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IER MUSCULO EXAM
Musculo EXAMINATION Procedures
| Question | Answer |
|---|---|
| NORMAL END FEELS | SOFT TISSUE APPROXIMATION, TISSUE STRETCH, BONE ON BONE |
| ABNORMAL END FEELS: CAPSULAR | JOINT CAPSULE IS THE LIMITING FACTOR, WITH FIRMER END FEEL |
| ABNORMAL END FEELS: BONE ON BONE | JOINT HYPERTROPHY DUE TO TRAUMA OR DJD |
| ABNORMAL END FEELS: MUSCLE GAURDING | OFTEN ASSOCIATE WITH PAIN' MUSCLE CONTRACTION PREVENTS FURHTER JOINT MOVEMENTS |
| ABNORMAL END FEELS :SPINGY | SIMILAR TO TISSUE STRECTH , BUT OCCURS EARLIER THAN EXPECTED. SUDDEN RESISTANCE |
| ABNORMAL END FEELS: EMPTY | UNABLE TO MOVE A JOINT ENOUGH TO OBTAIN END FEEL, PAIN LIMITS ROM OR JOINT GROSSLY UNSTABLE |
| MAUAL MUSCLE TESTING: NORMAL 5/5 | CAN MOVE INTO TEST POSITION AGAINST GRAVITY WITH MAXIMAL PRESSURE |
| MAUAL MUSCLE TESTING: GOOD 4/5 | CAN MOVE INTO TEST POSITION AGAINST GRAVITY BUT ONLY CAN RESIST WITH MODERATE PRESSURE |
| MAUAL MUSCLE TESTING: FAIR + 3+/5 | CAN MOVE INTO TEST POSTION AGAINST GRAVITY BUT ONLY CAN RESIST WITH MINIMAL PRESSURE |
| MAUAL MUSCLE TESTING:FAIR 3/5 | CAN ONLY MOVE INTO THE TEST POSITION AGAINST GRAVITY AND HOLD |
| MAUAL MUSCLE TESTING: FAIR- 3-/5 | SAME AS FAIR BUT GRADUAL RELEASE AGAINST GRAVITY |
| MAUAL MUSCLE TESTING: POOR+ 2/5 | CAN MOVE AGAINST GRAVITY IN SMALL ROM |
| MAUAL MUSCLE TESTING: POOR 2/5 | CAN MOVE IN FULL ROM WITH GRAVITY ELIMINATED |
| MAUAL MUSCLE TESTING: POOR- 2-/5 | CAN ONLY INITIATE ROM WITH GRAVITY ELIMINATED |
| MAUAL MUSCLE TESTING: TRACE 1/5 | FASICULATIONS/PALPABLE MUSCLE CONTRACTION BUT UNABLE TO MOVE |
| MAUAL MUSCLE TESTING: ZERO 0/5 | NO VISIBLE OR PALPABLE MOVMENT |
| RESITED ISOMETRIC MOVEMENTS STRONG AND PAINLESS | NO PATHOLOGY |
| RESITED ISOMETRIC MOVEMENTS STRONG AND PAINFUL | MINOR STRUCTURAL LESION OF THE MUSCLE TENDON |
| RESITED ISOMETRIC MOVEMENTS WEAK AND PAINLESS | COMPLETE RUPTURE OF MUSCLE TENDON UNIT OR NUEROLOGICAL DEFICIT PRESENT |
| RESITED ISOMETRIC MOVEMENTS WEAK AND PAINFUL | PARTIAL DISRUPTION OF MUSCLE TENDON UNIT. PAIN RESPONSE DUE TO SERIOUS PATHOLOGY OR CONCURRENT NEUROLOGICAL DEFICIT |
| VERTEBRAL ARTERY TEST | Pt EXTENDS AND ROTATES neck to one side and holds the position for 10 secs. (+) for tinnitus, dizziness, nausea, throbbing or inusula sensation. |
| QUADRANT TEST FOR CERVICAL SPINE | Pt positioned in cervical extension, rotation and ipsilateral sidebending with overpressuer. If test reporduces the Pts UE symptoms, then cervical spine requires further attention |
| STANDING FLEXION TEST FOR LUMBER SPINE | TEST ILIOSACRAL MOTION AND DETERMINES JOINT DYSFUNCTION AND SIDE INVOLVMENT.THE PSIS THAT MOVES CRANIALLY 1ST OR FARTHEST IS CONSIDERED BLOCKED |
| GILLETS TEST | Pt stands on one leg and pulls the opposite leg towards the chest. (+) the blocked dysfunctioning joint will not move, while the normal joint moves inferiorly |
| LONG SITTING TEST ANTERIOR INNOMINATE ROTATION | LIMB ON THE AFFECTED SIDE APPEARS LONGER WHEN Pt lies supine, but shorter when sitting |
| LONG SITTING TEST POSTERIOR INNOMINATE ROTATION | LIMB ON THE AFFECTED SIDE APPEARS SHORTER IN SUPINE AND LONGER WHEN SITTING |
| SITTING FLEXION TEST | Pt IN SITTING BENDS FWD W/ ARMS FOLDED ACROSS CHEST. (+) TEST OCCURS WHEN A BLOCKED JOINT MOVES 1ST AND/OR FARTHER CRANIALLY |
