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NMS 2 Quiz 4
Palmer PCC NMS ROM Stachenots
21
Anatomy
Graduate
04/05/2012

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Cards

Term
Cervical ROM
Definition
Flexion 60
Extension 75
Lateral Flexion 45
Rotation 80
Term
Thoracic ROM
Definition
Flexion 20-40
Extension 25-35
Lateral Flexion 20-40
Rotation 35-50
Term
Lumbar ROM
Definition
Flexion 80
Extension 35
Lateral Flexion 25
Term
Shoulder ROM
Definition
Flexion 180
Extension 50
Abduction 180
Adduction 50
External Rotation 90
Internal Rotation 90
Term
Elbow ROM
Definition
Flexion 140-150
Extension 0-10
Supination 90
Pronation 90
Term
Wrist ROM
Definition
Flexion 90
Extension 70
Radial Deviation 20
Ulnar Deviation 55
Term
Hip ROM
Definition
Flexion 120
Extension 30
Abduction 45
Adduction 30
External Rotation 45
Internal Rotation 45
Term
Knee ROM
Definition
Flexion 130-150
Extension 0-15
Term
Ankle ROM
Definition
Dorsiflexion 20
Plantarflexion 45
Eversion 20
Inversion 30
Term
Adam's Position
Definition
Procedure: Doctor observes for any change in scoliosis as the patient flexes forward at the waist
Purpose: Used to determine if the patient has a structural or functional scoliosis. This exam is performed if the patient has a high shoulder or visible scoliosis while standing.
Findings: If scoliosis disappears when the patient flexes forward, it is functional scoliosis
If the scoliosis remains, it is structural scoliosis
Term
Ammos Sign
Definition
Procedure: Dr. observes the patient as they rise from a side lying position; looking to see if the patient uses upper body strength to assist in rising.
Purpose: See if there is pain, weakness, or decreased flexibility in the thoracics or thoraco-lumbar area.
Findings: + sign occurs if pain is elicited while rising and patient uses upper body strength to assist them while getting up.
Term
Beevor's Sign
Definition
Procedure: Observe the umbilicus while patient is lying supine and performs a crunch.
Purpose: Looking to see if umbilicus deviates
Findings: Umbilicus will deviate in the opposite direction of abdominal muscle weakness. If umbilicus deviates superior and to the left there is a weakness in abdominals inferior and to the right.
Term
Chest Expansion Test
Definition
Procedure: Wrap tape measure around patient's chest (4th intercostal space) then ask patient to inhale.
Purpose: Looking for normal chest expansion (1.5-3 inches)
Findings: If there is less than 1.25 inches of expansion the patient may have spinal ankylosis
Term
Forestier Bowstring
Definition
Procedure: Observe ROM while patient laterally bends side-to-side
Purpose: Look for unequal ROM
Findings: + findings include:muscle spasm, AS, Pain inhibiting motion, Stacking
Term
Rib Motion Test
Definition
Procedure: Place both hands on patient's chest at the sternocostal angle while the patient is lying supine. Observe for movement of the ribs as the patient inhales and exhales.
Purpose: Assessing motion of the ribs
Findings: If a rib stops moving during expiration, there is an elevated rib. If a rib stops moving during inspiration, there is a depressed rib
If a rib is not moving properly during the procedure it may indicate:
rib subluxation
Muscle strain
pleuritis
fracture
arthritides
Term
Schepelmann's Test
Definition
Procedure: Patient stands with arms extended over their head and laterally flexes to the left and to the right while seated.
Purpose: + is indicated by intercostal pain
Findings: If there is pain on the concave side while performing this exam, there is neuralgia (compression of intercastals nerve)
If there is pain on the convex side, there is myalgia or myofascitis (stretching of a sensitive muscle or fascia)
Term
Which test identifies a patient for scoliosis?
Definition
Adam's Position
Term
Which tests identify intervertebral disc disorder for the thoracic and or lumbar region?
Definition
Amos Sign
Term
What is the test to evaluate thoracic musculature.
Definition
Beevor's Sign
Term
Which of the orthopedic tests are Classically used for a diagnosis of facet irritation as part of the patients thoracic pain?
Definition
Term
Identify which orthopedic tests that are considered positive for possible ankylosing spondylitis
Definition
Amoss Sign, Chest Expansion Test, Forestier bowstring sign, and rib motion
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