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ESAT final
ESAT
| Question | Answer |
|---|---|
| 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
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