6CIOR

Question (3)(25 marks)

a)Substitutions and trick movements could be prevented during muscle testing,comment on
this statement discussing methods that could be used (5marks)
b)The shoulder is a complicated joint formed by the convergence of 3 bones and multiple
muscles and tendons that work together to give the arm its exceptional mobility from your
point of view what are most common causes that leads to shoulder pain injury or inflammation
(5 marks)
c)What causes knee stability?(5 marks)
d)How to assess ankle planter flexion wt bearing and non wt bearing(10 marks)

Question (4):Choose the correct answer:

1.Bilateral hip flexion deformity will be combined with:
a.Increased lumbar lordosis.
b.Increased lumbar kyphosis.
c.Decreased lumbar lordosis.
d.None of above.
2.Substitution done by tensor fascia latae in hip flexion lead to:
a.Lateral rotation of hip.
b.Lateral rotation and abduction of thigh.
C.Medial rotation and abduction of thigh.
d.Medial rotation and adduction of thigh.
3.Muscles responsible for hip abduction are:
a.Gluteus maximus.
b.Gluteus medius and minimus.
c.Piriformis.
d.lliopsoas.
4.Patient position in grade 2 adduction of hip will be:
a.Supine.
b.Prone.
c.Side lying.
d.Standing
5.Gastrocnemius and soleus muscles are responsible for:
a.Ankle dorsiflexion.
b.Ankle planter flexion.
c.Hip extension

d.Neng of above.
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DDHDHCHOIF

Question(3)Short essay
1)Discuss muscle testing assessment procedures
2)The purpose of muscle test
3)Grade(4)knee extension(Patent poston,Physical therapist postion,Grasp,Mention the
tested muscle.Define grade 4)
4)Grade(5)hip extension(Patient position,Physical therapist position,Grasp,Mention the
tested muscle,Define grade 5)

True or false:
10.The highest grade awarded in testing ankle planter flexion from supine position
for nonweight-bearing testing may not exceed a 2+
11.The larger the cross sectional area of a muscle the greater the strength of the muscle()
12.More tension can be developed during an eccentric contraction than during an
isometric contraction.()
13.the concentric contraction has the smallest tension capability ()
14.the greatest amount of tension is developed when the muscle is stretched to the
greatest length possible( )
15.upper trapezius fibers can be palpated at clavicle or neck.()
16.The middle fibers of the Trapezius can substitute for the adduction component of
the Rhomboids.( )
17.As the patient fatigues,muscle strength decreases.()
18.scaption is more functional than either forward flexion'or abduction.()
19.scaption is produced by deltoid and supraspinatus.()
20.The patient's wrist flexor muscles should remain relaxed throughout the elbow flexion test
because strongly Contracting wrist flexors may assist in elbow flexion.()
1 Chose the most corrective answer:With plotting the empty circle"
1.The purpose of muscle test is to provide information that may be of assistance to a number
of health professionals in:
a.Differential diagnosis b.Treatment planning
C.Prognosis. d.All of the above.
e.Both a &b
2.The most objective part of test.
a.grade 2 b.Grade 3
C.grade 5 d.All of the above
e.Both a &b.
 GIOR GROUP

3.Beginning all muscle testing at a particular grade,this is usually a

a.grade of 1.
b.Grade of 2.
c.Grade of 3.
d.Grade of 4.
e.Grade of 5.
4.Lower fibers of trapezius palpated
a.n the triangular area between the root of the spine of the scapula and the lower
thoracic vertebra
b.With the tips of the fingers just in front of the inferior angle along the axillary
border. C.in the center of the axilla.
d.Both a&b
e.None of the above.
5.Substitutions for knee flexion (when the hamstrings are very weak);
a.Hip flexion substitution
b.Sartorius substitution
C.Gracilis substitution
d.gastrocnemius substitution
e.All of the above.

