Cervical Exam Flow Flashcards
What are the order of patient positions?
Standing, seated, supine, seated
What should be assessed while patient is standing?
Posture, Cervical AROM, Active shoulder ROM
What should be assessed while patient is seated?
Posture, jaw swing, temporalis palpation, masseter palpation High index neuro Cranial nerve tests Opthalmascopic exam Cervical orthopedics Spinal percussion TOS tests
What should be checked during a high index neuro?
Sensory
Light touch, sharp/dull, vibration
DTR
Triceps (C7), biceps (C5-6), brachioradialis (C6), patella (L4), Achilles (S1)
Motor deltoid (C5), biceps (C6), triceps (C7), wrist flexors (C7), wrist extensors (C6), finger flexors (C8)/extensors (C7), finger adductors/abductors (C8, T1)
Hoffman
UE girth measurement
How do you check Cranial Nerves?
Cardinal fields of gaze (III, IV, VI) Accomodation (III) Direct/consensual light reflex (II, III) Peripheral vision (II) Facial expression (VII) Tongue deviation (XII) Examine mouth and say AHH (IX, X) Bite (V) Trapezius/SCM (XII) Whisper test (VIII) - if positive then do weber and rinne
What tests are performed as part of cervical orthopedics?
Valsalva Cervical muscle test Doorbell sign Tinels sign Brachial compression Cervical compression Cervical distraction Shoulder depression Shoulder abduction
What are the big five orthopedic tests for radiculopathy?
Valsalva, cervical compression, cervical distraction, ULTT, shoulder abduction
What are the tests to perform for Thoracic Outlet Syndrome?
Roo’s
Adson’s
Eden’s
Wright’s
What should be assessed while patient is supine?
Active flexion, Jull test, PROM, motion palpation
Cervical muscle palpation (scalene, SCM, subox and nodes, facets, traps, levator scapulae)
ULTT - median
ULTT radian and ulnar
What to finish the test with?
thoracic, rib and lumbar motion palpation