| STARIGHT LEG RAISE 0-30dg | EGUAL HIP PATHOLOGY OR SERVERLY INFLAMED NERVE ROOT |
| STARIGHT LEG RAISE 30-50dg | INDICATES SCIATIC NERVE INVOLVMENT |
| STRAIGHT LEG RAISE 50-70dg | IS PROBABLE HAMSTRING INVOLVMENT |
| STARIGHT LEG RAISE 70-90dg | SACROILIAC JOINT STRESSED |
| ANTERIOR INNOMINATE ROTATION | UNILATERAL ILIOSACRAL JOINT DYSFUNCTION IN WHICH THE ILIAC CREST/PSIS IS UP AND ANTERIOR AND THE ASIS IS DOWN. SUPINE LEG LENGTH IS LONGER; LONG SITTING THE LEG LENGTH IS HSORTER. |
| POSTERIOR INNOMINATE ROTATION | A UNILATERAL ILIOSACRAL JOINT DYSFUNCTION IN WHICH THE ILIAC CREST/PSIS IS DOWN AND POSTERIORAND ASIS IS UP. SUPINE LEG IS LENGTH IS SHORTER AND LONG SITTING LEG LENGTH IS LONGER |
| UPSLIP OF INNOMINATE | A VERTICLE SHEAR OF AN ENTIRE INNOMINATE IN WHICH THE ASIS AND ILIAC CREST ARE UP IN COMPARISON TO THE OPPOSITE SIDE. STANDING FLEXION TEST IS USED TO DETERMINE SIDE OF DYSFUNCTION |
| SACRAL TORSION | SACROILIAC JOINT DYSFUNCTION IN WHICH THE SACRUM IS ROTATED AROUND AND OBLIQUE AXIS CAUSING THE SACRAL SULCUS TO BE DEEP AND THE OPPOSITE INFERIOR LATERAL ANGLE TO BE POSTERIOR AND DOWN COMPARED TO THE OPPOSITE SIDE BONY LANDMARKS |
| VERTEBRAL ARTERY TEST | Pt EXTENDS AND ROTATES neck to one side and holds the position for 10 secs. (+) for tinnitus, dizziness, nausea, throbbing or inusula sensation. |
| QUADRANT TEST FOR CERVICAL SPINE | Pt positioned in cervical extension, rotation and ipsilateral sidebending with overpressuer. If test reporduces the Pts UE symptoms, then cervical spine requires further attention |
| STANDING FLEXION TEST FOR LUMBER SPINE | TEST ILIOSACRAL MOTION AND DETERMINES JOINT DYSFUNCTION AND SIDE INVOLVMENT.THE PSIS THAT MOVES CRANIALLY 1ST OR FARTHEST IS CONSIDERED BLOCKED |
| GILLETS TEST | Pt stands on one leg and pulls the opposite leg towards the chest. (+) the blocked dysfunctioning joint will not move, while the normal joint moves inferiorly |
| LONG SITTING TEST ANTERIOR INNOMINATE ROTATION | LIMB ON THE AFFECTED SIDE APPEARS LONGER WHEN Pt lies supine, but shorter when sitting |
| LONG SITTING TEST POSTERIOR INNOMINATE ROTATION | LIMB ON THE AFFECTED SIDE APPEARS SHORTER IN SUPINE AND LONGER WHEN SITTING |
| SITTING FLEXION TEST | Pt IN SITTING BENDS FWD W/ ARMS FOLDED ACROSS CHEST. (+) TEST OCCURS WHEN A BLOCKED JOINT MOVES 1ST AND/OR FARTHER CRANIALLY |
| ANTERIOR INNOMINATE ROTATION | UNILATERAL ILIOSACRAL JOINT DYSFUNCTION IN WHICH THE ILIAC CREST/PSIS IS UP AND ANTERIOR AND THE ASIS IS DOWN. SUPINE LEG LENGTH IS LONGER; LONG SITTING THE LEG LENGTH IS HSORTER. |
| POSTERIOR INNOMINATE ROTATION | A UNILATERAL ILIOSACRAL JOINT DYSFUNCTION IN WHICH THE ILIAC CREST/PSIS IS DOWN AND POSTERIORAND ASIS IS UP. SUPINE LEG IS LENGTH IS SHORTER AND LONG SITTING LEG LENGTH IS LONGER |
| UPSLIP OF INNOMINATE | A VERTICLE SHEAR OF AN ENTIRE INNOMINATE IN WHICH THE ASIS AND ILIAC CREST ARE UP IN COMPARISON TO THE OPPOSITE SIDE. STANDING FLEXION TEST IS USED TO DETERMINE SIDE OF DYSFUNCTION |
| SACRAL TORSION | SACROILIAC JOINT DYSFUNCTION IN WHICH THE SACRUM IS ROTATED AROUND AND OBLIQUE AXIS CAUSING THE SACRAL SULCUS TO BE DEEP AND THE OPPOSITE INFERIOR LATERAL ANGLE TO BE POSTERIOR AND DOWN COMPARED TO THE OPPOSITE SIDE BONY LANDMARKS. |
Created by:
krstuart
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