Term
| What doe sthe Arthrometric Exam include? |
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Definition
| "Intrumentation, ROM, Structural Position." |
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Term
| What are the Instruments used in the Arthrometric Exam? |
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Definition
| "Gravity Goniomenter, FF Measuring Device, Orthopedic Evaluaiton Device and Tractograph." |
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Term
| What is the Gravity Goniometer best used for? |
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Definition
| Frontal Plane Leg deviation and malleolar position. |
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Term
| T/F The Gravity Goniometer can be attached to a stationary base? |
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Definition
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Term
| What is a FF Measuring Device best used for? |
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Definition
| "Measuring FF to RF relationship, the locking position of the MTJ." |
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Term
| Is a FF measuring Device commoly used? |
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Definition
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Term
| Are Gravity Goniometers used much now days? |
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Definition
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Term
| What is the Orthopedic Evaluation Device (OED) best used for? |
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Definition
| Everything! Can be used for all measurments. |
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Term
| T/F The OED is easy to use? |
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Definition
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Term
| What is a Tractograph best used for? |
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Definition
| "Joint ROM, RF ROM and can be used for FF to RF relationship. (Useful in evaluating radiographs also)" |
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Term
| What is the ROM of the IPJs? |
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Definition
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Term
| Is dosiflexion from a fully extend postion pathological? |
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Definition
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Term
| Is plantar flexion at a fully extended position normal? |
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Definition
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Term
| What is the minimum amount of plantarflexion required? |
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Definition
| "Unknown, doesn't matter." |
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Term
| What is the most important thing to observe at the IPJ? |
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Definition
| That plantarflexion from a fully extended position. |
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Term
| What is the ROM of the MPJ? |
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Definition
| Transverse and Sagittal Plane motion. |
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Term
| What motion is neeed at the 1st MPJ for normal propulsion? |
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Definition
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Term
| T/F Motion needed in the lesser MPJs is slightly less than 65 degrees? |
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Definition
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Term
| T/F The IPJ is the center for motion? |
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Definition
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Term
| Where is the motion assesed for the MPJ? |
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Definition
| By dosiflexing the digit on the corresponding met. Bisect the Met shaft and the shaft of the digit being assessed. (Non-weght bearing) |
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Term
| What is the ROM of the 1st Ray? |
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Definition
| Axis angulates approximately 45 degrees from the frontal and sagittal planes and only slightly from the transverse plane. |
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Term
| Is the exam of the 1st Ray reliable? |
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Definition
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Term
| T/F Motion occurs in 3 planes simultaneously with dorsiflexion and plantarflexion being the primary motion. |
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Definition
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Term
| What is hypermobile 1st ray? |
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Definition
| Movement out of its normal range or plane of motion. |
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Term
| T/F Normaly there is more dorsiflexion tha plantarflexon relative to the 2nd met head. |
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Definition
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Term
| What is the best way to asses the 1st ROM? |
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Definition
| STJ in neutral with the MTJ pronated. This will allow for consistant measurements for both feet. |
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Term
| T/F Pronation of the STJ will increase 1st Ray ROM? |
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Definition
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Term
| How do you examin the ROM of the 1st Ray? |
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Definition
| Hold the 2nd-5th met head between the thumb and forefinger of one hand. Thumb plantar. With the thumb and forefinger of the opposite hand holding the 1st met head. In the neutral position the fingers on the first met head will be slightly higher and lower due to the 1st met head increased thickness to the 2nd. |
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Term
| "If the position of the fingernails of either the thumbs or forefingers are equal in the 1st ray evaluation, then what is suggested?" |
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Definition
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Term
| If plantar flexion exceeds dorsiflexion then it indicates what? |
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Definition
| Plantarlexed 1st Ray deformity. |
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Term
| What are the ROM for the MTJ? |
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Definition
| "Oblique axis produced dorsiflexion and abduction (with pronation, visa versa for supinaiton) This is FF in relation to RF motion." |
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Term
| T/F Supination at the STJ increased the total range of motion at the MTJ in both supination and pronation? |
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Definition
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Term
| How many degrees of what motion is needed about the LMTJ to compensate for calcaneal eversion? |
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Definition
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Term
| How many degrees of calcaneal eversion will still allow normal fx? |
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Definition
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Term
| T/F Total ROM of the MTJ depends on the STJ? |
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Definition
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Term
| Are there actural mesurement taken for the MTJ evaluation? |
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Definition
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Term
| What are the ROM for the STJ? |
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Definition
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Term
| T/F Eversion of the Calcaneus signifies what? |
