Muscle Length Testing Overview
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Questions and Answers

Under the age of three, individuals tend to have extreme ______ (forehead to toes)

flexibility

Age should be considered into muscle length and ______

flexibility

Around the age of six, individuals tend to have what most would consider to be normal (fingers to ______)

toes

Teens and adults tend to have more limited ROM (fingers typically can’t touch the ______)

<p>toes</p> Signup and view all the answers

Muscle strength testing is used to determine the client’s ability to contract a muscle or muscle groups voluntarily (only if unable to ______)

<p>isolate</p> Signup and view all the answers

Muscle length testing is used to assess for limitations of ROM (shortened muscles) and excessive movement (hypermobility/lengthened muscles), ultimately, we are assessing ________

<p>flexibility</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________

<p>muscle</p> Signup and view all the answers

ROM usually is limited by two joint muscles but not one joint muscles, due to their ability to have sufficient ________

<p>flexibility</p> Signup and view all the answers

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be ________

<p>achieved</p> Signup and view all the answers

Muscle length assessment is performed when a muscle is passively elongated over its ________

<p>joints</p> Signup and view all the answers

The results is usually limited ROM, but may show ________ as well

<p>hypermobility</p> Signup and view all the answers

Muscle length assessment is performed when a muscle is passively elongated over its ________

<p>full range of motion</p> Signup and view all the answers

ROM usually is limited by two joint muscles but not one joint muscles, due to their ability to have sufficient ________

<p>strength</p> Signup and view all the answers

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be ________

<p>achieved</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________

<p>force</p> Signup and view all the answers

The results usually show limited ROM, but may show ________ as well

<p>hypermobility</p> Signup and view all the answers

Muscles cross joints and affect the action that occurs at those joints. Muscles have an important role in supporting and moving the skeletal structures. A muscle must be short enough to provide stability of a joint and long enough to allow normal mobility.” This statement emphasizes the importance of muscle length in relation to joint stability and mobility during ____________.

<p>movement</p> Signup and view all the answers

During muscle length testing, the origin and insertion of a muscle are moved away from each other by elongating the muscle and by bringing the muscle into the opposite direction of its action. An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening muscle. This process ensures a proper assessment of muscle _____________.

<p>length</p> Signup and view all the answers

ROM is assessed in degrees. ROM usually is limited by two-joint muscles but not one-joint muscles, due to their ability to have sufficient ____________.

<p>flexibility</p> Signup and view all the answers

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be achieved. This highlights the importance of understanding the role of two-joint muscles in achieving full ____________.

<p>range of motion</p> Signup and view all the answers

Muscle length assessment is performed when a muscle is passively elongated over its joints. The result is usually limited ROM, but may show hypermobility as well, indicating the importance of evaluating muscle length for assessing musculoskeletal ____________.

<p>flexibility</p> Signup and view all the answers

Teens and adults tend to have more limited ROM. Fingers typically can't touch the ____________, which demonstrates the natural decrease in flexibility with age.

<p>toes</p> Signup and view all the answers

Muscle strength testing is used to determine the client’s ability to contract a muscle or muscle groups voluntarily if unable to ______

<p>assess</p> Signup and view all the answers

Muscle length testing is used to assess for limitations of ROM (shortened muscles) and excessive movement, ultimately, we are assessing ______

<p>flexibility</p> Signup and view all the answers

Age should be considered into muscle length and ______

<p>mobility</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ______

<p>muscle</p> Signup and view all the answers

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be ______

<p>achieved</p> Signup and view all the answers

ROM is assessed in degrees. ROM usually is limited by two-joint muscles but not one-joint muscles, due to their ability to have sufficient ______

