Cervical Exam Flow Flashcards
What ortho’s are likely to be positive in a disc herniation?
Max compression, distraction (relieving), Valsava,
When will you have neuro deficits?
Disc herniations, potentially stenosis, osteophytes, TOS (sensory)
When will you have SMR increases?
UMNL, TOS (vascular potentially sensory)
What are the TOS ortho’s?
ULTT, hyper abduction, Eden’s, Roos
What ortho’s would you expect to be positive in a sprain?
Palpation, pROM, passive flexion- rotation, soto-hall
What ortho’s would you expect to be positive in a strain?
rROM, palpation, AROM,
What is the clinical presentation difference between a disc herniation and a disc derangement?
Herniations will have a deficit in SMRs and derangement will not
What is the difference between strain and sprain?
In a strain anything that activates the muscles will be painful (rROM and AROM) in a sprain end range will be the most painful (pROM and joint play)
What are the positive orthos for joint dysfunction?
Potentially compression but just palpation and painful joint play is all that is indicative
What are the SMRs for C5?
Deltoid tubercle, deltoid muscle testing, biceps reflex
What are the SMRs for C6?
Snuffbox or lateral index finger, biceps muscle testing, wrist extensors, brachioradialis reflex
What are the SMRs for C7?
Wrist flexion, triceps (muscle testing and reflex)
What are the SMRs for C8?
Medial pinky finger, finger flexion
What are the SMRs for T1?
Dab and Pad, medial elbow (not a pure patch)
