Lec 3: LE Scan Flashcards
what are the 3 main factors when deciding to do a scan?
no obvious MOI
proximal cause for distal symptoms
non-mechanical “sounding” symptoms
what does the lower quarter scanning exam consist of?
observation
gait
functional movements (squat & balance)
lumbar ROM (active, overpressure)
myotomes (L2-S1)
dermatomes (L2-S1)
deep tendon reflexes (LE)
UMN testing (Babinski & clonus)
lumbar and sij stress tests
LE ROM
neurodynamic tests (SLR & slump)
palpation (pulses & lymph nodes)
if the PSIS’s are not even, this indicates
an SI issue
how many visible toes when standing in neutral is not normal?
3+
what does the ASIS to PSIS angle measure?
if there is a pelvic tilt
what structures should be even with a standing squat?
tibia and trunk
if a pt can do a standing squat with full movement and w/o symptoms, there is no problems with
hip, knee, ankle, foot
what does a standing squat measure?
gross LE ROM
- T spine, L spine, hips, knees, ankles
muscle length: gastroc & soleus
muscle strength/NM control
- core, quads, glutes
fatigable weakness indicates a ____ issue
nerve
list the LE myotomes
L2 hip flexion
L3 knee extensors
L4 DF
L5 great toe extension
S1 PF
what is a normal reflex grade?
2+
list the DTRs for LE
L4 patellar
L5 hamstring
S1 Achilles
what are you looking for with lumbar distraction and compression?
distraction - relief of symptoms
compression - provotion
what is a positive SIJ provocation test?
pain in SIJ or pubic symphysis
if a cross SLR sign is positive, what is indicated?
large disc protrusion
high specific
