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Spine Exam > Final Practical > Flashcards

Final Practical Flashcards

1
Q

Question for capsulitis synovitis

A

Do you clench or grind your teeth?
Do you chew gum?
Do you chew the ends of your pencils or pens?
Any trauma or surgery?

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2
Q

Objective for capsulitis synovitis

A

Tender to palpation at lateral condyle
Pain with biting on opposite side
Pain with retrusive overpressure

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3
Q

Treatment for capsulitis synovitis

A

Rocobado’s 6x6

Proprioception

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4
Q

Question for capsular fibrosis

A

Any trauma?

Any prolonged immobilization of the mouth?

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5
Q

Objective for capsular fibrosis

A

Opening of less than 40
Mandible deviates toward side of restriction
Lateral excursion to CL side is limited
Hypomobility

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6
Q

Treatment for capsular fibrosis

A

Joint mobs
Proprioception
Stretching

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7
Q

Questions for masticatory muscle disorders

A

Do you chew gum regularly?
Age?
Stress level?

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8
Q

Objective for masticatory muscle disorders

A

Listen for joint sounds - none present
Palpation of muscles should be tender
Pain with biting on the same side

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9
Q

Treatment for masticatory muscle disorders

A

Robobado 6x6
Soft tissue
Proprioception

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10
Q

Questions for hypermobility

A

Do you feel unstable?

Any clicking?

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11
Q

Objective for hypermobility

A

ROM greater than 40
Joint sounds at end range opening
Joint play (hypermobile)
Chin deviation away from hypermobility with opening

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12
Q

Questions for Anterior disc with reduction

A

Does your mouth click with opening or closing?

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13
Q

Objective for anterior disc with reduction

A

Clicking heard with stethoscope

Deviation of mandible to same side

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14
Q

Treatment for anterior disc with reduction

A

Rocobado x6

Proprioception

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15
Q

Questions for Anterior disc without reduction

A

History of popping and clicking? Yes
Did the clicking and popping disappear when you lost your ROM? Yes
Currently having joint sounds? No

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16
Q

Objective for anterior disc without reduction

A

Opening less than 25 mm (if actue)
End range deviation toward affected side
Limited CL excursion

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17
Q

Treatment for anterior disc without reduction

A

Rocobado’s 6x6

Joint mobilization

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18
Q

Questions for osteoarthritis

A

Age?

X-ray?

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19
Q

Objective for osteoarthritis

A

Grinding (crunching) throughout motion
Pain with loading
AROM limited

20
Q

Treatment for osteoarthritis

A

Rocobado 6x6

Joint mobs

21
Q

Questions for cervical hypomobility

A

Do certain positions cause you pain?

Any limitations to your movement?

22
Q

Objective for cervical hypomobility

A 
Cervical ROM (including AA and AO)
Joint play (hypomobile)
23
Q

Treatment for cervical hypomobility

A

MET
Mob
Stretch
Thoracic manipulation

24
Q

Questions for cervical radiculopathy

A

Does the pain radiate?
Any N/T?
Weakness?

25
Q

Objective for cervical radiculopathy

A

ULTT A
Spurlings
Distraction
Rotation ROM

26
Q

Treatment for cervical radiculopathy

A

Nerve glides
Postural exercises
Thoracic mob/manip

27
Q

Questions for cervical instability

A

Any recent trauma?
Symptoms worse after prolonged sitting or standing?
Symptoms better when lying down?

28
Q

Objective for cervical instability

A

Stability checks: vertebral artery, alar, transverse ligament, sharp purser
Cervical joint play (hypermobile)
Deep neck flexor endurance test (less than 27 seconds)
Cervical AROM in supine and standing

29
Q

Treatment for cervical instability

A

DNF exercises

Posture

30
Q

Questions for acute neck pain

A

Any trauma?
Pain level?
Disability score?
Does the pain radiate?

31
Q

Objective for acute neck pain

A

Cervical AROM (guarded)

32
Q

Treatment for acute neck pain

A

AROM within pain tolerance

Soft tissue

33
Q

Questions for cervicogenic headache

A

Where is the pain? (symptoms on one side and non continuous)
Any movements make the headache worse? Yes

34
Q

Objective for cervicogenic headache

A

Palpation of top three cervical vertebrae
Cervical ROM - including AO and AA
Deep neck flexor endurance

35
Q

Treatment for cervicogenic headache

A

Suboccipital inhibition
MET or mob for restrictions
DNF

36
Q

Questions for lumbar manipulation

A

Any symptoms below the knee? No
When did your symptoms begin? Less than 16 days
FABQ score? Less than 19

37
Q

Objective for lumbar manipulation

A

Joint play of lumbar spine (hypomobile)

Hip IR ROM (>35 for at least one hip)

38
Q

Treatment for lumbar manipulation

A

Chicago Roll

AROM

39
Q

Questions for lumbar stabilization

A

Age? Less than 40

Aberrant movements during bending?

40
Q

Objective for lumbar stabilization

A 
ROM (Increased ROM, SLR >91)
Prone instability test 
Thigh thrust 
Active SLR (ask difficulty of task)
Modified trendelenburg 
Provocation of long dorsal SI and pubic symphasis
41
Q

Treatment for lumbar stabilization

A

Hick’s protocol

Posture

42
Q

Questions for extension bias

A

Symptoms extend past buttock? Yes

Better or worse with bending forward? Bending backward? Should have preference for backward bending

43
Q

Objective for extension bias

A

Repeated movements - flexion (peripheralization) and extension (centralization)

44
Q

Treatment for extension bias

A

Extension progression

PA over spinous process

45
Q

Questions for flexion bias

A

Age - Greater than 50
Better or worse with forward flexion? Better
Imaging? Presence of lumbar spinal stenosis

46
Q

Objective for flexion bias

A

Repeated movements - flexion (centralization) and extension (peripheralization)

47
Q

Treatment for flexion bias

A

Flexion mobility progression
Hip joint mobilization
Manipulation

Spine Exam (3 decks)

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