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1. Note in the Introduction that we’ll be addressing active and passive ranges of motion, ________, neurological deficits, and soft tissue injuries such as tendinopathies
2. Flexibility refers to the ability of a muscle to lengthen, whereas ______ describes how well the ____ move
3. The ability of a joint to move actively through a ROM without restriction or discomfort is termed ______
4. During ROM testing, always get informed consent from the client prior to _______
5. During ROM assessment, If no pain or limitation exists in _____ ROM testing, further ROM testing isn’t necessary
6. Abnormal end feel or correct end feel at an incorrect point in the range may indicate _______ or a. non- compliance
7. At the end of available passive ROM, the therapist applies a controlled overpressure to assess the _______ of the tissue’s resistance to motion
8. What presents as a hard, unyielding, abrupt, but painless sensation
9. In a Bone on Bone end feel, restriction occurs before the normal end of ROM often stemming from _______
10. The sudden and hard dramatic arrest of movement in muscle spasm presents as a springy, _____ rebound end feel
11. A Capsular Stretch end feel occurs when the ROM is reduced and the limitation comes on _____
12. Pain may be described as an unpleasant sensory and emotional experience associated with actual or ______ tissue damage
13. Pain is more than just a sensation or the physical awareness of pain—it also includes ______, or the subjective interpretation of the discomfort
14. Orthopedic tests are designed to evaluate individuals for ______ impairment and are generally more reliable when clustered with other physical exams
15. Orthopedic tests are used to evaluate pain, loss of joint play, and muscle extensibility, but they are not meant to ______ a condition
16. In the Range of Motion chart on page 4, Neck lateral flexion is 35o but rotation is ______o
17. What is the degree of knee extension?
18. Hip internal rotation is 40o while external rotation is____o
19. Ankle plantarflexion is 50o while dorsiflexion I sonly_____o
20. Wrist ulnar deviation is 45o while wrist radial deviation is only ____o
21. In the Gait Assessment segment, it states that “Clients often reveal more information when performing normal __________movements than when asked to execute tasks such as walking, forward bending, and ROM maneuvers.”
22. Since our ultimate therapeutic goal is to establish ______ movement during the walking cycle, gait evaluations rank high in every assessment protocol
23. Which of the following is not important to look for during
24. When “Observing for a Client’s Gait Abnormalities”, the therapist is not looking for______
25. Therapist observes from the back and side evaluating for a weak ______ system
26. In the video, therapist notices that the toes of the client’s right foot are visible from behind indicating an_______
27. In Erik’s Abnormal Gait section he states: “Before an infant learns to crawl, she moves in a homolateral fashion, which involves one side of the body projecting forward simultaneously during ____ and _____ activities.”
28. Signs that cross-patterned movements could use sharpening include poor balance, neck stiffness, lack of coordination, difficulty reading, _______, clumsiness, and learning disabilities such as dyslexia
29. Clients presenting with remnants of homolateral gait not only need _______ home retraining exercises to help strengthen whole-brain neuronal connections, but also good bodywork
30. During Erik’s “Abnormal Gait” Demonstration, he first shows how the same arm and leg swing together during __________ gait
31. In Homolateral Gait, the client either never developed cross-patterned gait from _______ or has reverted back due to spinal fusion, injury or an abnormal brain processing problem
32. In the Homolateral Gait demonstration Erik shows how the head is not placed properly over the _____ leg during walking
33. In Antalgic Gait, the client limps due to pain upon __________
34. The client’s limp is due to hip, knee or ______ injury
35. In Antalgic Gait, the stance phase is significantly _______relative to the swing phase to minimize closed chain loading
36. During Ataxic Gait, the client moves with a ______ standing base
37. Ataxic Gait typically involves a ________ problem
38. Ataxic Gait movements appear _________, leg placement is variable and reproducibility is lost
39. Arthrogenic is a _____ gait
40. Arthrogenic Gait typically arises from a from a stiff _____ or _______
41. During Arthrogenic Gain, the client swings the leg to off-load _____ or _______
