MSK- Spine

Question 1

What is the order of feel, look, move

Answer 1

1) Look
2) Feel
3) Move

Question 2

1) Look

Answer 2

-Examine the posterior side
Scoliosis and Posture

Side- Lateral Position:
Cervical lordosis
Thoracic Kyphosis
Lumbar Lordosis

Question 3

What is cervical Lordosis?

Answer 3

-This is a good feature of the spine and is when it forms a healthy S shape

Question 4

What is Thoracic Kyphosis?

Answer 4

This is when the thoracic part of the spine becomes bent inwards (bad posture)

Question 5

What is Lumbar Lordosis?

Answer 5

Inwards curve of the lumbar spine (back sticks out)- c shape

Question 6

What shape is a healthy spine?

Answer 6

S Shaped
C shaped at the top (Cervical part and Thoracic part)

Question 7

Feel:

Answer 7

Lymph Nodes:
-patient shrug their shoulders and feel inside the gaps
-Press down harder- spider finger direction

-Supraclavicular
**feel the base of the spine
-indentations suggests sponlyethesis (vertebrae slips forward)
-Mid line- spinous processes
-Paraspinal muscles
-Iliac crest lines- sacral part, more clear when bend bakc with hands on hips
-Chest expansion

Chest Expansion:
X2 thumbs touching at back

Question 8

Move:

Answer 8

Cervical Spine (neck)
-flexion
-extension
-Lateral - look left and right
-Rotation

Lumbar Spine:
-Flexion
-Extension
-Lateral flexion

Special test:
Schober

Question 9

How do you carry out the Schober Test?

Answer 9

-Put a dot at 10cm above and 5cm below iliac crests.
-get the patient to bend forwards.
-The line should be >20cm

-Identifies Ankolysing Spondilitis (inflammatory pain- inflammation of the spine)

Question 10

How to palpate lymph nodes

Answer 10

Get the patient to shrug theit shoulders and feel HARD in the spaces
-press hard (spidery finger order) and do it slower