Skills Check 1 Flashcards

(79 cards)

1
Q

Dermatome:Upper Quarter

A
C4=lateral acromion
C5= medial deltoid
C6= radial forearm/thumb
C7 = distal mid finger
C8= fifth finger/ulnar forearm
T1= medial arm
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2
Q

Myotome: Upper Quarter

A
C1-2= neck flexion 
C3= lateral flexion
C4= shoulder shrug
C5= shoulder abduction
C6= elbow flexion
C7= elbow extension
C8= thumb abduction
T1= finger abduction
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3
Q

Scanning Exam: Upper Quarter: Mobility Testing

A

cervical=flexion, extension, lateral flexion, rotation
shoulder=flexion, extension, abduction, int/ext rotation
elbow
elbow= flexion,extension
wrist= wrist flexion, extension, rad/uln deviation

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4
Q

Scanning:Upper Quarter:Functional

A

hands behind neck, hands behind back, drink a glass of water, comb hair

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5
Q

Dermatome: Lower Quarter

A
L2=anterior mid thigh
L3=medial knee
L4= medial malleolus
L5= medial dorsum of foot
S1= lateral foot
S2= medial calcaneus
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6
Q

Myotome: Lower Quarter

A
L2-3= hip flexion
L3-4= knee extension
L4-5= walking on heels
L5= big toe extension
L5-S1= walking on toes
S1-S2= ankle plantarflexion and eversion
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7
Q

Scanning: Lower Quarter: Mobility

A

lumbar= flexion, extension, lateral flexion, rotation, quadrant
hip= flexion, abduction, int/ext rotation
knee=flexion, extension
ankle= dorsiflexion, plantarflexion, eversion, inversion

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8
Q

Normal Posture: Lateral

A

plumb line falls through ear lobe to acromion, bisects the chest symmetrically, midway b/w abdomen, back, and slightly anterior to SI; posterior to hip joint through greater trochanter; anterior to knee joint and lateral malleolus

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9
Q

Normal Posture: Posterior

A

plumb line bisects through ext. occipital protuberance, midway between shoulders, bisects SP of thoracic/lumbar vertebrae; bisects gluteal cleft, iliac crests, greater trochanters level; equidistant between knees and malleoli

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10
Q

Normal Posture: Anterior

A

assess carrying angle (men=5-10 degrees, women= 10-15 degrees); assess if ASIS are level, patellas are straight, toeing out

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11
Q

Gonio: Hip Flexion

A

supine;
SA= midline of trunk
F= greater trochanter
MA= lateral femoral condyle

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12
Q

Gonio: Hip Abduction

A

supine;
SA=contralateral ASIS
F= ipsilateral ASIS
MA=midline of patella

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13
Q

Gonio: Knee Flexion

A

supine
SA=greater trochanter
F=lateral epicondyle
MA=lateral malleolus

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14
Q

Gonio: Hip Extension

A

prone
SA= midline of trunk
F=greater trochanter
MA=lateral femoral epicondyle

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15
Q

Gonio: Hip Internal Rotation

A

prone; foot out
SA= perpendicular to floor
F=patella
MA=anterior tibial crest

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16
Q

Gonio: Hip Ext Rotation

A

prone; foot in
SA=perpendicular to floor
F=patella
MA=ant. tibial crest

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17
Q

Gonio: Dorsiflexion (leg straight)

A

prone;
SA=fibular head
F=lateral malleolus
MA= fifth metatarsal

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18
Q

Gonio: Dorsiflexion (leg bent)

A

prone;
SA=fibular head
F= lateral malleolus
MA= fifth metatarsal

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19
Q

Gonio: Foot Inversion

A

sitting
SA=anterior tibial crest
F= midline between malleoli
MA=second metatarsal

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20
Q

Gonio: Foot Eversion

A

sitting
SA=anterior tibial crest
F= midway beween malleoli
MA= second metatarsal

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21
Q

Gonio: First MTP Joint

A

sitting; both flexion and extension
SA=first metatarsal
M= first MCP joint
MA=proximal phalanx of big toe