42. During the Trendelenburg Gait, there is a drop in the ______ on the unaffected side
43. In Trendelenburg Gait, there is a _____ protrusion of the affected hip
44. Assess for superior ______ nerve entrapments is those with Trendelenburg Gait
45. In Steppage Gait, the client cannot actively raise the _______
46. In order to clear the toes, the foot may audibly slap the ground due to lack of ______ dorsiflexion
47. In the video, Erik says that Steppage Gait is often caused by an _______ radiculopathy
48. In the Brain-based Posturofunctional Exams segment, the PMRF is describes as a dynamic relay station located in the________ at the pontomedullary junction where pons meets the medulla
49. When functioning properly, the PMRF ______ cervicothoracic flexion, which, in turn, effectively_____ gravitational exposure
50. Clients with bilateral PMRF disorders commonly present with ______
51. When Assessing PMRF Dysfunctions, the client is asked to take a couple of deep breaths, _____ and relax the shoulders
52. Therapist observes for excessive _______, head-on- neck hyperextension, upper chest breathing and other alterations in spinal curve
53. The vestibular system’s ______ houses organs that contribute to postural stability
54. With a healthy PMRF resisting flexion and a highly functioning vestibular system promoting _______, our posturally challenged clients can stand taller and move better
55. In the Vestibular One-legged Stance Test, the client is instructed to stand on one leg without the support of the ______
56. The client begins the one-legged standing test with eyes _______
57. The client is instructed to close his eyes and maintain balance for up to ____ seconds
58. A fail test is recorded of the client’s foot touches the _____ leg
59. The Romberg Tests the body’s sense of positioning or ______
60. The Romberg test is used to investigate the cause of loss of motor coordination or _______
61. The therapist asks the client to first stand with eyes ____ and then ____
62. When the client closes his eyes, he should not orient himself by light, sense or ____
63. For safety, it is essential that the therapist stand close to the client to prevent a potential _____
64.The cerebellum receives information from the ______ systems, the spinal cord, and other parts of the brain
65. The cerebellum coordinates voluntary movements such as posture, balance, coordination, and _______
66. In the Cerebellum “Contralateral Knee Touch Test”, the client slowly lifts one knee while reaching over with opposite ____to touch the ____
67. Therapist observes for accuracy, balance or _______ problems
68. In the Supination-Pronation Cerebellar Test, client’s elbows are flexed to _____o and arms braced against the side of the body
69. The client is asked to rapidly supinate and pronate both hands simultaneously while keeping the thumbs held tightly against the ______
70. The therapist observes for any lagging or uncoordinated movement between the client’s two _________
71. In the Finger-to-Nose Test, the client’s shoulder is ______ to 90o with the elbow extended
72. With eyes closed, the client is asked to bring tip of the _____ finger to the tip of ____ and repeat
73. The primary motor cortex on the ____ side of the brain controls movement of the ____ side of the body, and vice- versa
74. When assessing with the Motor Cortex Test, therapist asks client to ____ his efforts to push the ____down
75. If a muscle on the left side tests _____, there may be a problem with the ____ motor cortex
76. The primary sensory cortex is responsible for processing somatic sensations that arise from ________ positioned throughout the body
77. When Assessing the Sensory Cortex with the Spinal Push Test, therapist stands ____client and begins gently pushing on _____ processes from T1- T-12
78. To test which side of the sensory cortex’s parietal lobe may be weak, the therapist’s fingers move ______ of the suspected area and repeats the Push Test
79. A weak spinal segment on the____ indicates a possible ____ sensory cortex problem
80. When performing Biofunctional Exams and the client hurts in a particular spot, it simple means the _____is being expressed there
81. To avoid compartmentalized thinking, we perform standardized assessments and try and relate them to a bigger picture of _______ function
82. When Assessing for Scapulocostal Rhythm, therapist notes the interplay of the ___________, acromioclavicular, glenohumeral, and scapulothoracic joints
83. When the arm is abducted 180o, 60o should occur at the scapula with 120o of ________ elevation occurring at the shoulder joints