Department of Final 2015

Study level:second year 9 am
Corse title:tests &measurement 1 hour
Course code:FM 2013 40marks
True or false:
1-Lower limb discrepancy effects cosmetic appearance only
In knee extension range of motion,fixed arm of goniometer is placed over the mid line of
fibula. 3.Apparent leg discrepancy associated with pelvic obliquity.
4.There difference for corresponding joint between left and right sides of the body in R.O.M.

test.
5.Universal goniometer is used in research to obtain dynamic joint measurement.
6.Measurement in each motion begins at 180 and progress towards 0 degrees.
7.Stabilize Joint distal to joint being measured to detect R.O.M.
8.Anatomical position is used for measuring R.0.M.tor all joints of body.
9.Trendelenburg test is designed to evaluate the strength of gluteues maximus.
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DOGTOR GROUP

10.Weakres oftbialis posterior decrease the trength of ankle planter flexion and
eversion 11.Weakness of proneus longus results in pronation of the foot and decreased
support of
the longitudinal arch.
12.Extensor haluei longus muscle have the funtion of asisting the dorsilexion
withinversion. 13.Hand to knee gait is abnormal gait occurs due to weakness of hamstrings
muscles.
14.if biceps femoris muscleis strong,leg will rotate medially during knee flexion.
15.Pluses and minuses which added to the grades introduce more objectivity to grading.
16.obturator externus make external rotation of the hip joint and assist in hip adduction.
17.In standing weakness of tensor fascia latea,lead to thrust in direction of bowle
position. 18.1-Foot Inversion (Posterior Tibialis)1.Position patient in a sitting position
with their leg off of table and their ankle in slight plantar flexion.
2-Instruct and show patient to "turn your foot down and out,hold it and don't let me move it
3-applies resistance toward eversion and slight dorsiflexion
19.plantar------plantar flexion of foot and flexes knee.

7.Weakness of musclelead to inability to going up and down stairs.

a)hamstrings
b)gluteus medius
c)quadriceps
d)iliopsoas
8.Lateral rotation with abduction of the thigh is evidence ofl
a)Sartorius is stronger than tensor fascia latae
b)Tensor fascia latac is stronger than
Sartorius C)Rectus femoris is tight
d)Non of the above
9.Weak tibialis anterior muscle lead to inability to;
a)planter flex ankle
GROUP
b)invert foot
c)dorsiflex ankle
d)both b and c
10.abducts and laterally rotates thigh
a)sartorius
b)lliacus
c plantaris
d) Piriformis
ll Complete.(20MARKS)
A-Inequality of the length of the lower limb lead to
1).
2)
3)
B-Roundmeasurementis used to ……………………………………………
and …………………………………………………
C-From crook lying if on knee appears higher, than the other, so there is short in …
……… whileifkneeprojectsfurtheranteriorthantheother,sothereisshortin

D- Thigh girth for proximalor upperthigh is ………………………………

while distal thigh
is ………………………………………………………………………… ·
E-Rotation system from
1).
2)
3)
F-Weakness of …………………………………leadtopartialdropfoot,whileweakness
of………………………………… leadtoinablitytoreachupwardtowardhighshelf
G-Weakness of peroneus longus leadto decrease ability to ………………
footand …………………………………………………theanklejoint
H-flexes legat knee; rotates leg laterally extends thigh by ………………

Trueor
1.Number of repetitions used in testing strength is determined after two to
three repetitions of thetest movement( ).
2.The larger the cross sectional area of a muscle, the greater the strength of
the muscle.( ).
3. More tension can be developed, during an eccentric contraction than
during a Concentric contraction.( )
4.The greatest amount of tensionis developed when the muscle is
stretched to the greatest length possible( )
5. The middle fibers of the Trapezius can substitute for the adduction
component of the Rhomboids. ( )
Scaption
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DOCTOR GROUP

