Miscellaneous Flashcards
BLT is classified as what kind of technique
Passive and indirect
FPR is classified as what kind of technique
Passive and indirect
Classification of Still technique
Passive, indirect THEN direct
What is galbreath technique
Mandibular drainage;
- One hand under the pt’s head and have patient relax their jaw (open mouth slightly)
- Place 3-5 digits and the posterior ramus of the mandible with hypothenar eminence on the body of mandible
- Pull the mandible anterior and towards midline
Contraindicate in pts w/ TMJ
Where do you place your fingers for alternating nasal pressure
Medial superior aspect of the orbit
Areas you address for trigeminal stimulation
V1 branch (ophthalmic): Supraorbital foramen
V2 branch (maxillary): infraorbital foramen V3 (mandibular) branch: Mental foramen
Sphenopalatine ganglion consists of what nervers?
PSNS: CN VII pre-ganglionic fibers synapse here
SNS: pre-ganglionics from T1-4 and superior cervical ganglion pass through here but DO NOT SYNAPSE
Spurling test; what does it test for and how to do it
Tests for narrowing of neural foramina;
Sidebend and backward bend head, then add compression; positive if pain radiates to ipsilateral side
Underburg test; what does it test for and how to do it
Tests for vertebral artery insufficiency
Patient is supine
Backward bend (extend) and rotate head
Positive with dizziness, nausea, lightheadedness
General theme of FPR
Neutral; Compression; ease
General theme of Still technique
Ease, compression, barrier
Drop arm test; what does it test for and technique
Tests for rotator cuff tear;
Passively raise pts arm straight laterally, then ask them to slowly lower it. Positive if the arm “drops” (they can’t slowly lower it)
Yergasons test
Shake hands with pt while you monitor the biccipital groove. Have patient pronate their hand against you.
Positive if biccipital tendon “clicks” out out place
Tests for biccipital tendinitis
Fulford technique of the shoulder
- Place fingers of one hand on the clavicle and thumb of the same hand on the spine of the scapula to monitor the shoulder
- Internally rotate shoulder at elbow joint putting the forearm behind the patient’s back
- Apply compressive force superior into shoulder
- Circumduct shoulder posteriorly until the joint returns to the position of ease
Order of spencer technique on the shoulder
- Extension
- Flexion
- Circumduction with compression
- Circumduction with traction
- Abduction then adduction
- Internal rotation
- Traction stretch
Still technique of distal clavicle
Use when DISTAL CLAVICLE is elevated;
Baseball throwing motion (Still LOVED baseball)
Still technique of proximal clavicle
Backstroke
Adson’s test
While checking the pulse;
Have pt extend neck and turn head toward the affected side. Note if pulse diminishes
(compression by ant and mid scale)ANTERIOR SCALENE SYNDROME
Wright’s test
Abduct the patients arm while checking the pulse; note if pulse diminishes
(Compression by pec minor and thoracic cage)HYPERABDUCTION SYNDROME
Halstead/Military test
- Physician takes pulse and applies traction on the patient’s arm.
- Patient retracts and depresses scapula, protrudes chest and extend and rotate head away
(Compression by clavicle and first rib; COSTOCLAVICULAR SYNDROME)
If you do the straight leg raise and there is pain in 35-70 degree range, where is the problem
Sciatic nerve; lower leg slightly and dorsiflex foot to confirm
If there is pain with the straight leg raise >70 degrees, where is the problem
Hip or joint problem
Hoover test
For malingerers
- Pt supine and physician holds beneath the calcaneus
- When patient raises one leg it should create pressure on opposite heel; if it doesn’t suspect malingering
Patrick’s test (FABER)
Flexed, abducted, externally rotated
Tests for dysfunction at hip or sacroiliac joint
Galeazzi test
Tests for long bone symmetry
Patient is supine with knees flexed to 90 degrees and feet together on table with heels even. Physician monitors from anterior and lateral view.
Anterior view shows discrepancy in TIBIAL length
Lateral view shows discrepancy in FEMUR length
Rectus femoris test is a modified form of what test
Thomas test; have legs hang off the table instead of on the table
Ober test
Tests for iliotibial band tightness
- Abduct leg to full ROM and flex knee 90 degrees
- Release abducted leg
- Knee should drop towards table; if it doesn’t tight IT band
Spencer technique of the hip
- Flexion
- Extension
- Circumduction with compression
- Circumduction with traction
- Internal rotation
- External rotation
- Abduction
- Adduction
Fulford technique of the hip
- Pt is supine, you stand on the same side you are testing
- Flex hip and knee to 90 degrees
- Cephalad hand grabs over the superior surface of patella b/w
- Other hand grabs under foot and places it into dorsiflexion
- Flex knee/hip till barrier is reached then extend to table
- Flex kee again, take into external rotation then extend to the table
- Do the same as six but instead take hip into internal rotation