final Flashcards
Active supine occipito-atlantal cervical flexion
Passive ROT Active FLEX
20 FLEX=lower cervical
Cannot get 20= upper cervical
Cervical flexion rotation test
Passive FLEX active ROT
Pain with first 45=upper cervical
Successful 45=lower cervical
Cannot ROT 45= upper cervical
**C1-2 dysfunction with headaches typically only get 17
O’Donoghue maneuvere
AROM, PROM, RROM
Sprain or strain
Cervical/Axial Compression test
radiating pain to arms or local pain in spine
nerve root compression due to foraminal stenosis, osteophytes, lesion, or facet encroachment
Jacksons cervical compression test
LAT FLEX with compression
radiating pain to arms or local pain in spine
nerve root compression due to foraminal stenosis, osteophytes, lesion, or facet encroachment
Modified Spurlings
EXT and LAT FLEX
Nerve root compression with pain or radiculopathy
Maximum Cervical compression
EXT LAT FLEX and ROT with NO compression
Concave side= nerve root compression or facet involvement
Convex side=muscular strain
upper limb tension test
SH depression, SH ABDuct, supination, finger EXT, SH EXT ROT, elbow EXT With neck side bend
Median Nerve entrapment C5-7
Cervical distraction test
increased pain= mm spasm or sprain/strain
pain relief= intervertebral foraminal encroachment or facet capsulitis
Cervical radiculopathy cluster
Spurlings
upper limb tension test
distraction test
less than 60 degrees of cervical ROT towards involved side
Foraminal compression
ROT with compression
Nerve root compression
Shoulder abduction relief or Bakody’s sign
hand on head
pain decreased= suprascapular nerve compression
Shoulder depression test
Adhesions of dural sleeves, spinal roots or joint capsule
Spinal percussion
localized pain= fracture
radicular pain= disc lesion
ligamentous sprain
Rust sign
need to support head
sprain, rheumatoid arthritis, fracture or sever cervical subluxation
Valsalva maneuver
Bearing down
space occupying lesion (herniated disc, tumor, osteophytes)
Dejerine sign
Cough, sneeze, defecation
spinal compression fracture, space occupying lesion
Lhermitte sign
Over pressure with FLEX
radicular pain
cord pathology, dural irritation, tumor, dens fracture
Brudzinski sign
supine, passive cervical FLEX
BL knees flex
meningitis
Soto-hall sign
passive cervical FLEX with pressure on sternum
vertebra fracture, subluxation, disc lesion, sprain/strain, meningeal irritation
Deep neck flexor endurance test
chin tuck and FLEX
hold for 39 seconds male, 29 seconds female
deep neck flexors
Allens
Radial or Ulnar disruption
TOS orthopedic cluster
Roos test
adsons test
wrights test
costoclavicular maneuver
Scalenus anticus/adsons test
SH EXT ROT and EXT
Head EXT ROT and hold breath
decreased pulse= ANT Middle scalene compression
Wrights/hyperabduction maneuver
arm over head
decreased pulse= Pec minor compression
costoclavicular maneuver
BL SH EXT ROT and EXT with cervical FLEX
Clavicular/1st rib compression