1.Prevent substitutions and trick movements by making use of the following methods:
a)The patient's normal muscles
b)The patient's body weight
c)The patient position
d)External forces.
e)All of the upove.
f)None of the upove
2.Beginning all muscle testing at a particular grade,this is usually a
a)grade of 1
b)Grade of 2.
c)Grade of 3.
d)Grade of 4.
e)Grade of 5

manual muscle testing

midterm exam 2009
Complete the following:
1.Scapular elevation is prouduced by the …………
2.Scapular abduction and upward rotation is prouduced by … . … …
Palpate the vertebral borders of both scapulae with the thumbs;place the………of the thumb
below the ………………angle;the fingers extend around the …borders.
3.Manual muscle testing is a procedure for the ………………of the function and
……… ……of individual muscles and muscles group based on effective
performance of a movement in relation to the forces of ………………And manual resistance
through the available ROM.
4.to Test the Flexor carpiradialis:Resistance is focused over the …………………
(radial side of the hand)in the direction of ………………and …
5.Testing shoulder horizontal adduction is produced by … … … … … … …
Clavicular Head:Patent-begins test with shoulder in ………of abduction with elbow
flexed.Patient then is asked to horizontally adduct the shoulder
Sternal Head: Patient begins test with shoulder in about 43 of abduction with
elbow flexed.
6.Factors Affecting Strength:
1-……………………………………………………2-……………………
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bCIOR GROUF

7.Within the total arc of 180“of shoulder forward flexion…………is glenohumeral

motion,and………………………is scapular motion
8.Arm elevation in the plane of the scapula,thatis,30'to 45 anterior to the coronal plane

about halfway between shoulder flexion and shoulder ……………is

called … … … … … … … … … … … … … … … … … … … … … … … … … … …

Match
1.Grade 3,F(Fair) a.less than one half the
available ROM against gravity and
against
moderate resistance
2.grade 3-,f b.the full available ROM against
gravity
3.grade 3+,f+ C.greater than one halt the
available ROM against gravity
4.Prim Mover or agonist a muscle d.works a long with the agonist to
or muscles group that produce the desired movement
5.Synergist a muscle that e.when muscles are weak or
contracts and paralyzed,other muscles may take
over or gravity may be used to
perform the movements normally
carried out by the weak
muscles
6.Substitution and trick movements f.makes the major contribution
to movement at the joint
7.Antagonist:A muscle or muscles g.Available ROM against gravity and
group that against maximal resistance with
holding

8.Grade 5N(normal) h.increasing age due to

deterioration in muscle mass.
9.A decrease in strength occurs with i.too many repetitions of the
test movement
10.Fatigue will become a factor with j.has an opposite action to the
prime movers.the antagonist relaxes
as the
agonist moves the part through
ROM.
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7
DOCTOR GROUP

3.Prevent substitutions and trick movements by making use of the following methods
a)minimal muscle contraction,
b)Movement.
c)Muscle wasting
d)Substitutions or trick movements.
e)All of the upove.
f)None of the upove.
4.Beginning all muscle testing at a particular grade,this is usually a:
a)Grade of 1
b)Grade of 2.
c)Grade of 3.
d)Grade of 4.
5.Lower fibers of trapezius palpated:
a)in the triangular area between the root of the spine of the scapula and the lower
thoracic b)With the tips of the fingers just in front of the inferior angle along the axilary
border.
c)All of the upove
d)None of the upove
6.The positions of choice to test the brachioradialis:
a)Forearm in supination
b)Forearm in pronation.
c)Forearm in midposition between pronation and supination.
d)All of the upove.
e)None of the upove.
7.Substitutions for knee flexion(when the hamstrings are very we)
a)Hip flexion substitution
b)Sartorius substitution
c)Gracilis substitution
d)Gastrocnemius substitution
e)All of the upove.
d)None of the upove.
8.the Biceps femoris is stronger than the medial hamstrings,the leg will;
a)Externally rotate during knee flexion
b)internally rotate during knee flexion.
c)All of the upove
d) None of the upove.
A GOR GROUF

g .Substitutions in Plantar Flexion Testing by:

A)Flexor hallucis longus and Flexor digitorum longus.
b)Peroneus longus and Peroneus brevis.
c)Tibialis posterior.
d)Tibialis posterior,Peroneus longus,and Peroneus brevls.
e)All of the upove.
f)None of the upove
10.Tibialis anterior muscle substitution by the:
a)extensor digitorum longus.
b)Extensor hallucis
c)All of the upove.
d)None or he upove.
Write the following
Hip-hike substitutions
Grade 4(Good)of ankle planter flexion