84. If here is restriction to ______o of movement, therapist’s finger and thumb contact the ______ angle of the scapula and monitor to see if there is 60o of motion during arm elevation
85. Wall angels help assess for forward head posture by pulling the ______ back and ______ the middle to lower trapezius muscles
86. When assessing for upper cross syndrome using Wall Angels, the client stands a foot from the wall with______ slightly flexed and_____ tucked
87. Client abducts about 65o and ______ rotates his arms so the dorsal side of his hands are in contact with the wall
88. Client is asked to deeply ______ and slowly begin gliding his arms up the wall attempting to keep his hands and _____ spine in contact
89. With client’s arms at 135º therapist holds mild pressure on _______ and client is asked to sidebend back and forth
90. Even though the _____ brain controls the _____ side of the body (and vice versa), eye and hand dominance can happen without the brain prompting it
91. To promote an accurate anatomical landmark reading, it is essential that the therapist center his_______ eye between the two ______ being tested
92. When Assessing for Dominate Eye, therapist locates an object (like a can light in this video) and places the ______ around the can with both eyes _____
93. In the Iliac Crest Assessment, therapist places his dominant eye in the mid-line and assesses which crest is highest indicating a _______ rotated ilium
94. The purpose of the Kemp Test is to assess the _______ spine facet joints by using the client’s trunk both as a lever to induce tension and as a compressive force
95. Local pain suggests a _____ cause, while radiating pain into the leg is more suggestive of nerve root irritation such as sciatica
96. In the Kemp’s Test for sciatic nerve root impingement, therapist asks client to extend his torso and _______ to painful side
97. Therapist applies the ______ Test by gently pushing down on the client’s shoulder and enhancing the sidebending and rotation
98. If the client’s sciatic symptoms are ________, the therapist records his findings as a ______ on the Kemp’s Test
99. In the Shoulder Exams section, therapist is assessing for rotator cuff impingement of the _______ , subacromial bursa & bicipital tendon
100. Common upper extremity ranges of motions for the shoulder include 170º to 180º degrees of flexion, 50º to 60º of extension and _____º to _____º of abduction
101. In the Painful Arc Test, therapist asks client to slowly _____his arm to 180o and bring it down slowly
102. Therapist observes for painful symptoms between _____º and _____º as the client raises and lowers the arm
103. To test, therapist _____rotates client’s arm and points client’s thumb toward the _____
104. To test for Empty Can pain provocation, therapist asks client to _____as he gently pushes down on his arm
105. The Speeds Test for bicipital tendinosis has a Sensitivity of ____% and Specificity of ____%
106. With arm flexed to ____o, elbow extended and arm supinated, client resists therapist’s downward pressure
107. While no single test confirms the presence of frozen shoulder (adhesive capsulitis) when test are _______, assessment accuracy is enhanced
108. In the Frozen Shoulder section, the therapist asks the client to ____his affected arm while his fingers palpate the____ angle of the scapula
109. If the scapula begins to externally rotate before ___º or the client begins to sidebend his torso to elevate the arm, therapist records a positive on assessment sheet
110. To test for external humeral rotation, therapist braces client’s _____ to the side of his body
111. Therapist brings client’s ______ to the first external rotation restriction barrier assessing for 90o of _____ external rotation
112. To test internal humeral rotation, the therapist’s right hand braces at client’s ____ and his left contacts the client’s_______
113. Using a gentle counterforce, the therapist pushes with is left hand while resisting with the right to assess for ___o of internal humeral rotation
114. To assess for 180o of glenohumeral abduction, therapist places client’s arm on his shoulder and his hands brace the _______ border of client’s shoulder
115. As therapist extends his____ to abduct client’s arm, he is able to assess for ______ ROM restrictions
116. When Assessing Shoulder Girdle Joint dysfunction, remember that one of the primary and oft-overlooked causes of rotator cuff tendinopathy is insufficient ______ joint elevation of the clavicle
117. Tension, trauma and sub-optimal posture may cause the clavicle to get locked in a _______ position on the manubrium and unable to glide down as the arm is raised
