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test n measures
ROM (goniometry) MMT, SPECIAL TESTS (shoulder, elbow, arm, wrist)
Term | Definition |
---|---|
laying on back; axis (acromion process) , stationary arm (mid -axillary line of thorax), moving arm (lateral midline of humerus ) lateral epicondyle reference | shoulder flexion |
face down, axis (acromion process), stationary arm (mid-axillary line of humerus), moving arm (midline to humerus) lateral epicondyle reference | shoulder extension |
laying on back; axis (acromial process), stationary arm (parallel to sternum), moving arm (midline to humerus) with arm in a Y | shoulder abduction |
laying on back; axis (olecranon process), stationary arm (perpendicular to floor), moving arm (ulnar styloid process) with arm forward | shoulder IR |
laying on back; axis( olecranon process), stationary arm (perpendicular to floor), moving arm (ulnar styloid process) with arm back | shoulder ER |
130 degrees | horizontal adduction |
45 degrees | horizontal abduction |
90 degrees | external rotation |
70-90 degrees | internal rotation |
180 degrees | flexion of shoulder |
120 degrees | GH flexion |
50-60 degrees | extension of shoulder |
20 degrees | GH extension |
170-180 degrees | abduction of shoulder |
90-120 degrees | GH abduction |
return to 0 | adduction |
plane Galway between flexion and abduction; not measured through goniometry and MMT | scaption |
IR of shoulder; unable to put hands behind head and fully abduct shoulder is? | tight pectoralis major/minor |
thoracic spine affects | shoulder |
stabilization of the scapula so scapular-humeral can work at GHJ is what kind of test? | Scapulothoracic muscle testing |
leading to a decrease subacromial space and possible impingement syndrome is ? | weak Scapulothoracic muscles |
decrease shoulder horizontal adduction is | tight RTC and posterior deltoid |
AC ligament, GH ligament, coracoclavicular ligament, coracoacromial ligament stabilize what joint? | GH joint |
normal end feel for what joint? | GH joint |
3 degrees in freedom and can rotate in IR/ ER, abduction/ adduction, flexion/ extension , horizontal abduction/ adduction . what joint is this? | GH joint |
ER > abd >IR | capsular pattern |
3 degrees of freedom and can rotate elevation/ depression, protraction/ retraction, anterior/ posterior. what joint is this? | sternoclavicular joint |
SCligament, costoclavicular ligament, intraclavicular ligament stabilizes what joint? | sternoclavicular joint |
contains a fibrocartilaginous disc surrounded by weak joint capsule. what joint is this? | ACJ |
stabilized by AC ligaments and coracoclavicular ligament . what joint is this? | ACJ |
A combination of SCJ and ACJ motion. what joint is this ? | Scapulothoracic joint |
elevation/ depression, abduction/ adduction, downward / upward rotation are all motions for what joint? | Scapulothoracic joint |
these motions (IR / ER , anterior/posterior tilting, protraction /retraction, winging) are what kind of joint? | Scapulothoracic joint |
patient pushes into wall with UE straight. what is the examiner looking for? | winging |
Injury to the thoracic nerve . what joint does this affect? | Scapulothoracic joint |
for every GH movement of 2, then Scapulothoracic articulation has to be one. what is this called? | Scapulothoracic rhythem |
full ROM w/ max resistance (AG) is what grade? | 5-normal |
full ROM w/ moderate resistance (AG) is what grade? | 4- good |
full ROM w/ no resistance (AG) is what grade? | 3- fair |
full ROM (GE) is what grade? | 2-poor |
no ROM (palpable or visible movement of muscle) is what grade? | 1- trace |
always compare left and right. This special test you place your hand to scratch your back at the top (palm down) and middle of back (palm out). bilateral increase or decrease ROM is normal. what test is this? | Apely's Scatch Test |
a positive finding for shoulder pain and apprehension indicates shoulder impingement (structures approximate coracoacromial ligament or acromion , particularly of the supraspinatus and LHB. what special test is this? | Neer's Impingement Test |
