Lec 5: Upper Quarter Scan Flashcards
what are the 3 main reasons for performing a scan?
no obvious MOI
proximal cause for distal sx
non-mechanical sounding sx
what are the components of the upper quarter scanning exam?
observation (stand, sit)
vital signs
gait
cranial nerve screen
cervical ROM (AROM, PROM, overpress)
UE ROM (active, overpressure)
cervical compression & distraction
myotomes (C4-T1)
dermatomes (C2-T1)
deep tendon reflexes
UMN testing
upper limb tension testing
palpation (pulses, glands, lymph nodes)
how long should the end of the ROM be held?
10-30 sec
what sx are you looking for when holding the neck at the end of the ROM?
dizziness
dysarthria
dysphagia
nausea
visual disturbances
extremity sensory changes
how long is pressure maintained for cervical provocation testing?
5-8 sec
how long should resistance be held for myotome testing?
5 sec
how should dermatomes be tested?
light touch
list the myotomes for C5-T1
C5 elbow flex (biceps)
C6 wrist extension (ECR)
C7 elbow extension (triceps)
C8 finger flex (FDP of middle finger)
T1 small finger abduction (ADM)
list the DTRs of the UE
C5 biceps
C6 brachioradialis
C7 triceps
what are the reflex grades?
0: no response
1+: low normal/minimally detectable
2+: normal
3+: brisk
4+: very brisk/non-sustained clonus
5+: sustained clonus
what is a negative test for the upper limb tension test?
0-20 degrees
list the order of joint positions for the upper limb tension test
c spine neutral
shoulder depression
GH abduction
wrist/finger extension
forearm supination
GH ER
elbow extension
c spine contralateral side bend
positive test for the upper limb tension test
differences b/w limbs in elbow ROM
difference b/w 2 extremities
reproduction of concordant neurological sx in UE w/ mvmt of DISTANT components
list the grades for pulses
0: absent
1: markedly reduced
2: slightly reduced
3: normal
4: bounding
