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OMM > Upper and Lower Ext CS > Flashcards

Upper and Lower Ext CS Flashcards

1
Q

What is the diagnostic criteria for CS?

A
  • Tenderness
    • the most tender
      • the most central, if multiple have similar tenderness
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2
Q

Supraspinatus CS

  • Location of TP
  • PT Position?
  • Basic Arm Position?
    • Angle Rule?
  • Physician hand placement?
  • Actions of this muscle
A

Supraspinatus CS

  • Location of TP
    • In the belly of the supraspinatus muscle
      • In the fossa above the spine of the scapula
  • PT Position?
    • Supine
  • Basic Arm Position? Angle Rule?
    • F Abd ER (Humerus)
      • Flex at 45º
      • Abd at 45º
      • External Rot. at 45º
  • Physician hand placement?
    • Caudal hand at PTs on elbow
  • Actions of this muscle
    • Stabilizes shoulder joint; initiates abduction of the humerus.
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3
Q

Levator Scapulae CS

  • Location of TP
  • PT Position?
  • Basic Arm Position?
  • Physician hand placement?
  • Actions of this muscle
A

Levator Scapulae CS

  • Location of TP
    • Superior medial border of the scapula at the
      attachment of the levator scapulae
  • PT Position?
    • Prone
  • Basic Arm Position?
    • IR Abd traction
  • Physician hand placement?
    • Lateral hand holding pts wrist
    • Medial hand on TP
  • Actions of this muscle
    • elevates the scapula
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4
Q

Subscapularis CS

  • Location of TP
  • PT Position?
  • Basic Arm Position?
  • Physician hand placement?
  • Actions of this muscle
A

Subscapularis CS

  • Location of TP
    • Anterolateral border of the scapula – BETWEEN THE SCAPULA AND RIBS
      • On the subscapularis muscle
      • Pressing from an anterolateral to posteromedial direction
  • PT Position?
    • Supine
  • Basic Arm Position?
    • Extension, Internal rotation
    • 4 o clock
  • Physician hand placement?
    • Medial Hand on tp
    • Other hand supporting pts arm
      • Can use knee for support
  • Actions of this muscle
    • Internal rotation of humerus
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5
Q

Biceps Brachii (short head)/ Coracobrachialis CS

  • Location of TP
  • PT Position?
  • Basic Arm Position?
  • Physician hand placement?
  • Actions of this muscle
A

Biceps Brachii (short head)/ Coracobrachialis CS

  • Location of TP
    • Inferolateral aspect of the coracoid
      process
    • Attachment of the short head of the biceps muscle
  • PT Position?
    • Supine
  • Basic Arm Position?
    • F Add IR
    • DAB CS
  • Physician hand placement?
    • Cephalad hand on PTs elbow
  • Actions of this muscle
    • Flexion of shoulder/elbow
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6
Q

Long Head of the Biceps CS

  • Location
  • General Treatment Position
  • PT Position
  • Physician Hand Placement
  • Muscle Actions
A

Long Head of the Biceps CS

  • Location
    • Over the tendon of the bicep muscle in the biciptal groove
  • General Treatment Position
    • Flexion of elbow
    • Shoulder flexion
    • Abduction
    • Internal rotation
  • PT Position
    • Supine
    • “Hot weather meme”
      • ​Dorsal wrist on forhead
  • Physician Hand Placement
    • Caudal hand grasping elbow
  • Muscle Actions
    • Flexion/abduction of shoulder, elbow flexion, supination
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7
Q

Radial Head (Lateral) Supinator CS

  • Location
  • General Treatment Position
  • PT Position
  • Physician Hand Placement
A

Radial Head (Lateral) Supinator CS

  • Location
    • Anterolateral aspect of radial head at attachment of supinator
  • General Treatment Position
    • Elbow Over Knee
    • Supination
    • Valgus stress
    • E Sup Val
  • PT Position
    • Supine, arm perpendicular to table
  • Physician Hand Placement
    • Cephlad hand pulling on wrist
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8
Q

