Human Anatomy and Movement

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Questions and Answers

What is the most appropriate position of the ankle during the first phase of the gait cycle?

  • 20-degree plantarflexion
  • Neutral position (correct)
  • 10-degree dorsiflexion
  • 5-degree plantarflexion

Which muscle is responsible for the first 30° of shoulder abduction?

  • Terres major
  • Subscapularis
  • Terres minor
  • Supraspinatus (correct)

What is the definition of the 'roll' fundamental arthokinematic movement?

  • Multiple points on 1 articular surface contact single points on another surface (correct)
  • Multiple points on 1 articular surface contact multiple points on another surface
  • A single point on 1 articular surface rotates on a single point on another surface
  • A single point on 1 articular surface contacts multiple points on another surface

Which muscle has the lowest work when a therapist asks the patient to rise on the toes and push the body weight directly upward?

<p>Peroneus longus (D)</p> Signup and view all the answers

What is the definition of the 'glide/slide' fundamental arthokinematic movement?

<p>Multiple points on 1 articular surface contact single points on another surface (C)</p> Signup and view all the answers

What is the name of the angle obtained by drawing a straight line across the middle of the patella and a straight line going down through the center of the tibial tuberosity and another straight line going upward toward the anterior superior iliac spine?

<p>Q-angle (A)</p> Signup and view all the answers

During the gait cycle, which position of the ankle is essential for efficient movement?

<p>Neutral position (D)</p> Signup and view all the answers

Which muscle is responsible for the majority of the knee extension?

<p>Quadriceps (D)</p> Signup and view all the answers

In a 68-year-old patient with Parkinson's disease, which area is most likely affected in the central nervous system?

<p>Basal ganglia (C)</p> Signup and view all the answers

In a 6-month-old patient with Erb's palsy, which nerve root is affected?

<p>C5-C6 (D)</p> Signup and view all the answers

What is the most likely cause of back pain in pregnant women?

<p>Ligamentous laxity (D)</p> Signup and view all the answers

What is the most appropriate management for a 50-year-old patient with hot flushes, irritability, joint pain, and lack of sleep?

<p>Hormone replacement therapy (B)</p> Signup and view all the answers

What is the most likely cause of posterior pelvic pain associated with prolonged sitting in pregnant women?

<p>Sacroiliac (A)</p> Signup and view all the answers

What is the term 'spastic diplegia' used to describe?

<p>Paralysis of 2 limbs (B)</p> Signup and view all the answers

What is the most likely reason for Erb-Duchenne or upper arm paralysis in a 5-year-old patient?

<p>Upper trunk (D)</p> Signup and view all the answers

What is the grade of patient spasticity according to the Modified Ashworth scale if there is a considerable increase in muscle tone and passive movement difficulty?

<p>3 (A)</p> Signup and view all the answers

What group of hip muscles is being stretched during an abduction exercise from the supine position?

<p>Flexors and abductors (A)</p> Signup and view all the answers

Which study design is considered a priority during the search?

<p>Case-control (D)</p> Signup and view all the answers

What is the grade of the displacement of L4 vertebra over L5 vertebra with 75% of anterior displacement?

<p>3 (B)</p> Signup and view all the answers

What is the most important precaution during close kinematic chain training?

<p>Knees do not move posteriorly to the toes (A)</p> Signup and view all the answers

What is the most likely diagnosis when a patient cannot maintain their arm position after passive abduction?

<p>Rotator cuff rupture (B)</p> Signup and view all the answers

What is the most effective technique to prevent injury during stretching exercises?

<p>Reduced force (C)</p> Signup and view all the answers

According to the International Classification of Functioning (ICF), what aspect of functioning is the physical therapist looking to improve when helping a patient reach overhead?

<p>Activity limitation (A)</p> Signup and view all the answers

Why is exercise training and walking recommended for patients with controlled diabetes?

<p>Increase glucose uptake by the muscles (C)</p> Signup and view all the answers

Which heating modality is effective in destroying bacteria and fungi commonly found in wounds?

<p>Ultraviolet ray (C)</p> Signup and view all the answers

What exercises are most appropriate for a 62-year-old patient with osteoporosis and no fractures?

<p>Trunk extension and abdominal stabilization (C)</p> Signup and view all the answers

What is the characteristic of a beam of therapeutic ultrasonic waves from a transducer?

<p>Roughly cylindrical (C)</p> Signup and view all the answers

What is the target reduced heart rate in beats/minute for monitoring exercise intensity in a 61-year-old woman with rheumatoid arthritis during hydrotherapy?

<p>35-50 (B)</p> Signup and view all the answers

What is the primary goal of referring a 40-year-old woman with rheumatoid arthritis to the Physical Therapy Department for pain management?

<p>Reduce pain (C)</p> Signup and view all the answers

What is the result of changes to quartz in an ultraviolet apparatus?

<p>Tridymite (A)</p> Signup and view all the answers

What is the appropriate temperature range, in Celsius, for wax therapy?

