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Gross Motor Skills , Test & Measures , Neuromuscular Exam - Coggle…
Gross Motor Skills
AROM Positions
Seated (8)
Cervical, shoulder, elbow/forearm, wrist/hand
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Standing (4)
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Trunk flexion, lateral flexion, rotation
Supine
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Abduction, adduction, knee flex
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Prone
Hip ext
Knees straight, so hamstrings are only doing hip ext not knee flex as well
Muscle Length
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When to access (3)
Observation (posture, gait, movement patterns), Knowledge of habitual postures, ROM/end feel assessment that shows abnormal m. length
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Neuromuscular Exam
sensory info
6 Types
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somatosensory
functions (6)
perception of light touch, temperature, pain, vibration, joint position, and discriminative sensation
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Tests (7)
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Light touch
things to remember
if both sides are affected, complete testing on limb first before switching sides
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Protective Sensation
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performing test steps
- ask pt to tell you when touch is felt
- hold filament at 90° angle to pts skin until it bends slightly
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- Perform on one foot at a time, but test both feet during
the session
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Pain (Sharp/Dull) test
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performing test steps
- ask pt to tell you when they feel the stimulus by saying "sharp" or "dull"
- touch the skin c either the sharp or dull stimulus by making a slight indent in the skin
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- continue procedure at random intervals and random pattern
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Temperature
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performing test steps
- ask pt to tell you if the stimulus is cold or hot
- Place the tube gently against the pts skin for at least 2 secs
- complete test at random intervals and random pattern
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Position Sense
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3 different tests
joint position test
performing test steps
- tell the pt to tell you if the joint is up or down
- hold distal phalanx by the lateral sides w palm down, and do one of the two positions (what are they)
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finger to nose test
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performing test steps
- lightly touch one of the pts fingers, and ask pt to touch their nose with the finger that was touched
Discriminative Sensation
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4 test
Stereognosis
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performing test steps
- place object in pts palm and tell them to identify
- Perform several trials on both hands using different
objects
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Point Localization
performing test steps
- Lightly touch an area on the patient’s skin
- Ask the patient to open his or her eyes and then point
to the place that you touched.
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