Shoulder Goni
Where is the non-moving arm positioned at for shoulder ER?
Parallel or perpendicular to the floor
What is normal ROM for ulnar deviation?
0-30
For wrist flexion and extension, where is the axis located?
Triquetrum
Which MMT(s) would I perform if a patient was having difficulty with putting a cup in upper cupboard?
A. Anterior deltoid
B. Pec Major
C. Biceps
D. Tricep
A, B, C
What end feel is described as squishy and indicative of swelling?
Boggy
Why do we bend the knees for shoulder flexion ROM? What would happen if we didn't?
So the lats are not in passive insufficiency as they cross the shoulder and spinal area. If not pt could arch their back. It would result in decreased shoulder flexion ROM.
What is normal ROM for pronation and supination?
0-80
For wrist flexion and extension ROM, what is the position of the shoulder and elbow?
90 deg shoulder abd, 90 deg elbow flexion
A patient has 2/5 strength in prone. Which muscle am I testing?
A. Upper trap
B. Low trap
C. Mid Trap
D. Elbow flexors
A. Upper trap
Name 4 muscles of rotator cuff
Subscapularis, Supraspinatus, infraspinatus, teres minor
What position should the elbow be in when measuring shoulder flexion/extension and why?
Slightly flexed. Need to take the biceps and triceps out of passive insufficiency as they cross both elbow and shoulder
When measuring forearm supination, where is the axis located?
Medial and proximal to ulnar styloid process (this makes it on volar side of forearm)
What is the difference in hand position for wrist flex/ext and radial/ulnar deviation ROM measurements?
Wrist flex/ext: hand off table
Radial/ulnar dev: hand on table
A patient has 1/5 grade for shoulder downward rotation and adduction. What muscles and where should you be palpating to feel these muscles contracting?
Between thoracic vertebrae and medial border scapula. Muscles: Rhomboid major and minor
I perform Apleys where pt reaches behind the head to reach upper portion of back to brush their hair. What shoulder/scapular motion is this a combination of?
Shoulder ER, shoulder abduction, scapular upward rotation, scapular elevation
How do you measure pectoralis length for the sternal portion?
How do I measure bicep length, including sequencing of test?
First extend shoulder and see if normal. Then extend the elbow and measure elbow extension.
What should the position of the fingers be for all wrist ROM measurements?
Relaxed
A patient reports difficulty pulling a door shut (think they are facing the door and pulling it shut). What MMT should I perform and which main muscles perform this action?
Scapular retraction and rhomboid major and mid trap
A positive valgus stress test of the elbow indicates a tear or laxity of what elbow ligament?
Ulnar collateral ligament
Name two special tests for shoulder impingement.
Neers, Hawkins Kennedy, Drop Arm
I test end feel for pronation. What end feel should I expect and why?
Firm: ligaments of DRUJ and interosseus membrane
Hard: due to radial and ulnar bones hitting/gliding against one another at DRUJ
How would I measure:
A. Wrist flexor muscle length
B. Wrist extensor muscle length
A. Just like wrist flexion except fingers are flexed to stretch wrist flexors across all joints
B. Just like wrist extension except fingers are extended to stretch wrist extensors across all joints
Which MMT(s) would I perform to measure posterior deltoid strength? Need all of them for 4 points
Shoulder extension, horizontal abduction, external rotation
Name the capsular pattern (in order) for the following joints:
1-Shoulder
2-Elbow
Shoulder: ER>abduction?IR
Elbow: Flexion>Extension