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Physiotherapy - Neuro 2 > Labs (OSKE) > Flashcards

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)
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2
Q

assess spasticity/high tone

A
  • modified ashworth scale
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3
Q

assess the biceps DTR

A
  • c5 (p130)
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4
Q

assess the triceps DTR

A
  • c7 (p130)
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5
Q

assess the brachioradialis DTR

A
  • c6 (p130)
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6
Q

assess the patella DTR

A
  • L4 (p130)
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7
Q

assess the achilles DTR

A
  • S1 (p130)
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8
Q

assess clonus at the ankle

A
  • p 132
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9
Q

assess clonus at the wrist

A
  • p 132
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10
Q

assess the babinski reflex

A
  • p 129
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11
Q

assess the hoffman reflex

A
  • p 129
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12
Q

assess RAM (rapid alternating movement) hand pronation/supination test

A
  • p 143
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13
Q

assess RAM hand or finger tapping test

A
  • p 143
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14
Q

assess RAM foot tapping test

A
  • p 143
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15
Q

do the finger-to-nose test

A
  • p 143
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16
Q

do the heel-to-shin test

A
  • p 143
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17
Q

PNF - AE (Scapula) - rhythmic initiation and combination of contraction

A
  • p 202
  • Scalenes
  • Sup. fibers of Serratus Anterior
  • Upper Traps
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18
Q

PNF - PD (Scapula) - rhythmic initiation and combination of contraction

A
  • p 203
  • Latissimus Dorsi
  • Rhomboids
  • Inf. Fibers of Serratus Anterior
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19
Q

PNF - AD (Scapula) - rhythmic initiation and combination of contraction

A
  • p 206

Pect minor

Pect major

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20
Q

PNF - AE (Pelvis) - rhythmic initiation and combination of contraction

A
  • p 208
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21
Q

PNF - PD (Pelvis) - rhythmic initiation and combination of contraction

A
  • p 208

Transverse abdominus

Internal obliques

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22
Q

mass trunk flexion (rolling) PNF

A
  • p 209
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23
Q

Lying to sitting PNF (3 things)

A
  • manual p 210, slides 9-11
  • trunk, legs, and arms
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24
Q

gait PNF (weight shift/weight acceptance)

A

-shift from back foot onto forward foot

lab manual 213

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25
Q

PNF - gait steping forward

A

lab manual 213

26
Q

PNF - gait steping forward variation 1

A
  • For difficulty of hip flexion
  • If they are circumducting
  • Use quick stretch!

lab manual 213

27
Q

PNF - gait stepping forward variation 2

A
  • 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
Q

PNF - gait taking consecutive steps

A

lab manual 213

29
Q

PNF - sitting position

A
  • If slouching , bring pelvisforward and down – push down and back at 45 degrees – this helps correct pelvis position in sitting
30
Q

PNF - coming to standing and once patient is standing

A

slides 19-22

manual 212

31
Q

PNF - hip hinge in sitting

A
  • lab manual p 210
32
Q

PNF - coming to edge of chair (scooting forward)

A

manual p 211

33
Q

do a collot sitting balance assessment

A
  • lab manual p 215
34
Q

do a full SCI sensory assessment

A

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
Q

do a touch awareness/light touch assessment

36
Q

do a temperature discrimination test

37
Q

do a sharp dull discrimination test

38
Q

do a proprioception and kinaestesia test

A
  • each joint UE: one digit, wrist, elbow, shoulder
  • each joint LE: one toe, ankle, knee, hip

*p 149, 154-156*

39
Q

do a sensory assessment in CNS lesions according to lab manual - Nottingham sensory assessment

40
Q

Do a BERG balance test - when would you perform this test? how would you interpret it?

A

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
Q

Do a mini-BEST test. When would you use this test? Interpret the results.

A

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
Q

do a FIST test - when is this test used? how to interpret the results?

A
  • 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
Q

Do a functional reach test

A
  • can be done with FIST or in standing (page 110 lab manual)
44
Q

what are some exercises for general balance training?

A

lab manual: 113-123

45
Q

Observational gait analysis – pattern deviations, abnormalities.

A

*lab manual 164-166*

  • video online
46
Q

how to prescribe mobility exercises for 3 cases discussed in class

A

*in gait and mobility lab folder - extra notes

47
Q

10-meter walk test, TUG (and cognitive) and 6 minute walk test

A

lab manual p 167-169

48
Q

in a sensory evaluation - when do you test using dermatome mapping vs peripheral nerve distribution mapping?

A

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
Q

General idea of treatment options for low tone (to activate muscles) or high tone (to reduce spasticity)

50
Q

do an SCI motor assessment - S1

51
Q

do an SCI motor assessment - L5

52
Q

do an SCI motor assessment - L4

53
Q

do an SCI motor assessment - L3

54
Q

do an SCI motor assessment - L2

55
Q

do an SCI motor assessment - T1

56
Q

do an SCI motor assessment - C8

57
Q

do an SCI motor assessment - C7

58
Q

do an SCI motor assessment - C6

59
Q

do an SCI motor assessment - C5

60
Q

Describe some basic treatment strategies for a SCI adult, considering their neurological level and functional potential

A
  • site visit notes

Physiotherapy - Neuro 2 (8 decks)

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