Midterm Labs Flashcards
3 mandatory questions for pt with neck pain?
1) dizziness, blackouts, or drop attacks?
2) Hx of RA, other inflammatory arthritis, or systemic steroid use?
3) any neuro sx is legs?
trauma
cervical radiculopathy CPR
- C spine rotation <60 deg painful side
- (+) Spurling test
- (+) distraction
- (+) ULTT #1
(4=90%; 3=65%)
what structure does the Modified Sharp-Purser test assess?
transverse ligament for AA joint stability (C1/C2)
what type of test is Modified Sharp-Purser test?
RElocation
+ = S&S reduced
where do you hold for Modified Sharp-Purser test?
C2 SP and apply posterior pressure to forehead
if you are unsure of Modified Sharp-Purser test results, what do you do next?
supine lift off test
+ = excessive upper c spine mobility isolated from neck
where do you hold for supine lift off test?
C1 lamina
what structure does the supine lift off test assess?
transverse ligament for AA joint stability (C1/C2)
primary vs secondary test for transverse ligament
1 - Modified Sharp-Purser
2 - supine lift off
+ test for alar ligament test
no movement of C2 SP with cervical rotation
which joint does the alar ligament test assess the stability off?
OA
where do you hold for alar ligament test?
SP C2 and head
which way does C2 SP move for alar ligament test?
opposite direction of rotation or SB
is the alar ligament test passive or active?
passive
you need at least ___ deg of cervical extension for VBI screen
30
is the VBI screen passive or active?
passive
in what position is C spine MMT performed?
NEUTRAL
how to test upper trap length
maximal flex
contra SB
ipsi rotation
depress ipsi shoulder
normal muscle length for upper trap, levator, and scalenes
~45 deg of rotation w/ soft barrier at end range
how to test levator length
contra rotation
contra SB
depress ipsi shoulder
how to test SCM length
slight extension
contra SB
ipsi rotation
stabilize ipsi shoulder
how to test scalenes length
slight extension
contra SB
stabilize ipsi shoulder
what sideglide is performed for OA joint opening restriction on R?
flexion
L to R glide
what sideglide is performed for OA joint closing restriction on R?
extension
R to L glide
which special test is performed to put pt in movement coordination/whiplash bucket?
cranio-cervical flexion test (CCFT)
cranio-cervical flexion test (CCFT) procedure
inflate cuff to 20 mmHg
chin tuck to increase by 2, hold 10 sec
repeat until 30 mmHg
goal: 10 reps of 10 sec at 30 mmHg
+ test for neck flexor endurance test
F: <38.9
M: <29.4
which special test is done for cerivogenic HA?
cervical flexion-rotation test (CFRT)
+ test for cervical flexion-rotation test (CFRT)
10 deg or more different side-to-side in ROM
reproduction of HA sx
how to dose mobilization?
3-4 sets of 30 seconds
where to hold for OA joint mob?
C1 and occiput
pt forehead on delto-pectoral groove
how long to hold traction mob?
5-10 sec
repeat until sx reduce
what is the SNAG for?
increase rotation at C1-2
MET rx for AA rotation
hold 6 sec for 3-5 reps
SB away, rotate towards
look with eyes only away
cervicogenic HA treatment
1) oscillatory mob at C1 lamina
2) rotate head 30 deg ipsi, mob C2 lamina
3) neutral, mob C2 lamina
where to place hands for prone CT manip?
PT pisiform on pt’s TP of T1 (contra; ex: R pisiform on L TP)
stabilize head with other hand
how to position neck for prone CT manip?
SB away and rotate towards
where is force directed for prone CT manip?
downward/inferior
which segments are assessed for thoracic exam spring testing?
C7-L1
T/F: for UPAs (vertebra and rib), test unaffected side 1st
F
what is a good test to diff dx costochondritis of upper and anterior chest?
AP rib springing
which levels are assess for AP rib springing?
T1-T7
4 criteria to dx 1st rib dysfunction
- 1/2 in elevation superior
- (+) spring test
- (+) ipsilateral increased scalene tone
- (+) cervical rotation lateral flexion test
cervical rotation lateral flexion test procedure
flex head maximally
rotate head AWAY from tested side
+ cervical rotation lateral flexion test
flexion blocked with head rotated contralaterally
normal width of aortic pulse
2-3 cm
organs in R UQ
liver
gallbladder
duodenum
pancreas
R kidney
organs in R LQ
appendix
R ovary and tube
organs in L UQ
stomach
spleen
L kidney
pancreas
organs in L LQ
sigmoid colon
L ovary and tube
+ test for TOS special tests
diminished/disappearance of pulse
reproduction of neuro S&S
Where is force applied for supine thoracic gapping HVLAT?
Posterior
Where is force for prone upper t spine gapping HVLAT?
Anterior-inferior
PT pisiforms at both TPs of targeted segment
Where is force applied for prone thoracic spine gapping HVLAT?
Anterior (using screw mechanism)
How is pt’s head positioned for seated 1st rib joint play and mob? Force?
SB towards affected side
Inferno-lateral (towards opposite hip)
How is pt’s head positioned for seated 2nd rib joint play and mob? Force?
Head in neutral
Inferior force
indications to perform mandibular neurodynamic testing
numbness/tingling
tinnitus
direction of force for distraction mob of TMJ
anterior inferior
which mob should be done for TMJ lateral deficits?
anteromedial rotation
which mob should be done for TMJ protrusion deficits?
anterior mob
education on resting position of mouth
teeth apart
lips closed
tongue at roof of palate
