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ESAT final


what are the indicators of a subluxation PART
P stands for pain/tenderness, evaluated in terms of loc, quality, & intensity
A stands for asymmetry/misalignment, id'd on a sectional or segmental lvl
R stands for ROM abnormality
T stands for tissue/tone, changes in the characteristics of contiguous/associated soft tissue
muscle test 5=normal=complete rom against gravity & resistance (lock); 4=good=complete rom against gravity w some resistance (no lock)
Foot: how many: IP joint 1
Foot: how many: DIP joint 4
Foot: how many: PIP 4
Foot: how many: MTP 5
the 1st metatarsal articulates w 1st cuneiform
2nd MT articulates w 2nd cuneiform
3rd MT articulates w 3rd cuneiform
4th MT art w cuboid
5th MT art w cuboid
1st cuneiform art w 1st mt, navicular, 2nd cuneiform
2nd cuneiform art w 2nd mt, navicular 1st & 3rd cuneiforms
3rd cuneiform art w 3rd mt, navicular, 2nd cuneiform & cuboid
navicular art w ____ proximally, ____ distally, & _____ laterally talus, cuneiforms, cuboid
cuboid art w _____ proximally, _____ distally & ____ medially. calcaneus, 4th & 5th MT, navicular & cuboid
subtalar j calcaneus & talus
talocrural j distal tibia, fibula, & talus
how many phalanges in body? 36
How many bones in appendicular skeleton 126
1st Metatarsalcuneiform J attachment of tibialis ant & peroneus longus tendons
site of bunyons 1st MTP joint (hallux valgus)
attachment of peroneus brevis tendon styloid process of 5th MT
attachment of anteriotalofibular lig dome of talus--MOST COMMONLY TORN LIGAMENT IN AN INVERSION SPRAIN
achilles tendon common tendon for gastrocs, soleus, & plantaris
med tubercle of calcaneus plantar fascitis & heel spurs
ankle ROM dorsifelx=20, plantarflex=50
subluxation, pronation: navicular inf & med
subluxation, pronation: cuboid sup & lat
subluxation, pronation: cuneiforms inf
subluxation, pronation: MT heads 2, 3, & 4=inf; 1&5=sup
subluxation, pronation: talus mostly ant, slightly lat (correction= mostly lat, slightly ant)
subluxation, pronation: calcaneous inf & lat
subluxation, pronation: phalanges ant, post, lat, med, rotational
subluxation, pronation: fib head post
indicators of pronation protocol (+) navicular drop test, post/lat heal wear, patellar approximation, achilles bow med, callous pattern 2nd, 3, 4 mt heads, combined eversion abduction dorsiflexion
when is navicular drop test positive? >3mm
mm test for navicular psoas, med long arch
mm test for cuboid glut med, lat long arch
mm test for metheads quads, ant transv arch
what bone is subluxated if a quads test is (+)? trick question, some bone in the foot
what is the common sublux of the patella? sup lat
when do you adjust the patella? clicking w tracking probs
loc of osgood-schlatter's diseas tibial tube
pes anserine med from tibial tube, site of SGT (sartorius, gracilis, semitendonsis)
how to test ACL P-A on tibia
how to test PCL A-P on tibia
ROM knee 130 flexion, 10 ext
what tests menisci? Med & lat sheer tibia
evaluate MCL L-M valgus stress
evaluate LCL M-L varus stress
knee protocol: If you check assess knee when flexed is movement normal? yes! knee must be in full EXT for screw-home mechanism to work
knee protocol: applying a valgus force assesses for what? L-M motion for med epicondyle
knee protocol: applying a varus force assesses for what? M-L motion for lat epicondyle
knee protocol: what is the listing if there is movement in both directions stress is applied to the knee? posterior tibia
knee protocol: what is adjusted first on a post tibia? med side
what are contraindications to knee protocol? fracture, tumor, circulatory probs, varisocities in popliteal area
knee protocol: pressure 50-70 lbs pressure hand & 10-15 lbs speed hand= totall 60-80lbs
normal angle of pelvic inclination (API) males 0-5, females 5-10, measured from ASIS to PSIS
hip rom ext-30, flex-120, int rot=35, ext rot=45
does the hip have more int/ext rot? ext
LOD internal rot of femur P-A
LOD ext rot of femur A-P (EXT=FEET)
mm test for ant femur sublux rectus femoris
charrettes ant femur: pressure 15lbs pressure hand, 10-15 lbs speed
1st MC art w tramezium
2nd MC art w trapeziod
3rd MC art w capitate
4th MC art w hamate
5th MC art w hamate
trapezium art w 1st MC, 2nd MC, scaphoid, trapezoid
trapeziod art w 2nd MC, capitate, scaphoid, trapezium
capitate art w 2nd, 3rd, 4th MC, hamate, trapeziod, lunate, scaphoid
hamate art w 4th & 5th MC, capitate, lunate & radius
lunate art w scaphoid, capitate, triquetrum, radius & ulna
what carpal does radius art w? lunate & scaphoid
what carpal does ulna art w? lunate
what carpal has a pseudoart w ulna? triquetrum