118. To assess Sternoclavicular Joint restrictions bilaterally, therapist stands behind client and places each finger on the ______border of the client’s clavicle
119. The client is asked to _____ his shoulders and the therapist’s fingers assess if both sides are dropping down
120. To assess client’s left SC joint, therapist’s left hand grasps client’s arm and _____ while palpating for inferior movement of the clavicle at around 90o
121. To determine if the client’s medial clavicular heads are dropping ____- during shoulder girdle protraction, therapist asks client to reach forward as therapist’s fingers palpate the ______ clavicular heads
122. The fingers of the therapist’s _____ hand monitor the AC joint and his _____hand externally rotates client’s shoulder to barrier
123. Next, the therapist assesses for internal humeral rotation by monitoring the AC joint with the fingers of his right hand with shoulder _______30o
124. To test for AC joint abduction restrictions, therapist places client ______ arm on his shoulder to ____o and adducts the humerus 30o
125. Therapist assesses for Glenohumeral Restrictions during internal, external and ______ movements
126. Next, the therapist assesses for horizontal internal humeral rotation by bracing the _____ with the fingers of his _____hand
127. To test for neutral internal humeral rotation restriction, the client’s arm is _____rotated and his hand placed behind his ____
128. To test for neutral eternal humeral rotation restrictions, therapist braces client’s arm to the ______ of his body and flexes his elbow to ____o
129. In the Brugger Test, the therapist’s thumb and fingers palpate for hypertonic ________ muscles
130. If the hypertonicity gets better when the client sits, then the problem is coming from imbalances _____
131. In the Forward Bending Test, the therapist asks client to try flexing through the ____ instead of the lumbar spine
132. If the lumbar spine still ______excessively, therapist records a positive on assessment sheet
133. The Adam’s Test helps determine if the client has a functional or _______ scoliosis
134. In the Adam’s Test, therapist sidebends and rotates the client’s torso. If the curve gets better during any of these movements it’s a _______ scoliosis
135. If the curve remains the same during any of these motions it’s a structural or ______ scoliosis
136. In the Active & Passive Torso Sidebending Test, the client right and left sidebends and therapist assesses pain provocation and degree of available motion before the ____ moves
137. Then the therapist places hands on client’s shoulders, and passively _______ client’s torso right and left observing for________ or pain provocation
138. In the Standing Flexion Test, the therapist’s thumbs monitor the client’s _______ bilaterally
139. If one of his thumbs moves _______ in relation to the other, the therapist records that as a positive for possible _______ dysfunction
140. When Testing Lumbar Mechanics, therapist’s thumbs palpate the transverse processes of ____ bilaterally
141. As the client sidebends ____, the therapist should feel the L4 transverse process pushing back at him on the ____ side
142. In the Active & Passive Torso Rotation Test, therapist stabilizes client’s ____ and asks him to rotate right and left, assessing for available range of motion or provocation
143. In the Knee, Ankle & Toe Assessments section, therapists often find that the patella is tilted and sits in the knee the way a beret rests on the side of one’s head, thus the term _______
144. Reduced shock absorption from high-arched feet can compensate up the kinetic chain causing a _____ (bowlegged) shear force through the knees
145. During clinical assessment we commonly see a squinting patella co-present with a chronically elongated medial and a tight lateral knee ________
146. In the presence of prolonged foot _______, many global and core muscles forget how to “turn on” and “shut off” in proper sequence
147. In the Patella Tracking Test, therapist monitors each _____ to see if either are deviating medially or laterally
148. When assessing for calcaneal eversion, client slowly _____ as therapist observes the _____ tendon on both ankles
149. When assessing for overpronation and navicular drop, therapist’s fingers palpate the client’s arches to get a sense of which foot may be excessively ____ or _____
150. When assessing Big Toe Extension, therapist’s fingers and thumb grasp 1st toe and slowly test for at least ____ degrees of big toe extension
151. In the Cervical Spine Assessment section, the client with a neck crick may present with symptoms ranging from general cervical ____ to complete _____ and unrelenting pain