Medial Epicondyle (Pronator) CS

  • Location
  • General Treatment Position
  • Physician Hand Placement
A

Medial Epicondyle (Pronator) CS

  • Location
    • At or near medial epicondyle
    • Associated with common flexor tendon & attachment of pronator teres muscle
  • General Treatment Position
    • “Pronator Teres Rex” -
    • Flexed elbow to 90
    • Pronated and Adducted forearm
    • F Pro Add
  • Physician Hand Placement
    • Cephlad hand grasps wrist
    • Pushes into flexion to 90, pronation, and adduction
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9
Q

DORSAL WRIST - EXTENSOR CARPI RADIALIS CS

  • Location
  • General Treatment Position
  • Physician Hand Placement
A

DORSAL WRIST - EXTENSOR CARPI RADIALIS CS

  • Location
    • Dorsal surface of 2nd metacarpal.
    • Associated with extensor carpi radialis muscle
  • General Treatment Position
    • Wrist extension
    • Abduction/radial deviation
    • E Abd/rd
  • Physician Hand Placement
    • Grasp all pateints fingers with caudal hand, aside from thumb
    • Push hand into extension
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10
Q

DORSAL WRIST - EXTENSOR CARPI ULNARIS CS

  • Location
  • General Treatment Position
  • Physician Hand Placement
A

DORSAL WRIST - EXTENSOR CARPI ULNARIS CS

  • Location
    • Dorsal surface of 5th metacarpal.
    • Associated with the extensor carpi ulnaris muscle.
  • General Treatment Position
    • Wrist extension
    • Adduction/ulnar deviation
    • E Add/ud
  • Physician Hand Placement
    • Dap them up, then force into extension
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11
Q

PALMAR WRIST - (FLEXOR CARPI RADIALIS) CS

  • Location
  • General Treatment Position
  • Physician Hand Placement
A

PALMAR WRIST - (FLEXOR CARPI RADIALIS) CS

  • Location
    • Palmar base of 2nd or 3rd metacarpal.
    • In flexor carpi radialis muscle.
  • General Treatment Position
    • Wrist flexion
    • Abduction/radial deviation
    • F Abd/rd
  • Physician Hand Placement
    • Clasp back og patients hand and push into flexion
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12
Q

PALMAR WRIST - (FLEXOR CARPI ULNARIS) CS

  • Location
  • General Treatment Position
  • Physician Hand Placement
A

PALMAR WRIST - (FLEXOR CARPI ULNARIS) CS

  • Location
    • Palmar base of 5th metacarpal. In flexor carpi ulnaris muscle.
  • General Treatment Position
    • Wrist flexion,
    • Adduction/ulnar deviation
    • F Add
  • Physician Hand Placement
    • Clasp back of patients hand with our own
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13
Q

First Carpometacarpal/ Abductor Pollicis Brevis CS

  • Location
  • General Treatment Position
  • Physician Hand Placement
A

First Carpometacarpal/ Abductor Pollicis Brevis CS

  • Location
    • Palmar base (radial aspect) of 1st metacarpal in the abductor pollicis brevis muscle
  • General Treatment Position
    • Wrist flexion
    • Thumb abduction
    • F (wrist) Abd (thumb)
  • Physician Hand Placement
    • Clasp back of patients hand with your own
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14
Q

Medial Meniscus/Medial Collateral Ligament – MCL CS

  • Location
  • General Treatment Position
  • PT Position
  • Physician Hand Placement
  • Muscle Actions
A

Medial Meniscus/Medial Collateral Ligament – MCL CS

  • Location
    • Antero-medial aspect of the meniscus on the joint line
  • General Treatment Position
    • Patient hangs the leg off of the table
    • Knee is flexed to about 60°
    • Applied force is mostly internal rotation of the tibia
    • Slight adduction of the tibia (varus)
    • F IR Add
  • PT Position
    • Supine with leg off table
  • Physician Hand Placement
    • Cephlad hand is on inner knee at TP
    • Caudal hand clutches ankle with thumb draped over anterior portion
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15
Q

