Clinical Integration: Cervical Region Flashcards

1
Q

Cervical Flexion ROM

A

45 to 50

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2
Q

Cervical Extension ROM

A

75 to 85

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3
Q

Cervical Lat. Flexion ROM

A

40 to 45

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4
Q

Cervical Rotation ROM

A

90

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5
Q

Passive Joint Testing End Feel

A

Tissue Stretch Soft

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6
Q

Test

  • Client rotates head toward affected side (ipsilateral rotation and rotation)
  • Therapist palates radial pulse on affected side and abducts and extends client’s arm while structing client to hold breath for 20 seconds
A

Adson’s Test

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7
Q

Test

  • Client rotates head away from affected side (contralateral rotation and extension)
  • Therapist palpates radial pulse on affected side and abducts and extends client’s arm while instructing client to hold breath for 20 seconds
A

Halstead Manuever

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8
Q

Test

  • Client is in a seated position
  • Palpate client’s radial pulse; client slowly abducts and extends arm to 90 degrees or greater.
A

Wright’s Hyperabduction Test

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9
Q

Test

  • Client is in a seated position
  • Palpate client’s radial pulse bilaterally; extend both arms and instruct client to clump, retract and depress shoulder. Main posture for approx. 60 seconds.
A

Costoclavicular Test / Military Brace Test

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10
Q

Test

  • Client is in seated position
  • Therapist instructs client to fully rotate head (tuck chin behind collarbone), hold for up to 1 minute
A

Scalene Cramp Test

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11
Q

Tests for: Active trigger points in scales

Positive Test: Reproduce signs and symptoms

A

Scalene Cramp Test

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12
Q

Test for: Thoracic Outlet Syndrome with anterior scalene involvement

Positive Test: Palpable diminished or absent pulse, recreation of symptoms

A

Adson’s Test

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13
Q

Test for: Thoracic Outlet Syndrome with middle scalene involvement

Positive Test: Palpable diminished or absent pulse, recreation of symptoms

A

Halstead Manuever

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14
Q

Test for: Thoracic Outlet Syndrome with clavicle and first rib involvement

Positive Test: Palpable diminished or absent pulse, recreation of symptoms at any point during the test

A

Costoclavicular Test / Military Brace Test

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15
Q

Test for: Thoracic Outlet Syndrome with pectoralis minor involvement

Positive Test: Palpable diminished or absent pulse, recreation of symptoms at any point during test

A

Wright’s Hyperabduction Test

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16
Q

Test for: Space Occupying Lesion, Facet Joint Irritation, Nerve Root Impingement

Positive Test: Recreation of Signs and Symptoms

  • Compression in Neutral
  • Compression in Isp. Rot. and Partial Ext.
    _ Compression in Lat Flex
A

Spurling’s Test

17
Q

Test for: Space Occupying Lesion, Facet Joint Irritation, Nerve Root Impingement

Positive Test: Reduction in Pain

Slow Traction Superiorly; Grasp Occiput and Temporal Areas

A

Distraction/Confirmation Test

18
Q

Reason for Spurling Test

A
  • Sharp local pain in neck (facet irritation)
  • Nerve pain (SOL) w/ numbness/tingling radiating into arm
19
Q

Reason for Adson’s, Halstead, Costoclavicular, or Wright’s

A
  • achy (soft tissue)
  • sharp (nerve)
  • pin and needles / cold hands