27 Questions
What is the most common cause for abnormal movement during active range of motion (AROM) testing?
Muscle weakness
During passive range of motion (PROM) testing, what is considered important in addition to the degree of movement?
Quality of movement (end feel)
What sensation does the examiner feel in the joint as it reaches the end of range of motion (ROM) during end feel evaluation?
Sharp, shooting nerve pain
In resisted range of motion (RROM) testing, what position should the patient be in to minimize tension on the inert tissue?
Neutral position
Which muscle strength grading indicates complete range of motion against gravity with full resistance?
Grade 5 - Normal
What is assessed in a postural assessment checklist in the lateral view?
Curvature of the spine and position of knees
What should be assessed during gait analysis as soon as the patient enters the room?
Obvious limp or extremity deformity
During which phase of the normal walking cycle is the foot on the ground?
Stance Phase (60% of gait cycle)
What might be indicated by deviation in shoulder symmetry in the anterior view of a postural assessment checklist?
Dislocations or fractures in AC or SC joints
What might a forward poking chin correspond with in the lateral view of a postural assessment checklist?
Lumbar lordosis
Which type of range of motion testing is resisted isometric movement usually tested in?
Active ROM
Why should the examiner always start with the unaffected/non-painful side of the patient during range of motion testing?
To prevent overflow of painful symptoms to the next movement
What does resisted isometric movement in range of motion testing help the examiner assess?
Contractile, nervous, and inert tissues
When should any movements that are painful be done during range of motion testing?
Last, if possible
What does active range of motion (AROM) testing in range of motion testing help assess?
Ligaments, bursae, bone, cartilage, and the capsule
What should the examiner note during active range of motion (AROM) testing?
When and where during each movement the onset of pain occurs
Which type of tissues are included in inert tissue in range of motion testing?
Ligaments, bursae, bone, cartilage, and the capsule
What is the purpose of starting with the unaffected/non-painful side during range of motion testing?
To get a true sense of the range of motion on the affected side
What should be tested first during range of motion testing?
Passive ROM
Which gait pattern results from a weak gluteus Maximus causing the patient to thrust the thorax posteriorly at heel strike to maintain hip extension of the stance leg?
Gluteus Maximus Gait
What gait pattern is associated with damage to the cerebellum, resulting in poor sensation, lack of muscle coordination, poor balance, and a wide broad base stance?
Ataxic Gait
Which gait pattern presents as a swinging of the paraplegic leg outward and ahead in a circle or pushes it ahead, along with the affected upper limb being carried across the trunk for balance?
Hemiplegic Gait
What gait pattern is characterized by the neck, trunk, and knees of a patient being flexed, along with shuffling or rapid short steps, stiffly held arms, and progressive faster walking as though unable to stop?
Parkinsonian Gait
Which gait pattern results from weak or paralyzed dorsiflexor muscles, causing the foot to slap on the ground at initial contact?
Drop Foot Gait
What gait pattern results from spastic paralysis of the hip adductor muscles and causes the knees to be drawn together so that the legs can be swung forward only with great effort?
Scissors Gait
Which gait pattern is associated with an excessive lateral list during the stance phase due to a weak gluteus medius/minimus and exhibits thoracic movement to keep center of gravity over the stance leg?
Trendelenburg’s Gait
What gait pattern results from stiffness, laxity, or deformity in the hip or knee and may be either painful or painless?
Arthrogenic Gait
Learn about the correct order and techniques for conducting range of motion testing, including active ROM, passive ROM, and resisted ROM. Understand the importance of starting with the unaffected/non-painful side of the patient to assess the range of motion accurately.
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