Lateral Meniscus Lateral Collateral Ligament – LCL CS

  • Location
  • General Treatment Position
  • PT Position
  • Physician Hand Placement
  • Muscle Actions
A

Lateral Meniscus Lateral Collateral Ligament – LCL CS

  • Location
    • Lateral aspect of the meniscus on the joint line
  • General Treatment Position
    • This treatment is variable
      • Patient hangs the leg off of the table
      • Knee is flexed to about 35-40°
      • Slight abduction of tibia
      • May require mild internal or external rotation) of the tibia
    • F Abd ir/er
  • PT Position
    • Supine with leg off table
  • Physician Hand Placement
    • TP held with cephalad thumb
    • Caudal hands holds ankle
      *
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16
Q

Medial Hamstring – Semimembranosus CS

  • Location
  • General Treatment Position
  • PT Position
  • Physician Hand Placement
A

Medial Hamstring – Semimembranosus CS

  • Location
    • 1. In the posterior thigh medial to the midline approximately halfway down the shaft of the femur
    • 2. Either in front of or behind the attachment of the medial hamstring
  • General Treatment Position
    • Hip and knee flexed to about 90°
    • Leg/Knee is adducted, Internally rotated lower leg
    • Plantar flexion of the ankle by compression on the calcaneus
    • F IR Add
  • PT Position
    • Prone
  • Physician Hand Placement
    • Caudal hand on calcaneus and compression it
17
Q

Lateral Hamstring – (Biceps femoris) CS

  • Location
  • General Treatment Position
  • PT Position
  • Physician Hand Placement
A

Lateral Hamstring – (Biceps femoris) CS

  • Location
    • 1. In the posterior thigh lateral to the midline approximately halfway down the shaft of the femur
    • 2. Lateral aspect of the meniscus on the joint line
  • General Treatment Position
    • Knee flexed to about 90°
    • Leg/Knee slight abducted
    • Externally rotated lower leg
      • Almost all force with rotation
    • Plantar flexion of the ankle by compression on the calcaneus
    • F ER Abd
  • PT Position
    • Prone
  • Physician Hand Placement
    • Grasping calcaneus and compressing it
18
Q

IT Band (Lateral Trochanter) CS

  • Location
  • General Treatment Position
  • PT Position
  • Physician Hand Placement
A

IT Band (Lateral Trochanter) CS

  • Location
    • Along IT band, distal to the lateral trochanter
  • General Treatment Position
    • Leg ABDucted
    • Hip slightly flexed
    • f ABD
  • PT Position
    • Prone
  • Physician Hand Placement
    • Pulling leg out via abducting at the ankle
19
Q

TFL - Tensor Fascia Latae CS

  • Location
  • General Treatment Position
  • PT Position
  • Physician Hand Placement
A

TFL - Tensor Fascia Latae CS

  • Location
    • Inferior to iliac crest in the body of the TFL
      muscle
  • General Treatment Position
    • Hip and Thigh are ABDcuted
    • Hip is flexed
    • Modest external or internal rotation of the hip
    • f ABD
  • PT Position
    • Prone
  • Physician Hand Placement
    • Support PTs knee with your caudal hand and knee
20
Q

AC JOINT Specaial Tests (1)

A
  1. AC JOINT DYSFUNCTION Test
21
Q

Supraspinatus special tests

A
  1. DROP ARM TEST
  2. EMPTY CAN/JOBE TEST
22
Q

SUBSCAPULARIS special tests

A
  1. Lift Off Test
23
Q

Long head of biceps tendon in the bicipital groove Special Tests

A
  1. YERGASON’S TEST
  2. SPEED’S TEST
24
Q

LATERAL EPICONDYLITIS
and

MEDIAL EPICONDYLITIS

A

MEDIAL EPICONDYLITIS = Pain noted with resisted pronation and/or wrist flexion

LATERAL EPICONDYLITIS = Pain with Resisted Supination (Maudsley’s test, Mills test)

25
Q

extensor pollicis brevis (EPB) and the abductor pollicis longus (APL)
Special Tests

A

FINKELSTEIN’S TEST

OMM (15 decks)

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