E2 PD III- MSK

What type of joint has the following motion:

Freely moveable

Synovial

What type of joint has the following motion:

Slightly moveable- eg. ribs

Cartilaginous

What type of joint has the following motion:

Immovable- eg. spinous process & vertebrae

Fibrous

What type of joint has the following motion:

Wide range of motion

Spheroidal

What type of joint has the following motion:

Motion in one plane

Hinge

What type of joint has the following motion:

Movement of 2 articulating surfaces

Condylar

What type of joint:

Allows extension & retraction of an appendage

Hinge

What type of joint:

Elbows & knees

Hinge

What type of joint:

Allows back and forth and up and down, but does not allow for rotation like a ball and socket

Saddle

What type of joint:

Thumb

Saddle

What type of joint:

Allows for radial movement in almost any direction

Ball & socket

What type of joint:

Hips and shoulders

Ball & socket

What type of joint:

Joints sliding past each other in a gliding or plane

Gliding

What type of joint:

Mid-carpal and mid-tarsal

Gliding

What type of joint:

Allows rotation around an axis

Pivot

What type of joint:

Neck- occipital spins over top of the axis

Pivot

What type of joint:

Forearms- radius & ulna

Pivot

What type of joint:

Similar to a ball & socket, allows the same type of movement to a lesser magnitude

Ellipsoid

What type of joint:

Wrist

Ellipsoid

What ROM is tested first: Active or Passive

Active ROM

What grade muscle strength:

No evidence of contractility

0

What grade muscle strength:

Slight contractility, no movement

1

What grade muscle strength:

FROM, gravity eliminated

2

What grade muscle strength:

FROM with gravity

3

What grade muscle strength:

FROM, with gravity, some resistance

4

What grade muscle strength:

FROM against gravity, full resistance

5

What is the most moveable joint in the body?

TMJ

Is an audible snap with movement of the TMJ a normal finding?

No

Extension of C-spine: up to ____ degrees

55

Flexion of C-spine: ____ degrees

45

Rotation of C-spine: _____ degrees

70

Lateral bend of C-spine: _____ degrees

40

Flexion of shoulder: _____ degrees

170-180

Extension of shoulder: _____ degrees

50

Abduction of shoulder without scapular motion: _____ degrees

90

Abduction of shoulder with scapula: _____ degrees

180

External rotation of shoulder: _____ degrees

90

Internal rotation of shoulder: _____ degrees

70

Flexion of elbow: _____ degrees

150

Extension of elbow: _____ degrees

0

Pronation of elbow: _____ degrees

75

Supination of elbow: _____ degrees

85

Flexion of knee: _____ degrees

130

Extension of knee: _____ degrees

0

Internal rotation of knee: _____ degrees

20

External rotation of knee: _____ degrees

30

Flexion of T & L spine: _____ degrees

85

Extension of T & L spine: _____ degrees

20

Lateral bend of T & L spine: _____ degrees

30

Rotation of T & L spine: _____ degrees

45

What special test:

Hyperextension with lateral rotation and axial compression of the patient's head

Spurling's test/Cervical compression

A + Spurling's test/Cervical compression indicates ______

Foraminal stenosis & nerve root irritation/compression

What result is considered a + cervical distraction test?

The pain decreases or is eliminated

What special test:

Place your hands under the back of the head, cup the chin, apply a distraction force

Cervical distraction

What does the Neer's sign test for?

Shoulder impingement

What does the Hawkin's and Kennedy test evaluate?

Shoulder impingement

What does the external rotation lag sign test for?

Integrity of the supraspinatus, teres minor, and infraspinatus tendons (rotator cuff tear)

What does the internal rotation lag sign/lift off test for?

Subscapularis tear

What do the "Empty can" and "Full can" tests evaluate?

Rotator cuff tear

What does the Drop Arm Test evaluate?

Rotator cuff tear

What special test:

Flex, adduct, and internally rotate the shoulder & extend the elbow, patient is resisting downward force

O'Brien's test

What does the O'Brien's test evaluate?

