Final Exam Flashcards
CPG for Cervical Manipualtion
3/4 for 90%
1. symptom duration < 38 days
2. positive expectation that manips will help
3. difference in rotaton ROM of 10 or greater in side comparison
4. pain with p-a spring testing in middle c spine
T spine manipulation CPG
4/6 = good probability of succes
1. symptoms < 30 days
2. no symptoms distal to shoulder
3. no aggravation of symptoms by looking up
4. FABQPA score less than 12
5. decreased upper t spine kyphosis
6. cervical extension ROM less than 30 deg
Lumbar manipulation CPG
4/5 = favorable response
1. symptoms < 16 days
2. FABQ < 19
3. at least one with with >35 deg IR
4. hypomobile lumbar spine
5. no symptoms below knee
Wainner’s diagnostic rule for cervical radiculopathy
4/4 net = 90% probability
1. + spurlings
2. + neck distraction
3. + ULTT A
4. involved side cervical rot < 60 deg
Shoulder impingement test cluster (3 tests that rule in SAPS)?
All 3 = rule in SAPS
+ painful arc
+ ER resistance test
+ hawkins kennedy
RC tear cluster (3 findings to help rule in RC pathology)
if all 3 = 98% probability
age > 65
night pain
ER weakness
OR
Age > 60
+ painful arc
+ drop arm test
+ infraspinatus
AC Joint Pathology Cluster
AC resisted extension
active compression test
cross body adduction test
Shoulder IR resisted strength testing outcomes
IR strength > ER = RC tendinopathy
ER strength > IR = intra-articular pathology
Diagnostic Tests for lateral epcondylitis
+cozen’s test
+mills test
+ maudsley test
+ pain with palpation
Cozens and maudsley = best for ruling out
mills = best for ruling in
Diagnostic cluster for medial epicondylitis
+ pain with resisted wrist flexion
+ pain with stretch of wrist flexors
+ golfers elbow test
+ pain with palpation
Carpal Tunnel CPG
5/5 = 90% probability
Positive flick sign
wrist ratio index > .67
symptom severity scale > 1.9
reduced median sensory to D1
age > 45
Ottawa foot and Ankle Rule
Get Xray if:
Ankle:
pain in malleolar region, malleolus bone tenderness, and inability to bear weight on limb
Foot:
metarsal pain in lateral or medial region, bone tenderness on 5th met or navicular, inability to bear weight
Criteria for Osteoarthritis
at least 4 = high probability
age > 50
stiffness < 30 mins in morning
crepitus
bony tenderness
bony enlargement
no palpable warmth
PCL diagnostic tests
- decreased knee extension
-posterior drawer (99% sp) - posterior sag (100% sp)
Meniscal Pathology Prediction Cluster
5/5 = 99% specific
1. history of mechanical catching or locking
2. joint line tenderness
3. + McMurrays test
4. pain with maximum passive knee flexion
5. pain with forced knee hyperextension
Patellofemoral Pain presentation
- pain with squatting, stairs, sitting
- pain with palpation of patella or medial femoral condyle
- weakness of quads and hip abds
- altered functional biomechanics in gait
Pain Location for hip OA (ranked)
- Greater trochanter
- groin
- anterior thigh
- buttock
UE myotomes
cspine = C1-C3
shoulder elevation = C4
Shoulder abduction = C5
Elbow flexion = C6
Elbow extension = C7
Wrist flexion = C7
Wrist extension = C6
Thumb extension = C8
Finger abduction = T1
LE dermatomes
Upper thigh = L1
Middle thigh = L2
Lower thigh/knee = L3
medial shine/malleolus = L4
Lateral shin/top of foot/ great toe = L5
lateral border of foot/heel/med calf = S1
Popliteal fossa/post thigh = S2
LE myotomes
L1-L2 = hip flexion
L3 = knee ext
L4 = ankle DF
L5 = great toe ext
S1 = ankle PF
S2 = knee flexion
S3-4 = toe flexion
Shoulder Capsular Pattern Loss
IR loss > Abd loss > Flexion loss
LBP manipulation group characteristics (lecture material)
- no symptoms below knee
- recent symptoms
- hypomobility
- low fear avoidance
- more hip IR
LBP stabilization group characteristics
- prone instability test
- aberrant movements
- hypermobile
- younger age
- SLR > 90
LBP traction group characteristics
- neuro signs
- leg symptoms
- no centralization during movements