<p>stability</p> Signup and view all the answers

Orthopedic assessment works by what would be called “stress and assess”. The orthopedic test procedure adds a physical stress to the client’s body. If the structure to which the stress is added is healthy, the client will feel no pain. These tests are designed to recreate specific symptoms. They help us formulate clinical impressions and rule in certain pathologies. Orthopedic definition: Relating to the branch of medicine dealing with the correction and deformities of bones or muscles. Red Flags: A red flag is a finding in a patient’s history/assessment that indicates the need for ______ to a physician. Red flags in PATIENT HISTORY include: Cancer, Persistent pain at night, Constant pain anywhere in the body, Unexplained weight loss, Loss of appetite, Usual lumps or growths, Unwarranted fatigue, Cardiovascular, Shortness of breath, Dizziness, Pain or feeling of heaviness in the chest, Pulsating pain anywhere in the body, Constant pain in the lower leg (calf) or arm, Discoloured or painful feet, Gastrointestinal/Genitourinary, Frequent or severe abdominal pain, Frequent heartburn or indigestion, Frequent nausea or vomiting, Change in or problems with bowel and/or bladder function, Unusual menstrual irregularities, Miscellaneous, Fever or night sweats, Recent severe emotional disturbances, Swelling or redness in any joint with no history of injury, Pregnancy, Neurological, Changes in hearing, Frequent or severe headaches with no history of injury, Problems with swallowing or changes in speech, Changes in vision, Problems with balance, Faint spells or sudden weakness

<p>referral</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ____________.

<p>muscle</p> Signup and view all the answers

Muscle strength testing is used to determine the client’s ability to contract a muscle or muscle groups voluntarily if unable to ________.

<p>assess</p> Signup and view all the answers

Around the age of six, individuals tend to have what most would consider to be normal (fingers to ______).

<p>toes</p> Signup and view all the answers

Muscle length assessment is performed when a muscle is passively elongated over its ________.

<p>joints</p> Signup and view all the answers

Muscles have an important role in supporting and moving the skeletal structures. A muscle must be short enough to provide stability of a joint and long enough to allow normal mobility. This statement emphasizes the importance of muscle length in relation to joint stability and mobility during ____________.

<p>assessment</p> Signup and view all the answers

Muscle length assessment is performed when a muscle is passively elongated over its ________

<p>joints</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________

<p>muscle</p> Signup and view all the answers

Red flags in PATIENT HISTORY indicate the need for referral to a ________

<p>physician</p> Signup and view all the answers

Around the age of six, individuals tend to have what most would consider to be normal (fingers to ______)

<p>toes</p> Signup and view all the answers

The results usually show limited ROM, but may show ________ as well

<p>hypermobility</p> Signup and view all the answers

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be ________

<p>achieved</p> Signup and view all the answers

Red Flags in __________ indicate the need for medical consultation

<p>EXAMINATION</p> Signup and view all the answers

The following tests are referred to as red flags and have already been taught in ______

<p>CL10</p> Signup and view all the answers

Orthopedic assessment works by what would be called “stress and assess”. The orthopedic test procedure adds a physical stress to the client’s body. If the structure to which the stress is added is healthy, the client will feel no pain. These tests are designed to recreate specific symptoms. They help us formulate clinical impressions and rule in certain pathologies. Orthopedic definition: Relating to the branch of medicine dealing with the correction and deformities of bones or muscles. Red Flags: A red flag is a finding in a patient’s history/assessment that indicates the need for ______ to a physician.

<p>REFERRAL</p> Signup and view all the answers

Around the age of six, individuals tend to have what most would consider to be normal (fingers to ______)

<p>TOES</p> Signup and view all the answers

Muscle length testing is used to assess for limitations of ROM (shortened muscles) and excessive movement (hypermobility/lengthened muscles), ultimately, we are assessing ______

<p>FLEXIBILITY</p> Signup and view all the answers

Red Flags in ________ indication the need for medical consultation

<p>EXAMINATION</p> Signup and view all the answers

Sever unremitting ________

<p>pain</p> Signup and view all the answers

The following tests are referred to as red flags and have already been taught in ________

<p>CL10</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________

<p>muscle</p> Signup and view all the answers

Muscle strength testing is used to determine the client’s ability to contract a muscle or muscle groups voluntarily if unable to ________

<p>contract</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________.

<p>muscle</p> Signup and view all the answers

Muscle length assessment is performed when a muscle is passively elongated over its ________.

