Labs (OSKE) Flashcards
1
Q
assess tone (all major muscle groups)
A
- feeling resistance during PROM, effect of speed (rigidity should not be affected by speed, spasticity should)
2
Q
assess spasticity/high tone
A
- modified ashworth scale
3
Q
assess the biceps DTR
A
- c5 (p130)
4
Q
assess the triceps DTR
A
- c7 (p130)
5
Q
assess the brachioradialis DTR
A
- c6 (p130)
6
Q
assess the patella DTR
A
- L4 (p130)
7
Q
assess the achilles DTR
A
- S1 (p130)
8
Q
assess clonus at the ankle
A
- p 132
9
Q
assess clonus at the wrist
A
- p 132
10
Q
assess the babinski reflex
A
- p 129
11
Q
assess the hoffman reflex
A
- p 129
12
Q
assess RAM (rapid alternating movement) hand pronation/supination test
A
- p 143
13
Q
assess RAM hand or finger tapping test
A
- p 143
14
Q
assess RAM foot tapping test
A
- p 143
15
Q
do the finger-to-nose test
A
- p 143
16
Q
do the heel-to-shin test
A
- p 143
17
Q
PNF - AE (Scapula) - rhythmic initiation and combination of contraction
A
- p 202
- Scalenes
- Sup. fibers of Serratus Anterior
- Upper Traps
18
Q
PNF - PD (Scapula) - rhythmic initiation and combination of contraction
A
- p 203
- Latissimus Dorsi
- Rhomboids
- Inf. Fibers of Serratus Anterior
19
Q
PNF - AD (Scapula) - rhythmic initiation and combination of contraction
A
- p 206
Pect minor
Pect major
20
Q
PNF - AE (Pelvis) - rhythmic initiation and combination of contraction
A
- p 208
21
Q
PNF - PD (Pelvis) - rhythmic initiation and combination of contraction
A
- p 208
Transverse abdominus
Internal obliques
22
Q
mass trunk flexion (rolling) PNF
A
- p 209
23
Q
Lying to sitting PNF (3 things)
A
- manual p 210, slides 9-11
- trunk, legs, and arms
24
Q
gait PNF (weight shift/weight acceptance)
A
-shift from back foot onto forward foot
lab manual 213
25
PNF - gait steping forward
lab manual 213
26
PNF - gait steping forward variation 1
- For difficulty of hip flexion
- If they are circumducting
- Use quick stretch!
lab manual 213
27
PNF - gait stepping forward variation 2
- For difficulty of foot clearance – trying to facilitate dorsi-flexion! – because normally they and in plantar flexion and therefore no clearance
- Directing the movement
- Use quick stretch!
lab manual 213
28
PNF - gait taking consecutive steps
lab manual 213
29
PNF - sitting position
- If slouching , bring pelvisforward and down – push down and back at 45 degrees – this helps correct pelvis position in sitting
30
PNF - coming to standing and once patient is standing
slides 19-22
manual 212
31
PNF - hip hinge in sitting
- lab manual p 210
32
PNF - coming to edge of chair (scooting forward)
manual p 211
33
do a collot sitting balance assessment
- lab manual p 215
34
do a full SCI sensory assessment
lab manual p 216
Determine the motor, sensory and neurological levels of a spinal cord injured adult using the ASIA scale - Be able to determine the AIS level (A,B,C,D or E).
- note that AIS level will not be given - must memorize
35
do a touch awareness/light touch assessment
p 146
36
do a temperature discrimination test
p 147
37
do a sharp dull discrimination test
p 148
38
do a proprioception and kinaestesia test
- each joint UE: one digit, wrist, elbow, shoulder
- each joint LE: one toe, ankle, knee, hip
\*p 149, 154-156\*
39
do a sensory assessment in CNS lesions according to lab manual - Nottingham sensory assessment
p 150
40
Do a BERG balance test - when would you perform this test? how would you interpret it?
The BERG is a balance test scored out of 56 with 14 items
- items include: sitting-standing and transfers, reaching, retreiving objects, and turning, and balancing while standing
- items do not include: reactions, walking assessment/dual tasks
**\*lab manual pg 78-82\***
41
Do a mini-BEST test. When would you use this test? Interpret the results.
This is a test out of 28
- tests things such as anticipatory and reactive postural control, sensory orientation, and dynamic gait
- possible cutoff of 20/28 to identify fallers
**\*lab manual pg 83\***
42
do a FIST test - when is this test used? how to interpret the results?
- a 14-item test looking at sitting balance: reactive, scooting, reaching, static sitting etc
- score out of 56
- no mention of what score interpretation means
\*lab manual 65-76
43
Do a functional reach test
- can be done with FIST or in standing (page 110 lab manual)
44
what are some exercises for general balance training?
lab manual: 113-123
45
Observational gait analysis – pattern deviations, abnormalities.
\*lab manual 164-166\*
- video online
46
how to prescribe mobility exercises for 3 cases discussed in class
\*in gait and mobility lab folder - extra notes
47
10-meter walk test, TUG (and cognitive) and 6 minute walk test
lab manual p 167-169
48
in a sensory evaluation - when do you test using dermatome mapping vs peripheral nerve distribution mapping?
Dermatome mapping: spinal cord or nerve root injury
Peripheral nerve distribution map: peripheral nerve injury
note: testing more general body areas: cortical lesion – CVA
49
General idea of treatment options for low tone (to activate muscles) or high tone (to reduce spasticity)
50
do an SCI motor assessment - S1
232
51
do an SCI motor assessment - L5
230
52
do an SCI motor assessment - L4
229
53
do an SCI motor assessment - L3
227
54
do an SCI motor assessment - L2
225
55
do an SCI motor assessment - T1
224
56
do an SCI motor assessment - C8
222
57
do an SCI motor assessment - C7
221
58
do an SCI motor assessment - C6
219
59
do an SCI motor assessment - C5
218
60
Describe some basic treatment strategies for a SCI adult, considering their neurological level and functional potential
- site visit notes
