Phys Med - ROM and gait
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Questions and Answers

What is the most common cause for abnormal movement during active range of motion (AROM) testing?

  • Spasm
  • Tight or shortened tissues
  • Muscle weakness (correct)
  • Paralysis
  • During passive range of motion (PROM) testing, what is considered important in addition to the degree of movement?

  • Frequency of testing
  • Speed of movement
  • Patient's level of relaxation
  • Quality of movement (end feel) (correct)
  • 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 (correct)
  • Muscle cramping, dull, achy
  • Deep, nagging, dull bone sensation
  • Throbbing, diffuse vasculature sensation
  • In resisted range of motion (RROM) testing, what position should the patient be in to minimize tension on the inert tissue?

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

    Which muscle strength grading indicates complete range of motion against gravity with full resistance?

    <p>Grade 5 - Normal</p> Signup and view all the answers

    What is assessed in a postural assessment checklist in the lateral view?

    <p>Curvature of the spine and position of knees</p> Signup and view all the answers

    What should be assessed during gait analysis as soon as the patient enters the room?

    <p>Obvious limp or extremity deformity</p> Signup and view all the answers

    During which phase of the normal walking cycle is the foot on the ground?

    <p>Stance Phase (60% of gait cycle)</p> Signup and view all the answers

    What might be indicated by deviation in shoulder symmetry in the anterior view of a postural assessment checklist?

    <p>Dislocations or fractures in AC or SC joints</p> Signup and view all the answers

    What might a forward poking chin correspond with in the lateral view of a postural assessment checklist?

    <p>Lumbar lordosis</p> Signup and view all the answers

    Which type of range of motion testing is resisted isometric movement usually tested in?

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

    Why should the examiner always start with the unaffected/non-painful side of the patient during range of motion testing?

    <p>To prevent overflow of painful symptoms to the next movement</p> Signup and view all the answers

    What does resisted isometric movement in range of motion testing help the examiner assess?

    <p>Contractile, nervous, and inert tissues</p> Signup and view all the answers

    When should any movements that are painful be done during range of motion testing?

    <p>Last, if possible</p> Signup and view all the answers

    What does active range of motion (AROM) testing in range of motion testing help assess?

    <p>Ligaments, bursae, bone, cartilage, and the capsule</p> Signup and view all the answers

    What should the examiner note during active range of motion (AROM) testing?

    <p>When and where during each movement the onset of pain occurs</p> Signup and view all the answers

    Which type of tissues are included in inert tissue in range of motion testing?

    <p>Ligaments, bursae, bone, cartilage, and the capsule</p> Signup and view all the answers

    What is the purpose of starting with the unaffected/non-painful side during range of motion testing?

    <p>To get a true sense of the range of motion on the affected side</p> Signup and view all the answers

    What should be tested first during range of motion testing?

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

    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?

    <p>Gluteus Maximus Gait</p> Signup and view all the answers

    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?

    <p>Ataxic Gait</p> Signup and view all the answers

    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?

    <p>Hemiplegic Gait</p> Signup and view all the answers

    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?

    <p>Parkinsonian Gait</p> Signup and view all the answers

    Which gait pattern results from weak or paralyzed dorsiflexor muscles, causing the foot to slap on the ground at initial contact?

    <p>Drop Foot Gait</p> Signup and view all the answers

    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?

    <p>Scissors Gait</p> Signup and view all the answers

    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?

    <p>Trendelenburg’s Gait</p> Signup and view all the answers

    What gait pattern results from stiffness, laxity, or deformity in the hip or knee and may be either painful or painless?

    <p>Arthrogenic Gait</p> Signup and view all the answers

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