PD III E1- MSK exam

C spine ROM

flexion, extension, R/L rotation, lateral bending

thoracic and lumber spine ROM

flexion, extension, lateral bending, R/L rotation

shoulder ROM

flexion, extension, abduction, adduction, internal/external rotation

elbow ROM

flexion, extension, pronation, supination

wrist ROM

flexion, extension, radial/ulnar deviation

hip ROM

flexion, extension, adduction, abduction, internal/external rotation

knee ROM

flexion, extension

ankle ROM

dorsiflexion, plantar flexion, inversion, eversion

toe ROM

flexion, extension

What kind of joint is freely moveable?

synovial

What kind of joint is slightly moveable, like the ribs?

cartilaginous

What kind of joint is immovable, like spinous processes and vertebrae?

fibrous

What joint is movement of 2 articulating surfaces?

condylar

What joint has motion in one plane and allows extension & retraction of an appendage (elbows and knee)?

hinge

What joint has a wide range of motion?

spheroidal

What joint allows movement back and forth, up and down, but does NOT allow for rotation like a ball and socket (ex- thumb)?

saddle

What joint allows for radial movement in almost any direction (hips and shoulders?

ball and socket

What joints slide past each other in a gliding or plane (mid carpal & tarsal)?

gliding

What joints allow rotation around an axis (neck, forearms)?

pivot

What joint allows the same type of movement as ball and socket to a lesser magnitude (wrist)?

ellipsoid

Which side should you exam first?

unaffected side

Which ROM should be completed first?

active

What MMT score?

no evidence of contractility

0/5

What MMT score?

slight contractility, no movement

1/5

What MMT score?

FROM, gravity eliminated

2/5

What MMT score?

FROM w/ gravity

3/5

What MMT score?

FROM, w/ gravity & some resistance

4/5

What MMT score?

FROM against gravity & full resistance

5/5

What is the most moveable joint of the body?

TMJ

Are audible snaps in TMJ normal?

no

An inability to open mouth due to pain would be _____

trismus

How wide should the mouth open?

3 fingers should fit between the incisors

cervical extension

up to 55

cervical flexion

45

cervical rotation

70

cervical lateral flexion

40

What are special tests for the cervical spine?

spurlings (cervical distraction test), vertebral artery test, swallowing test

shoulder flexion

170-180

shoulder extension

50

shoulder abduction w/o scapular motion

90

shoulder abduction w/ scapula

180

shoulder external rotation

90s

shoulder internal rotation

70

Glenohumeral scaption MMT

resistance hand contours over arm just above elbow and other stabilizes upper body

patient elevates arm halfway bt flexion and abduction against resistance

What are special tests for the shoulder?

crossover, apley scratch, Neer’s, empty can, and a lot more I don’t feel like typing lol

elbow flexion

150

elbow extension

0

elbow pronation

75

elbow supination

85

What are special tests for the elbow?

varus stress, valgus stress, tinel’s, golfer’s elbow, tennis elbow

What fracture is referred to as “snuff box” tenderness?

scaphoid/navicular

What should be examined with ANY injury of arm/hand or wrist?

scaphoid/navicular fracture - have pt extend & abduct fingers of injured hand and apply pressure with index finger to snuff box

What are special tests for wrist, hands, and fingers?

Finkelstein’s, phalens, reverse phalens, tinels, murphy’s, froment’s, digital allen’s, valgus stress

What are the 2 phases of gait?

stance- foot on ground & bears weight

swing- foot moves forward & does not bear weight

what are special tests for the hip?

faber/Patrick, trendelenburg, ober, thomas, etc

knee flexion

130

knee extension

0

knee internal rotation

20

knee external rotation

30

what are special tests for the knee?

ballotable/balloon sign, clarks sign/patellar grind, mcmurrays, valgus & varus stress, posterior & anterior drawer, lachmans, apley’s compression

what are special tests for ankle, feet & toes?

homans sign, talar tilt, anterior drawer, Morton’s, and more

How is the SI joint identified?

dimple over the PSIS

T & L spine flexion

85

T & L spine extension

20

T & L spine lateral flexion

30

T & L spine rotation

45

What are special tests for the T & L spine?

straight leg rise, sitting knee extension, distraction, compression, valsalva