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DPT 751 - Musculoskeletal III > Examination - Cervicothoracic Spine > Flashcards

Examination - Cervicothoracic Spine Flashcards

1
Q

What are some examples of easing factors?

A

Positions/motions of comfort, ice/heat, self-manipulation, medications

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2
Q

What should you observe in the waiting room?

A

General posture, any visible discomfort, gait

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3
Q

What are the Canadian C-Spine Rules used for?

A

Screening for cervical spine fractures in traumatic situations

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4
Q

What are the key signs of cervical artery dysfunction?

A
  • unilateral head and neck pain
  • dizziness
  • diplopia - double vision
  • dysarthria - difficulty speaking
  • dysphagia - swallowing difficulties
  • drop attacks
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5
Q

What is the difference between non-ischemic and ischemic signs of cervical artery dysfunction?

A
  • Non-ischemic signs include unfamiliar unilateral head/neck pain.
  • Ischemic signs include dizziness, diplopia, dysarthria, etc.
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6
Q

How is the vertebrobasilar insufficiency test performed?

A

Prolonged rotation of the neck for a minimum of 10 seconds

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7
Q

What are the movements tested in lower cervical range of motion?

A

Flexion, extension, side-bend, rotation, chin-tuck

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8
Q

How is upper cervical range of motion tested?

A

Perform standing or sitting, look for quantity, quality, willingness, and provocation

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9
Q

What should you look for in thoracic range of motion?

A

Flexion, extension, side-bend, rotation

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10
Q

Which nerve root is tested with biceps reflex?

A

C5

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11
Q

Which nerve root is tested with brachioradialis reflex?

A

C6

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12
Q

Which nerve root is tested with triceps reflex?

A

C7

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13
Q

What is the purpose of sensory testing?

A

To assess the sensory function of different nerve roots

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14
Q

What is passive physiologic segmental mobility?

A

Assessing the movement between individual spinal segments

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15
Q

What is passive accessory segmental mobility?

A

Assessing the accessory movements (e.g., glide) of spinal segments

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16
Q

How is passive physiologic segmental mobility tested in the thoracic spine?

A

Palpate the tips of each spinous process from T1-T4 for general motion, assist with maximum cervical rotation

17
Q

What are the key characteristics of local cervical syndrome?

A

Facet joint issues, uncovertebral joint issues, internal disc disruption, C4 nerve root involvement, vertebral or carotid artery involvement

18
Q

What are the indicators of spondylosis?

A

Facet arthritis, end-range ROM limits, pain worse with 3D motions, pain with PA segmental mobility

19
Q

What is Wainner’s Clinical Prediction Rule for cervical radiculopathy?

A
  • Rotation less than 60 degrees, 2+ positive tests has a specificity of 56%, 3+ positive tests has a specificity of 94%, 4+ positive tests has a specificity of 99%
20
Q

What is the radial neural tension test used for?

A

Assessing the radial nerve’s mobility and provocation

21
Q

What is the ulnar neural tension test used for?

A

Assessing the ulnar nerve’s mobility and provocation

22
Q

What is a cervicogenic headache?

A

Headache caused by issues in the cervical spine, often requires thorough examination of upper cervical mobility

23
Q

What is the cervical flexor endurance test?

A

A test to bias the deep neck flexors by having the eyes look down and mouth slightly open

24
Q

How is rib mobility tested?

A

Spring testing of ribs 2-10, patient prone with head neutral, pressure applied towards the anterior aspect of the armpit

25
Q

What is the purpose of thoracic disc testing?

A

To assess the mobility and provocation of thoracic discs, performed with seated progressive thoracic rotation

26
Q

How is 1st rib testing performed?

A

Assessment of the mobility of the 1st rib

27
Q

What are the key signs of thoracic outlet syndrome?

A

Pain, numbness, tingling in the arm and hand, often worsened by certain positions

28
Q

What is the closed-fist percussion sign?

A

A test for thoracic compression fractures, involves tapping the spine with a closed fist

29
Q

What is Lhermitte’s sign?

A

A sudden sensation resembling an electric shock that passes down the back of your neck and into your spine when you bend your neck forward

30
Q

What is the TMJ range of motion with auscultation?

A

Assessing the range of motion of the temporomandibular joint while listening for any sounds

31
Q

What is TMJ joint play testing?

A

Assessing the movement and function of the temporomandibular joint in various directions

32
Q

What is the Krogh-Poulsen dental stick bite test?

A

A test to differentiate between joint compression and myalgia in the TMJ by biting and holding on different sides

DPT 751 - Musculoskeletal III (15 decks)

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