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A: ther ex: UQ > Randy For Final > Flashcards

Randy For Final Flashcards

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1
Q

Humeroulnar joint

  • OPP
  • CPP
A
  • 70° flexion , 10° sup
  • full extensions , full sup
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2
Q

Humero radial joint

OPP
CPP

A

OPP: full extension and sup
CPP: 90° flexion , 5° sup

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3
Q

PRUJ

OPP
CPP

A

OPP: 70° flexion , 35° sup
CPP: 5° sup

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4
Q

DRUJ

OPP
CPP

A

OPP: 10° sup
CPP: 5° sup

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5
Q

Cubital valgus angle

Girls
Boys

A

Girls: 10-15°
Boys: 5-10°

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6
Q

Arthokinematics

PRUJ
DRUJ

A

PRUJ: convex radial head on concave radial notch on ulna

DRUJ: concave ulna notch of radius on convex ulnar head

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7
Q

Does the radius or ulna move primarily

A

Radius

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8
Q

Does the Ulna or radius take more load during WB

A

Radius 60%
Ulna 40%

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9
Q

GH arthokinematics

Flexion, IR , hor ADD

Extension , ER, hor ABD

A

Roll anterior , glide posterior

Roll posterior , glide anterior

(Think the roll is the direction the hand is going)

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10
Q

What is happening at the AC and SC joint during 60° of scapulothoracic movement

A

35° of posterior rotation at the AC joint
25° of elevation at the SC joint

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11
Q

C1-C2 does what movement primarily

A

Rotation about 45°

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12
Q

What are the cervical intervention buckets

A
  • neck pain with mobility
  • neck pain w movement coordination impairments
  • neck pain w radicular symptoms
  • neck pain w HA
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13
Q

What intervention should u do for neck pain w mobility deficit

A

Segmental motion

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14
Q

What intervention should u do for neck pain w movement coordination impairments

A
  • chin tucks ( with progression
  • isometrics
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15
Q

What mms work together to create upward scapular rotation

A

Lower portion of SA and lower trap and upper trap

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16
Q

What mm work together to provide inferior stability and compress the humeral head

A

Subscapularis
Infra
Teres minor

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17
Q

What is the concavity compression mechanism created by

A
  • anterior base of subscapularis
  • post base of infra
  • terms minor
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18
Q

During supine IR what mm are u strengthening and what movement are u making sure does not happen

A

Subscapularis

Anteiror translation of the humeral head

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19
Q

What mm are u activating during sidelying ER and what motion are u making sure u dont see

A

Infra

Do not want to see retraction of the scapula

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20
Q

What mm tilts the scap anteriorly

A

Pec minor

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21
Q

What are teh deep neck flexors

A
  • longus colli
  • longus capitus
  • rectus capitus
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22
Q

What are the suboccipitals

A
  • rectus capitus postieror minor
  • rectus capitus posterior major
  • obliques capitus superior
  • obliques capitus infeiror
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23
Q

Lordotic posture

Short and tight
Long and weak

A
  • s/t: hip flexors , lower back
  • l/w: hammy , ES , upper back ,abs
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24
Q

