Muscle Gait Posture Lab Flashcards.txt

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CodexSearch
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118603
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Muscle Gait Posture Lab Flashcards.txt
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2011-11-22 20:09:28
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Life University Goniometry Inclinometry Muscle CodexSearch
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Muscle, Gait & Posture Lab Flashcards
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  1. Things to remember for the final practical:
    • Patient in proper position/posture.
    • Which plane does the motion occur?
    • What are your landmarks? (= palpate!)
    • What arrow are you using?
    • How do you get your final reading?
  2. 3 CARDINAL PLANES:
    • Get out a paper plate & a pencil.
    • Punch the pencil through the center of the plate.
    • The paper plate is the plane.
    • The pencil is the axis, which is where the action takes place.
  3. 1. Sagittal (Median) Plane:
    • Divides body into R & L.
    • Allows for flexion & extension to occur.
    • Axis of rotation: bilateral (coronal).
  4. 2. Coronal (Frontal) Plane:
    • Divides body into A & P.
    • Allows for lateral flexion to occur.
    • Axis of rotation: sagittal (AP)
  5. 3. Transverse (Horizontal) Plane:
    • Divides into S & I (cephalad & caudal respectively).
    • Allows for rotation to occur.
    • Axis of rotation: VLP (Vertical/Longitudinal/Polar).
  6. INCLINOMETRY:
    • Inclinometry: ROM of the spine.
    • Found via AROM.
    • Red arrow: rotation... red arrow in red silhouette.
    • Yellow arrow: lateral flexion & flexion/extension.
    • Subtract bottom number from top number.
  7. Cervical Landmarks:
    • Rot (Trans/Horiz): Top/head & T1.
    • Lat Flex (Coronal/Frontal): Top/head & T1.
    • Flex/Ext (Sagittal/Median): Top/head & T1.
  8. Thoracic Landmarks:
    • Rot (Trans/Horiz): T1-T12.
    • Lat Flex (Coronal/Frontal): T1-T12.
    • Flex/Ext (Sagittal/Median): T1-T12.
  9. Lumbar Landmarks:
    (say that 10 times fast)
    • Rot (Trans/Horiz): L1-S2.
    • Lat Flex (Coronal/Frontal): L1-S2.
    • Flex/Ext (Sagittal/Median): L1-S2.
  10. GONIOMETRY:
    • HAVE PATIENT DO AROM FIRST, THEN DO PROM.
    • Size matters!
    • Within Normal Limits (WNL): +/- 5*.
    • Smooth side against the patient.
    • Do EVERYTHING bilaterally!!
    • We don't need to know normal degrees for lab test.
  11. Red scale:
    (We generally use the black scale).
    • 1. Shoulder adduction.
    • 2. Hip adduction.
    • 3. Hip ABduction.
    • 4. Plantar flexion/ankle.
    • 5. Dorsi flexion/ankle.
    • *Do the dance: Shoulder, Hip, Hip, Foot, Foot!*
  12. Shoulder Flexion:
    • Sagittal/ Median plane.
    • Coronal axis.
  13. Shoulder ABduction:
    • Coronal plane.
    • Sagittal axis.
  14. Shoulder Adduction:
    • Coronal plane.
    • Sagittal axis.
  15. Shoulder Internal Rotation:
    • Horizontal plane.
    • VLP axis.
  16. Shoulder External Rotation:
    • Horizontal plane.
    • VLP axis.
  17. Shoulder Extension:
    • Sagittal plane.
    • Coronal axis.
  18. Elbow Flexion:
    • Sagittal plane.
    • Coronal axis.
  19. Elbow Extension:
    • Sagittal plane.
    • Coronal axis.
  20. Wrist Flexion:
    • Sagittal plane.
    • Coronal axis.
  21. Wrist Extension:
    • Sagittal plane.
    • Coronal axis.
  22. Ulnar Deviation:
    • Coronal plane.
    • Sagittal axis.
  23. Radial Deviation:
    • Coronal plane.
    • Sagittal axis.
  24. Hip Joint Flexion:
    • Sagittal plane.
    • Coronal axis.
  25. Hip Joint Extension:
    • Sagittal plane.
    • Coronal axis.
  26. Hip ABduction:
    • Using outer RED scale.
    • PP: supine.
    • Plane: frontal (coronal).
    • Axis: sagittal (AP) --> ASIS.
  27. Hip Adduction:
    • Using outer RED scale.
    • PP: supine.
    • Gaenslen's Orthopedic Test position: leg off tab.
    • Pateint helps find ASIS.
    • Plane: frontal (coronal).
    • Axis: AP (sagittal) --> ASIS.
    • Normal: 30*.
  28. Hip External Rotation:
    • PP: supine.
    • Kernig's Orthopedic Test position: knee & hip flexed, straight leg, femur perpendicular with table.
    • Plane: transverse (horizontal).
