Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

MSK Upper Quadrant > MSK UQ Practical > Flashcards

MSK UQ Practical Flashcards

1
Q

Perform an UQ Scanning Exam from start to finish.

A

Observation/pt history

Cervical AROM (OP as appropriate)

UE ROM (shoulder, elbow, wrist, hand)

Myotomes (C5-T1)

Dermatomes (C4-T1)

Cervical compression/distraction

NPT (ULTT 1)

Common UQ DTRs

Pathologic reflexes

Palpation (pulses, glands, lymph nodes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cervical AROM (During UQ Scan)

A

UQ and NPT Lab

Slide 13

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

At what point during observing ROM should you apply OP? What about resistance?

A

OP applied if pt performs AROM without pain - pain, however, is ONLY contra (an observable deficit does not prevent you from proceeding with OP)

Resisted testing not utilized in the case of a screen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

C-Spine Goniometry Measurements

Flexion / Extension

R / L SB

R / L Rotation

A

Flexion (80-90) / Extension (60-70):
Axis: External Auditory Meatus
Stationary Arm: Perpendicular to ground
Moving Arm: Base of nose

R / L SB (20-45):
Axis: C7 SP
Stationary Arm: T-spine
Moving Arm: Midline of head (Occipital Protuberance)

R / L Rotation (75-90):
Axis: Center of head
Stationary Arm: Parallel to line between acromion processes
Moving Arm: Tip of the nose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

UE AROM (During UQ Scan)

A

UQ and NPT Lab

Slide 14

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Shoulder Goniometry Measurements

Flexion

Abduction

ER / IR

A

Flexion (180): Pt supine w/ knees flexed
Axis: Greater Tubercle
Stationary Arm: Midaxillary line
Moving Arm: Lateral Epicondyle

Abduction (180): Pt supine w/ elbow flexed and shoulder in ER
Axis: Anterior Acromion
Stationary Arm: Parallel to midline of sternum
Moving Arm: Anterior midline of humerus (Medial Epicondyle)

ER (90) / IR (70): Pt supine with shoulder abducted to 90 degrees / elbow flexed to 90 degrees (towel under distal humerus)
Axis: Olecranon Process
Stationary Arm: Perpendicular to ground
Moving Arm: Midline of Ulna (towards ulnar styloid process)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Elbow Goniometry Measurements

Flexion / Extension

A

0-150 degrees

Pt supine w/ forearm supinated
Axis: Lateral Epicondyle
Stationary Arm: Acromion
Moving Arm: Lateral midline of Radius (Radial Styloid Process)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Wrist Goniometry Measurements

Flexion / Extension

A

Flexion (80) / Extension (70)

Pt sitting w/ proximal forearm supported, shoulder abducted and elbow extended
Axis: To the side of Triquetrum (medial wrist in anatomical position)
Stationary Arm: Lateral midline of Ulna
Moving Arm: Midline of 5th metacarpal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

UE Myotomes (C5 - T1)

A

UQ and NPT Lab

Slide 15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How long should you hold the resistance position when testing Myotomes?

A

3-5 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How does the interpretation of an MMT differ from that of a Myotome?

A

Assessing spinal nerve root vs peripheral nerve function in a Myotome, NOT assessing specific muscle function (MMT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the next step if weakness is noted or suspected in a certain Myotome?

A

Repeat test for 3+ reps

Neurologic weakness is fatiguable, muscle weakness is not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

UE Dermatomes (C4-T1)

A

UQ and NPT Lab

Slide 16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cervical Compression / Distraction

A

UQ and NPT Lab

Slide 18

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Should you do Cervical Compression or Distraction first? How long do you maintain pressure in each position?

A

Do compression first

Maintain pressure 5-8 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does pain reproduced with Cervical Compression suggest?

A

Disc herniation

Vertebral end plate / body fracture

Acute arthritis / joint inflammation

Nerve root irritability (if radicular symptoms produced)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does pain reproduced with Cervical Distraction suggest?

A

Spinal Ligament tear

Tear / inflammation of AF

Muscle spasm

Large disc herniation

Dural irritability (if non-radicular arm pain produced)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

ULTT 1

A

UQ and NPT Lab

Slide 33

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

If the ULTT1 is positive during an UQ scan, what should you do next?

