inc strength inc AROM and PROM (following the technique)

Question 28

what are indications for rhythmic stabilization (4)

Answer 28

joint instability pain, particularly when motion is attempted weakness limited ROM

Question 29

what are goals of rhythmic stabilization (3)

Answer 29

inc stability (ability to produce co-contractions) inc strength inc active and passive ROM

Question 30

what are indications for stabilizing reversals (3)

Answer 30

dec stability weakness pt unable to contract ms isometrically

Question 31

what are goals for stabilizing reversals (3)

Answer 31

inc stability inc ms strength inc coordination and enhance balance b/w agonist and antagonist

Question 32

what are indications for repeated contractions (2)

Answer 32

weakness dec endurance

Question 33

what are goals for repeated contractions (4)

Answer 33

facilitate initiation of motion assis w strengthening inc AROM guide motion in desired direction

Question 34

what are contraindications to repeated contractions (4)

Answer 34

joint instability pain unstable bones d/t fx or osteoporosis ms or tendon damage

Question 35

what are indications of combination isotonics (3)

Answer 35

dec eccentric control esp body weight lack of coordination or ability to move in desired direction poor dynamic postural control

Question 36

what are goal for combination isotonics (4)

Answer 36

inc strength improve eccentric control of movement improve coordination inc active range of motion and control