<p>joints</p> Signup and view all the answers

ROM is assessed in degrees. ROM usually is limited by two-joint muscles but not one-joint muscles, due to their ability to have sufficient ________.

<p>slack</p> Signup and view all the answers

Red Flags in ________ indication the need for medical consultation.

<p>examination</p> Signup and view all the answers

Teens and adults tend to have more limited ROM. Fingers typically can't touch the ________, which demonstrates the natural decrease in flexibility with age.

<p>floor</p> Signup and view all the answers

The shoulder complex is difficult to assess due to many structures located in a small area & its many movements and many lesions, which occur inside and outside the ______. Pain can be caused by intrinsic disease of the shoulder ______, or it may originate from the C spine, chest or visceral Functional shoulder girdle = upper T spine, ribs1&2, manubrium, scapula, clavicle, humerus Full arm elevation must have upper T spine to extend, rotate & ipsilaterally side bend and the bodies of ribs 1&2 to move inferiorly and posterior. Acromioclavicular & sternoclavicular ______s provide mobility of the scapulothoracic ______. Faculty of Massage Therapy Bryan College Revised: November 2023 MT-CL20-SM-11 Page 14 of 82. The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. It has a fibrocartilage (aka labrum) that surrounds the glenoid fossa of the scapula to deepen the fossa. Only part of the humeral head contacts the glenoid cavity at any time. 3 axes & 3 degrees freedom Capsular pattern = Lateral rotation-abduction-medial rotation Ligaments With the arm at the side the superior ______ capsule remains taut, and the inferior portion is lax and assumes a forward and medial twist. The tendons of the SITS muscles blend with the fibers of the ______ capsule. Glenohumeral Joint Multiaxial ball and socket synovial ______.

<p>joint</p> Signup and view all the answers

It depends on muscles and ligaments for its support/stability, not the structure of bones. It has a fibrocartilage (aka labrum) that surrounds the glenoid fossa of the scapula to deepen the fossa. Only part of the humeral head contacts the glenoid cavity at any time. 3 axes & 3 degrees freedom Capsular pattern = Lateral rotation-abduction-medial rotation Ligaments With the arm at the side the superior joint capsule remains taut, and the inferior portion is lax and assumes a forward and medial twist. The tendons of the SITS muscles blend with the fibers of the joint capsule.

<p>shoulder</p> Signup and view all the answers

The tendons of the SITS ______ blend with the fibers of the joint capsule.

<p>muscles</p> Signup and view all the answers

Acromioclavicular & sternoclavicular joints provide mobility of the ______ joint.

<p>scapulothoracic</p> Signup and view all the answers

The shoulder complex depends on muscles and ______ for its support/stability, not the structure of bones.

<p>ligaments</p> Signup and view all the answers

The shoulder ______ is difficult to assess due to many structures located in a small area & its many movements and many lesions, which occur inside and outside the joint.

<p>complex</p> Signup and view all the answers

The acromioclavicular joint depends on ligaments for its strength, specifically the acromioclavicular & coracoclavicular ________.

<p>ligaments</p> Signup and view all the answers

The sternoclavicular joint is made up of the medial end of clavicle, the manubrium, and 1st rib. It has an intra-articular disk attached to the clavicle, 1st cartilage & the sternum. It is important in preventing medial dislocation and invariably the clavicle will break, or the A/C joint dislocate. 3 degrees of freedom; Capsular pattern = pain at extremes of ________.

<p>ROM</p> Signup and view all the answers

The scapulothoracic joint is not a true joint but is an integral part of the shoulder complex. It forms a closed kinetic chain with A/C joint & S/C joint. Medial border is approx. angled 3 degrees away from the spinous processes from top to bottom. Extends from T2 spinous process (SP) to T7-T9 SPs depending on the size of scapula. The spine of the scapula lies at level of T3 SP. There is a 2 to 1 ratio of humeral to scapular movement. If any angle of the scapula changes, this puts an added strain on the muscles and ligaments to support the ________.

<p>joint</p> Signup and view all the answers

The acromioclavicular joint, sternoclavicular joint, and scapulothoracic joint together form the shoulder ________.

