Application Qs
You tell your client to independently move their elbow through full flexion. You are assessing the client's:
AROM
Active Range of Motion
This muscle originates at the Pubic crest & Pubic Symphysis.
Rectus Abdominis
What innervates the iliacus muscle?
Femoral nerve
What muscle is innervated by the Inferior Gluteal Nerve?
Gluteus Maximus
Explain the difference between these anatomical terms: Contralateral vs. Ipsilateral
-Ipsilateral: on the same side of the body
-Contralateral: on the opposite side of body
A client presents with chronic R shoulder pain & progressive stiffness following a severe fracture fixation surgery 2 yrs ago. During the physical exam, the OT attempts PROM of the shoulder in abduction. At 85 degrees, the motion comes to a sudden, rigid stop resembling bone striking bone. Simultaneously, the client experiences sharp pain. What end feel is this?
Hard End Feel
(Key words were Bone striking Bone preventing full PROM; sharp pain)
What is the insertion of the external obliques?
Anterior iliac crest & rectus sheath to linea alba
This muscle helps stabilize the pelvis and assists with weak trunk flexion.
Psoas Minor
What muscle is used to extend and externally rotate the hip while stepping out of a tub?
Gluteus Maximus
What nerve is responsible for Bell's Palsy?
Facial Nerve
Bell's Palsy- ipsilateral facial paralysis of one side, facial droop, difficulty w/ eating & chewing, eye movements & facial expressions may be difficult
George works at a grocery store. Which muscle is most important for scapular stabalization and safely stacking heavy boxes of produce on shelves? serratus anterior, pec minor, pec major, or iliacus?
Serratus anterior stabalizes the scapula while lifting heavy objects overhead
These two abdominal muscles are innervated by the ventral rami T7-T12, the iliohypogastric, and the ilioinguinal nerves.
Internal Oblique & Transverse Abdominis
Name two muscles that are used while driving the knee upward while skipping.
Iliacus & psoas major (aka iliopsoas)
This muscle inserts at the anterior surface of Greater trochanter of femur.
Gluteus Minimus
What primary movements occur in the sagittal plane?
flexion/extension
This muscle stabilizes, protracts & depresses the scapula to assist with tasks such as upper body dressing like putting on a jacket.
Pectoralis Minor
When working this muscle, it unilaterally acts to ipsilaterally laterally flex the vertebral column & contralaterally rotate the VC.
External oblique
What are the contents of the inguinal canal for males vs females?
males – spermatic cord
females – round ligament of the uterus
Name 3 Actions of the Gluteus Minimus
Powerful abductor, Internally rotate hip; Some hip flexion; stabilizes pelvis when opposite leg is raised/lifted
The acromial end of the clavicle articulates with the acromion of the scapula to form what joint?
Acromioclavicular Joint
This is a Synovial joint, a plane/gliding joint.
A client is experiencing immense back pain while sitting at their desk at work. How would you recommend they decrease spinal pressure?
Standing decreases the pressure on the intervertebral discs; Perhaps a standing desk; frequent stretching; etc.
What is Diastasis Recti?
-linea alba softens, 2 rectus abdominis muscles separate causing abdomen to expand
-can occur in women & men
What are the actions of the Tensor Fascia Latae?
Flexion hip; Internal Rotation hip ; Abduct hip
Name 3 actions of the Gluteus medius
All fibers: Abduct hip
Ant fibers: Flex & internal rot of hip
Post fibers: extend, External Rotation of hip
What primary movements occur in the frontal plane?
abduction/adduction