AC joint or Labral tear

What does the "Clunk Test" evaluate?

Labral lesions

What does the anterior slide test evaluate?

SLAP lesions

What special test:

Patient has hands on hips and thumbs pointed posteriorly, examiner places a forward and superior force on elbow, patient resists the force

Anterior slide test

What does the Sulcus sign evaluate?

Inferior shoulder instability

What special test:

Examiner applies downward distraction force on the arm with hand above the elbow, used to determine inferior shoulder instability

Sulcus sign

What does the anterior apprehension sign/test or crank test evaluate for?

Anterior labrum/capsule instability

What does Jobe's relocation test evaluate?

Shoulder instability

What is a + result of the Speed's test?

Pain in the bicipital groove

What special test:

Elbow in extension, patient flexes the shoulder against resistance, pain in bicipital groove is positive

Speed's test

What is a + result of the Yergason's test?

Pain in the bicipital groove

What special test:

Patient attempts to supinate the wrist against resistance (with the elbow flexed at the side), pain in bicipital groove is positive

Yergason's test

What is a + result of the Ludington's test?

No contraction palpable

What does the Ludington's test evaluate?

Torn head of biceps

What special test:

Patient clasps hands behind head and contracts the biceps

Ludington's test

What is a + result of the Lippman's test?

Sharp pain on the bicipital groove

What does the Lippman's test evaluate?

Bicipital tendonitis

What special test:

Flex patient's arm to 90 degrees and move the biceps tendon side-to-side

Lippman's test

What does Adson's maneuver test for?

Thoracic outlet syndrome

What does Allen's test evaluate?

Thoracic outlet syndrome

What does the Military brace test for?

Thoracic outlet syndrome

What does the Roos test evaluate?

Thoracic outlet syndrome

What special test:

Passively extend and abduct the arm while the patient hyperextends the head/neck, assess the radial pulse

Military brace test

What is a + result of the Military brace test?

Diminished or absent radial pulse

What is a + result of the Roos test?

Patient is unable to maintain the test position, diminished motor function of the hands, and/or loss of sensation in the upper extremities

What special test:

Patient holds both elbows at shoulder height while pushing their shoulders back, patient will open & close their hands for several minutes

Roos test

A winged scapula indicates _____ dysfunction

CN XI

Varus or Valgus stress test:

Holding the elbow slightly bent, apply pressure to the inside of the elbow. This places the lateral (outside) ligaments under stress. Pain and instability indicates damage to the LCL.

Varus stress test (elbow)

Varus or Valgus stress test:

Holding the elbow slightly bent, apply pressure to the outside of the elbow. This places the medial (inside) ligaments under stress. Pain and instability indicates damage to the MCL.

Valgus stress test (elbow)

What does a + Tinel's sign at the elbow indicate?

Ulnar nerve compression or entrapment

What special test:

Repeated tapping over the ulnar nerve where it passes behind and underneath the medial epicondyle

Tinel's sign at the elbow

What special test:

Stabilize the patient's elbow with 1 hand and patient pronates the forearm and extends and radially deviates the wrist

Mill's test

What special test:

Pain with pressing below the lateral epicondyle, pain on the outside of the elbow when hand is extended at the wrist against resistance, apply pressure to the dorsum of patient's first forcing it into flexion

Cozen's test

What does the Mill's test evaluate?

Tennis elbow

What does the Cozen's test evaluate?

Tennis elbow

Tennis elbow

a. Medial epicondylitis

b. Lateral epicondylitis

Lateral epicondylitis

Golfer's elbow

a. Medial epicondylitis

b. Lateral epicondylitis

Medial epicondylitis

What special test:

Patient pronates & flexes the wrist and forearm at the same time, positive result is pain over the attachment of the wrist flexor muscles on the inside of the elbow

Golfer's elbow

What does the Finklestein test evaluate?

DeQuervain's tenosynovitis