Lab Material Flashcards
How to position arm for varus vs valgus stress test
Varus: slight abduction and internal rotation, elbow flexed 15 degrees
Valgus: slight abduction and external rotation, elbow flexed 30 degrees
Where to tap for the elbow tinel test?
Between olecranon and medial epicondyle (in ulnar groove)
Where does the radial head move when the wrist pronates vs supinates?
Pronates: radial head posterior
Supinates: radial head anterior
Wrist isotonic MET: three steps
- Physician crosses thumbs over base of pt’s palm
- Pts tries to flex wrist, physician applies counter force
- Physician lightens force to allow pt to overcome physician force
Three special tests to test for cervical radiculopathy
- Neck compression test
- Neck distraction test
- Spurlings
Three stages of Spurlings
- Neutral (same as neck compression test)
- Extended
- Extended and side bent
Four special tests for Thoracic Outlet Syndrome
- Roo’s/EAST
- Adson’s test
- Military/Halstead/Coracoclavicular test
- Wright’s hyperabduction test
Explain Roo’s test (EAST test)
Pt seated with arms up like a field goal, slowly opens and closes hands for 3 minutes
Explain Adson’s test: 4 steps
- Pt seated with elbow extended and hand supinated
- Physician finds pt’s radial pulse
- Passively adduct, extend, and externally rotate arm while monitoring pulse
- Pt extends and rotates head towards affected side, then away from affected side as they inhale and hold their breath
Positive test with Adson’s: looking away and looking towards affected arm
Looking away: compression of subclavian A btwn anterior + middle scalenes
Looking towards: compression of subclavian A between 1st rib + clavicle
Explain Military/Halstead test: 3 steps
- Pt seated with elbow extended
- Physician holds pt’s radial pulse from behind pt, and extends arm back
- Physician puts downward pressure on shoulder
What does positive military/Halstead test mean specifically?
Neurovascular entrapment between 1st rib + clavicle
Explain Wright’s hyperabduction test
Pt seated, physician abducts pt’s arm above head while monitoring radial pulse
What does positive Wright’s hyperabduction test mean?
Neurovascular entrapment by pec minor
MET: Regional Restrictor
Like C-spine bilateral forearm fulcrum foreword bend, but pt contracts against physicians hands, pushing head towards table
In a CN 10 lesion, which way would the uvula deviate?
Away from lesion
In a CN 12 lesion, which way does the tongue deviate?
Towards lesion (lick the lesion)
Romberg - loss of balance with eyes open vs closed
Eyes open -> cerebellar pathology
Eyes closed -> proprioceptive or vestibular lesion
What does positive pronator drift indicate
Contralateral CST lesion
What does abnormal Babinski indicate?
UMN lesion
Wallenberg test
Extend and sidebend/rotate head off the OMM table to check for dizziness or visual changes before performing C spine OMT
Stoic
Distinct palpable point of tissue texture changes in an expected tenderpoint location, but without tenderness
Where are AC7 and AC8 counterstrain points?
AC7: superior clavicle, 2cm lateral to medial end
AC8: superior clavicle, at medial end
Where are PC1 inion, PC1 Occiput, and PC2 Occiput counterstrain points?
PC1 inion: just lateral to inion
PC1 Occiput: inferior nuchal line btwn inion and mastoid
PC2 Occiput: between PC1 inion and PC1 Occiput
C2-7 HVLA rotational emphasis vs sidebending emphasis
Rotational emphasis: sidebend towards ease + rotate towards boundary
Sidebending emphasis: rotate towards ease + sidebend towards boundary
