Clinical Assessment OP Flashcards
1
Q
Radiculopathy CSPINE
A
Rule-Out's - TMJ, Shoulder AFROM (abduction, flexion w/ overpressure), VBA Neurological Test - bilateral brushing 7-10 x C5 - lateral shoulder C6 - thumb +index C7 - Middle finger C8 - 4th and little finger T1 - Medial elbow for dermatome, Myotome C1+2 - flexion C3 - lateral flexion C4 - shoulder elevation C5 - shoulder abduction C6 - elbow flexion + wrist ext. C7 - eblow ext + wrist flex. T1 - thumb ext. + ulnar deviation Deep tendon reflex - C5 - bicepital reflex C6 - brachiradial reflex C7 - tricep reflex Functional Tests - AFROM - Flexion, Extension, Side Flexion,Rotation PR +OP - flexion, extension, side flexion, rotation Active Resisted - Flexion, Extension, Side Flexion,Rotation Muscle Tests - Anterior Neck Flexors, Anteriolateral Neck Flexors, Posterolateral Neck Extensors, Upper Trapezius, Levator Scapulae Special Test - Spurlings Test, Cervical Compression Test, Distraction Test, Valsalva test,
2
Q
Facet Irritation CSPINE
A
Rule-Out's - TMJ, Shoulder AFROM (abduction, flexion w/ overpressure), VBA Neurological Test - bilateral brushing 7-10 x C5 - lateral shoulder C6 - thumb +index C7 - Middle finger C8 - 4th and little finger T1 - Medial elbow for dermatome, Myotome C1+2 - flexion C3 - lateral flexion C4 - shoulder elevation C5 - shoulder abduction C6 - elbow flexion + wrist ext. C7 - eblow ext + wrist flex. T1 - thumb ext. + ulnar deviation Deep tendon reflex - C5 - bicepital reflex C6 - brachiradial reflex C7 - tricep reflex Functional Tests - AFROM - Flexion, Extension, Side Flexion,Rotation PR +OP - flexion, extension, side flexion, rotation Active Resisted - Flexion, Extension, Side Flexion,Rotation Muscle Tests - Anterior Neck Flexors, Anteriolateral Neck Flexors, Posterolateral Neck Extensors, Upper Trapezius, Levator Scapulae Special Test - Cervical Upper Quadrant Test Cervical Lower Quadrant Test
3
Q
Thoracic Outlet Syndrome CSPINE
A
Rule-Out's - TMJ, Shoulder AFROM (abduction, flexion w/ overpressure), VBA Functional Tests - AFROM - Flexion, Extension, Side Flexion,Rotation PR +OP - flexion, extension, side flexion, rotation Active Resisted - Flexion, Extension, Side Flexion,Rotation Muscle Tests - Anterior Neck Flexors, Anteriolateral Neck Flexors, Posterolateral Neck Extensors, Upper Trapezius, Levator Scapulae Neurological Test - bilateral brushing 7-10 x C5 - lateral shoulder C6 - thumb +index C7 - Middle finger C8 - 4th and little finger T1 - Medial elbow for dermatome, Myotome C1+2 - flexion C3 - lateral flexion C4 - shoulder elevation C5 - shoulder abduction C6 - elbow flexion + wrist ext. C7 - eblow ext + wrist flex. T1 - thumb ext. + ulnar deviation Deep tendon reflex - C5 - bicepital reflex C6 - brachiradial reflex C7 - tricep reflex Special Test - Adson's Maneuver, Travell's Variation, Costoclavicular Syndrome test, Wright's hyperabduction Test, Roo's Test, Allen's Test for the Shoulder, Tinel's Sign
4
Q
Transverse Ligament Tear CSPINE
A
