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32 Cards in this Set
- Front
- Back
Position for cervical ROM measurements
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Sitting in a chair, feet flat on ground, back supported
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Thoracolumbar extension
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Think about that neck
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Thoracolumbar flexion via tape and Shober: what should you expect?
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10 cm for the tape
6-7 cm for Shober |
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MMT: Combined cervical Flexion
Muscles of combined cervical flexion |
Laying on the back.
Substitution: Platysma Rectus capitis anterior & lateral Longus capitis Scalenes SCM |
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Trunk Extension
Muscles: |
DON'T PUSH DOWN
Hold the feet Chest slightly off table Errector Spinae Multifidus & Rotatores |
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Trunk Flexion
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2: raise head
1: cough or can palpate muscle as you raise them. |
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Trunk Rotation
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2: Can't clear the inferior angle of scapula.
1: Palpation as you pull them up |
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Capsular pattern for adhesive capsulitis
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ER, Abd, IR
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Infraspinatus/teres minor
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Sitting down, thoughtful position, Elbow bent
It's going to be below the intersection of the spine and the acromion. |
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Shoulder flexion ROM & MMT
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ROM
Lying on the back 150-180 degrees MMT 2: Partial ROM 1: Palpation PALM DOWN |
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Shoulder Extension
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SAME POSITION IN PRONE
ROM 50-60 degrees MMT 2: Partial ROM |
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Shoulder Abduction
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ROM:
Acromion-// Sternum-midline of arm Bend head if need be 180 MMT: THUMB UP Sitting position 2: put in ROM position |
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Shoulder internal/external rotation
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ROM
On their back 70-90; 90 MMT On stomach 2: let hand drop Palpate underneath posterior axilla for internal rotation |
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Shoulder Horizontal Abudction
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ROM
Sitting position Palms down 30-45 MMT: On stomach 2: arm sliding on table |
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Shoulder Horizontal Adduction
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ROM
Sitting position Palms down 130-140 MMT: On back 2: Arm sliding on table |
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Scapular abduction and upward rotation MMT only
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Essentially Scaption
Sitting position Palpating hand is underneath the inferior angle Arm is raised, and then pt tries to pull their hand down 2: Add support by lifting the hand (to create a gravity minimized position). Does it then move into that abduction and upward rotation motion? |
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Scapular Adduction MMT
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Same as horizontal abduction
Lying on stomach Towel 2: Shoulder blades can come together in straight adduction as you support the weight of the arm. Substitutions: Downward rotation of the rhomboids |
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Scapular Depression and Adduction MMT
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THUMB UP
Lower trap 2: Hold up hand |
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Scapular Adduction and Downward Rotation MMT
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Lying down
Arm behind the back Rhomboids 2: Switch positions |
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Flexor Carpi Ulnaris
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Make a fist and squeeze real tight
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Elbow Flexion
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ROM
Back 140-150 MMT: Sitting 2: Internally rotate arm so elbow is in transverse plane |
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Elbow Extension
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ROM:
Back 0 degrees MMT: Stomach 2: Sitting with elbow in transverse plane |
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Forearm pronation & supination ROM averages and goni positions
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80
Parallel to the medial & lateral borders of humerus |
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Wrist Flexion
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ROM:
Hand off side of table. Triquetrium 60-80 TABLE RAISED SO THAT ARM IS IN NEUTRAL MMT: Fingers relaxed Make it easy: dorsal side on table. 2: Switch to where the lateral side of the palm is on the table (grav. min) |
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Wrist Extension
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Hand off side of table.
Triquetrium 60-70 TABLE RAISED SO THAT ARM IS IN NEUTRAL MMT: Feel underneath Fingers relaxed Make it easy: dorsal side on table. 2: Switch to where the lateral side of the palm is on the table (grav. min) |
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Radial & Ulnar Deviation ROM only
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RAISED TABLE
MIDLINE OF FOREARM...LATERAL EPI Ulnar: 30 Radial: 20 |
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MCP Flex/Ext for 2-5
What's the muscles involved? |
Lumbricals for flexion
ROM flex 90, ext 20-45 MMT: Flexion: Flex MCP Extend IP Extension: Extend MCPs |
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MCP Abd/Add
What's the muscles? |
Proximal Phalanx
MC Palmer Interosseous: Add Dorsal Interosseous: Abd |
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PIP/ DIP (2-5) FLEX /EXT
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ROM
PIP: 100 flex, 0 ext DIP: 70-90 flex, 0 ext MMT: FEEL TENDON AT THE WRIST |
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MCP/IP FLEXION THUMB ROM only
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MCP: 50-60˚ flex, 0˚ ext
IP: 80˚ flex, 20˚ ext |
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CMC Flexion of the thumb ROM only
THIS IS INVOLVED CMC Extension: |
MEASURE 2 POSITIONS
MEASURE WITH PALM FACING UP STOP WHEN THUMB STARTS OPPOSING Goni: Base of CMC-ARM-MIDLINE OF RADIUS 15 degrees Extension is the same except the measurements vary (20-80) |
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CMC ABDUCTION
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Axis: lateral aspect of the radial styloid
70 degrees |