Musculoskeletal Evaluation Midterm Review

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son850
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178889
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Musculoskeletal Evaluation Midterm Review
Updated:
2012-10-22 21:00:30
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Biomedicine
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Biomedicine
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  1. 1. Test Asymptomatic Side First, unless bilateral movement is required
    2. Any movements which are painful are performed Last
    3. Active movements are performed before Passive movements
    4. At completion of an examination, the examiner must Warn the patient their symptoms may be worsened as a result of the examination
    General Rules for Performing of Ortho / Neuro Tests
  2. This type of Neurologic Pain is the condition of the Nerve Roots.
    • Radicular / Radiculitis / Radiculopathy
    • i.e. L4 Radiculoapathy, C5 Radiculopathy
  3. This type of Neurologic Pain is the condition of Peripheral Nerves.
    • Neuralogic / Neuritis / Neuropathy
    • i.e. Femoral Neuropathy, Ulnar Neuropathy
  4. What is the term for alteration of feel / touch / sensation?
    Dysesthesia
  5. What is the term for no feel / touch / sensation?
    Anesthesia
  6. What is the term for increased feel / touch / sensation?
    Hyperesthesia
  7. What is the term for decreased feel / touch / sensation?
    Hypoesthesia
  8. What is the term for altered feel / touch / sensation (like ants crawling into skin)?
    Paraesthesia
  9. What is the term for alteration in pain sensitivity?
    Algesia
  10. What is the term for no pain sensitivity?
    Analgesia
  11. What is the term for increased pain sensitivity?
    Hyperalgesia
  12. What is the term for decreased pain sensitivity?
    Hypoalgesia
  13. How is muscle strength graded?
    • 5 - Normal (complete range of motion, against gravity with resistance)
    • 4 - Good (complete range of motion, against gravity with some resistance)
    • 3 - Fair (complete range of motion, against gravity only)
    • 2 - Poor (complere range of motion, with gravity eliminated, but in the perpendicular plane there is contractility)
    • 1 - Trace (evidence of slight contractility but no joint motion
    • 0 - Zero (no evidence of contractility)
  14. A ligamentous injury, pain aggrevated upon passive movement.
    Sprain
  15. Musculocutaneous Injury, pain upon resisted range of motion
    Strain
  16. What is the test performed the determine whether to keep a patient or refer them out?
    • Heel Walk / Toe Walk
    • Support forward stretched arms while they walk on their heel (tests L5 nerve root)
    • Support forward stretched arms while they walk on their tippy toes (test S1 nerve root)
    • (+) unable to perform the test
    • *If patient cannot doe both, they are considered a surgical case
  17. Using resisted movements to test motor function, what are the nerve(s) responsible when testing Iliopsoas?
    L1-2 primarily
  18. Using resisted movements to test motor function, what are the nerve(s) responsible when testing Adductors of the Hip?
    L3 primarily
  19. Using resisted movements to test motor function, what are the nerve(s) responsible when testing Tibialis Anterior?
    L4 primarily
  20. Using resisted movements to test motor function, what are the nerve(s) responsible when testing Extensor Hallucis (big toe)?
    L5 primarily
  21. Using resisted movements to test motor function, what are the nerve(s) responsible when testing Peroneus?
    S1 primarily
  22. What is ROM for Lumbar?
    • Flexion: 80°
    • Extension: 20°-30°
    • Lateral Flexion: 35°
    • Rotation: 45°
  23. Which nerve roots are associated with the Lumbar Plexus?
    • L1-L4 Nerve Roots
    • *the lumbar plexus is situated in the posterior part of the psoas major.¬† In front of the tranverse process of the lumbar vertebrae
  24. Which nerve roots are associated with the Sacral Plexus?
    L4-S4 Nerve Roots
  25. Which nerve is affected at the site of Protrusion 1? Protrusion 2?
    • Protrusion 1: L5 Nerve Compression
    • Protrusion 2: S1 Nerve Compression
  26. What are the nerve(s) responsible when testing Patellar?
    L4 Primary
  27. What are the nerve(s) responsible when testing Medial Hamstrings?
    L5 primary
  28. What are the nerve(s) responsible when testing Achilles?
    S1 Primary
  29. What is the image study for Disc Herniation?
    • 1. MRI
    • 2. CT Scan (patient cannot have MRI if metal is in their body)
  30. How does the practitioner determine whether a Disc Herniation is lateral or medial to a nerve root?
  31. What are the indications for Straight Leg Raise (SLR)?
    • Lumbar Radiculopathy / Neuropathy
    • Hip / Hamstring problems
    • SI joint problems
  32. When performing SLR, if pain is found between 0°-35°, what possible problem(s) does the patient have?
    • Ipsilateral SI (same side sacroiliac) or Hip Problems
    • Severe Lumbar muscle spasms
  33. When performing SLR, if pain is found between 35°-70°, what possible problem(s) does the patient have?
    Lumbar Radiculopathy
  34. When performing SLR, if pain is found over 70°, what possible problem(s) does the patient have?
    • Ipsilateral Hamstring
    • Contralateral SI joint
  35. What are the indicadtions of Braggard's test?
    Lumbar Radiculopathy / Neuropathy
  36. What are the indications of Well Leg Raise (WLR)?
    Lumbar Radiculopathy
  37. What are the indications of the Belt test?
    • Decreased pain => SI / Hip problem
    • No change / Increased pain => Lumbar / Lumbosacral problems
  38. The Femoral Triangle is bounded by which anatomical structures?
  39. What are the degress of Active Hip Normal ROM's?
    • Flexion (knee flex): 120°
    • Flexion (knee ext): 80°-90°
    • Extension: 15°
    • Abduction: 50°
    • Adduction: 30°
    • Internal Rotation: 40°
    • External Rotation: 60°
  40. What are the indication(s) of the Thomas test?
    • Contracture of Hip Flexors including:
    • Iliopsoas
    • TFL (tensor facia latae)
    • ITB (iliotibial band)
    • Rectus Femoris
  41. What is the indication of Trendelenburg's test?
    • Weakness of Gluteus Medius
    • *to perform this test, you stand on the affected sides leg
  42. What is the indication for Yeoman's test?
    SI sprain
  43. What is the indication for Gaenslen's test?
    SI sprain
  44. What is the indication of the Hibb's test?
    Hip / SI joint problem
  45. What is the indication of Piriformis Stretch test?
    Piriformis Syndrome
  46. What are the degress of Active  Knee Normal ROM's?
    • Flexion: 135°
    • Extension: 0°
    • Int. Rotate: 30°
    • Ext. Rotate: 40°
  47. What are the indications of the Drawer test?
    • Anterior Cruciate Ligament (ACL) damage; (+) excessive motion pushing Tibia forwards
    • Posterior Cruciate Ligament (PCL) damage; (+) excessive motion pushing Tibia backwards
  48. What is the indication for Sag sign?
    Loss of PCL integrity
  49. What is the indication for Valgus stess test?
    Medial Collateral Ligament (MCL) damage
  50. What is the indication for Varus stress test?
    Lateral Collateral Ligament (LCL) damage
  51. What is the indication for Appley's Distraction?
    MCL / LCL damage
  52. What are the indications for Appley's Compression test?
    • Damage to posterior horn of Medial Meniscus, found on exteranl rotation
    • Damage to poseterior horn of Lateral Meniscus, found on internal rotation
  53. What are the indications of McMurray's test?
    • Damage to posterior horn of Medial Meniscus, found on exteranl rotation
    • Damage to poseterior horn of Lateral Meniscus, found on internal rotation

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