<p>complex</p> Signup and view all the answers

The glenohumeral joint is a multiaxial ball and socket synovial ________.

<p>joint</p> Signup and view all the answers

The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. The tendons of the SITS muscles blend with the fibers of the joint ________.

<p>capsule</p> Signup and view all the answers

The subacromial or subdeltoid bursa is attached above to the acromial arch & below to the rotator cuff tendons and greater tubercle. It does not normally communicate with the joint capsule but may in case of cuff tear. This bursa is susceptible to impingement beneath the acromial arch. The name of this bursa is ________

<p>subacromial</p> Signup and view all the answers

The subscapular bursa overlies the anterior joint capsule and lies beneath the subscapularis muscle. It does communicate with the joint capsule. The name of this bursa is ________

<p>subscapular</p> Signup and view all the answers

The shoulder complex is difficult to assess due to many structures located in a small area & its many movements and many lesions, which occur inside and outside the joint. This complex depends on muscles and ______ for its support/stability, not the structure of bones.

<p>ligaments</p> Signup and view all the answers

Biomechanics observation includes the head, cervical spine, thorax, and the entire upper limb. Removal and replacement of clothes from the upper body is also part of the observation. Step deformity, sulcus deformity, abnormal bumps or malalignment of bones are also noted. The dominant side is determined by the arm rotated ______ or laterally.

<p>medially</p> Signup and view all the answers

Scapular tilt, winging, rotary winging, and static winging are observed during biomechanics evaluation. The spine of scapula and angle of scapulas are also assessed. Acromioclavicular & sternoclavicular ______ provide mobility of the scapulothoracic ______.

<p>joints</p> Signup and view all the answers

The scapulothoracic joint is not a true joint but is an integral part of the shoulder complex. It forms a closed kinetic chain with A/C joint & S/C joint. The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. If any angle of the scapula changes, this puts an added strain on the muscles and ligaments to support the ________.

<p>shoulder</p> Signup and view all the answers

Muscle length testing is used to assess for limitations of ROM (shortened muscles) and excessive movement, ultimately, we are assessing ______.

<p>flexibility</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________.

<p>muscle</p> Signup and view all the answers

The glenohumeral joint is a multiaxial ball and socket synovial ________.

<p>joint</p> Signup and view all the answers

Red flags in PATIENT HISTORY indicate the need for referral to a ________.

<p>physician</p> Signup and view all the answers

Muscle length testing is used to assess for limitations of ROM (shortened muscles) and excessive movement, ultimately, we are assessing ____________.

<p>flexibility</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ____________.

<p>muscle</p> Signup and view all the answers

Red flags in PATIENT HISTORY indicate the need for referral to a ____________.

<p>physician</p> Signup and view all the answers

The shoulder complex depends on muscles and ____________ for its support/stability, not the structure of bones.

<p>ligaments</p> Signup and view all the answers

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be achieved. This highlights the importance of understanding the role of two-joint muscles in achieving full ____________.

<p>range of motion</p> Signup and view all the answers

The scapulohumeral rhythm assesses the coordination of the scapula and humerus during movement to identify any altered ____________ rhythm

<p>Scapulothoracic</p> Signup and view all the answers

During assessment of the Shoulder Girdle General Tests, a positive sign for subacromial bursitis may include pain or inability to reach ____________

<p>Landmarks</p> Signup and view all the answers

Anterior instability of the GH joint may present with increased apprehension of pain with slow, passive external rotation of the arm, while posterior instability of the glenohumeral joint may have increased apprehension of pain with slow, passive posterior translation of the ____________

<p>Humerus</p> Signup and view all the answers

The Apley's Scratch Test is used to assess the ____________ of the shoulder complex during movement

<p>Coordination</p> Signup and view all the answers

Joint and Ligament Testing involves assessing for conditions like anterior instability of the GH joint and posterior instability of the glenohumeral joint to identify any increased apprehension of pain with specific passive ____________

<p>Movements</p> Signup and view all the answers

The shoulder complex heavily relies on muscles and ligaments for its support and stability, emphasizing the importance of assessing for any altered ____________ patterns during clinical examinations

<p>Capsular</p> Signup and view all the answers

The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. The tendons of the SITS muscles blend with the fibers of the joint ________.

