Lab- approach to Cervical Complaint

Question 1

what are the three ways you can test for cervical radiculopathy?

Answer 1

neck compression test, neck distraction test, and spurling’s test

Question 2

what are the three stages of spurling’s test?

Answer 2

compression, extension, extension with side bending

Question 3

what are the tests used for thoracic outlet syndrome?

Answer 3

ROOs/ East Test, Adson’s test, Costoclavicular test, wright’s hyperabduction test

Question 4

what does adson’s test look like?

Answer 4

you have the patient extend and supinate their hand on the affected side. The physician is going to monitor the radial pulse on the affected side. the patient will be asked to extend and rotate their head toward the affected side as they inhale and then hold the position and their breath

Question 5

what is a positive adson’s test?

Answer 5

loss or change in pulse or reproduction of symptoms

Question 6

if you ask the patient to look away from the affected side and there is a positive result, what is happening? (adson’s test)

Answer 6

there is compression of the subclavian artery between the anterior and middle scalene muscles

Question 7

if you ask the patient to look toward the affected side and there is a positive result, what is happening? (adson’s test)

Answer 7

there is compression of the subclavian artery between the 1st rib and the clavicle

Question 8

what does the costoclavicular test aka the military test look like?

Answer 8

patient is seated with his affected side elbow extended and supinated. physician finds the radial pulse and places their other hand on top of the shoulder. They will extend the patient’s arm and apply a downward pressure on the patients shoulder

Question 9

what is a positive costoclavicular test?

Answer 9

if there is loss or change in pulse or reproduction of symptoms

Question 10

what does the costoclavicular test specifically test?

Answer 10

the neurovascular entrapment between the 1st rib/ cervical rib and clavicle

Question 11

what does wright’s hyperabduction test look like?

Answer 11

the patient is seated with their elbow extended and hand supinated. the physician locates the radial pulse and then abducts the patients arm above their head with some extension

Question 12

what is a positive wright’s hyperabduction test?

Answer 12

loss or change in pulse or reproduction of symptoms

Question 13

what does the wright’s hyperabduction test specifically test?

Answer 13

the neurovascular entrapment by the pectoralis minor muscle