W/C 5: Exam & Eval Part 2: Physical Evaluation

A reduced or absent lumbar lordosis

A posterior pelvic tilt is frequently associated with which other postural deviations? A. A reduced or absent lumbar lordosis B. An increased lumbar lordosis C. A reduced thoracic kyphosis D. A scoliosis

Posture Review

During the examination and evaluation portion, what portion test pelvis position (posterior pelvic tilt vs anterior pelvic tilt), trunk position (increased thoracic kyphosis vs increased lumbar lordosis) and checking that position is neutral for different joints A. Supine Mat Assessment B. Physical Assessment C. Sitting Mat Assessment D. Posture Review

Physical Assessment

During the examination and evaluation portion, what portion test sensation, pain skin integrity, strength (power endurance), neuromuscular (muscle tone, reflexes, coordination), posture, and balance? A. Supine Mat Assessment B. Physical Assessment C. Sitting Mat Assessment D. Posture Review

Supine Mat Assessment

Examination and evaluation portion where you test patient lying down to see pelvis hips and knee positioning. A. Supine Mat Assessment B. Physical Assessment C. Sitting Mat Assessment D. Posture Review

Determine how much force is required to correct the deviation

If a postural deviation is observed when the person is sitting in the wheelchair, also observed when the person is sitting and when supine on the mat table, and can be corrected by applying force to the pelvis and trunk in supine, what is the "next step" in determining how to address the postural deviation in the wheelchair seating system? A. Recommend postural supports to fully correct the posture in the wheelchair B. Recommend postural supports to partially accommodate the deviation in the wheelchair C. Determine how much force is required to correct the deviation D. Determine the locations of the postural supports on the wheelchair

Flexible

If a postural deviation that is visible when the person is seated but "disappears" when the person lies down on the mat, what is the best description of the postural deviation? A. Fixed B. Flexible C. Partly Flexible D. Gravity Dependent

100

If the amount of true hip flexion possible is 80 degrees, what would the corresponding seat-to-back support angle need to be? A. 70 B. 80 C. 90 D. 100

At least 90 degrees of true hip flexion

What is a key requirement for a person to be able to sit in a 'neutral' or 'upright' posture? A. 5/5 muscle power in the abdominal muscles B. Normal muscle tone in the lower extremities C. Good head control in a sitting position D. At least 90 degrees of true hip flexion

Be systematic in your approach

What is an important 'rule' to follow when assessing sitting posture? A. Be sure to assess the pelvis B. Be systematic in your approach C. Assess posture only in the wheelchair D. Assess posture only on the mat table

ASIS and PSIS

What landmarks do you have to palpate when completing the flexibility assessment for the pelvis? A. Knees and Ankle B. Greater Trochanters C. Iliac Crest D. ASIS and PSIS

Anterior Pelvic Tilt

What position is the pelvis in within this picture? A. Pelvic Obliquity B. Pelvic Rotation C. Neutral D. Posterior Pelvic tilt E. Anterior Pelvic Tilt

Pelvic Obliquity

What position is the pelvis in within this picture? A. Pelvic Obliquity B. Pelvic Rotation C. Neutral D. Posterior Pelvic tilt E. Anterior Pelvic Tilt

Pelvic Rotation

What position is the pelvis in within this picture? A. Pelvic Obliquity B. Pelvic Rotation C. Neutral D. Posterior Pelvic tilt E. Anterior Pelvic Tilt

Posterior Pelvic Tilt

What position is the pelvis in within this picture? A. Pelvic Obliquity B. Pelvic Rotation C. Neutral D. Posterior Pelvic tilt E. Anterior Pelvic Tilt

Increased Lumbar Lordosis

What position is the trunk in within the picture? A. Increased Lumbar Lordosis B. Neutral C. Increased Thoracic Kyphosis D. Lateral Flexion E. Trunk Counter-Rotation

Increased Thoracic Kyphosis

What position is the trunk in within the picture? A. Increased Lumbar Lordosis B. Neutral C. Increased Thoracic Kyphosis D. Lateral Flexion E. Trunk Counter-Rotation

Lateral Flexion

What position is the trunk in within this picture? A. Increased Lumbar Lordosis B. Neutral C. Increased Thoracic Kyphosis D. Lateral Flexion E. Trunk Counter-Rotation

Trunk Counter-Rotation

What position is the trunk in within this picture? A. Increased Lumbar Lordosis B. Neutral C. Increased Thoracic Kyphosis D. Lateral Flexion E. Trunk Counter-Rotation

Partly Flexible

When testing posture for a patient, and there is some (but not full) correction possible by repositioning or through application of gentle force A. Flexible B. Fixed C. Partly Flexible D. Moveable E. Unmoveable F. Partly Unmoveable

Flexible

When testing posture for a patient, if a patient has a joint that has correction possible by repositioning or through application of gentle force A. Flexible B. Fixed C. Partly Flexible D. Moveable E. Unmoveable F. Partly Unmoveable

Fixed

When testing posture for a patient, if a patient has a joint that is out of neutral and the correction is not possible, it is deemed: A. Flexible B. Fixed C. Partly Flexible D. Moveable E. Unmoveable F. Partly Unmoveable

To assess flexibility of postural deviations

Which of the following best explains why the physical assessment must be performed in both the sitting and supine positions? A. For determining range of motion B. To assess flexibility of postural deviations C. To effectively assess muscle power D. To determine sitting balance skills

Wheelchair Mobility

Which of the following elements is NOT considered part of the physical assessment process? A. Wheelchair Mobility B. Strength C. Posture of the Pelvis in Sitting D. Skin Integrity

All of the above

Why is it important to document a history of Pressure Injuries (PI)? A. Having a history of pressure injuries is an important risk factor B. Healed pressure injuries permanently weaken the skin C. You should be careful of applying pressure in the location of a healed PI D. All of the above

It will help to determine the angle needed between the seat and the back support

Why is the measurement of true hip flexion so critical to perform during supine mat assessment? A. It relates directly to the posture of the pelvis B. It will help to determine the angle needed between the seat and the back support C. It will help determine the flexibility of the hamstring muscle D. It will help determine the angle between the seat and the lower leg support