152. During the intake process, you may learn that many chronic pain clients carry a diagnosis of _______ and degenerative disc disease
153. Therapists must try to avoid words or graphic images that may trigger fear and possibly induce the _______effect
154. In the Vertebral Artery Test, the client is asked to slowly extend, left rotate, and left sidebend his head as therapist observes for symptoms of _______
155. During the active & Passive Sidebending, Rotation & Extension Tests, therapist assesses for passive sidebending by placing one hand on client’s _____ and sidebending to barrier with opposite hand
156. In the Active & Passive Sidebending, Rotation & Extension test, therapist places one hand on client’s _____ and sidebends to barrier with opposite hand
157. During the Spurling Test, therapist stands behind client and gently places both hands atop client’s _____
158. Therapist slowly begins to______ client’s head and asks client if the maneuver produces pain
159. In the Active Torso Rotation Test, therapist’s hands rotate client’s torso right and left assessing for loss of _____
160. In the Passive Torso Sidebending Test, therapist places left hand on client’s ____ and right hand on client’s right ____
161. In the Passive Torso Rotation Test, therapist passively rotates to first ______ barrier and notes any restrictions side to side
162. In the Forward Bending Test for lumbosacral dysfunction, If one PSIS moves _____ as the client forward bends, that may indicate ipsilateral SI joint dysfunction
163. In the Seated Adam’s Test, if spinal concavity or convexity appears during forward bending, it’s indication of _______
164. In the Adam’s Test, to determine if the scoliosis is functional or structural, the therapist grasps the client’s shoulders and slowly _____ and _____ to opposite sides
165. To determine if the scoliosis is functional or structural, the therapist grasps the client’s shoulders and slowly _____ and ______ to opposite sides
166. When performing the Slump Test for Sciatica, therapist grasps client’s leg and begins to slowly _____ the knee and client reports any hip, leg or foot pain
167. In the Elbow Assessment, client flexes elbows to _____ degrees and places arms against his body
168. Therapist assesses for any ROM restrictions in _______ or _____
169. In the Assessing Radial and Ulnar Deviation and Carpal Fixations, therapist’s left hand braces the ______ while the right brings the hand into radial and ____ deviation
170. Therapist places his thumbs on top and index fingers on the proximal _____ row
171. Therapist then brings client’s hand into ______ while gently compressing the carpals with his thumbs
172. When Assessing Carpal Bone Fixations, client is asked to rapidly touch all his fingertips to his _____ starting with the 5th digit
173. Next, the client is asked to firmly hold the____ digit to the thumb and the therapist attempts to gently pull them apart
174. Therapist tests all fingers and makes note of any _____ that may involve carpal bone fixations
175. When performing the Neck Flexion Test, the firing order should be longus capitis/colli, SCM and anterior _____
176. The client is asked to raise his head and therapist observes which direction the client’s chin moves in the first ____inches
177. If the chin moves any direction other than toward the ______, there is a neck firing order problem
178. In the Cervical Spring Test, therapist’s left hand braces client’s ____ and his right drapes over the client’s ____
179. Then the therapist creates a _______ with both hands by bracing client’s forehead with left and pulling (springing) the neck with right
180. In the Alternate Cervical Spring Test, therapist’s fingers come ____ cervical spine and push toward the _____ to assess facet joint restrictions
181. In the Cervical Distraction Test, therapist uses a _____ to perform the maneuver
182. Therapist grips the ends of the pillowcase and places his thumbs on client’s ______
183. The test is positive if the client’s ______ pain has lessened
184. When performing the Intertransversarii Nerve Root Test, therapist slowly begins to flex client’s neck toward _____while keeping the head fully rotated
185. In the Interscalene Triangle Pain Provocation Test, therapist’s right arm curls around client’s head in______ grip with fingers bracing client’s chin
186. In the 1st Rib and hypertonic scalene assessment, therapist gently depresses the 1st rib and assesses for lost of _____ glide and joint play
187. In the Modified Adson’s Test, the client is asked to ____ right arm off table and begin slowly externally and internally rotating
