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LE Ortho > Lower Quarter Screen > Flashcards

Lower Quarter Screen Flashcards

1
Q

The purpose of Upper/Lower Quarter Screens:

• ID joints which may need closer examination
• Rule in/out peripheral nerve involvement
• Rule in/out cervical/lumbar spine involvement
• Reproduction of patient’s symptoms

A

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2
Q

Basic Components of an Upper/Lower Quarter Screen

• (AROM/PROM) with overpressure
• Muscle testing ((dermatomes/myotomes)) > hold for _ seconds
• Sensation testing ((dermatomes/myotomes))
• Reflex testing

Neurologic Screen:

Motor: (muscle testing/sensation testing)
Sensory: (muscle testing/sensation testing)

A

AROM; 5; myotomes; dermatomes; muscle testing; sensation testing

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3
Q

Upper/Lower Quarter Screen

(AROM/PROM) with overpressure and muscle testing
o Separated here for your reference by body part; typically performed doing all ROM (first/second), then all muscle testing

A

AROM; first

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4
Q

Lumbar Spine

AROM:
Flexion, extension, R rotation, L rotation, R side flexion, L side flexion (with overpressure)

Muscle testing:
N/A

A

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5
Q

Hip

AROM:
Squat

Muscle testing:
Isometric hip flexion - L_-L_

A

L1-L3

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6
Q

Knee

AROM:
Squat

Muscle testing:
Isometric knee extension - L_-L_
Isometric knee flexion - S_ - S_

A

L3-L4; S1-S2

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7
Q

Ankle

AROM:
Squat

Muscle testing:
Heel walking - (df/pf) L_
Toe walking - (df/pf) / Evertors: S_

A

df; L4; pf; S1

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8
Q

Digits

AROM:
Squat

Muscle testing:
Isometric hallux extension / Inverters - L_

A

L5

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9
Q

Sensory testing

Proximal medial thigh - L_

A

L1

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10
Q

Sensory testing

Middle anterior thigh - L_

A

L2

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11
Q

Sensory testing

Distal anteromedial thigh and knee - L_

A

L3

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12
Q

Sensory testing

Anteromedial leg - L_

A

L4

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13
Q

Sensory testing

Medial dorsal foot (webspace b/w 1st and 2nd toes), plantar 1st toe - L_

A

L5

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14
Q

Sensory testing

Lateral dorsal foot, most of plantar foot - S_

A

S1

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15
Q

Sensory testing

Posterior thigh and proximal leg - S_

A

S2

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16
Q

Reflexes

Grading of reflexes:
(0/1+) absent
(0/1+) diminished
(1+/2+) normal
(2+/3+) exaggerated
(3+/4+) hyperactive repeated, clonus

A

0; 1+; 2+; 3+; 4+

17
Q

Reflexes

Patellar tendon - L_-L_
Same myotomes as isometric knee extension

A

L3-L4

18
Q

Reflexes

Achilles tendon / Medial Hamstrings/ Lateral Hamstrings - S_-S_

A

S1-S2

19
Q

Reflexes

Posterior Tibialis - L_-L_

The tibialis posterior acts to plantarflex the foot and invert the foot and support the medial arch.

A

L4-L5

LE Ortho (19 decks)

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