    • Axis: VLP (longitudinal) --> patella.
    • Normal: 45*.
  29. Hip Internal Rotation:
    • PP: supine.
    • Positioned like Kering's Orthopedic Test: knee flexed, hip flexed, leg straight, femur perpendicular with table.
    • Plane: transverse (horizontal).
    • Axis: VLP (longitudinal) --> patella.
    • Normal: 45*.
  30. Knee Flexion:
    • PP: prone.
    • Knee extended, bring leg toward butt.
    • Plane: sagittal (median).
    • Axis: coronal (bilateral) --> lateral condyle of femur.
    • Normal: 135*.
  31. Knee Extension:
    • PP: supine.
    • Knee extended, bring leg forward.
    • Plane: sagittal (median).
    • Axis: coronal (bilateral) --> lateral condyle / femur.
    • Normal: 0*.
  32. Ankle Plantar Flexion:
    • Using outer RED scale.
    • PP: prone.
    • Knee flexed @ 90, foot flexed @ 90, foot toward ceiling.
    • Plane: sagittal (median).
    • Axis: coronal (bilateral) --> lateral malleolus.
    • Normal: 50*.
  33. Ankle Dorsi Flexion:
    • Using outer RED scale.
    • PP: prone.
    • Knee flexed @ 90, foot flexed @ 90, foot toward table.
    • Plane: sagittal (median).
    • Axis: coronal (bilateral) --> lateral malleolus.
    • Normal: 20*.
  34. Subtalar Inversion:
    • PP: Prone.
    • Feet off table, leg fully extended.
    • Plane: coronal (frontal).
    • Axis: AP (sagittal) --> mid calcaneus.
    • Normal: 5*.
  35. Subtalar Eversion:
    • PP: Prone.
    • Knee flexed @ 90, foot flexed @ 90, foot pointed toward table.
    • Plane: coronal (frontal).
    • Axis: AP (sagittal) --> mid clacaneus.
    • Normal: 5*.
  36. MUSCLE TESTING
  37. Extensor Hallicus Longus
    - Deep Peronial Nerve
  38. Tibialis Anterior
    - Deep Peronial Nerve
  39. Fibularis Longus
    - Superficial Peroneal Nerve
  40. Fibularis Brevis:
    - Superficial Peroneal Nerve
  41. Psoas Major:
    - Lumbar plexus
  42. Tensor Fascia Lata (TFL):
    - Superior Gluteal Nerve; L4, L5, S1
  43. Piriformis:
    - Sacral plexus.
  44. Sartorius:
    - Femoral Nerve; L2, L3
  45. Soleus:
    - Tibial Nerve
  46. Gastroc Nemius:
    -Tibial Nerve
  47. Medial Hamstring Group:
    - Sciatic Nerve (Tibial branch)
  48. Semimembranosus:
    - Sciatic Nerve (Tibial branch)
  49. Lateral Hamstrings (Biceps femoris)
    • - Long head: Sciatic Nerve (tibial branch).
    • - Short head: Sciatic Nerve (fibular branch)
  50. Gluteus Maximus:
    - Inferior Gluteal Nerve
  51. Gluteus Medius
    - Superior Gluteal Nerve
  52. Hip Adductor Group:
    - Adductor Magnus: Obturator & Sciatic Nerve---
  53. Quadriceps:
    Femoral Nerve
  54. Rectus Abdominus:
    Illiohypogastric & Illioinguinal Nerve
  55. Oblique Abdominus:
    Illiohypogastric & Illioinguinal Nerve
  56. Sternocleidomastoid (SCM):
    CN IX (Spinal Accessory N).
  57. Anterior Medial Neck Flexors:
    • - Scalenus Anterior, Medial, Posterior: C3-C8.
    • - Longus Capitus & Colli: C1-C6.
  58. Posterior Medial Neck Extensors:
    C1-C8.
  59. Elbow Flexor Group:
    Musculocutaneus Nerve
  60. Brachioradialis:
    Radial Nerve
  61. Triceps:
    Radial Nerve
  62. Deltoids:
    -Anterior
    -Middle
    -Posterior
    Axillary Nerve
  63. Pectoralis Major Superior:
    Lateral Pectoral Nerve
  64. Pectoralis Major Inferior:
    Medial AND Lateral Pectoral Nerves
  65. Serratus Anterior:
    Long Thoracic Nerve
  66. Subscapularis:
    Upper & Lower Subscapular Nerves
  67. Teres Major:
    Lower Subscapular Nerve
  68. Teres Minor:
    Axillary Nerve
  69. Superior Trapezius:
    CN XI (Spinal Accessory Nerve)
  70. Rhomboids:
    Dorsal Scapular Nerve
  71. Latissimus Dorsi:
    Thoracodorsal Nerve
  72. Supraspinatus:
    Suprascapular Nerve

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