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MSK3 > final practical > Flashcards

final practical Flashcards

1
Q

upper Cspine stability tests

A

tectoral membrane
posterior A-O
alar lig stress
modified sharp purser

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2
Q

CAD tests

A

endrange rotation

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3
Q

cervicogenic HA

A

cspine fl rot test/ C1-C2 joint mob

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4
Q

cervical redic

A

Median ULTT
spurlings compression
cervical compression
cervical distraction
brachial plexus compression
valsalva

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5
Q

tectoral membran how

A

stabilize spinous process of Cx vertebrae, other hand under occiput and provide traction and posterior translation force

+ excessive motion

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6
Q

posterior A-O membrane

A

stabilize at transverse process at C1,other hand under occiput, provide translation force

+ excessive motion

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7
Q

alar lig stress test

A

palpate C2 Spinous process , rotate head on neck until we feel spinous process move and than laterally flex neck in both directions until you feel spinous process move. Slightly ext and repeat lateral flexion and rotation. Slightly flex and repeat

+ no motion
- normal motion

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8
Q

fracture tspine

A

percussion

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9
Q

TOS

A

wrights - rule out
roos
hyper abd
adson’s
1st rib spring
cervical rotation lat fl

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10
Q

Scoliosis tspine

A

adams forward flexion

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11
Q

1st rib restricted

A

1st rib spring
cervical rotation lat fl

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12
Q

disc/sympathetic NS tspine

A

thoracic slump

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13
Q

wrights how

A

Check radial pulse, place UE in 90 of ABD and look for diminished pulse intensity, have pt turn head away, hold for 30s

+ provication of s/s or loss of pulse

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14
Q

adsons how

A

UE ext and slightly ABD, Palpate radial pulse, Pt inhales and holds breathe, Neck ext and turn towards towards PT/ Aka Involved side

+diminished pulse or s/s

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15
Q

cervical rotation lat flexion how

A

PT passively rotates neck away from involved side and than lat flex turning

+bony stop in motion

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16
Q

lumbar redic

A

slump test - rule out
SLR -rule out
well leg raise
femoral N tension test
CPA spring
repeated motions

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17
Q

z joint pain lspine

A

ext rot test

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18
Q

lumbar stenosis rule out

A

Bilateral symptoms, Leg pain > Back pain, pain w/ walking/standing, Pain relieved w/ sitting, >48y/o

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19
Q

fracture l spine

A

percussion

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20
Q

discogenic s/s

A

repeated motions

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21
Q

NMS instability lspine

A

catch sign
passive lumbar ext
prone instability

22
Q

SLR lspine how

A

PT brings pt’s straight LE into air

+Symptom provocation on involved LE

Can also DF more, IR and ADD LE to see if that can change symptoms and have pt flex neck to see if that changes symptoms

23
Q

ext rotation test lspine how

A

Pt crosses arms, PT is on contralateral side next to pt and put hands across their chest, other hand passively extends Lumbar and rotates on both sides (while maintaining ext)

+s/s

24
Q

well leg raise test how

A

Noninvolved LE is passively raised

+ pain in involved

25
Q

femoral N tension how

A

Palpate PSIS, PT passively flexes knee, once symptoms come on, slight unflex knee till symptoms are gone. Symptoms can also change if pt lifts neck

+Palpate PSIS, PT passively flexes knee, once symptoms come on, slight unflex knee till symptoms are gone. Symptoms can also change if pt lifts neck

26
Q

catch sign how

A

Pt coming out of motion and their back “catches”

27
Q

passive lumbar ext how

A

PT extends LE

+ s/s

28
Q

prone instability how

A

CPA to find where pain is, once pain is found, keep hand there and pt lifts LE off table and do CPA again

+Pain w/ CPA and than doesnt hurt w/ LE raised and performing CPA

29
Q

PPPP - post partum posterior pelvic pain test

A

active SLR
thigh thrust

30
Q

mechanical SIJ dysfunction

A

distraction
compression
gaenslens
sacral thrust
FABER/patrics
resisted hip ABD
long sitting
thigh thrust

31
Q

SIJ pain

A

fortin finger test

32
Q

SIJ dysfunction

A

gillet test

33
Q

active SLR how sspine

A

pt actively raises leg ~6in, if painful do again but PT stabilizes pelvis

+ stab relieves s/s

34
Q

hip fl sspine how

A

active SLR

+ instability to raise leg or pain

35
Q

sign of the buttock

A

PT passively raises LE to point of pain or restriction than PT passively flesex knees and flexes hip further

+hip motion restriction or same pain in the same when knee is bent

36
Q

thigh thrust how

A

passivley flex involved side to 90, place hand under sacrum, provide force through knee along axis of femus

+s/s

37
Q

distraction test how sspine

A

cross arms to reach ASIS w/ palms, apply force lateral and posteriorly x30s, f/b vigorous force

+s/s

38
Q

compression how sspine

A

compression force applied and held through ilium

+s/s

39
Q

gaenslens test how

A

non involved LE hip flex to 90 (and knee), stabilize non unvolved side, downward force on distal thigh of invovled side - like a thomas test

+s/s

40
Q

sacral thrust how

A

PA force provided at S3 (vig and repeated </=6)
+s/s

41
Q

resisted hip ABD how

A

place LE at full ext and 30 deg of ABD, provide reistsance to hip ABD

+ SIJ pain

42
Q

long sitting test how

A

Look at position of medial malleolim pt then goes into long sitting

+Movement of medial malleolus

43
Q

gillet test how

A

standing, Pt is instructed to flex a hip and knee to 90, PT palpated bilateral PSIS to determine direction of displacement

+PSIS ipsilateral to lifted LE does not change position or mirgates superiorly

44
Q

laslett’s cluster

A

thigh thrust
distraction
sacral thrust
compression
gaenslens

45
Q

van der wurffs cluster

A

thigh thrust
distraction
FABER - patricks
compression
gaenslens

46
Q

Athletic Pubalgia/Osteitis Pubis special tests

A

active SLR
Squeeze test

47
Q

Auscultation of TMJ with stethoscope during AROM

A

listen for reduction

48
Q

Provocation Test: Retrodiscal Material

A

Unilateral in sequence: distraction, retrusion, cranial displacement, protraction
Compression of intra-articular tissue between mandibular condyle and cranial articulation

49
Q

Unilateral tongue depressor biting

A

Ipsilateral provocation
Capsule: ipsilateral tensile lesion
Teeth
Contralateral provocation: compressive loading on intra-articular soft tissue structures

50
Q

TMJ intervention

A

Reassurance
Occlusal Appliances
Education
- Activity Modification: Avoid loading of the joint & control parafunction
– Sleep position, maintain resting position of TMJ, eating soft foods, avoid gum chewing
- Diagnosis, Prognosis, Goals, POC
- Relaxation Techniques
Exercise
- Mid & Lower trap/ deep cervical flexor/ thoracic extensor coordination - training (“postural” exercises)
- Upper quarter stretching (corner stretching, etc.)
- TMJ muscle coordination training (isometrics, biofeedback)
- TMJ AROM: maintain motion, reduce contracture, improve muscle function
- Neuromuscular control exercises for TMJ muscles
Referral if appropriate
Manual Therapy Interventions

MSK3 (6 decks)

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