<p>capsule</p> Signup and view all the answers

Acromioclavicular & sternoclavicular joints provide mobility of the ______ joint.

<p>scapulothoracic</p> Signup and view all the answers

ROM is assessed in degrees. ROM usually is limited by two-joint muscles but not one-joint muscles, due to their ability to have sufficient ________.

<p>length</p> Signup and view all the answers

The subscapular bursa overlies the anterior joint capsule and lies beneath the subscapularis muscle. It does communicate with the joint capsule. The name of this bursa is ________.

<p>subscapular</p> Signup and view all the answers

The scapulothoracic joint is not a true joint but is an integral part of the shoulder complex. It forms a closed kinetic chain with A/C joint & S/C joint. The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. If any angle of the scapula changes, this puts an added strain on the muscles and ligaments to support the ________.

<p>shoulder</p> Signup and view all the answers

Faculty of Massage Therapy Bryan College Revised: November 2023 MT-CL20-SM-11 Page 14 of 82. The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. It has a fibrocartilage (aka labrum) that surrounds the glenoid fossa of the scapula to deepen the fossa. Only part of the humeral head contacts the glenoid cavity at any time. 3 axes & 3 degrees freedom Capsular pattern = Lateral rotation-abduction-medial rotation Ligaments With the arm at the side the superior ______ capsule remains taut, and the inferior portion is lax and assumes a forward and medial twist. The tendons of the SITS muscles blend with the fibers of the ______ capsule. Glenohumeral Joint Multiaxial ball and socket synovial ______.

<p>joint</p> Signup and view all the answers

What is the positive sign for anterior instability of the glenohumeral joint?

<p>Patient apprehension of posterior translation</p> Signup and view all the answers

Which joint is a ball and socket synovial joint?

<p>Glenohumeral joint</p> Signup and view all the answers

What is the positive sign for posterior instability of the glenohumeral joint?

<p>Abnormally large amount of movement of the humeral head anteriorly</p> Signup and view all the answers

Which test is used to assess rotator cuff tear with supraspinatus tendon rupture?

<p>Drop Arm Test</p> Signup and view all the answers

What does the term 'clinical impression' refer to in the context provided?

<p>Healthcare provider's initial assessment</p> Signup and view all the answers

What is the positive sign indicating anterior instability of the glenohumeral joint in the Anterior Drawer Test?

<p>Abnormally large amount of movement of the humeral head anteriorly</p> Signup and view all the answers

In the Posterior Drawer Test, what does a positive sign indicate?

<p>Abnormally large amount of posterior movement of the humeral head</p> Signup and view all the answers

What is the positive sign indicating a rotator cuff tear in the Drop Arm Test?

<p>Inability to perform a slow, controlled adduction of the arm to neutral</p> Signup and view all the answers

Which joint is described as a 'ball and socket synovial joint' in the text?

<p>Glenohumeral joint</p> Signup and view all the answers

What is the primary purpose of muscle length testing mentioned in the text?

<p>To assess for limitations of range of motion</p> Signup and view all the answers

Muscle length assessment is performed when a muscle is passively elongated over its ________

<p>origin</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________

<p>insertion</p> Signup and view all the answers

Red flags in PATIENT HISTORY indicate the need for referral to a ________

<p>physician</p> Signup and view all the answers

The acromioclavicular joint, sternoclavicular joint, and scapulothoracic joint together form the shoulder ________

<p>complex</p> Signup and view all the answers

Red flags in __________ indicate the need for medical consultation

<p>history</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________.

<p>direction</p> Signup and view all the answers

The shoulder complex depends on muscles and ______ for its support/stability, not the structure of bones.

<p>ligaments</p> Signup and view all the answers

Muscle length assessment is performed when a muscle is passively elongated over its ________.

<p>joints</p> Signup and view all the answers

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________.

<p>direction</p> Signup and view all the answers

Red flags in PATIENT HISTORY indicate the need for referral to a ________.

<p>specialist</p> Signup and view all the answers

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