Sway back

S/T
L/W

A

S/T: IO, hammy , lower back
L/W: HF, EO , upper back

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25
Flat back S/T: L/W:
S/T: hammy , abs L/W: HF
26
How does the humeral head sit
Anterior to acromion by 1/3
27
Is the plum line anterior or posteior ro lateral mal and knees
Slightly anterior
28
PAILS /RAILS to improve wrist extension
* stretch wrist into extension for 1-2 mins * resist isometric contraction of wrist flexion (PAILS) from 10%-100% and hold for 10-15 seconds * immediately go into max wrist extension (RAILS) and hold for 10-15 seconds then repeat
29
What are inn for upper back restriction
* crime scene * seated posterior rib expansion
30
What are innvertnion for Lowe chest restriction
* Backward bend on ball - hand on head * crocodile breathing
31
What are innvertnion for upper chest restriction
* backward bend on Swiss ball w hands on belly
32
What are innvertnion for Lowe back restriction
* crocodile breathing
33
How do u test the 4 quadrants of the ribs
* upper chest : behind the back lower * lower chest : ER at 90° * upper back: ER at side * lower back: behind back - upper
34
When u begin in quad push up for SCI prone what are u trying to strengthen
Anterior delt SA Clavicular pec mm
35
What does a SCI pt need to balance on hands and knee
Triceps and very strong shoulder
36
When a SCI pateint is long sitting balancing with hands behind them how are they positioned
* hip and knee slight flexion * shoulder ER * forearm supinated * wrist fully extended
37
What does SCI pt rely on when balancing forward in long sitting
Back tightness for stability
38
What are different pinch gauge strengthening positions
tip pinch: between thumb and index tripod pinch: between tip of the thumb and tip of index and middle fingers lateral key pinch: between thumb and lateral border of mid phalanx of index
39
How do u isolate to test strengthen of FDP
Stabilize the proximal PIP and have patient flex the DIP
40
How do u isolate to tell strengthen of FDS
Block all other fingers in extension and flex finger at the PIP and make sure DIP is not flexed
41
What does the palmar and dorsal interossei do
Palmar : Adduction of digits Dorsal: abduction of digit is
42
How do u isolate to tell strengthen of lumbricals
Resist volar proximal phalanx of the digits into extension while pateint is trying to maintain position of MCP flexion and IP extension
43
How do u isolate to tell strengthen of opponens pollicis
Resist not he radial board of thumb IP joint
44
How do u isolate to tell strengthen of extensor indicis
Extend index finger while making a fist
45
How do u isolate to tell strengthen of EDM
Extension of small finger while making fist
46
What is intersection syndrome
Synovitis of the intersection of the tendons of the 1st and 2nd DC ( APL/EPB, ECRB/ECRL)
47
How do u test for intersection syndrome
Test by revisiting wrist extenion while making a fist * pain over the dorsal forearm 2” prox to wrist
48
What is de quervains
Synovitis of tendons in 1st DC ( APL, EPB)
49
How do u test for de quervains
Passive stretch of the wrist into ulnar deviation wiht wrist in fist wiht thumb flexion
50
What is trigger finger
A-1 pulley is caught * pain along A-1 pulley , MCP volar crease , dorsal PIP * palpable nodule over flexor sheath * locking/catching of digit * slight flexion of digit * SYMTOMS in the morning
51
Elevation mm
* massester * temp * lateral/medal pterygoid
52
Depression mm
* inferior fibers of lateral p * suprahyoids * infrahyoids
53
Protrusion mm
* superficial massester * lateral/medial P
54
Retrusion mm
* deep fibers of massester * temp * digastric
55
lateral excursion mm
* contral lateral/medial P * ispi mass/temp
56
What fibers for supine SA punches hit
Upper
57
What position do u want to avoid right affect post op for shoulder PT
Prone
58
What may a flat back posture lead to concerning the ribs
Decreased expansion of upper back —> treat with crime scene or seated posterior rib cage expansion
59
Which ligament acts an a fulcrum/lever for the clavier
Costoclavicualr
60
If our patient is stnading and going into ER and we see the scap move into retraction early what do we think
Rhomboids are dominant
61
What are some good things to do after post op fr RCR
* rhythmic stabilization * gentle isometric * scapular isometric * mobs 1-2
62
What should u avoide for early post op for a TSA
No extension or anterior capsule stretch (ER) No bheind the back motions into ER
63
What are the phase of rehab
1. Acute phase —> reestablish proprioception and kinetheisa 2. Intermediate phase —> do dynamic stabilization 3. Advanced strengthening phase —> do neuro control 4. Retrutrn back to activity—> sport specific
64
What exercises are safe to do for supraspinatus early on
* bare assited ER * washcloth press up w hands closed * scap protraction on ball
65
What test is good for subscapularis
Lift off test
66
What can u do early for infra
Pendulum in supine
67
What exercise is good for SA
D1 flexion and full can scaption
68
During supination what is taut at the DRUJ
Dorsal/posterior ligament of TFCC
69
During pronation what is taut at the DRUJ
Volar/anterior lig of TFCC

A: ther ex: UQ (10 decks)

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