a positive finding for shoulder pain and apprehension indicate shoulder impingement (reduced subacromial space) particularly of supraspinatus. what special test is this? | Hawkins-Kennedy Impingement Test |
positive finding for superior shoulder pain (ACJ pathology ), anterior shoulder pain (subscaplaris, supraspinatus , and or LHB pathology, posterior shoulder pain (infraspinatus, teres minor, and or posterior capsule pathology. what special test is this | Cross - Over Impingement Test |
the funky chicken arm position . what special test is this? | Hawkins-Kennedy impingement Test |
thumb down straight up in the air. what special test is this? | Neer's Impingement Test |
one arm hug test. what tests this? | Cross-Over Impingement Test |
a positive finding when patient unable to slowly return arm to side and or has significant pain during the attempt indictating a RTC tear. what special test is this? | Drop Arm Test |
a positive finding for shoulder pain and or weakness indicates involvement ( RTC tear , tendinopathy) of supraspinatus muscle and or tendon. arms in a Y with thumbs down or thumbs up in mid arm. compression on forearms. what is this special test? | Empty can/ Full can Test |
a positive finding for pain in the bicipital groove indicating bicipital tendiinopathy . this tests for biceps involvement. a pulling and resisting of the forearm .what test is this? | Yeygason's Test |
a tear that occurs where the biceps tendon anchors to the labrum. what kind of tear is this | SLAP Tear |
Superior Labral Anterior Posterior stands for what kind of labral lesion tear? | SLAP Tear |
Grind, Clunk, O' Brisen (active compression tes) are what kinds of test? | Labral Lesions Tear Test |
TUBS stands for what? | Traumatic Unilateral Bankart Surgery |
AMBRI stands for what? | A Tramatic Multidirectional Bilateral Rehab Inferior Shaft |
Apprehension, Jobe Relocation, Anterior Drawer, and ACJ Compression (Shear) Test are tests for what? | instability |
the most common site of compression? | interscalene triangle |
costoclavicular triangle and subcoracoid space are other sites for ? | compression |
compression of brachial plexus trunks and or subclavian artery can cause vascular and or nerulogical symptoms. what test tests for this syndrome ? | Thoracic Outlet Syndrome |
Adson's Maneuver, Allen's, and Roos test test for what type of syndrome? | Thoracic Outlet Syndrome |
140- 150 degrees | elbow flexion |
0 degrees | elbow extension |
80 degrees | elbow pronation |
80 degrees | elbow supination |
thumbs up | neutral |
biceps tendon, brachial artery and median nerve are located in what fossa? | antecubital fossa |
does everyone have a palmaris longus muscle? | no |
increased angle is what? | cubitus valgus |
decreased angle is what? | cubitus varus |
what is the carrying angle values for men and women? | men (10-15) and women (20-25) |
lay on back, arm (elbow) straight or bent; axis (lateral epicondyle of humerus), stationary arm (lateral midline of humerus) acromion process reference, moving arm (lateral midline of radius) radial head and styloid process reference. what ROM is this? | extension and flexion of elbow |
sitting in chair with a pen in hand. axis (ulnar styloid process ), stationary arm (parallel to humerus), moving arm (parallel to radial and ulnar styloid process). what are you measuring? | supination and pronation |
hand placement on the shoulder and wrist while arm is bent is testing for what? | elbow flexion |
sitting down; palm down and arm straight. PTA has one hand under forearm and hand on wirst pulling . what is this test? | elbow extention |
elbow bent in air while PTA holds it. this position did what ? | eliminate gravity in elbow extention |
muscle that is elongated is said to be? | passive insufficiency |
muscle that is contracted is said to be? | active insufficiency |
prime mover is the? | agonist |
against the prime mover is the? | antagonist |
who helps the agonist? | synergist |
a degree to which an instrument measures what it says it measures is called ? | validity |
