Exam I Screening Spinal Dx Lab and tenderpoints

Question 1

What is involved in the 10 step screening exam

Answer 1

gait/posture
standing spine sidebending test
standing flexion test
seated flexions test
seated upper extremity motion
seated trunk tests
seated cervical motion
supine thoracic cage motion
lower extremity motion
pelvis landmarks

Question 2

what is the brief screen exam

Answer 2

posture, major landmarks
TART changes
standing flexion test
seated flexion test

Question 3

What are the major and minor movements of the OA joint

Answer 3

major: flexion/extension
minor: sidebending and rotation

Question 4

do sidebending and rotations occur in opp or same directions at OA joint

Answer 4

opposite

Question 5

What is the major motion of AA

Answer 5

rotation

Question 6

how do you lock out the AA joint

Answer 6

flex lower C spine because limits their rotation

Question 7

What are the major motinos of c2-C7

Answer 7

sidebending rotation

also flexion/extension

Question 8

what part of fryettes mechanics applies to cervical spine

Answer 8

the rhitd rule, that motion in one plane modifies motion in other two planes

Question 9

what is the oculocephalogyric reflex

Answer 9

if you look one way that is direction of ease

Question 10

where is the tender point for anterior C1

Answer 10

posterior edge of ascending ramus of mandible

Question 11

where are tenderpoints for anterior C2-6

Answer 11

anterior aspect of transverse processes

Question 12

where are the tenderpoints for anterior C7

Answer 12

2-3 cm lateral to clavicular head on superior aspect of clavicle

Question 13

what is the intial position for cervical tenderpoint counterstrain

Answer 13

flexion, rotation away, sidebending towards

Question 14

where are the tenderpoints for lateral cervical C1

Answer 14

lateral aspect lateral maseses

Question 15

where are lateral tenderpoints for C2-C7

Answer 15

lateral aspect transverse proccesses

Question 16

where are the posterior tenderpoints for C1-C8

Answer 16

C1 is spinous process centrally
C3-7 spinous process centrally or paracentrally
C8 between transverse process of C7 and rib 1

Question 17

Where are the spinous procceses relative to transverse procceses in thoracic spine

Answer 17

T1-T3 same level
T4-T6 half step below transverse process
T7-T9 full step below transverse process
T10 full step
T11 half step
T12 same level

Question 18

What vertebra is at level of medial aspect spine of scapula

Answer 18

T3

Question 19

what spinous process is at level of inferior angle of scapula? what about vertebra?

Answer 19

T7 spinous process, T8 is the vertebra

Question 20

What are the biomechanics of the throacic vertebrae

Answer 20

Type I is neutral sidebend rotate opp directions

Type II is non-neutral, sidebend, rotate same direction with flexion/extension component

Question 21

Where does sympathetic chain run

Answer 21

T1-L2

Question 22

how do viscerosomatic reflexes feel

Answer 22

rubbery

Question 23

where are tenderpoints fo anterior throacic 1-6

Answer 23

centrally along sternum

Question 24

where are tenderpoints for anterior thoracic 7-12

Answer 24

7-8 b/l btwn xiphoid and umbilicus
9 b/l 1 cm above umbilicus
10 b/l 1-2 cm below umbilicus
11 b/l between umbilicus and pubis
12 b/l inner surface iliac crest on midaxillary line

Question 25

where are posterior thoracic tenderpoints for T1-12

Answer 25

spinous processes centrally or paracentrally and on transverse processes

Question 26

what is initial position for posterior thoracic tenderpoints

Answer 26

extension, slight sidebending and rotation away

Question 27

what are the 3 freyettes mechanics

Answer 27

1- lumbar or thoracic spine in neutral will have sidebending and rotation opp sides
2- when any part of spine is in extension or flexion, sidebending of vertebra will be to same as rotation
3- initiating motion of vertebral segment in plane of motion will modigy the movement of that segment in other planes of motion

Question 28

what spinous process is at level os superior iliac crest

Answer 28

L4