boundaries of carpal tunnel? pisiform & navicular tuberocity (prox), hook of hamate & tubercle of trapezium (dist), transverse carpal lig/flexor retinaculum (ant), carpal bones (post)
contents of carpal tunnel median n & finger flexor tendons
contents of tunnel of guyon ulnar n & artery
boundaries of tunnel of guyon pisiform (prox), hook of hamate (dist), pisohamate (ant)
in A-P/P-A sheer of the wrist what must you do? tissue slack around wrist-avoid ripping skin & blood--YUCK
ROM of wrist flex=80, ext=70, ulnar dev=30, radial dev=20
Carpal sublux: scaphoid post & med
Carpal sublux: triquetrum post & lat
Carpal sublux: lunate ant
Carpal sublux: radius/ulna lat/med
Carpal sublux: thumb lat
Carpal sublux: prox row sup
Carpal sublux: distal row mixed (distraction)
what 3 carpals must be done in order? scaphoid-triquetrum-lunate, to get scaph & tri out of way for lunate
how do you check for a wrist sublux? thumb & little finger opposition test or palpable depression on dorsum of pts wrist
hamate 5th/4th P distraction
capitate 3rd P distraction
trapezoid 2nd P distraction
what is in the flexor-pronator group? pronator teres, flexor carpi radialis, palmaris longus, flexor carpi ulnaris
where does the flexor-pronator group originate? medial epicondyle
mobile wad of 3 group brachioradialis, extensor carpi radialis brevis & longus
where does the mobile wad of 3 originate? lat epicondyle & lat supracondylar line
ROM elbow flex=135+, ext=0-5, pro & sup=90
in alternate elbow adj, what should you check if triceps are weak? spine
how to test triceps wrist neutral, fingers straight, arm 90 degrees, pt resists dr's effort to flex elbow
indications of alternate elbow adj ulna local tenderness in antecubital fossa, upper arm & shoulder ache, flexed wrist mm test (w TL)
indications of alternate elbow adj radius local tenderness at ant radial head, upper arm & shoulder ache, mm test w wrist ext (brachioradialis test)
ulna alternate subluxations post med & lat
radius alternate subluxations posterolateral & anteriomedial
A strong mm test w TL on the med posteriomedial sublux
strong mm test w TL on lat posteriolat sublux
what is the most common sublux for the ulna? post med
strong brachioradialis test post lat radius-slip off
weak brachioradialis test ant med-stick it
brachioradialis test pt arm bent greater than 90 degrees, pt resists Drs effort to extend arm
scap when pt prone T6
scap whe pt seated T7
glenohumeral ROM flex=120, ext=55, abd=120, add=45, int/ext rot=90
mm test: ant humerus deltoid/arm pull down
common shoulder sublux in charrette's: glenohumoral ant humeral head
common shoulder sublux in charrette's: AC joint sup distal clavicle
common shoulder sublux in charrette's: SC joint ant med prox clavicle
common shoulder sublux in charrette's: trigger points subclavicular, midscap, teres minor, levator scap, 2 deltoid, 2 axilla, subscap
common shoulder sublux in charrette's: scapulothoracic articulation restricted motion along abduction arc
common shoulder sublux in charrette's: inf glide superior humeral head
common shoulder sublux in charrette's: levator scap tendon torqued inf medial
charrette's ant humeral head adj pressures pressure hand=15 lbs, speed=10
what is a trigger point area of ischemia
pressure for trigger points? how long? 12-15 lbs for 10s
how does the SC/proximal clavicle subluxate? ant med, inf med, sup med
what is the mm test for SC/prox clavicle pectoralis major-palm out, thumb down, block other shoulder-lat & slightly inf vector
what is mm test for AC/sup distal clavicle coracobrachialis-flexed 45 & abducted 45, post-med-inf vector
sup distal clavicle adj Dr overlapping CIFs, pts arm rests on drs shoulder, vector is S-I
most common sublux for shoulder? ant med
how do you test for 1st rib sublux? take pts head into: ext, lat flex toward, rot away
test: pro/sup antebrachium charrette's radial head
test: pain @ med epicondyle charrette's post ulna
test: brachioradialis strong posteriolateral radius (slip off)
test: brachioradialis weak anteromedial radius (stick it)
test: herrin's ulna w med TL post med ulna
test: herrin's ulna w lat TL post lat ulna
test: deltoid ant humerus shoulder sublux (charrette, supine alternative, ant humeral head seated/supine, teapot)
test: pec major SC/prox clavicle
test: coracobrachialis AC/sup distal clavicle
test: biceps bicipital tendon (lateral sublux, LOD L-M)
test: teres major post humerus sublux
test: rectus femoris ant femur (charrettes/alt hip)
test: TFL int/ext rot sublux
test: screw-home mechanism med/lat condyle, post tibia
test: psoas navicular, med long arch
test: glut med cuboid, lat long arch
test: quads metheads, ant transv arch
Created by: PCCAC