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PTH220 goni
goniometry
Question | Answer |
---|---|
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. |