Exam I Screening Spinal Dx Lab and tenderpoints Flashcards
What is involved in the 10 step screening exam
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
what is the brief screen exam
posture, major landmarks
TART changes
standing flexion test
seated flexion test
What are the major and minor movements of the OA joint
major: flexion/extension
minor: sidebending and rotation
do sidebending and rotations occur in opp or same directions at OA joint
opposite
What is the major motion of AA
rotation
how do you lock out the AA joint
flex lower C spine because limits their rotation
What are the major motinos of c2-C7
sidebending rotation
also flexion/extension
what part of fryettes mechanics applies to cervical spine
the rhitd rule, that motion in one plane modifies motion in other two planes
what is the oculocephalogyric reflex
if you look one way that is direction of ease
where is the tender point for anterior C1
posterior edge of ascending ramus of mandible
where are tenderpoints for anterior C2-6
anterior aspect of transverse processes
where are the tenderpoints for anterior C7
2-3 cm lateral to clavicular head on superior aspect of clavicle
what is the intial position for cervical tenderpoint counterstrain
flexion, rotation away, sidebending towards
where are the tenderpoints for lateral cervical C1
lateral aspect lateral maseses
where are lateral tenderpoints for C2-C7
lateral aspect transverse proccesses
where are the posterior tenderpoints for C1-C8
C1 is spinous process centrally
C3-7 spinous process centrally or paracentrally
C8 between transverse process of C7 and rib 1
Where are the spinous procceses relative to transverse procceses in thoracic spine
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
What vertebra is at level of medial aspect spine of scapula
T3
what spinous process is at level of inferior angle of scapula? what about vertebra?
T7 spinous process, T8 is the vertebra
What are the biomechanics of the throacic vertebrae
Type I is neutral sidebend rotate opp directions
Type II is non-neutral, sidebend, rotate same direction with flexion/extension component
Where does sympathetic chain run
T1-L2
how do viscerosomatic reflexes feel
rubbery
where are tenderpoints fo anterior throacic 1-6
centrally along sternum
where are tenderpoints for anterior thoracic 7-12
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