consistency between measurements on same subject unders same conditions is called what? | reliability |
movement that occurs at the joint is called? | ROM |
amount of movement the patient voluntarily moves the body part through without any external assistance is called ? | AROM |
amount of movement that a PTA moves the body part through without any assistance from patient is called? | PROM |
normal anatomy of joint stops is called a ? | normal end feel |
a decrease or increase in ROM or normal ROM and other structures stop pint movement is called a? | abnormal end feel |
movement of joint surfaces (glides, spin and rolls) discribes what type of movement ? | arthrokinematic movement |
saggital, frontal, transverse describe what kind of movement ? | osteokinematic movement |
elbow is what kind of joint? | hinge |
radius is what kind of joint? | pivot |
knee is what kind of joint? | condyloid |
wrist is what kind of joint? | ellipsoid |
the thumb is what kind of joint? | saddle |
the hip is what kind of joint? | ball n socket |
the 4th and 5th finger are what kind of joint? | plane |
a positive finding for pain along lateral epicondyle region or objective muscle weakness as a result of complaints of discomfort may incicate lateral epicondylitis . | Cozen ( Resistive Tennis Elbow) Test |
wrist palmar flexed , elbow held in extention, and a positive finding of pain at lateral epicondyle may indicate lateral epicondylitis . this test is called ? | Passive Tennis Elbow Test |
complaints of discomfort along the medial elbow may indicate medal epicondylitis . this test is called ? | Golfer's Elbow Test |
a positive finding for radiating pain in median nerve distribution on patients arms or hands is a test for ? | elbow flexion |
a positive finding for lateral elbow pain and or increased movement with a diminished or absent endpoint indicates damage to lateral collateral ligament (radius). what test is appropriate for this? | Varus Test (LCL) |
a positive finding for medial elbow pain and or increased movement with diminished or absent indicates damage to medial collateral ligament (median). what is the appropriate test for this? | Valgus Test (MCL) |
60-80 degrees | wrist flexion |
60-70 degree | wrist extension |
20 degrees | radial deviation |
30 degrees | ulnar deviation |
hand flexed to ground . axis (triquetrum ), stationary arm (midline of ulna ) olecranon and ulnar styloid process reference , moving arm ( midline of 5th MC). wrist pointed to floor or wrist clawed. what test is this? | wrist flexion and extension |
a positive finding for a delay or absence of flushing of radial or ulnar half of hand and fingers is indicated of partial or complete occlusion of the radius or ulnar arteries. what test is this? | Digital Allens Test |
a positive finding for a patient 3rd MC is level with the 2nd and 4th MC's . what does this test indicate and the name of the test? | lunate dislocation ( Murphy's Sign) |
complaints of tingling , parenthesis, or pain by patient in median nerve distribution . may indicate median nerve compression in carpal tunnel or CTS. Palm up tapping on the tunnel. what test is appropriate for this? | Tinel's Test |
numbness / tingling in median nerve distribution of fingers indicate CTS secondary to median nerve depression. hands in upside praying and praying hands. what is the appropriate test for this? | Palen's and Reverse Palen's |
a positive finding for pain at the site of injury indicates a fracture . this causes vibration of tapping along axis of bone and will agitate pain at the fracture site by tapping the finger. what test is appropriate for this? | Tap/ Percussion Test |
a positive finding for pain over the abductor pollicis longus and extensor pollicis brevis tendons distialy is an indicationo of De Quervain's Tenosynovitis.. this test you have to put your thumb in your fist .what test is appropriate ? | Finelstein Test |
ulnocarpal , ulnar collateral , radial collateral, palmar radiocarpal collateral , dorsal radiocarpal are all ligaments for the? | wrist and hand |
