ACE the OCS Books Flashcards by Ryan Sewell

Use this test for neurogenic and vascular TOS and thoraco coraco pectoral gate or compression due to pec tightness

Wrights test

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This test is used for scalene tightness or entrapment TOS

Adsons

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This muscle is provoked with resisted hip flexion and adduction with the hip in 90 degrees of flexion

Pectineus

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This get A level evidence following an ankle sprain.

WBAT with AD

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This outcome measure is used for PFP

AKPS

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This is recommended for moderate to severe degenerative cervical myelopathy

Surgery

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T/F >50% of athletes do not return to competitive sports after ACL rupture

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What get higher evidence grade for Achilles tendinopathy? Ionto or stretching?

Ionto with dex

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What’s more sensitive to disc herniation. Positive slump or SLR. What’s more specific?

Slump more sensitive, SLR more specific

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What part of the Ottawa knee rules has to be only tender without other bony tenderness?

Patella

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You should use what outcome measure for thoracic spine pain T4 and below?

ODI and NDI above T4

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The only B level evidence for carpel tunnel Tx is

Short term wrist orthoses at night

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The Thompson test has high what?

Specificity and sensitivity

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A positive flexion rotation test is defined as how many degrees difference between sides? What’s the MDIC following Tx?

10* and 7* for MDIC

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Any patient with bilateral CTS symptoms should be screened for what?

Liver impairments

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This test is where the pt extends the arms and spreads the fingers and you see flapping or tremor at the wrist. You might also see this while taking a BP.

Asterixis

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What muscle is likely to be weak in a C8-T1 radiculopathy but not ulnar neuropathy?

Opponens pollicis

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Thoracic manip in a shoulder patient with a reduction in painful arc and end range pain with flexion likely is due to what?

Improved lower trap activation and function

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Is lumbar spine DDD due to spinal loading or vibration due to forklift operation at work?

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Is obesity the cause for lumbar spine degeneration?

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Is genetics a cause for lumbar spine degeneration?

Yes

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T/F: Increased body mass and prior hx of pregnancy leads to poorer outcomes with increased pain post pregnancy

True

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T or F: changes in posture such as increased lumbar spine lordosis leads to poorer outcomes in PGP

False

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T/F: age greater than 35 is predictive of poorer outcomes following a MVA

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T/F: Poor deep neck flexor endurance is predictive of a poorer outcome following a MVA

Greater than what score on the FABQ-PA suggests a poor Tx outcomes?

Greater than what score for the FABQ-W suggests a poor return to work?

Severing the ulnar nerve at the elbow would result in numbness where?

Only the 4th and 5th digits

To perform the sharp purser test stabilize c2 and translate the occiput posterior the patient should feel what?

Reduction in symptoms

Is weight bearing activity at work a risk factor for heel pain?

Yes

Is reduced DF rom a risk factor for heel pain?

Yes

Is adding yoga recently a risk factor for heel pain?

Stoppage gait pattern can be due to what two nerve injuries?

L4-5 radic, and deep fibular nerve injury

T/F: AVN of the hip is associated with bilateral symptoms corticosteroid use, excessive alcohol use

True

How can you rule out a potential elbow fx after a traumatic event?

See if full elbow extension can be achieved

What nerve is commonly injured after a posterior or lateral THA that demonstrates hip abduction weakness?

Superior gluteal nerve. Can be L4-5 radic if you see steppage gait pattern

What color of flags are primarily related to injured workers?

Blue flags

What color flags include social and financial issues?

Black

This test offers the greatest isolation of the supraspinatus compared to deltoid activation

Champagne toast test

Injury to this nerve will impair hip extension

Inferior gluteal nerve

This nerve is injured when ankle PF is impaired

Tibial s1-2

When ankle eversion is limited what nerve is impaired

Superficial fibular, l5-s1

What nerve is affected with absence of ankle Df?

Deep fibular L4-5

What nerve is affected with absence of great toe extension?

Deep fibular L5

What are the two most likely discogenic issues that will have spontaneous reabsorption?

Sequestered lumbar disc and herniated disc

This nerve provides sensation from the lateral/posterior arm, posterior forearm and dorsal surface of the lateral three digits

Radial nerve

This nerve would be damaged by a humeral shaft fx

Radial nerve

What is the most common CA to spread to the spine?

Breast followed by lung, prostate, renal

Will the biceps femoris externally rotate the knee?

Yes

The popliteus IR/ER the tibia in WB and IR/ER the tibia in NWB

ER in WB and IR the tibia in NWB

If a pregnant patient has most of her SIJ pain with walking, standing, stair climbing, what position should you exercise her in?

Standing

Do you depress the scapular with ULTTA?

No just prevent elevation

What percent of isokinetic quad strength and hop testing should be reached following ACL to the normal leg?

90%

What percent of the 1rm is used for setting BFR parameters?

15-30% of one rep max

The NDI what is the MDC and what is the MCID for cervical radiculopathy?

MDC 19-20% MDIC: 14-16%

What is the most common neuropathic pain following mastectomy?

Intercostobrachial neuralgia- pain in axilla, chest wall, shoulder and medial arm

What view would show a hill Sachs lesion?

AP internal rotation view

The patient has been using crutches and develops numbness of the dorsal lateral hand and posterior forearm. His presentation will likely have weakness in what motion?

Wrist extension

What shoulder view would show a fx of the greater tubercle?

AP view in ER

What adductor is a hip extensor?

Adductor magnus

For the Start back tool what overall score means low risk then what score for moderate risk of persistent LBP?

Low: 0-3 Mod: 4-9

Over what score on the distress subscale of the Start back screening tool means high risk for persistent LBP?

4 or more

Heel pads get a what level of evidence for the Tx in plantar fasciitis?

Males are more likely to have a hip __ deformity and females are more likely to have a ___ deformity in terms of FAI

Males cam, females pincer

This is a measure of back muscle endurance that measures the time a person can stand while holding a 2# dumbbell in ea hand with 90* of shoulder flexion and elbows extended

Time loaded standing test

The prone extension endurance test is/is not recommended for osteoporotic population

Is not

What order do you perform laslett cpr cluster?

Thigh thrust, distraction, compression, sacral thrust, faber

What questionnaire should be used for chronic ankle instability?

IdFAI which is from the CAIT and AII

What are the grade cutoffs for spondylolisthesis?

<25% grade one 25-50 grade 2 50-75 grade 3 75-100 grade 4