Exam 3 Flashcards
What test does the doctor ask the patient to labor as if laboring during strenuous defecation?
Valsalva’s Maneuver
What does pain or difficult swallowing indicate?
What test do you perform?
space occupying lesion, ligamentous sprain, muscular strain
Swallowing test
What is the purpose of testing the Valsalva’s maneuver?
Test for the presence of a space occupying lesion
While perform a Naffzier’s test What do you occlude?
for how long?
What does it do?
external jugular veins
10-15s, then ask the patient to cough
increases the intra-thecal pressure
Which test creates a pooling of the venous sinuses that increases the cerebral spinal fluid pressure?
Naffzigers test
What does an increase in pain during a distraction test mean?
A decrease in pain?
muscle spasm
intervertebral foraminal encroachment or facet capsulitis
How long should you do a distraction test?
30-60s, but you probably wont do it the full time
In relation to pain what does facet capsulities due during a distraction test?
decrease in pain followed by a sudden increase in pain
If the patient receives relief from the distraction test, what is that an indicator of?
an impingement of a nerve, such as a tumor or bone spur that is relieved when the joints are separated.
What is the purpose of the distraction test?
confirm IVF encroachment
Why is the cervical foraminal conmpression test considered progressive?
least invasive to most invasive
What tests are included in the cervical foraminal compression test?
Active ROM Passive ROM Foraminal Compression test Jcakson Compression test Maximum Cervical Compression Test Spurlings test
What does localized pain indicate during a foraminal compression test?
What does radicular pain indicate?
indicates foraminal encroachment
indicates pressure on the nerve root
What is a positive Lheritte’s sign?
What does this indicate?
a sharp pain down the spine and into the upper or lower limbs
dural irritation in the spine, suggests myelopathy of the cervical spine
What is a positive sign of a Lheritte’s test?
It is also a classical sign of?
pain is an indicator of a posterior column disease
Multiple sclerosis
pain during a passive ROM test would indicate the pain is coming from what?
ligaments
pain during resisted range of motion or isometric contraction signifies what?
muscle strain
What test can be performed on any joint of the body?
O’Donoghue Maneuver
What test would you perform if you are trying to determine if pain is in the muscle or the ligament?
O’Donoghue Maneuver
While performing a Brudzinski sign, a patient shows nuchal rigidity with increased headaches is a positive sign of what?
meningitis
What is a positive sign of Brudzinski’s sign?
flexion of both knees during the test
How do you look for a Kernig Sign?
flex the hip and knee to 90 degrees and then attempt to extend the leg
A person with a positive Brudzinski/kernig sign is indicative as what?
menigitis
What sign is often accompanied by involuntary flexion of the oposite knee and hip?
Kernigs
What sign is present if flexion of both knees occurs?
Brudzinski’s sign
Test where doctor laterally bends the head and depresses the shoulder?
Shoulder depression test
T/F Soto-Hall tests for meningitis
false
What is the difference between a Soto-Hall sign and a Brudzinski’s sign?
possible meningeal irritation