188. In the Table Angels Test, client is asked to slowly abduct his arms and extend his ______ attempting to keep the back of his hands on the table without lifting his thorax
189. Therapist records which_____ leaves the therapy table first on assessment sheet
190. During the Clavicle Compression Test, the _____ eminence of therapist’s right hand depresses the clavicle while his left hand sidebends client’s head
191. In the Cross-arm Shoulder Depression Test, therapist’s arms cross so that the web of his right hand contacts the client’s left anterior ________ joint and left contacts the right
192. In the Tinel Tapping for Ulnar Nerve Test, therapist’s left hand hyperextends client’s ______ digits while right hand palpates and compresses the ulnar nerve at cubital tunnel
193. If client reports tingling, _______ or pain therapist records a positive on the Ulnar Tinel Test
194. In the Tinel Tapping for Radial Nerve Test, therapist right hand compresses radial nerve while left hand extends, internally _____ and ulnarly deviates client’s arm
195. When performing the Tinel Tapping for Median Nerve Test, therapist begins to gently tap in the carpal tunnel area around the ______ carpal ligament
196. In the Tinel Tapping for Guyon’s Tunnel Test, we are assessing the ____ nerve
197. In the Radial Nerve Assessment, therapist snakes his left hand under client’s elbow and grasps his wrist and internally ______ his arm to the first pain free barrier
198. In the Median Nerve Assessment, therapist’s fingers grasp and extend client’s thumb, index and middle fingers while _____ his wrist
199. In the Ulnar Nerve Assessment, therapist’s right hand grasps client’s right wrist and horizontally _____ and _____ rotates his arm to 90 degrees
200. In the Assessing Pelvic Biomechanics section, therapist first asks the client to clear his ____ by flexing his knees and lifting his hips off therapy table
201. Therapist then assesses for pelvic asymmetry by monitoring client’s _____ height
202. Therapist assesses iliac crest height by placing the blades of his index fingers on the _______ border of client’s iliac crests bilaterally
203. In the Ilium Rocking Test, therapist places his left hand under client’s left _____ and his right on the _____ border of the client’s right ASIS
204. If the ASIS on the right is more resistant to therapist’s downward push, then it is recorded as the more ______ rotated side
205. When Assessing Hamstring Flexibility, therapist’s left hand raises client’s extended leg while the fingers of his right hand palpate the client’s _______ASIS
206. Therapist continues to ____ client’s hip until he palpates the _____ move
207. Therapist repeats the maneuver assessing for___º of hamstring flexibility
208. Therapist slowly begins flexing client’s hip while asking him to report any sharp sciatic-like pain radiating into the_______ or down into the lower leg
209. Therapist backs off if the client reports pain and slowly repeats the maneuver noting at what degree of hip _____ the client reports pain
210. To test the peroneal nerve, the therapist’s right hand ____ and internally rotates client’s foot and slowly begins flexing client’s hip
211. To assess the tibial nerve, the therapist’s right hand ______ and externally rotates (everts) the client’s foot
212. Tibial nerve pain is often mis-assessed as plantar _______
213. In the Collateral Ligament Test, therapist places client’s ____ between his ____ so his hands can flex and extend client’s tibiofemoral joint
214. Therapist slightly ____ client’s knee and gently begins assessing for joint play by rocking the knee up and down and side to side
215. Next, the therapist assesses for ______ by gently dropping the knee into extension
216. In the Medial-Lateral Grind Test, therapist’s right hand grasps client’s knee so that his index finger palpates the _____ meniscus and thumb the lateral meniscus
217. As the therapist externally rotates client’s _______ joint (valgus position), the index finger of his right hand gently compresses client’s medial meniscus
218. Therapist then _____ rotates the tibia and femur while his thumb compresses the _____ meniscus assessing for pain provocation or grind
219. In the ACL & PCL Ligament Test, therapist begins by gently distracting the client’s _____ assessing for joint play
220. If therapist encounters a “sloppy” hypermobile joint during this maneuver and the client reports pain, therapist records a positive _______cruciate ligament
221. When assessing for proximal & distal tibia-fibula joint play, if client’s _____ cannot translate side to side, the tib-fib joint is fixated
