EOS

Question 1

What to do at EOR when in VBI testing

Answer 1

Need to ask questions to observe dysphasia

Question 2

5 D’s

Answer 2

Dizziness, diplopia, dysphasia, dysphagia, drop attacks

Question 3

3 N’s

Answer 3

Nystagmus, Nausea, numbness

Question 4

Neurodynamic, median 1a

Answer 4

• Fixate the shoulder to prevent elevation
• Shoulder abduction
• Wrist extension
• Forearm supination
• Shoulder ER
• Elbow extension

Question 5

Neurodynamic median 1b

Answer 5

(patient lying diagonally across the bed, done if patient has shoulder problem and cannot abduct as far)

• SG depression
• Elbow extension
• Shoulder ER
• Forearm supination
• Wrist, finger and thumb abduction
• Shoulder abduction as tolerate

Question 6

Radial neurodynamic

Answer 6

(patient diagonally across the bed)

• SG depression
• Elbow extension
• Shoulder IR and forearm pronation
• Wrist and finger flexion
• Shoulder abduction

Question 7

Ulna nerve neurodynamic

Answer 7

(patient back straight in supine)

• Stabilise SG from underneath
• Wrist and finger extension
• Forearm pronation
• Elbow flexion
• Shoulder ER
• SG depression
• Shoulder abduction

Question 8

Neurological muscle myotomes

Answer 8

• C4 = traps which can be done at the same time
• C5 = deltoid which can be done at the same time
• C6 = biceps but make sure to only cross one joint → resistance is applied proximal to wrist
• C7 = triceps
• C8 = thumb extension + long finger flexors
• T1 = palmar interossei (don’t let me move your fingers apart)

Question 9

3 signs of joint dysfunction

Answer 9

• Pain that is either local or referred
• Abnormal movement →hyper or hypo
• Altered end feel