Postural Deviations
The Q angle is formed by these landmarks.
What are the ASIS to the center of the patella and down to the tibial tuberosity
Bonus:
The average Q-angle by gender:
Females: <25
Males: <20
When performing a gravity minimized Hip Adduction MMT, the testing position is in:
What is supine?
A mnemonic for the cranial nerves + Names of each cranial nerve
What is OOOTTAFVGVAH
Bonus points: Mnemonic for the nerve type of the cranial nerves (and again what they stand for)
SSMMBMBSBBMM
Liz is performing a LE examination on Prima and just performed both a gluteus maximus and hamstring MMT with bilateral 5/5 MMT scores. Liz tested Prima in this position and moved this body part to differentiate between gluteus maximus and hamstrings.
What is prone and bending the knee in prone to bias glute max then extending the knee for hamstrings?
An accurate description of Cody's performance in Dance Haven this past weekend.
What is amazing. Or any other superlatively positive adjective.
Increased anterior pelvic tilt commonly pairs with this compensation in the spine.
What is lumbar lordosis?
Remember that the two are not mutually inclusive, but rather commonly occur with one another
Agnes is lacking 10 degrees of knee extension. This is considered to be a:
What is knee flexion contracture?
Bonus: What deficit in knee extension is required to be considered a knee flexion contracture?
-5 degrees or greater
Deep Tendon Reflexes test this reflex.
What are muscle stretch reflexes?
Bonus: Another meaning of DTR
Context clue: "Martin, Cody, and Nick DTR-ed last night after months of talking on and off."
These three muscles are essential for bed mobility
What are abdominals, erector spinae, gluteus maximus?
A descriptor for a test that measures what it's supposed to measure.
What is validity?
Anterior tipping of the scapula is assessed in this position on this landmark.
What is standing and inferior angle of the scapula?
BONUS: What muscles(s) would create this deviation?
Tegan is performing Ober's test on Kayla's R hip. The hip falls to parallel. This test is:
What is positive?
Bonus: What is considered a normal/negative Ober's test?
-10degrees below parallel
When performing an Achilles tendon DTR, you notice the patient's foot plantarflex and dorsiflex multiple times, a phenomenon called this.
What is clonus?
These two landmarks are used when using two inclinometers to measure thoracic and lumbar lateral flexion.
What are T1 and S1?
Morgan created an alglorithm to determine when Sam Pernick would participate in class. However Morgan's algorithm always indicates whenever Sam Jakuconis participates in class. This algorithm test could be considered as:
What is reliable and invalid?
Validity indicates whether a test measures what it sets out to measure.
Reliability indicates a test's consistency. (Ex. consistently right or wrong)
You notice that your patient's left navicular drops excessively in standing but returns to normal when prone, a demonstration of this postural deviation.
What is functional pes planus?
Cody is performing the Thomas Test on Nick. It is positive when the knee is flexed but negative when the knee is extended. Identify the tight muscle
What is Rectus Femoris
-Could also be anterior jt capsule (if both were positive)
Bonus: Explain how the two tests can identify whether rectus femoris (quads) or iliopsoas (hip flexors) is tight while using the term "active insufficiency."
Your patient's right eye sits in adduction, most likely indicating this cranial nerve.
What is CN VI - abducens nerve?
Sarah is performing a lower quarter exam on Stephenie. Sarah just assessed Steph's gastrocnemius, but now wants to assess Soleus strength. She would reposition Stephenie by:
What is bending the knee?
Why?
Gastrocnemius is a 2-jt muscle
During the E&E practical:
When checking a patient's ROM, you should do and say the following:
DRAPE (as appropriate)
State the motion being tested
Identify/verbalize the fulcrum, moving arm, and stationary arm
Pre-set your goni to the expected/normal range
Verbalize normal ROM
Perform ROM, recheck your position on the landmarks (via palpation)
Read out the value and state the end feel
Verbalize any potential causes for a deviation of ROM from the norm.
Your patient is an 83 year old female c/c of low back pain. Your posture evaluation finds:
- Palpation: bilateral ASIS superior to PSIS
- Increased thoracic flexion throughout
- Bilateral external auditory meatus anterior to acromions
These findings are most consistent with THIS faulty posture.
What is Sway Back?
Yvonne (self-proclaimed favorite K&B TA) has been slacking on her ankle mobility exercises and now has 5 degrees bilateral ankle dorsiflexion. She will likely have difficulty completing this activity.
What is descending stairs?
Will also accept sit-to-stand (and vice versa) in a low chair.
Bonus: What is the range of ankle DF needed to descend stairs?
-21-35degs
You are examining your patient with insidious onset low back pain with no trauma, given the following, this is the most appropriate next step:
- Bilateral Hip MMT 4/5 throughout
- Right knee MMT 5/5, Left 4/5
- Bilateral ankle/foot MMT 5/5 throughout except L great toe extension, 1/5
What is stop examination and refer to physician? (red flag)
We demand 2 tributes from each group to come to the front of the class.
Perform a LE strength screen!!
The first group to finish and correctly perform gets the points
Hip flex, ext, abd, add, IR, ER
Knee flex, ext
Ankle DF, PF, inv, ev
We demand 2 tributes from each group to come to the front of the class.
Perform a UE movement/ROM screen!!
The first group to finish and correctly perform gets the points