Ch 12 Physical Exam of the Spine Flashcards
C6 is parallel to the:
Cricoid cartilage
C4 is parallel to the:
Thyroid cartilage
Vertebrae - Strength
Heel walking, Dosiflexes
L4/L5
Vertebrae - Strength
Toe walking, plantar flexes
S1
Vertebrae - Strength
Deltoid
C5
Vertebrae - Strength
Biceps Brachii
C5
Vertebrae - Strength
Wrist Extensors
C6
Vertebrae - Strength
Triceps Brachii
C7
Vertebrae - Strength
Flexor Carpi Radialis
C7
Vertebrae - Strength
Flexor Digitorum Superficialis
C8
Vertebrae - Strength
Quadriceps
L3/L4
Vertebrae - Strength
Extensor Hallucis Longus
L5
Vertebrae - Strength
Tibialis Anterior
L4
Vertebrae - Strength
Peroneus Longus/Brevis
S1
Vertebrae - Sensation
Lateral shoulder
C5
Vertebrae - Sensation
Volar/palmar thumb
C6
Vertebrae - Sensation
Volar/palmar middle finger
C7
Vertebrae - Sensation
Volar/palmar little finger
C8
Vertebrae - Sensation
Medial Distal arm
T1
Vertebrae - Sensation
Lateral thigh to medial femoral condyle
L3
Vertebrae - Sensation
Medial leg and ankle
L4
Vertebrae - Sensation
Lateral leg and dorsum of foot
L5
Vertebrae - Sensation
Lateral ankle and sole of foot
S1
Evaluate sciatic tension
While seated, lift the foot and extend the knee while distracting patient away from the back problem
Positive is leaning back or pain to back
Seated Straight-Leg Raise
Passive raise leg until knee bends or pain to buttock or back is reported
Pain on symptomatic side when leg on asymptomatic side is raised in highly suggestive of lumbar HNP
Supine Straight-Leg Raise
With patient prone, lift the hip into extension while keeping the knee straight
Pain over anterior thigh suggests upper lumbar disc pathology (L1-L4)
Reverse Straight-Leg Raise
While seated, have patient rotate and laterally flex the head to unaffected side first, then to affected side
Slowly compress downward to axial load the C-spine
If tolerated, repeat but add extension
Spurling
Stroke lightly upward (like an upside-down J) on plantar foot
Positive is great toe extension or fanning of lesser toes
Sign of spinal tract pathology
Babinski Sign