<p>42-45°C (D)</p> Signup and view all the answers

What is the most appropriate position to perform an abduction exercise to stretch the hip muscles?

<p>Supine position (D)</p> Signup and view all the answers

What is the most likely diagnosis for a patient with local tenderness at the ischial tuberosity and pain on resisted knee flexion?

<p>Hamstring strain (D)</p> Signup and view all the answers

Which spinal level is involved in a patient with sensory loss on the dorsal aspect of the foot?

<p>L5 (D)</p> Signup and view all the answers

What is the best approach for helping a patient with chronic shoulder pain and excessive internal rotation of the shoulders and winging of the scapula during overhead motion?

<p>Stretching of the upper trapezius and strengthening the middle and lower trapezius (C)</p> Signup and view all the answers

What is a Milwaukee brace used for?

<p>Scoliosis (B)</p> Signup and view all the answers

What is the ideal position for a patient with cystic fibrosis to drain secretion from the lingula?

<p>Side-lying on the right side (B)</p> Signup and view all the answers

What is the most appropriate intervention to reduce hip pain in a patient with avascular necrosis of the femoral neck with an impacted fracture and a 2 cm leg-length discrepancy?

<p>Using a shoe lift to equalize leg length (B)</p> Signup and view all the answers

What is the likely diagnosis for a patient with pain in the right buttock and thigh area, tenderness at the ischial tuberosity, and pain on resisted knee flexion?

<p>Hamstring strain (B)</p> Signup and view all the answers

Which of the following is NOT a common symptom of scoliosis?

<p>Muscle weakness (B)</p> Signup and view all the answers

Flashcards

What muscle initiates the first 30° of shoulder abduction?

The first 30° of shoulder abduction is initiated by this muscle. It also functions as a shoulder abductor.

Describe 'Glide/Slide' movement.

This arthokinematic movement occurs when a single point on one articular surface contacts multiple points on another surface.

Which muscle requires the least energy for raising on the toes?

This muscle requires the least amount of effort when rising on the toes and pushing body weight up directly.

What is a grade 3 Spondylolisthesis?

This condition involves a significant anterior displacement of one vertebra over the one below it. A Grade 3 displacement signifies a 75% anterior shift of the L4 vertebra on the L5 vertebra.

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What is Erb's Palsy?

This condition affects the C5-C6 nerve roots, resulting in weakness of elbow flexion and supination, among other limitations.

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Which type of study design prioritizes randomization for participants?

This type of study should be the preferred option during a research search. It involves random assignment of participants to different groups.

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What is a common cause of back pain in pregnant women?

Ligament looseness is a common reason for back pain during pregnancy.

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What is Spastic Diplegia?

This condition is characterized by paralysis primarily affecting the legs, often with increased muscle tone.

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What does a Modified Ashworth Scale grade of 3 indicate?

A Modified Ashworth scale grade of 3 represents significant increased muscle tone, causing great difficulty during passive movement.

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How are the hip flexors and adductors stretched in a specific exercise?

During this exercise, the flexors and adductors of the hip are stretched.

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What precaution is important for avoiding injury during close kinematic chain training?

This precaution should be observed in close kinematic chain training by avoiding any resistance to the lower leg.

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How can injury risks be lessened while stretching?

During stretching exercises, reducing resistance and increasing repetitions can help prevent injuries.

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What is an important aspect of diabetes management?

This is a significant aspect of managing diabetes. It involves making adjustments to daily activities and increasing muscle glucose uptake.

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What type of exercise is appropriate for osteoporosis patients?

These exercises are recommended for osteoporosis patients to enhance trunk control and spine stability.

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What is an effective approach for improving cardiovascular health in rheumatoid arthritis patients?

This therapeutic approach can be useful for rheumatoid arthritis patients by improving cardiovascular health.

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What is the target heart rate range for exercise intensity in rheumatoid arthritis patients?

This is a target heart rate range for monitoring exercise intensity in rheumatoid arthritis patients.

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What symptom might indicate a hamstring strain?

This common symptom may indicate a hamstring strain, along with pain during resisted knee flexion.

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What sensory loss indicates an L5 spinal level involvement?

Sensory loss in this location indicates a potential involvement of the L5 spinal level.

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What muscles should be strengthened for managing chronic shoulder pain?

Strengthening these muscles is important for managing chronic pain and improving shoulder function.

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What orthotic is used for managing scoliosis?

This orthotic device is used for managing scoliosis, providing support to the spine.

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What positioning is beneficial for draining secretions from the lingula in cystic fibrosis patients?

When managing cystic fibrosis, this positioning helps drain secretions from a specific lung lobe.

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What issue should be addressed in a patient with avascular necrosis of the femoral neck to manage hip pain?

Address this issue in a patient with avascular necrosis of the femoral neck to minimize hip pain.

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Describe the ankle's position during the first phase of the gait cycle.

The ankle is in a neutral position during this initial phase of the gait cycle.

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Describe 'Roll' movement.