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22
Q

Gonio: Shoulder Flexion

A

supine
SA= midline of trunk
M= lateral acromion
MA=lateral epicondyle of humerus

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23
Q

Gonio: Shoulder Abduction

A

supine
SA=midline of trunk
F= acromion (may need to move off to the side)
MA= medial epicondyle of humerus

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24
Q

Gonio: Elbow Flexion

A

supine; prop up on towel
SA= acromion process
F=lateral epicondyle of humerus
MA=radial styloid process

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25
Gonio: Elbow Hyperextension
supine; prop up on towel SA= acromion process F= lateral epicondyle of humerus MA=radial styloid process
26
Gonio: Shoulder Extension
prone SA=midline of trunk F=lateral acromion MA= lateral epicondyle of humerus
27
Gonio: Forearm Pronation
sitting SA= midline of humerus F=ulnar styloid process(lateral side) MA= carpals/volar wrist
28
Gonio: Forearm Supination
sitting SA= midline of humerus F=ulnar styloid (medial) MA=carpals/volar wrist
29
Gonio: Wrist Flexion
sitting; ABDUCT to 70 SA=olecranon process F=triquetrum MA= fifth metacarpal
30
Gonio:Wrist Hyperextension
sitting; ABDUCT to 70 SA= olecranon process F=triquetrum MA=fifth metacarpal
31
Gonio: radial deviation
sitting; ABDUCT to 70 SA= lateral epicondyle of humerus F=capitate MA=third metacarpal
32
Gonio: ulnar deviation
sitting; ABDUCT to 70 SA= lateral epicondyle F=capitate MA=third metacarpal
33
Gonio: finger flexion
test MCP, PIP, DIP; PIP has the most motion;
34
MMT: Hip Flexors
sitting palpate: rectus femoris stabilize: pelvis
35
MMT: Sartorius
sitting palpate: at ASIS Stabilize: on lateral thigh of leg being tested (push into A44) *pull at a 45 degree angle
36
MMT: Internal Rotators
sitting palpate: TFL; ASIS inf and posterior stabilize: medial thigh of leg being tested
37
MMT: External Rotators
sitting palpate: glue max; iliac crest and move inferiorly stabilize: lateral thigh of leg being tested
38
MMT: Knee Extension
sitting palpate: quads/vastii stabilize: pelvis * make sure they are out of the screw home mechanism
39
MMT: Ankle Dorsiflexion/Inversion (Tibialis Anterior)
sitting palpate: tibialis anterior stabilize: behind ankle above maleoli * push mostly down rather than out
40
MMT: Toe Extensors
sitting palpate: tendons stabilize: bottom of foot * tests toes and greater toe separately
41
MMT: Toe Flexors
sitting palpate: ?? stabilize: top of foot * test toes and greater toe separately
42
MMT: Hip Abduction
side lying palpate: gluteus maximus (iliac crest, move inferiorly) stabilize: pelvis * leg in line with body
43
MMT: TFL
side lying palpate: TFL; ASIS anterior and inferior stabilize: pelvis * hip slightly flexed and internally rotated
44
MMT: Hip Adduction
side lying palpate: medial bottom thigh (adductors) stabilize: lift top leg up and support it
45
MMT: Plantarflexion/Eversion (Peroneus Longus)
side lying palpate: peroneus longus; posterior to lateral malleolus stabilize: under leg being tested * ask toes to point and evert; press down
46
MMT: Tibialis Posterior
side lying palpate: posterior to medial malleolus stabilize: under leg being tested * ask toes to point and invert
47
MMT: general hip extension
prone palpate: all hip extensors (glute max/med/hamstrings) stabilize: pelvis * don't bend knee; leg stays straight
48
MMT: gluteus maximus
prone palpation: palpate glutes; knee is bent stabilize: pelvis * knee is bent and lift leg up
49
MMT: hamstrings
prone palpation: palpate hamstrings as foot is brought to butt stabilize: pelvis
50
MMT: Lower Trapezius
prone palpation: under scapular angle; shoulder abducted 130 degrees with thumb to ceiling stabilize: opposite shoulder of that being tested * Do not pass scapula; stand on opposite side
51
MMT: Middle Trapezius
