3: lower quarter scanning exam & integumentary screen Flashcards
what are the 3 things you are looking for to see if you shoudl scan or not do a scan
- no obvious MOI
- proximal cause for distal symptoms
- non mechanical “sounding” symptoms
• ↓ weight bearing
• ↓stance &/or time
• Hip, knee, ankle & foot malposition
• Wide BOS
• Shuffling
• Foot flat initial contact • ↓ toe off
these are all considered what kind of abnormalities in gait
gross
what lumbar ROM are u testing
flexion
extension
side bending
rotation
add active over pressure if pain free thru ROM
what is fatigueable weakness correlated with
neurologic things
what are the LE myotomes
L2- hip flexor - iliopsoas
L3- knee extensors - quads
L4- ankle DF - tib ant
L5- long toe extensors - EHL
S1- ankle PF - gastroc
what are the deep tendon reflexes for LE
L4- patellar tendon
L5- medial hammy
S1- achilles tendon
what are the UMN signs
babinkski
ankle clonus
what is a normal reflex grade , very brisk and no response
2+
4+
0
what does the lumbar provocation test do
stresses WB structures of spine ( facet joints , vertebral bodies and disc)
where do you apply compression and distraction for the lumbar provocation test
apple pressure thru the shoulders for compression and arms for distraction
how long do you hold the lumbar provocation test for
5-8 secs
what are u looking for with lumbar provocation test
relief with distraction and symptoms provaction with compression
when is the SI joint provocation test positive
if the patient has pain in the back or front
if they are does a straight leg raise for neurodynamic testing and they have pina in 0-30° what does that mean
acute/ severe MSL problem or space occupying lesion
if they are does a straight leg raise for neurodynamic testing and they have pina in 30-70° what does that mean
suggests compression or irritation of nerves / neural symptoms
