Movement Analysis - Final

A typical cervical spine vertebrae has a large body

False

Which of the following is not true regarding the axis vertebrae

Allows for nodding

Which of the following values would be considered outside a normative cervical spine range of motion

100 degrees of extension

The scaleni can assist in respiration True or False

True

You see a patient with neck pain. She has pain she rotates her head to the left. As part of your evaluation, which muscle might be most specific to the problem she is having

Right SCM

Which of the following is incorrect regarding the normative cervical spine ROM

Extension 50

Which one of the following muscles does not insert on the clavicle

Scaleni

Which of the following muscle’s primary action includes shoulder internal (medial) rotation

Latissiumus dorsi

Which of the following is an accurate description of the attachment site for levator scapulae

TP of c/s to medial border of the the scapula

Which of the following has a proximal attachment on the supraglenoid tubercle and distal attachment on the radial tuberosity

Long head of the biceps

List the four joints of the shoulder complex

Glenohumeral, sternoclavicular, scapulohumeral, acromioclavicular

List the shoulder joint has the greatest degree of mobility

Glenohumeral - The loose joint capsule and the humeral head's disproportionate size relative to the shallow glenoid fossa

You are a physical therapist and have a patient in the clinic with complaints of shoulder pain. After history and watching the patient move through active ROM, you passively move him and have the following measurements. Check all that are outside the normative ROM

Medial rotation 25

The following are a list of muscles that extend the glenohumeral joint. Select the exception

Rhomboids

You reach up in the cabinet to get a plate. Which of the following muscles is/are not primary agonist muscles.

Latissimus dorsi

Which of the following does not insert on the greater tubercle of the humerus

Medial deltoid

Which of the following is true regarding the scapulohumeral rhythm during initial shoulder flexion (0-60)

Majority of the movement occurs in the scapula ipsilateral to the moving arm

Describe how you would palpate supraspinatus

Laying on stomach, hand behind back
Superior to the spine of the scapula, in the supraglenoid fossa and connects to the greater tubercle
Would resist shoulder abduction for confirmation

You are treating a patient that has complaints of pain in her wrist and elbow when she extends her wrist to push the door open. Which of the following bony landmarks would be most specific to palpate to further investigate the origin of pain?

Lateral epicondyle

Which of the following muscles would most likely contract as eh primary muscle while trying to turn the ignition on in a car

Supinator

Describe how you would palpate pronator teres

Patient sitting with elbow to side at a 90 degree angle
Connected at the medial epicondyle to the mid lateral surface of the radius
Resist elbow pronation

List one joint of the elbow and what movement it creates at the elbow

Radioulnar joint - Supination/pronation

You are treating a patient who underwent elbow surgery following a fracture of his left ulna and radius. His current primary impairment is active supination of 45 degrees. Which of the following activities is going to be most limited because of this limitation.

Playing bar chords on his guitar (using left hand)

How many phalanges are associated with the first digit

2

Which of the following is an accurate description of the attachment sites of brachioradialis

Anterior surface of the humerus to the styloid process of the radius

Which of the following is true about the pelvic girdle?

Connects to the trunk via the sacroiliac joint

Posterior rotation

Lumbar flexion

Right inferior lateral tilt

Left lumbar lateral flexion

Left inferior lateral tilt

Right lumbar lateral flexion

Anterior rotation

Lumbar extension

You are working with a physical therapist, who is observing the active range of motion of a patient. Which of the following is outside normative range of motion at the hip?

Hip internal rotation = 20 degrees

Gluteus medius

Hip medial rotation

Vastus medialis

Knee extension

Sartorius

Hip lateral rotation

Gracilis

Knee flexion

Which of the following are the correct attachment sites for rectus femoris?

Anterior inferior iliac spine --> tibial tuberosity

Which of the following muscles does not flex the hip?

Adductors

Describe how you would palpate gluteus medius

Have patient in side lying position, facing away from me with hips and knees flexed

Landmarks - Anterior/lateral illum > lateral greater trochanter

To confirm I would have patient abduct top leg if on medial fibers, medially rotate if on anterior fibers and laterally rotate if on posterior fibers

Which plane of motion does biceps femoris primary act in?

Sagittal

You observe a patient, who comes into your clinic with pain on the superior/medial portion of her tibia. She reports that she has pain when she performs a bicycle crunch. Which of the following muscles is MOST specific to her complaints?

Sartorius

The tibia has an articulation with the patella. 

False

You observe a Physical Therapist evaluating a linebacker (football player) with knee pain. You observe the active and passive range of motion for knee flexion is 120 degrees. Is this range of motion normal? Why or why not?

This is not a normative range of motion for a normal person, as normative ROM is 135 degrees. However, this patient probably has increase hamstring and calf mass limiting knee flexion.

Which of the following does not attach on the pes anserine?

Semimembranosus

Which of the following is not true regarding the action or attachment of piriformis?

Extends the hip

Describe how you would palpate biceps femoris

Have patient in prone position, with straight legs

Landmarks - ischial tuberosity > lateral tibial condyle, head of fibula

Confirm by performing knee flexion

The primary motion at the talocrual joint is ankle inversion and ankle eversion?

False

Ankle eversion

0-25 degrees

Ankle inversion

0-35 degrees

Ankle plantarflexion

0-50 degrees

Ankle dorsiflexion

0-20 degrees

Which of the following is not correct regarding the attachments or action of gastrocnemius?

Attaches from the upper posterior tibia -->calcaneus

Describe how you would palpate anterior tibialis

Have patient sit with legs off the table

Landmarks - proximal, lateral tibial, interossous membrane - medial plantar surface of 1st cuneiform

Confirm by performing ankle dorsiflexion

Which of the following is not true regarding the thoraic spine?

Typical rotation between 75-90 degrees

Using anatomic language, list the primary actions and joints where the action occurs for sartorius.

Hip - Lateral rotation and hip flexion

Knee- Knee flexion

What is the sympathetic chain and how does it relate to the thoracic spine?

The basal root ganglia runs next to the thoracic spine. So, if the thoracic spine is out of allignment, it could be affect the basal root ganglia causing nerve problems in the rest of the body.

Internal oblique

Iliac crest-->ribs 8-10

Rhomboid major

Spinous process T2-5 -->medial border of scapula

Rectus abdominis

Ribs 5-7-->pubic crest

Describe how you would palpate erector spinae

Have patient in prone position

Landmarks - Ribs 3-6, posterior tp > postierior tp, iliac crest, lower ribs, sacrum

Confirm by performing spinal extension

Erector Spinae group (medial to lateral)

Spinalis, Longissimus, Iliocostalis

Which plane of motion does quadratus lumborum primarily act in when the muscle contracts unilaterally?

Frontal

Which of the following does not produce spinal flexion when contracted bilaterally?

Multifidus

List 3 defining features of a typical lumbar spine vertebrae.

Thick vertebral body

Long spinous process

Long transverse process