Lecture 3 Flashcards

1
Q

What are 3 reasons to preform a scan?

A

No obvious MOI

Proximal Cause for distal symptoms

Non-mechanical sounding symptoms

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2
Q

What are the 4 pulses you need to feel for in a LE exam?

A

femoral

Popliteal

Tibial

Dorsalis pedis

Note: compare to opposite side

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3
Q

What is considered a normal rated pulse?

A

0- absent

1- very reduced

2 somewhat reduced

3 normal

4 bounding

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4
Q

How to do the slump test

A

Seated with hands behind back

Head and neck flexion

The thoracic/lumbar flexion

patient straightens knee

PT provides overpressure to spine

Ankle dorsiflexed

Knee extended

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5
Q

When should you reassess the patients symptoms during a slump test

A

During each position change

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6
Q

SLR pain 0-30 meaning

A

Acute/ severe MSK problem or space occupying lesion (tumor)

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7
Q

Pain 30-70 SLR test meaning

A

Suggest compression or irritation of nerves

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8
Q

Pain at 70+ in SLR test

A

Not a positive test

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9
Q

What is the crossed SLR sign

A

They had pain in opposite leg when you did the SLR, suggests large disc protrusion (not very sensitive)

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10
Q

Is the SLR a passive or active test?

A

Passive, the PT raises the patients leg

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11
Q

If symptoms are felt during the first part of the SLR test, what should you do next?

A

Have the PT flex/ extend neck and dorsiflex and note whether or not this changes symptoms

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12
Q

How long should you hold the provocation tests?

A

5-8 seconds

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13
Q

You should see _____ With lumbar distraction and _____ with compression

A

Relief

Provocation of symptoms

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14
Q

What is the L4 reflex

L5?

S1?

A

L4 - patellar

L5- medial hamstring

S1- Achilles

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15
Q

How do you know if you have abnormal DTR findings?

A

Compare to opposite side

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16
Q

What is considered a normal grade for reflex testing?

A

1 is low normal
2 is normal
3 is brisk
4 is very brisk/ no sustained clonus
5 is sustained clonus

17
Q

What are 2 UMN tests for the LE

A

Babinski sign

Ankle clonus

18
Q

What myotome is tested during heel walking

A

L4

19
Q

What myotome is tested during toe walking

A

S1-S2

20
Q

When should you apply over pressure when assessing lumbar spine ROM

A

if pain free throughout entire motion

21
Q

From what position do you assess lumbar rotation

A

Seated

22
Q

If a patient fully completes a standing squat with no symptoms, what is likely ruled out?

A

Hip, knee, foot, or ankle issues