Functional, straight plane assessment, and endurance tests for 701 written 2

what are and how many functional movements are there for cervical spine

1) cervical rotation with flexion left to right

2) cervical rotation with extension left to right

cervical rotation with flexion to the rt assess what?

stretch of lt cervical extensors, pain or stretch

cervical rotation with extension to the rt assess what?

loads right facet joints, pain or pinching

what are and how many straight plane cervical motions are there

1) cervical-thoracic flexion

2) cervical-thoracic extension

3) cervical-thoracic rotation Rt and LT

4)cervical-thoracic lateral flexion

what are and how many functional movements for thoracic spine

1) thoracic rotation to RT and Left

• hands across chest or clasped straight out in front

• norm is 45 degrees

thoracic rotation to RT and LT assess’ what

comparing RT and LT side for quality of motion and symptom reproduction

what are the straight plane movements for thoracic spine

none

what are and how many functional movements for lumbar spine

1) quadrant extension with thoracic lumbar rotation RT and LT

2) quadrant flexion with thoracic lumbar rotation RT and LT

3) functional squat

how do you cue quadrant extension with thoracic-lumbar rotation RT and LT and what is it assessing and what joints is it assessing

Hip and lumbar spine

slide Rt hand down back of RT thigh

Provocation test for pain

load facet joint to the side leaning

how do you cue quadrant flexion with thoracic-lumbar rotation RT and LT and what is it assessing and what joints is it assessing

hip and lumbar spine

slide Rt hand down outside of left leg

provocation test for pain

lengthens erector spinae

assess for muscle irritability

how do you cue functional squat and what is it assessing/what is ideal

hands by side or hands overhead (places tension on throacic-lumbar fascia and lattissimus dorsi)

Ideal: thoracic and lumbar curves maintained and able to get femur parallel to floor while knees stay over toes

Assess hip motion

what are and how many straight plane motions for lumbar spine

1) thoracic-lumbar-hip flexion

2) thoracic lumbar hip extension

3) thoracic lumbar-hip rotation RT and LT

4) thoracic lumbar-hip lateral flexion

when assessing thoracic lumbar hip rotation to the RT what hip is IR and ER

hip you turn towards= IR

hip you turn over and away from= ER

what are and how many hip functional movements are there?

1) lumbo-pelvic-hip flexion: feet apart touch toes

2) lumbo-pelvic-hip extension:feet apart lean back (hands on hips or overhead)

3) rotation to RT and left

4) quadrant extesion with thoracic lumbar rotation RT and LT

5) quadrant flexion with thoracic lumbar rotation RT and LT

6) functional squat

7) standing unilateral hip and knee flexion to 90

8 ) standing unilateral knee flexion to 90

what is ideal for standing unilateral knee flexion to 90 and what joints is it assessing

knee and hip

• ability to maintain upright for 10 sec or equal to opposite side

• lack of arm or leg swings

• pelvis and shoulders stay level

what is ideal for standing unilateral hip and knee flexion to 90 and what joints is it assessing

hip and knee

• ability to stay upright for 10 secs or equal on opposite side

• lack of arm or leg swings

• maintain 90 degrees of hip flexion

• maintain lumbar lordisis

what is ideal for functional squat and what joints is it assessing

hip and knee, lumbar spine, ankle

• thoracic and lumbar spine curves maintained, knees over toes with femurs parallel to the floor

what are and how many gross motion assessment for hip motion?

1) hip flexion

2) hip extension

3) hip abduction

4) hip adduction

5) hip IR

6) hip ER

what are how many straight plane knee movements are there?

1) knee flexion and extesion

what are and how many functional movement assessments are there for the knee

1) standing truck rotation LT and RT

2) standing unilateral hip flexion to 90

3) standing functional squat

4) stairs: step up or step down

how many and what are the functional movements for ankle/foot

1) standing functional squat: single or double leg

2) standing dorsiflexion

how do you assess standing dorsiflexion

toe to wall

touch knee to wall

inch toes backwards so heel is on ground and knee is touching wall

measure max distance from big toe

what are and how many straight plane motions are there for ankle/foot

1) ankle dorsiflexion and plantarflexion

3) ankle and foot inversion and eversion

what are all of the endurance tests, what regions/joints are they testing

thoracic-lumbar region

• prone plant

• side plank to lt and rt

• bridging

Cervial

• deep neck flexor

• cervical extensor

how do you perform the deep neck flexor endurance test

• subject supine, therapist passive flex/tuck chin and lifts head of table 1 inch

• hold position while hand is removed

• times how long can be held

• complete when subject can no longer maintain chin tuck, head drops, or pain

what are the norms for deep neck flexor endurance test

M: 38+- 20 sec

F: 29+-13 sec

how do you perform cervical extensor endurance test

• subject prone with forehead suppoeted by towel

• therapist passively tucks chin and raises head 1-2 inches

• ask to hold

• time it

• test is complete when subject can no longer maintain position, head drops, pain

what is the norm for cervical extensor endurance test

goal of 20-30 sec

how do you perform the prone plank endurance test

• plank position

• hold keep back flat

• time it

• test is complete when subject can no longer maintain position or pain

how do you perform the side plank endurance test to RT or LT

• subject on side rest on elbow

• raise hip of table so hip knee and shoulder are in line

• time it

• test is complete when subject can no longer maintain position or pain

how do you perform the bridging endurance test

• supine with hips and knees bent feet on floor

• raise pelvis so hips knees and shoulders are all in line

• hold and time it

• test is complete when subject can no longer maintain position or pain

• can be done single leg with opposite straight out still in line