A

ULTT 2 (Radial N.) + ULTT 3 (Ulnar N.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Median Nerve Glides

A

USING ARM OF AFFECTED SIDE

UQ and NPT Lab

Slide 34

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

UQ DTRs

A

UQ and NPT Lab

Slide 20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Muscles / Spinal Levels Involved in UE DTRs

A

Biceps (C5-6)

Brachioradialis (C5-6)

Triceps (C7-8)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

DTR Grading Scale

A

0 - Absent
1 - Slight (Hyporeflexia)
2 - Normal
3 - Brisk (still normal)
4 - Enhanced (Hyperreflexia , clonus if present)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Pathologic Reflexes

Hoffman / Babinski / Lhermitte

A

UQ and NPT Lab

Slides 20 and 21

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Cranial Nerve Testing
*CN I:* Cover 1 nostril / with pt's EC have them identify smell *CN II/CN III:* Shield 1 eye and shine light obliquely in other / look for constriction of both pupils / do on both sides *CN IV/CN VI:* "H" test / down and in for CN IV (sup. oblique) / abduction (lateral rectus) *CN V:* Palpate masseter and temporalis while pt clinches teeth / sensation testing on forehead , cheekbone, jaw *CN VII:* Smile, frown, raise eyebrows / taste on anterior 2/3 tongue (watch for tongue deviations toward weak side for CN XII) *CN VIII:* 30 seconds looking at thumb with c-spine rotation / pt EC rub fingers together on each side (when do you hear it? / do they sound the same?) *CN IX/CN X:* Speech ("Can you repeat these 3 words after me?") *CN XI:* Resisted shoulder shrug
26
Pulse Assessment
UQ and NPT Lab Slide 25
27
When looking to assess pulse points, what should you do if you do NOT suspect any circulatory problems?
Go straight to distal pulse (Radial / Ulnar)
28
Pulse Grading Scale
0 - Absent 1 - Markedly reduced 2 - Slightly reduced 3 - Normal 4 - Bounding
29
Thyroid Gland and Deep Cervical Palpation
UQ and NPT Lab Slide 26
30
Neurodynamic Mobilizations (Types)
Glides: Least aggressive - ideal for highly irritable nerve / oscillatory, alternating on:off positions / 2-3 sets of 10-20 reps Tensioners: Medium aggression / alternating on:on and off:off positions / 2-3 sets of 10-20 reps Stretches: Most aggressive / sustained / find sensitized position and hold for 10-15 seconds (3-5 reps) - maintain position of joint proximal to sensitizer during glide Can start with oscillatory glides and progress to longer duration stretches as symptoms reduce
31
Slump Test
UQ and NPT Lab Slide 31
32
Slump Test Nerve Glides
UQ and NPT Lab Slide 32
33
ULTT 2
UQ and NPT Lab Slide 35
34
Radial Nerve Glides
USING ARM OF AFFECTED SIDE UQ and NPT Lab Slide 36
35
ULTT 3
UQ and NPT Lab Slide 37
36
Ulnar Nerve Glides
USING ARM OF AFFECTED SIDE UQ and NPT Lab Slide 38
37
At what point should you decide to perform the Cervical Spine Clearing Tests?
First! Always! Even before deciding whether or not to scan
38
Cervical Spine Clearing Tests
Cervical Exam Lab Slides 17-21
39
Upper Cervical AROM (Cervical Exam)
Cervical Exam Lab Slide 25
40
Lower Cervical AROM (Cervical Exam)
Cervical Exam Lab Slide 26
41
How do you proceed if pain is present during AROM but no deficit? What if there is a combination of pain and a ROM deficit?
If there is pain and no deficits, check to see if pain continues during PROM If there is pain AND ROM deficits, assess PROM in supine
42
Cervical Muscle Strength (MMT)
Cervical Exam Lab Slide 30
43
In what position do you perform MMT related to cervical motions?
Neutral
44
What spinal levels / cranial nerves are involved in the following MMTs: Cervical Flexion Cervical L/R SB Cervical L/R Rotation
Flexion: C1-2 and CN XI L/R SB: C3 and CN XI L/R Rotation: C2
45
Upper Trapezius Muscle Length Test
Pt supine / flex, contra SB, ipsilateral rotation / PT depresses ipsilateral shoulder Normal Muscle Length: ~45 degrees of rotation with soft barrier at end range Decreased Muscle Length: <45 degrees of rotation and/or hard barrier at end range
46
Levator Scapulae Muscle Length Test
Pt supine / flex, contralateral rotation and SB / PT depresses ipsilateral shoulder Normal Muscle Length: ~45 degrees of rotation with soft barrier at end range Decreased Muscle Length: <45 degrees of rotation and/or TTP at muscle insertion
47
SCM Muscle Length Test
Pt supine / contralateral SB with extension / PT stabilizes ipsilateral shoulder and rotates neck ipsilaterally Normal Muscle Length: Equal ROM bilaterally Decreased Muscle Length: Unequal ROM bilaterally w/ or w/o TTP and hypertonicity
48
Scalenes Muscle Length Test
