T&M Skills check questions

Hip flx norm ROM

120, firm

Hip abduction norm ROM

45, firm

Hip Internal Rotation norm ROM

45, firm

Hip External Rotation norm ROM

45, firm

Knee flx norm ROM

135, soft

Knee ext norm ROM

0, firm

ankle plantarflexion norm ROM

50, firm

ankle dorsiflexion norm ROM

20, firm

ankle inversion norm rom

35, firm

ankle eversion norm ROM

15, hard

for hip flexion, when would you stop hip flexion

stabilize the pelvis and when you feel a posterior pelvic tilt

what are some barriers to the hip flexion motion

excessive abdominal soft-tissue

tight hip capsule

bone block ~ arthritic changes

excessively tight glute max

for hip abduction, when would you stop and measure

stabilizing pelvis and when you feel a hip hike

where should toes be pointed for hip abduction testing

pointed up

for both hip IR and ER, when would you stop and measure

when there is a noticeable compensation via lumbar lean or leg comes off the table

if the patient starts in a natural plantarflexion and dorsiflexion, do you take it to neutral before taking the ankle into the respected motion

yes, bring the foot back to neutral, then look at AROM of the respected motion

what are we stabilizing for ankle inversion and eversion

stabilize the knee

cervical flexion norm ROM with use of inclinometer

60, firm

cervical extension norm ROM with use of inclinometer

60, firm

cervical flexion norm ROM with use of goniometer

40, firm

cervical extension norm ROM with use of goniometer

50-70, firm

cervical lateral flexion norm ROM with use of inclinometer

45, firm

cervical rotation norm ROM with use of inclinometer

75, firm when supine

cervical rotation norm ROM with use of goniometer

50, firm when seated

TL flexion norm ROM with dbl inclinometer

80, firm

TL extension norm ROM with dbl inclinometer

35, firm

TL lateral flexion norm ROM with dbl inclinometer

40, firm

what are the land marks for TL rom when using dbl inclinometer

T1 and S2

TL rotation norm ROM with goniometer

45, firm

Lumbar flexion norm ROM with dbl inclinometer

60, firm

lumbar extension norm ROM with dbl inclinometer

25, firm

lumber side bending norm ROM with dbl inclinometer

30, firm

for cervical extension MMT, what muscles are being tested

iliocostalis cervicis, longisimus, semispinalis, splenius

what is the normative values for the DNF endurance test

men 39 sec and female 29 sec

for capital flexion MMT, what muscles are being tested

rectus capitis anterior, rectus capitis lateralis, longsimus capitis, suprahyoids

what is a common substitution seen when testing lumbar flexion MMT

neck flexion

For lumbar flexion MMT, what are the hand placements for grades 5,4,3

5: hand behind head

4: hands across chest

3: hands to side

for lumbar extension MMT, what are common substitutions

lumbar flexion, posterior pelvis tilt

for lumbar extension MMT, what muscles are being tested

iliocostalis lumborum, multifidi, rotares lumborum, interspinalis lumborum, intertransversal lumborum, quadratus lumborum

for trunk rotation MMT, what muscles are being tested

internal and external obliques

for trunk rotation MMT, what is a common substitution

shoulder shrug

for hip flexion MMT, what muscles are involved

iliacus and iliopsoas

for hip flexion MMT, what is a common substitution

help from sartorius

for hip flexion, abduction, and ER MMT, what is a common substitution

not ER present, and only in flexion

for hip extension MMT, what are common substitutions

knee flexion and pelvic rotation

for hip extension MMT, what muscles are being tested

glute max and hamstrings

for hip abduction MMT, what substitutions are commonly seen

hip hike, external rotation, hip flexion ~ trying to involve TFL

for hip external rotation MMT, what are common substitutions

hip abduction and hip flexion

for hip external rotation MMT, what muscles are involved

glute max, piriformis, gemellus inferior and superior, obturator internus

for hip external roation MMT, how are grades given

5-3: depends on amount of gradual resistance

2: patient can do full ROM ~ can be either supine or seated

1-0: any movement in supine

for knee flexion MMT, what are common substitutions

hip flexion and dorsiflexion

for knee extension MMT, what are common substitution

internal roation

for ankle plantarflexion MMT, what muscles are involved

gastrocnemius and soleus

for ankle dorsiflexion with inversion MMT, what muscles are involved

tibialis anterior

for ankle plantarflexion with inversion MMT, what muscles are involved

tibialis posterior

for ankle eversion with plantarflexion, what muscles are involved

peroneals

for ankle plantarflexion MMT, what we necessarily looking for

reps of calf raises

5: 25 reps

4: 2-24 reps

3: 1 rep of full ROM

2: partial ROM

1: palpable muscle activation

For ankle plantarflexion MMT, what are common substitutions

pushing through the hands

For tibialis anterior MMT, what are common substitutions

toe extension by EDL and EHL

For tibialis posterior MMT, what are common substitutions

flexing of toes by FDL and FHL

GH SHLD flexion norm ROM

115, firm

SHLD complex flexion norm ROM

180, firm

GH SHLD abduction norm ROM

125, firm

GH complex abduction norm ROM

180, firm

GH external rotation norm ROM

90, firm

Elbow flexion norm ROM

150, soft

Elbow extension norm ROM

0, hard

forearm pronation norm ROM

80, firm

wrist flexion norm ROM

80, firm

finger MCP norm ROM (flexion and extension)

flx: 90-100/ ext: 45

finger PIP norm ROM (flexion and extension)

flx: 80/ ext: 0