222. When performing the Noble’s IT-band Friction Test, client’s knee is flexed and foot resting on therapy table and therapist’s fingers palpate just proximal to the lateral _______epicondyle on the IT-band
223. Therapist gently compresses the tendon against the femur while his opposite hand slowly _____client’s leg
224. If the compressive force on the tendon during knee extension creates pain, therapist suspects either _____ friction syndrome or possibly an inflamed fat pad
225. When performing the Hip Range of Motion Tests, therapist begins by flexing client’s knee and hip to 90-90 and slowly bringing client’s left knee toward his ______armpit
226.. When Assessing Hip Abductors and External Hip Rotators, therapist’s right palm braces the client’s left ASIS while his left _____ client’s knee across the midline
227. When performing the Adductor Magnus Assessment, therapist’s right hand grasps client’s left ankle and abducts his extended leg to allow his body to come between the leg and the _________
228. When assessing for Femoroacetabular Joint Play, therapist’s hands secure the _____ thigh at the femoroacetabular joint
229. To Distract, Compress, Internally and Externally Rotate Femur, therapist’s left hand snakes under client’s flexed right knee and he places right hand on client’s _____thigh
230. When assessing for Femoroacetabular Impingement Syndrome, therapist slowly adducts client’s knee toward the midline and asks client to report any sharp ____ pain
231. In the Greater Trochanteric Pain Syndrome section, it’s stated that the ________ is one of the largest, strongest and most flexible joints in the human body
232. Yet the hips and their supporting structures often take a beating due to aging, overuse, and trauma causing the brain to reactively guard the area with muscle _____ or pain
233. Today many of us have come to realize that many cases of hip “bursitis” are actually due to wear and tear of the gluteus medius/minimus ______ beneath the bursa and/or IT-band irritation overlying
234. When Assessing for Greater Trochanteric Hip Bursitis, therapist slowly begins _____ the client’s knee while adding a little femoral internal rotation
235. Therapist then attempts to tighten the IT-band on the greater trochanteric ______ to assess for pain provocation
236. In the Hip De-rotation Test, we’re assessing for gluteus medius and minimus ________ at the lateral hip
237. When Assessing Tibiotalar Dorsiflexion, therapist’s right hand braces the distal _____ bone and his left grasps client’s _____
238. When Assessing Tibiotalar A-P Joint Glide, therapist braces the distal tibia bone while his left hand webs around the _____ bone
239. When Assessing for Tibiofibular A-P joint Glide, therapist pushes and pulls on _____ head
240. In the Alternate Foot & Ankle Assessment, therapist brings client’s left leg off the therapy table and places the ____ between his _____
241. Next, the therapist distracts the ankle and begins ______ and supinating client’s _____ joint assessing for restriction of motion
242. Finally, the therapist’s fingers fold under client’s arch so that when he _______ the client’s foot, he can compress the mid-foot and metatarsal bones with his fingers
243. In the Assessing for Foot ROM & Joint Play, it is noted that the human foot is a strong mechanical structure containing ____ bones, ___ joints and more than a hundred muscles, tendons, and ligaments
244. The 3 joints of the foot are the ankle and _____ joint and the interphalangeal articulations of the foot
245. During healthy gait, the talotibial or ______joint should dorsiflex 15 degrees
246. When Assessing for MTP Flexion and Extension ROM, therapist’s left thumb and fingers grasp the big toe while therapist’s right hand braces the _______ bone
247. When Assessing MTP Translation Restrictions, therapist _______ client’s MTP joint side to side assessing for loss of joint play or pain provocation
248. When performing the Pain Provocation Test for Morton’s Neuroma, therapist’s hands web over client’s metatarsal bones and apply a mild ______ force
249. When Assessing Ankle ROM & Joint Play, therapist’s webbed hands secure client’s ankle just below the lateral and medial _______ ankle bones
250. When Assessing ROM, Dorsi & Plantar Flexion, therapist drops weight on his right forearm to bring the client’s ankle to the first ______ barrier (approximately 25°)
251. When Assessing for Joint Play Restrictions using the “Figure 8” therapist’s left hand grasps client’s _______ bone and the forearm controls the _____
252. To perform the Achilles Tendon Pain Provocation Test, therapist’s left hand grasps the client’s heel and his forearm controls the _____ surface of the foot