Pt in supine / extension and contralateral SB while stabilizing ipsilateral shoulder Normal Muscle Length: ~45 degrees of SB ROM Decreased Muscle Length: <45 degrees of SB ROM w/ or w/o TTP and hypertonicity
49
OA Joint Mobility
Assessment For: Opening Restriction on R: CV flexion and L to R sideglide Opening Restriction on L: CV flexion and R to L sideglide Closing Restriction on R: CV extension and R to L sideglide Closing Restriction on L: CV extension and L to R sideglide Observing for normal mobility or hyper- / hypo mobility at each segment - facet joint dysfunction
50
AA Joint Mobility
PT flexed mid-lower c-spine to “take up slack” / PT rotates to L followed by R Assessing for normal mobility or hyper- / hypo mobility at each segment
51
Joint Mobility - PA Springing (C2 - T1)
Prone CPAs: PT’s thumb on or around SP / assess C1 - T1 Prone R and L UPAs (not necessary if CPA is clear): PT’s thumbs on or around lamina / assess R and L sides of C1 - T1 *Have pt flex neck towards plinth* *Assess for hyper- / hypomobility at each segment* *Do in addition to joint mobility sideglides*
52
Joint Mobility - Side Glides (C2 - T1)
In Flexion: PT flexes neck up to segment being assessed / glide R to L to open L side and L to R to open R side / repeat action at each segment In Extension: PT extends neck up to segment being assessed / glide R to L to close R side and L to R to close L side / repeat action at each segment Line of force at 45 degrees (to resemble facet joint orientation) Assess for hyper- or hypomobility at each segment
53
In the context of Cervical Compression and Distraction as a *special test,* what are we looking for?
Type / severity of symptoms Radiculopathy / extreme pain (fracture) / mild concordant pain (facet irritation)
54
Spurling Test
Compresses foramina to test for cervical radiculopathy Pt seated with PT standing behind pt PT asks pt to SB head and then applies an inferior force (towards floor) for 5-8 seconds - stabilize shoulder contra to SB Test is repeated on opposite side (+) test = reproduction of symptoms into ipsilateral UE
55
What would prompt you to perform the Cranio-Cervical Flexion Test (CCFT)?
If you suspect instability / are thinking about placing pt in WAD bucket
56
What would prompt you to perform the Neck Flexor Endurance Test?
If you suspect instability / are thinking about placing pt in WAD bucket
57
Cranio-Cervical Flexion Test (CCFT)
Good for putting peeps in Neck Pain w/ Movement Coordination Impairments (WAD) / stability bucket Assesses activation and endurance of deep cervical neck flexors Pt supine in hooklying with head and neck in neutral / BP cuff placed under lordotic curve of c-spine (to fill in gaps of lordosis) / inflate cuff to 20 mmHg and add 2 mmHg each time - 10 second hold at each interval until 30 mmHg Test ends when pt is no longer able to maintain desired pressure for 10 seconds Activation Score = Max pressure achieved and held for 10 seconds Performance Index = (Max pressure achieved and held for 10 seconds) x (# of reps that max pressure was maintained for 10 seconds, up to 10 reps)
58
Neck Flexor Endurance Test
Good for putting peeps in Neck Pain w/ Movement Coordination Impairments (WAD) / stability bucket Assesses for neck flexor endurance and motor control Pt supine in hooklying position / pt tucks chin and lifts head ~1 inch off table while maintaining chin tuck Tests ends when pt is no longer able to maintain chin tuck / head falls back to the table / neck extends (+) test for men = <38.9 seconds, <29.4 seconds for women
59
What would prompt you to do the Cervical Flexion-Rotation Test (CFRT)?
If you suspect Neck Pain w/ Cervicogenic HA bucket
60
Cervical Flexion-Rotation Test (CFRT)
ONLY do if you suspect Neck Pain w/ Cervicogenic HA Bucket Assessing for presence of cervicogenic HA (ROM and symptom provocation test) Pt in supine w/ PT at pt's head (resting symptoms are noted) / pt asked to maximally flex head and hold that position / PT applies pressure throughout full rotation to both sides and notes any change in symptoms (+) test = rotation ROM loss to 1 side > or = 10 degrees compared to opposite side and/or reproduction/exacerbation of pt's symptoms
61
Shoulder Abduction Test
Assess for presence of radicular symptoms Shortens distance nerve has to travel / takes pressure off Pt seated and asked to place hand of affected limb on top of head (+) test = pt's symptoms are reduced or relieved with testing position - Cervical Radiculopathy

MSK Upper Quadrant (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions