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PTH220 goni

goniometry

QuestionAnswer
database values and developing goals to Rx plans, ___ the _____ ROM available. A. treat, normal B.establish, existing C.work on, examination D.treat, existing b
Hypomobility and Hypermoblity Dx & determine a subject's ____ _____. A.available, ROM B.pain, level C.joint, function D.plan of care c
Reassessment of subject's status after Rx in comparison to initial eval show's subject's ______ and ____ of Rx. A.pain, tolerance B.improvement, ROM C.progress, effectivness D.progress, HEP c
Determining goniometric values do not motivate and develop interest for the pt. T/F? False
Goniometry values validate Rx's for medicolegal, medical proffesional, 3rd party payers but not workers compensation. T/F? False, it justifies for all of these reasons
Goniometric values do not help with research of equipment such as chairs. T/F False, research using goniometric values are important for research and development of any design that the body uses. i.e. cars, desks, chairs etc.
A therapist would use gonimetric values to dtermine effective Rx regimes. T/F? True
0-115 ROM would best resemble what normal ROM? a.elbow flex b.shoulder IR c.knee flex d.hip flex d
hip ext is__? a.0-60 b.180-0 c.0-45 d.0-20 d
5-44 deg of ROM is BEST resembled by which joint ROM? a.radial deviation b.ankle dorsiflexion c.hip ER d.shoulder ext c
female average Q-angle is? a.10 deg b.13 deg c.15 deg d.18 deg d
male normal Q-angle is? a.10 deg b.13 deg c.15 deg d.18 deg b
4-0-130 ROM is BEST represented by what joint ROM? a.knee flexion b.hip flexion c.shoulder flexion d.shoulder abducction a
capsular loss of ROM in IR>Abd>flexion is usually in which joint? a.hip b.shoulder c.knee d.cervical a
using different goniometers for the same joint @ different times would not give a source of error if tissue position changes during the test. T/F? false, the therapist should use the same goniometer during the full test.
a PTA tests knee ROM as 0-145 and another PTA does the same pt/ROM tested at 0-144 this is an example of what type of reliability? a.intertester b.intratester c.validitiy d.equal a
Patient ID, date, Dx, joint teseted, AROM/PROM,deviations from standard testing, subjective/objective info are all parts of? documentation
washing hands, introduction, selecting proper goniometer and explaination to pt. are parts ____. a.measureing joint b.prepare pt for Rx c.prepare for Rx d.documentation c
communicating finding to appropriate staff is part of what in the general tiechnique of goniometric measurement testing? a.documenation b.measuring selected joint c.finishing Rx d.preparing pt for Rx c
pt supine hip/knee flexed, axis is on the medial epicondyle of femur, stationary arm is toward the greater trochanter and the movable arm is toward the lateral mallelous. this is what goni-measurement a.hip flex b.hip ext c.knee flex d.knee ext c
during knee flexion in supine, gonimetric measurement a towel should be placed just distal to the knee joint to confirm knee joint hyperextension. T/F? false, it should be under the ankle joint
normal radial deviation is? a.70 deg b.20 deg c.30 deg d.80 deg b
normal ulnar deviation is? a.70 deg b.20 deg c.30 deg d 80 deg c
normal supination/pronation is? a.80/70 b.45/45 c.80/80 d.90/70 c
what of the following would determine, a pt's willingness to move, muscle strength, and coordination? a.PROM b.AROM c.hypomobility d.substitution AROM
what of the following would take up slack at the end of the ROM. a.relaxing b.contraction c.overpressure d.stabilization overpressure
the stationary arm is aligned with the joints _____ segment. a.distal b.proximal c.center d.ventral proximal
the movement arm is aligned with which part of the joint segment? a.proximal b.center c.distal d.ventral distal
for elbow flexion the stationary arm is aligned with the? a.anterior acromion b.lateral acromion c.anterior humerus d.parallell with sternum lateral acromion
for shoulder flexion the stationary arm is aligned with the? a.sternum b.midline of the body c.lateral epicondyle d.lateral humerus b
for shoulder abduction the axis is located on the? a.lateral acromion b.greater trochanter c.anterior acromion d.glenoid fossa c
for knee flexion the stationary arm is pointed toward the? a.lateral side of femur b.greater trochanter c.lateral epicondyle d.ASIS b
for knee extension in supine you 1st position a towel under the ____ section of the ____ joint a.distal ankle b.proximal ankle c.proximal knee d.distal knee b
for hip abduction the stationary arm is on the? a.AIIS b.greater trochanter c.midline of patella d.ASIS d
for ankle dorsiflexion the moveable arm is __ the ____. a.on, 4th metacarpal b.parrell to, 4th metacarpal c.parell to, 5th metacarpal d.on, 2nd MCP c
for ankle plantar flexion the axis is just ___ and ___ to the lateral malleolus. a.anterior,inferior b.posterior, inferior c.posterior, superior d.anterior,superior b