Rule-Out's - TMJ, Shoulder AFROM (abduction, flexion w/ overpressure), VBA Functional Tests - AFROM - Flexion, Extension, Side Flexion,Rotation Active Resisted - Flexion, Extension, Side Flexion,Rotation PR +OP - flexion, extension, side flexion, rotation Neurological Test - bilateral brushing 7-10 x C5 - lateral shoulder C6 - thumb +index C7 - Middle finger C8 - 4th and little finger T1 - Medial elbow for dermatome, Myotome C1+2 - flexion C3 - lateral flexion C4 - shoulder elevation C5 - shoulder abduction C6 - elbow flexion + wrist ext. C7 - eblow ext + wrist flex. T1 - thumb ext. + ulnar deviation Deep tendon reflex - C5 - bicepital reflex C6 - brachiradial reflex C7 - tricep reflex Muscle Tests - Anterior Neck Flexors, Anteriolateral Neck Flexors, Posterolateral Neck Extensors, Upper Trapezius, Levator Scapulae Special Test - Sharp-Purser Test, Transverse Ligament Stress Test
5
Q
Lumbar Facet Joint Irritation
A
Rule-Out's - Hip - AF flexion and medial rotation w/ OP Pelvis - rocking, gapping, approximation C-spine - flex, ext, side flexion, rotation with OP (not ext) Functional Tests - AFROM w/ OP- Flexion, Extension, Side Flexion,Rotation Active Resisted - Flexion, Extension, Side Flexion,Rotation Neurological Test - bilateral brushing 7-10 x L1 -inguinal lig. iliac crest down L2 - middle ant thigh L3 - proximal to patella L4 - patella + medial leg and medial foot L5 - lateral leg + top of foot S1 - lateral malleolus + plantar foot S2 - back of leg and thigh for dermatome, Myotome L2 - hip flexion L3 - knee extention L4 -dorsiflexion L5 - first toe ext. S1 foot eversion S2 - knee flexion + hip ext. Deep tendon reflex - L4 -patellar L5 - S1 - Achilles (perronials) Muscle Tests - QL, Latissiumus Dorsi, Lower Abdominals Special Test - Kemp's Tests,
6
Q
Lumbar Herniation
A
Rule-Out's - Hip - AF flexion and medial rotation w/ OP Pelvis - rocking, gapping, approximation C-spine - flex, ext, side flexion, rotation with OP (not ext) Functional Tests - AFROM w/ OP- Flexion, Extension, Side Flexion,Rotation Active Resisted - Flexion, Extension, Side Flexion,Rotation Neurological Test - bilateral brushing 7-10 x L1 -inguinal lig. iliac crest down L2 - middle ant thigh L3 - proximal to patella L4 - patella + medial leg and medial foot L5 - lateral leg + top of foot S1 - lateral malleolus + plantar foot S2 - back of leg and thigh for dermatome, Myotome L2 - hip flexion L3 - knee extention L4 -dorsiflexion L5 - first toe ext. S1 foot eversion S2 - knee flexion + hip ext. Deep tendon reflex - L4 -patellar L5 - S1 - Achilles (perronials) Muscle Tests - QL, Latissiumus Dorsi, Lower Abdominals Special Test - Straight Leg Raise, Well Leg Raise, Slump Test, Valsalva Test, Bowstring Sign
7
Q
Spinal Instability LUMBAR
A
Rule-Out's - Hip - AF flexion and medial rotation w/ OP Pelvis - rocking, gapping, approximation C-spine - flex, ext, side flexion, rotation with OP (not ext) Functional Tests - AFROM w/ OP- Flexion, Extension, Side Flexion,Rotation Active Resisted - Flexion, Extension, Side Flexion,Rotation Neurological Test - bilateral brushing 7-10 x L1 -inguinal lig. iliac crest down L2 - middle ant thigh L3 - proximal to patella L4 - patella + medial leg and medial foot L5 - lateral leg + top of foot S1 - lateral malleolus + plantar foot S2 - back of leg and thigh for dermatome, Myotome L2 - hip flexion L3 - knee extention L4 -dorsiflexion L5 - first toe ext. S1 foot eversion S2 - knee flexion + hip ext. Deep tendon reflex - L4 -patellar L5 - S1 - Achilles (perronials) Muscle Tests - QL, Latissiumus Dorsi, Lower Abdominals Special Test - Segmental Instability Test, Pheasant Test
8
Q
Consent Speech
A
Introduce self, areas to be treated, position, mentions stop/modify, Keep checking in , do i have permission?
