Lab Practical Flashcards
Quiet Inspiration test
Patient will be supine (laying on stomach) . I will place my hand near the Xiphoid process and instruct the patient to take a deep breath in and hold it so I can not press down.
Forced expiration
A cough
Inspiration Muscles
Diaphragm and external intercostals
Diaphragm nerve
Phrenic nerve
External intercostal nerve
Intercostal nerves
Trunk flexion
The patient will be supine (face up). Instruct the patient to cross their hands over their chest like this… , then lift the patients legs and tell them to relax their legs . Then instruct the patient to lift up and crunch up to their knees. You are testing to see if the scapulas are off the table and that their abdominal muscles are contracting properly.
Trunk flexion muscles
Rectus abdominus, external and internal obliques
Rectus abdominus nerve supply =
Thoracoabdominal nerves
External oblique and internal oblique nerves
Intercostal nerves
Trunk extension
Patient will be prone . Instruct the patient to lie face down on the table, tell the patient that you will hold their ankles down. Instruct the patient to place their arms out like Superman and lift up from the table
Trunk extension muscles
Illiocostalis thoracis, longissimus thoracis, spinalis thoracis, illiocostalis lumborum
Illiocostalis thoracis nerve
Thoracic spinal nerves
Longissimus thoracis nerve supply
Dorsal branch of the lumbar and thoracic spinal nerves
Spinalis thoracis
Posterior rami of spinal nerves
Illiocostalis lumborum
Dorsal rami of thoracic and lumbar spinal nerves
Trunk rotation
The patient will be supine. Instruct the patient to cross hands across chest like so, then lift the patients legs up and tell them to relax their legs and then instruct the patient to bring the left elbow to the right knee (or opposite knee)
Trunk rotation muscles involved
Internal and external obliques
Trunk rotation nerve supply
Intercostal nerves
Capital extension
The patient will be prone. Instruct the patient to lay face down on the table with their hands out resting on the table on either sides of their body. Instruct the patient to child their chin up in a nodding motion and look out onto the floor.
Capital extension muscles involved
Splenius capitis, semispinalis capitis, longissimus capitis, obliquus capitis major/minor, upper trap
Capital extension nerve innovation
Sub occipital nerve and greater occipital nerve
Capital flexion
The patient is in a supine position. Instruct the patient to lay face up on the table with their hands on the side of their body relaxing . Instruct the patient to tuck their chin in
Muscles involved in capital flexion
Rectus capitis anterior, Rectus capitis lateralis, and longus capitis
Rectus capitis anterior nerve
Anterior rami of spinal nerves c1 and c2
Rectus capitis lateralis innervation
Anterior rami of c1 and c2 spinal nerves
Cervical extension
The patient is prone. Instruct the patient to lay face down on the table with hands at sides. Instruct the patient to lift head up and look at the wall,
Cervical extension muscles
Splenius cervicis, illiocostalis cervicis , semispinalis cervicis, longissimus cervicis
Cervical extension nerves
Cervical spine nerves
Cervical flexion
The patient will be in supine position. Instruct the patient to look up at the wall ahead of them. The patient should also lie on the table face up with hands at their sides.
Cervical flexion muscles
Sternocleidomastoid, longus coli, scalenus anterior
Sternocloidomastoid nerve
Accessory nerve
Longus coli nerve
Cervical spinal nerves c2-c6
Scalene nerve
Phrenic nerve
Lateral bending
The patient willl be sitting in a neutral position . Instruct the patient to touch their left ear to the shoulder like so then place your hand on the side of head the patient willl be bringing their ear to
Lateral bending muscles
Scalene, sternocleidomastoid
Cervical rotation
The patient is sitting in a neutral position, ask the patient to turn their head towards their left shoulder , apply resistance on the side the patient is turning to.
Muscles in cervical rotation
Seeing if the sternocleidomastoid contracts and scalene