for ankle inversion/eversion the stationary arm is in line with the? a.midline of patella b.tibial tuberosity c.gerdy's tubercle d.fibular head b
for ankle plantar flexion the axis is on the? a.distal tibia/fibula b.lateral malleolus c.medial malleolus d.midline of tarsus b
normal doriflexion ROM is? a.0-30 b.0-20 c.0-15 d.0-45 b
One purpose of joint ROM evaluation is to establish a baseline for an individual's ROM in a joint. T or F True, this allows for comparison of the normal range for that patient or can be used to compare ROM available in the unaffected side.
Database ROM values can: (a)show progression, (b)show need for modification of treatment, (c)provide documentation for legal evidence, (d)all D,Documented baseline values provide documented evidence to third party payers of progression or need for modification.
The ROM eval. results cannot be used in Workman's comp cases. T or F False
Hypomobility and hypermobility of joint function does not interfere with ADL's. T or F False
Hypomobility describes joint ROM that is due to the patient being lazy. T or F False, Hypomobility is decreased ROM due to joint tightness.
An ergonomic study research could use ROM eval results to design ideal products for the average person. T or F True
A patient would have no interest in seeing their ROM results. T or F False, ROM eval results could be used to motivate patients.
Research conducted on determining the effectiveness of treatment regimes would not be enhanced by ROM eval results. T or F False
Goniometry is not useful when there is suspected limitation of motion. T or False False
Documentation of abnormal or fixed joint positions do not have to be communicated to other healthcare staff. Just record the findings on discharge. False
A fixed joint position is called a contracture. T or F True
AROM can determine a patient's muscle _______,willingness to move, and their overall coordination. strength
Which motion is greater AROM or PROM? PROM
PROM is greater than AROM because a joint has some additional motion available. Where does this occur? At the end of the range, not under voluntary control.
The purpose of the additional available motion not under voluntary control is to absorb intrinsic forces and protect the joint. T or F False, it protects against extrinsic forces and protects the joint.
PROM would not be helpful in determining whether a certain motion causes symptoms. T or F False
PROM can reveal the type of tissue resistance. T or F True
Tissue resistance, or the feeling occurring at the end of PROM is called the End Determination. T or F False, it is called the end feel.
There are no differences in end feels, all are the same. T or F False
Normal end feels are classified as ________, ________, and hard. Soft,Firm
PROM that is less than AROM is usually due to patient guarding or not being relaxed. T or F True
A Soft end feel is an abrupt increase in resistance, like when flexing the elbow. T or F False, a soft end feel is a gradual increase in resistance as soft tissue approximation occurs as with elbow flexion.
Firm end feels are abrupt increases in resistance due to muscle or capsular tension. T or F True
A "creep" may be described as a give that is felt as the tissue is being stretched. T or F True
A Hard end feel is gradual and does not involve stoppage of the joint movement. That's called 'bone on bone' movement. T or F False, Hard end feels are abrupt stoppages of joint movements as with the 'bone on bone' feeling that occurs with elbow extension.
An example of a Firm end feel is hip extension with knee flexion. T or F False, hip flexion with knee extension produces the feeling due to the stretch of the muscle tissue.
Abnormal end feels can be described as occurring sooner or later in the ROM than what is typical for that joint. T or F True
Empty end feels can be classified as soft, firm or hard. The emptiness relates to the joint structure. T or F False, they can't be categorized, and are due to patient guarding, muscle spasm, or noncompliance.
Muscular end feels occur with tight or reactive muscles but not with spasmy muscles. T or F False, all are causes
Capsular end feels occur with stiff, painful, leathery joints but are not in a specified pattern of LOM. T or F False, all are present
Ligamentous end feels is firm and this is normal. T or F False, this is an abnormal end feel.
Springy end feels relate to tendons, and are normal. T or F False, springy end feels are abnormal if they are cartilaginous.
Overpressure is the pressure an examiner applies at the beginning of ROM so that there will be slack at the end of the motion. T or F False, Overpressure is applied by the examiner at the end to take up slack of motion remaining in the joint.
Proximal joint component describes the portion of the joint below the joint axis. T or F False, Above
The movement arm is aligned in the proximal joint component. An example would be the humerus for elbow flexion. T or F The stationary arm is aligned.
Created by: Patrick Boltin Patrick Boltin on 2012-02-06



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