CPRs Flashcards
Anterior Shoulder Instability (D)
apprehension
relocation
anterior drawer
AS
Berlin (V)
- AM stiffness > 30 min, alt butt pain, LBP better with exercise, awakening 2nd half of night
IBP (V)
- > 40, insidious, improves with exercise (not with rest), pain at night (improves with getting up)
Canadian Cervical Spine Rules (V)
High
- > 65, paresthesia in extremities, dangerous MOI (fall > 1m/5 stairs, axial load to load, high speed MVA, motorized recreational vehicle, bike collision)
Low
- simple rear-end MVA, normal sitting posture in ED, ambulatory, delayed onset of pain, midline tender absent
able to rot > 45 B
high or low with inability to rotate = radiographs
CTS (D)
shaking hands with symptom relief wrist ratio index > .67 > 45 reduced median sensory field of digit 1 symptom severity scale > 1.9
Cervical Myelopathy (D)
gait deviation
> 45
(+) Hoffman, inverted supinator sign, Babinski
Cervical Radiculopathy (D)
(+) ULTT A, distraction, Spurling’s
involved cervical rotation < 60
Closed Cervical Fx (D)
< 55, single, acute
condition involved trauma, ER visit
DVT
> 3 high, 1-2 mod, 0 low
- active cancer (within 6 mo)
- paralysis, paresis, recent plaster immob of LE
- bedridden 3+ days or major surgery within 12 wks
- local tender along deep venous system
- entire leg swollen
- calf swelling > 3 cm than symptomatic side (10 cm below tib tube)
- pitting edema confined to symptomatic leg
- collateral superficial vein (nonvaricose)
- previous documented DVT
- alt dx just as likely as DVT (-2)
Hip OA (D)
squatting aggravates active hip flex (lat pain) painful ext (+) Scour for groin or lat pain passive IR < 25
Lumbar Spinal Stenosis (D)
> 48
B
leg pain > back pain
pain during walk/stand, relief with sit
MCL (D)
trauma by external force to leg
rotational trauma
pain and/or laxity with valgus stress at 30
Meniscal (D)
history of catching or locking
jt line tender
pain with forced hyperext (modified bounce home test), max passive flex
pain/click with McMurray
Ottawa Ankle Rules
pain in malleolar or midfoot AND
- 4 steps OR
- bone tender at post edge of tib/fib/tip of med/lat mall
- bone tender at nav or prox base of 5th MT
Ottawa Knee Rules (V)
> 55
tender - fib head, isolated at pat during palpation
can’t flex > 90
4 steps
Pittsburgh Knee Rules (V)
blunt trauma or fall as MOI AND either
> 50 or < 12
4 steps
PE (V)
high > 10, med 4-10, low < 4
1 pt > 65
2 pt - surgery/fx within 1 mo, active malignant condition, haemoptysis
3 pt - previous DVT/PE, uni lower limb pain, HR 74-94 bpm
4 pt - pain on deep palpation of lower limb and uni edema
5 pt - HR 95+ bpm
RTC Pathology (D)
test cluster - painful arc, drop arm, infra MMT
> 65, wear ER, night pain
SIJ Pain (V)
SI distraction/compression, thigh thrust, Gaenslen’s
sacral thrust OR Patrick’s (FABER)
SAI (D)
test cluster - HK, painful arc, infra MMT
Vertebral Compression Fx (D)
A - < 52, BMI > 22, female, no presence of leg pain, does not exercise regularly
B - female, > 70, significant trauma (major in young, minor in elderly), prolonged use of corticosteroids
Cervical Manip for Neck Pain (D)
A - symptoms < 38, positive expectations, rotational difference > 10 deg, pain with PA spring test of middle cervical spine
B - NDI < 11.5, not performing sedentary work > 5 hr/day, not worse with ext, B, feelx better with neck movement, dx of spondy w/o radic
CT Manip for Shoulder Pain (I)
pain free flex < 127 (-) Neer symptoms < 90 days IR < 53 at 90 deg abd not taking meds for pain
Exercise for AS
SF-36 physical role > 37, bodily pain > 27
bath AS disease activity index > 31
Hip Mob for Knee OA (D)
hip or groin pain for paresthesia
pain knee flex < 112, hip IR < 17
ant thigh pain
pain with hip distraction
Manip (lumbopelvic) for PFPS (I)
hip IR diff > 14 deg DF with knee flex > 16 deg squatting most painful nav drop > 3 mm no stiff with sitting 30 min
Manip LBP (I)
symptoms < 16 days lumbar hypomobility no symptoms distal to knee hip IR > 35 deg FABQ < 19
Manual/Exercise for Acute Lateral Ankle Sprain (D)
symptoms worse when standing, in evening
nav drop > 5 mm
distal tibfib hypomobility
Mechanical Traction LBP (D)
FABQ < 21
no neurological deficit
> 30
non manual work job status
Manual Traction Neck (D)
> 55
peripheralization with lower cervical spine (C4-C7) mobility testing
(+) shoulder abd, ULTT A, neck distraction
MVM Lateral Epi (D)
< 49
change in pain >25% after MVM
affected painfree grip > 112 N (25.5 lbs)
unaffected < 335 N (75.3 lbs)
Orthotics (foot) for PFPS (D)
A - > 25, height < 165 cm, worst pain < 53.25 mm (100 mm VAS), mid foot width difference > 10.96 m
B - motion control properties (weighted mean) > 5, usual pain > 22 mm, ankle DF (knee flex) > 41.3 deg, reduced pain during SLS with foot orthoses
Patellar Taping (D)
tib angulation > 5 deg
(+) patellar tilt
Stabilization for LBP (I)
stabilization
- < 40, ASLR > 91, aberrant movement present, (+) PITT
modified
- aberrant movement present, (+) PITT
Thoracic Manip for Neck Pain (I)
symptoms < 30 days no symptoms distal to shoulder diminished upper thoracic kyphosis FABQ < 12 looking up not aggravating cervical ext < 30 deg