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Definition
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Term
| What is the Total Minimum ROM in the frontal plane of the STJ? |
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Definition
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Term
| What the Total Normal ROM in the frontal plane of the STJ? |
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Definition
| "30 degrees (20 inversion and 10 eversion, 2:1 Ration)" |
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Term
| Are patienst supine or prone for the STJ evaluation? |
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Definition
| Prone (this allows calcaneus to be viewed on the frontal plane) |
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Term
| How do you perform the STJ evaluation? |
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Definition
| "Prone, adducting the foot for inversion and abducting the foot for eversion." |
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Term
| Why do you not just invert or evert the calcaneus? |
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Definition
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Term
| What is the ROM for the AJ? |
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Definition
| Primarily sagittal plane motion. |
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Term
| "How much dorsiflexion is required for normal AJ, when th knee is extended?" |
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Definition
| 10 degrees (the MTJ is also completely pronated) |
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Term
| What position is the patient in during the AJ evaluation? |
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Definition
| Prone (avoids the patient flexing the knee) |
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Term
| How do you perform the AJ evaluation? |
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Definition
| "Prone, passively dorsiflex the foot on the leg while keeping the STJ NEUTRAL.." |
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Term
| What is the most importat thing to do during the AJ evaluation? |
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Definition
| "Keept the STJ neurtal, while passively dorsiflexing the foot." |
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Term
| What do you measur in the AJ evaluation? |
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Definition
| Angle formed by the plantar aspect of the foot and the distal 1/3 of the leg. The plantar aspect of the foot extended from the plantar aspect of the calcaneus to the skin beneath the 5th met head. |
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Term
| What is considered the lower 1/3 of the leg? |
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Definition
| Musculoteninous jx of the triceps surae to just proximal to the lateral malleolus. |
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Term
| How many degrees of plantar flexion do you need for normal plantarflexion? |
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Definition
| 20 degrees (45 is normal) |
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Term
| What is the reason we do the Silverskold Test? |
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Definition
| Eliminates the influence of the gastroc muscle problem (thus gastroc equinus or gastroc/soleus equinus) |
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Term
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Definition
| Normally only sagittal plane (120 to 130 degees of flexion) |
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Term
| What is the ROM for the HP? |
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Definition
| Transverse Plane (45 degrees internal and external) |
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Term
| How is neurtal for the HP calculated? |
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Definition
| "55 degrees external and 35 degrees internal, then neurtal is 10 degrees exteral. (half of total ROM subtracted form the higher individual ROM)" |
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Term
| How is the ROM for the HP evaluated? |
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Definition
| Patient may also be supine with knees flexed with lower leg hanging over the edge of the examining table. |
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Term
| How is the Locking of the MTJ evaluated? |
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Definition
| "Prone, Knee place in fronal plane, STJ neurtal, dorsiflexory force is applied to the neck of the 5th met." |
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Term
| What are the reference points for the MTJ evaluation? |
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Definition
| "Bisection of the calcaneus, perpendicular to the gound and met heads (measure FF invered or everted to RF)" |
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Term
| "What does a FF inversion (with the MTJ fully pronated, thus STJ in NEUTRAL!) signifiy?" |
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Definition
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Term
| What position is the patient in for the Calcaneal Stance (relaxed) evaluation? |
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Definition
| "Standing, facing away from you" |
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Term
| What is the Calcaneal Stance (relaxed) Evaluation good for? |
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Definition
| "Measues frontal plane deviation, calcaneus in relation to the floor. (range from everted to rectus most of the time)" |
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Term
| What is the position of the patient for the Calcaneal Stance (neutral) evaluation? |
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Definition
| "Standing, facing away, STJ in Neutral position." |
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Term
| What is the Calcaneal Stance (neutral) evaluation good for? |
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Definition
| Measures (frontal plane deviation) bisection of the calcaneus in relation to the floor. Normally inverted or neutral. |
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Term
| How do you tell if the STJ is neutral? |
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Definition
| Medial and lateral concavity are equal. |
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Term
| What is an inverted neutral calcaneal position indicative of? |
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Definition
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Term
| What is the normal Malleolar Position when the STJ is neutral? |
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Definition
| 13 to18 degrees externally |
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Term
| T/F Pronation decreased exteranl malleolar position? |
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Definition
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Term
| T/F Knees should be extended parallel to the examining surface for Malleolar Postion? |
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Definition
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Term
| What are the 3 opions for Frontal Plane Leg Deviation? |
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Definition
| "Tibal Varum or Valugum, or Neutral/Recuts" |
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Term
| T/F Tibia Valgus = Inverted Leg on the Frontal Plane? |
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Definition
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Term
| Where is the apex of a FF deformity? |
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Definition
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Term
| T/F STJ must be in neutral with MTJ maximally pronated and locked to asses the FF as a structural position? |
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Definition
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