prone palpation: medial to scapula; shoulder abducted 90 deg; thumb to ceiling stabilize: opposite shoulder of that being tested * do not pass scapula; stand on opposite side
52
MMT: Rhomboids
prone palpation: along medial border of scapula; hand behind back; ask patient to raise shoulder off table stabilize: opposite shoulder of that being tested; stand on opposite side
53
MMT: Latissimus Dorsi
prone palpation: teres major and lats; hand by side and palm to ceiling; have patient raise hand to ceiling stabilize: along midline of torso
54
MMT: Posterior Delotid
prone palpation: along deltoid; forearm dangling off table at 90 degree angle(maybe with towel); ask patient to bring elbow towards ceiling stabilization: stabilize scapula of same side being tested
55
MMT: Internal Rotators
prone palpation: teres major; ask patient to bring palm to ceiling; forearm off table stabilization: along superior humerus
56
MMT: External Rotators
prone palpation: supraspinatus; ask patient to bring back of hand to ceiling; forearm off table stabilization: along inferior humerus
57
MMT: Pec Major-Clavicular
supine palpation: bring arm straight across chest; palpate under clavicle stabilization: shoulder, while pulling arm straight out (bend at elbow)
58
MMT: Pec Major-Sternal
supine palpation: arm diagonally across to the opposite pocket; bring humerus back to 90; palpate near armpit stabilize: contralateral ASIS; * pull in the direction of action
59
MMT: Triceps
supine palpation: bend elbow and palpate triceps (humerus at 90) stabilize: block along biceps with back of hand
60
MMT: Levator Scapula
sitting palpation: have patient turn head to opposite side and look up; bend ear to shoulder; palpate neck stabilize: one hand on side of head, one hand on top of shoulder; press down more than on head
61
MMT: Serratus Anterior
sitting palpation: ask patient to bring arm out and punch; side of ribs stabilize: hold humerus and press back on arm while pressing scapula out of A24 * press back instead of down
62
MMT: shoulder abduction
sitting palpation: middle deltoid and supraspinatus stabilize: stabilize contralateral shoulder; be in front of patient; shoulder at 90
63
MMT: shoulder flexion
sitting palpation: anterior deltoid; coracobrachialis; bring shoulder to 90 stabilize: top of shoulder
64
MMT: Elbow flexion
sitting palpation: biceps stabilize: anterior shoulder; pull against flexion
65
MMT: Brachio-Radialis
sitting palpation: thumb towards ceiling; elbow flexion stabilize: anterior shoulder
66
MMT: Brachialis
sitting palpation: palm to floor elbow flexion stabilize: anterior shoulder
67
MMT: Supination
sitting palpation: biceps brachii stabilize: lateral humerus; cup forearm in hand with thumb to thumb; pull up with thenar eminence
68
MMT: Pronation
sitting palpation: pronator teres stabilize: cup forearm in hand with thumb to htumb; pull up with thenar eminence
69
MMT: Extensor Carpi Ulnaris
sitting palpation: at the tendon; extension and ulnar deviation stabilize: under forearm; forearm also supported on table
70
MMT Grade= 0
no evidence of contraction by vision or palpation
71
MMT Grade = 1
trace; slight contraction; NO movement
72
MMT Grade= 2-
poor minus; movement through partial ROM in gravity lessened position
73
MMT Grade = 2
poor; movement through full ROM in gravity lessened position
74
MMT Grade = 2+
poor +; movement through full ROM in gravity lessened position and up to 1/2 ROM against gravity
75
MMT Grade = 3-
movement through full ROM in gravity lessened position and more than 1/2 ROM against gravity
76
MMT Grade = 3
fair; movement through the full ROM against gravity
77
MMT Grade= 3+
movement through the full ROM against gravity and able to hold against minimum resistance
78
MMT Grade = 4
good; movement through the full ROM against gravity and able to hold against moderate resistance
79
MMT Grade = 5
normal; movement through full ROM against gravity and against maximal resistance