253. To assess for a Posterior Tibialis Tendinopathy, therapist drops his bodyweight and brings the client’s foot into ______ while his fingers resist the motion
254. When Assessing for Plantar Fasciosis Pain, the therapist plantarflexes the client’s foot while his thumbs gently push against the plantar fascia as it attaches to the calcaneal ______
255. In the Ely’s Test for Rectus Femoris, therapist’s left hand slowly flexes client’s knee while right hand monitors _____ lifting off therapy table
256. In the Joint Line Meniscus Test, therapist’s right hand flexes client’s knee to 90° while his left finger and thumb palpate the medial and lateral _______ at the joint line
257. In the Apley’s Compression Test, therapist gently drops his body weight and begins slowly internally and externally client’s tibia assessing for pain or meniscus _____
258. In the Hip Capsule ROM Test, as therapist steps to his right foot, his right hand _______ the femur and his left hand slowly extends the hip to it’s first restrictive barrier
259. When Assessing Rectus Femoris ROM, do not perform this tests on anyone with hip _______ or known hip pathology
260. When Assessing for Internal and External Femoral ROM, the therapist’s left hand controls movement of internal and external femoral rotation while his right braces firmly _______ to the greater trochanter
261. During the Sacral Thrust Test, therapist maintains the pressure and then gently drops more of his body weight onto his hands to assess for _____ in the sacrum
262. Client is then asked to deeply inhale and upon ______, therapist again springs the sacrum
263. In the Coccyx Pain Provocation Test, therapist’s fingers or thumb gently spring the coccyx at the ______ joint
264. In the Backward Sacral Torsion Test, therapist’s left hand lifts client’s flexed knee off therapy table and his right hand braces at the _____ sacral border
265. In the SI Joint Pain Provocation Test, therapist’s _____ or _____ palpate along the lateral sacral border
266. In the SI joint Pain Provocation “Spring” Test, client is positioned in a _______ position
267. In the Alternate Backward Sacral Torsion Test, therapist’s hands cross over and lift the client’s left _____ off table
268. In the Passive Lumbar Hip Extension Test (PLET), therapist drops bodyweight back, which lifts client’s hips off the table and increases lumbar _____
269. If the client reports ______ low back pain, therapist records as a positive on the PLET
270. In the Lumbar Spring Test, a rigid or painful spine may indicate protective muscle guarding or____ dysfunction
271. When performing the Lumbar Spring Test Sphinx Position, do not apply pressure on any client’s spine with a known pathology or on those with bilateral ____
272. When assessing cervical spine joint play, therapist’s fingers and thumbs drape across the client’s neck in a _____ grip
273. In the Modified Hip Abduction Firing Order Tests, the optimal firing order should be gluteus _______ with assistance from tensor fascia lata, and piriformis
274. If tensor fascia lata fires before gluteus medius, the client’s leg will move _____ before reaching 50o
275. If quadratus lumborum fires first, the ilium will ____ dramatically as the client abducts the leg
276. In the Greater Trochanteric Bursitis Pain Provocation Test, therapist’s thumbs palpate for the greater trochanter and apply a ______ pressure
277. When performing the Resisted Hip Abduction Test, the client is asked to abduct the knee ____ degrees and resist as the therapist attempts to push the knees together
278. In the SI Joint Pain Provocation Compression Test, the therapist drops his body weight to apply a compressive force to the client’s left _____
279. When Assessing Lumbar Spine Joint Play, therapist’s left hand grasps around client’s left ilium and his right palm braces on the soft tissues lateral to the ____ spine
280. When Assessing Ribcage Bucket Handle Movement, the therapist’s left hand pulls on the ilium while the his right hand springs various places on the _____ spine
281. When Assessing T-spine and Ribcage Joint Play, therapist’s hands create a _____ with the right arm pulling while the left gently springs the ribcage
282. When Assessing for Anterior Hip Capsule Adhesions, therapist’s right hand flexes client’s left knee to _____ degrees and places his right hip on the ankle to brace
283. If the client’s hip ROM is less that ____ degrees make note of a possible hip capsule adhesion on that side
284. When Assessing Rectus Femoris ROM, the therapist maintains the same position as above except his right hand now contacts just above the _____ tuberosity