Lab 1 - Palpation & UQS Flashcards
somatic dysfunction palpation acronym
ART; asymmetries, rom, tissue texture changes (knots, tone, rigidity)
three steps of palpation
reception, transmission, interpretation
upper quarter screen scanning exam steps - posture
always sit up straight and head shoulders knees toes
anterior - check ear symmetry, shoulder symmetry, palpate clavicle
lateral - external acoustic meatus over acromion, run hand down spine
posterior - parallel shoulder blades with spine, palpate spine of scapula, inferior border for symmetry, check arms down at side
upper quarter screening exam - ROM steps cervical spine
- flexion
- extension
- sidebending
- Rotation
upper quarter screening exam - ROM steps shoulder
- Flexion (180)
- Extension (PROM only)
- Scaption (180)
- Abduction (180)
- FIR (no overpressure) - Ext, ir, add
- FER (no overpressure) - flx, er, abd
upper quarter screening exam - ROM steps elbow, wrist, hand
- Elbow flexion
- Elbow extension
- forearm supination
- forearm pronation
- wrist flexion
- wrist extension
- fingers abd/add and touch each to thumb
- finger abd/add
single nerve root that innervates muscle
myotome
myotomal testing cranial nerves
cervical spine - flexion, extension, sidebending (C1-3) shoulder elevation (C4) shoulder abduction (C5) elbow flexion (C6) elbow extension (C7) wrist flexion (C7) wrist extension (C6) thumb extension (C8) finger abduction (T1)
hold peak resistance for myotomal testing for blank seconds
5
C1 sensory test
top of head
C2 sensory test
along temporal area
C3 sensory test
midlateral portion of neck
C4 sensory test
upper trap
C5 sensory test
midportion of deltoid
C6 sensory test
thumb
C7 sensory test
tip of middle finger
C8 sensory test
pinky finger
T1 sensory test
medial epicondyle
first cutaneous sensory test
light touch with brush
second cutaneous sensory test
sharp v dull
third cutaneous sensory test
two v one point
static assessment of where the joint is in space
position sense
deficits of proprioception represent damage to the blank
thalamus
dynamic awareness of limb position in space to mirror or follow the passively moved limb
passive motion sense
last test for upper quarter screen
reflexes
if having difficulty illiciting a response for reflexes, use the blank
jendrassik maneuver
mandibular reflex is what nerve
cn 5
biceps brachii is what nerve reflex
c5
brachioradialis reflex is what nerve
c6
triceps reflex is what nerve
c7
FOUR pathologic reflexes
clonus (dorsiflexion beats), babinski (if toes spread like a baby), oppenheim (if toes spread like a baby), hoffman (other fingers extend)