Multiple points on one articular surface contact a single point on another articular surface during this fundamental arthokinematic movement.

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How can ultraviolet rays be used in wound care?

Ultraviolet ray treatment can effectively eradicate bacteria and fungi commonly found in wounds.

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What is the shape of a therapeutic ultrasound beam?

A beam of therapeutic ultrasound emitted from a transducer has a roughly cylindrical shape.

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What crystalline form can result from quartz changes in an ultraviolet apparatus?

Changes occurring to quartz in an ultraviolet apparatus can lead to the formation of this crystalline form.

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What is the typical temperature range for wax therapy?

Wax therapy is typically performed within this temperature range.

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What brain region is affected in Parkinson's Disease?

This brain region is affected in Parkinson's disease, leading to characteristic symptoms such as resting tremor, slow movements, and rigidity.

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How does improving reaching overhead or grooming hair relate to the ICF?

Improving the ability to perform tasks like reaching overhead or grooming hair demonstrates an improvement in this aspect of the International Classification of Functioning (ICF).

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Study Notes

Gait Cycle

  • During the first phase of the gait cycle, the ankle is in a neutral position.

Shoulder Joint

  • The supraspinatus muscle is responsible for the first 30° of shoulder abduction and is also an abductor of the shoulder joint.

Arthokinematic Movements

  • The "roll" fundamental arthokinematic movement occurs when multiple points on one articular surface contact single points on another surface.
  • The "glide/slide" fundamental arthokinematic movement occurs when multiple points on one articular surface contact multiple points on another surface.

Muscle Function

  • The soleus muscle has the lowest work when rising on the toes and pushing the body weight directly upward.

Patella and Tibial Tuberosity Alignment

  • Drawing a straight line across the middle of the patella and a straight line going down through the center of the tibial tuberosity and another straight line going upward toward the anterior superior iliac spine allows for the calculation of an angle.

Study Designs

  • A randomized control trial should be a priority during a search.

Spondylolisthesis

  • A 75% anterior displacement of L4 vertebra over L5 vertebra is considered a grade 3 displacement.

Shoulder Diagnosis

  • If a patient is unable to maintain a passively abducted position, the most likely diagnosis is supraspinatus impingement.

Function and Disability

  • Improving the ability to reach overhead and groom hair is an example of improving activity limitation according to the International Classification of Functioning (ICF).

Wound Management

  • Ultraviolet ray treatment can assist in destroying bacteria and fungi commonly found in wounds.

Ultrasonic Waves

  • A beam of therapeutic ultrasonic waves from a transducer has a roughly cylindrical shape.

Quartz Changes

  • Changes to quartz in an ultraviolet apparatus can result in the formation of tridymite.

Wax Therapy

  • Wax therapy is typically performed within a temperature range of 54-60°C.

Neurological Conditions

  • In Parkinson's disease, the basal ganglia are affected, leading to tremor at rest, slowness of movement, and rigidity.

Erb's Palsy

  • Erb's palsy affects the C5-C6 nerve roots, leading to loss of elbow flexion power and supination of the forearm.

Low Back Pain

  • Ligamentous laxity is a common cause of back pain in pregnant women.

Pediatric Conditions

  • Spastic diplegia is characterized by paralysis of the legs.

Spasticity Assessment

  • A Modified Ashworth scale grade of 3 indicates a considerable increase in muscle tone and difficulty with passive movement.

Hip Muscles

  • The flexors and adductors are stretched during a specific exercise.

Injury Prevention

  • Avoiding resistance to the distal tibia is a precaution to take during close kinematic chain training.

Stretching Exercises

  • Reducing force and increasing repetitions are techniques to prevent injury during stretching exercises.

Diabetes Management

  • Exercise training and walking are recommended for patients with controlled diabetes to increase glucose uptake by the muscles.

Osteoporosis Management

  • Trunk rotation and abdominal stabilization exercises are appropriate for patients with osteoporosis.

Rheumatoid Arthritis Management

  • Hydrotherapy can be used to improve cardiovascular fitness in patients with rheumatoid arthritis.

Pain Management

  • A heart rate of 35-50 beats per minute is a target for monitoring exercise intensity in patients with rheumatoid arthritis.

Physical Examination

  • Local tenderness at the ischial tuberosity and pain on resisted knee flexion may indicate hamstrings strain.

Neurological Examination

  • Sensory loss on the dorsal aspect of the foot is indicative of L5 spinal level involvement.

Shoulder Pain Management

  • Strengthening the middle and lower trapezius and stretching the upper trapezius is an appropriate approach for managing chronic shoulder pain.

Orthotics

  • A Milwaukee brace is used to manage scoliosis.

Respiratory Management

  • A patient with cystic fibrosis should be positioned in a lateral decubitus position to drain secretion from the lingula.

Avascular Necrosis Management

  • In a patient with avascular necrosis of the femoral neck, reducing hip pain can be achieved by addressing a 2 cm leg-length discrepancy.

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