the scaphoid bone is part of the ________ for the anatomical snuffbox ? | floor |
the extensor pollicis longus is part of the_______ for the anatomical snuffbox ? | roof |
the extensor pollicis brevis and abductor pollicis longus tendons are the ______ of the anatomical snuffbox ? | bottom |
scaphoid bone , radial artery, radial nerve, are all included in what box? | anatomical snuffbox |
abductor pollicis brevis, flexor pollicis brevis, opponens pollicis are all apart of what eminence? | Thenar eminence |
flexor digit minimi and abductor digiti minmin are both part of what eminence? | Hypothenar eminence |
thenar eminence, hypothenar eminence, palmar interossei , dorsal interossei and lumbricals are all _________ muscles? | intrinsic muscles |
this test measures a variety of pinch grips? | pinch dynamometer |
this test is adjustable to 5 positions and can be read by grip strength in lbs or kg. what test is this? | hand dynamometer |
Chuck, Lateral, and Thumb- index are all test to test for ? | Functional hand strength |
MCP flexion is_____ degrees | 90 |
MCP extension is _______ degrees | 20-45 |
PIP flexion is ______ degrees | 100 |
PIP extension is _____ degrees | 0 |
DIP flexion is _______ degrees | 70-90 |
DIP extention is ______ degrees | 0 |
CMC abduction is ______ degrees | 70 |
CMC flexion is ______ degrees | 15 |
CMC extension is _______ degrees | 20-35 |
MCP flexion is ______ degrees | 50-60 |
MCP extention is_______ degrees | 0-40 |
Thumb IP flexion is______ degrees | 80 |
Thumb IP extension is______ degrees | 20-30 |
flexor carpi radialis and flexor carpi ulnaris are _______ movers | primary |
extensor carpi radialis longus, extensor carpi radialis brevis and extensor carpi ulnaris are used for wrist__________ | extension |
when you push fingers together is finger______ | Abduction |
when you pull fingers apart is finger______ | Adduction |
when your held at the wrist and fingers are in a claw formation. the MP is pushed down by PTA. this is called finger MP ______ | extension |
when fingers are in a bye motion and all but the MP of index finger are bent back. this is finger MP ______ | flexion |
when hand is is palmar side up . PiP is pinched at the sides therefore bending DIP back towards the palm. what finger DIP and PiP is this? | flexion |
hand is down. axis (dorsal MCP joint), stationary arm (dorsal midline of MCP), moving arm (dorsal midline of proximal phalanx) is a test for finger MCP _____ | abduction |
a finger hook position. axis (dorsal PIP joint), stationary arm (dorsal midline to phalanx), moving arm (dorsal midline of distal phalanx) with goniometry is finger PIP at top is _________ and ________ | flexion and extension |
a finger hook position . axis (dorsal PIP joint), stationary arm ( dorsal midline to phalanx), moving arm (dorsal midline of distal phalanx) with goniometry is finger DIP at bottom is ______ and ________ | flexion and extension |
a positive finding for tingling along ulnar distribution of fore arm , hand, and fingers when when tapping the groove betweem medial epicondyle and olecranon process. this test is called | Tinsel Sign |
Palm down. axis ( dorsal wrist-capitate), stationary arm (dorsal midline of forearm) lateral epicondyle of humerus reference , moving arm dorsal midline of 3rd MC with hand slanted to right or left. this test uses goniometry to measure for ? | ulnar or radial deviation |
hand bent down or up to measure wrist. axis (triquetrum ), stationary arm ( midline of ulna) olecranon process and styloid process for reference , moving arm ( lateral midline of 5 th MC) This test is for wrist ______ and __________ | flexion and extension |
when grading wrist ______. the wrist is in supination and pulled toward PTA while patient resists it. to elimate gravity place hand on table, grab wrist to see motion forwards. | flexion |
wrist is in pronation. PTA pulls down on fist toward them . to elimate gravity, place wrist on table grab wrist and watch motion of backwards. this test is for wrist________ | extention |