Neurology Boesler Flashcards
…..testing is CRITICAL.
MOTION
After the appropriate dx is obtained, one of the most important things to recognize is where you are on the continuum of…….
Compensation/Decompensation
Herniated Disk Pt. Numbness down leg, abnormal gait, is unable to do day to day activities, has foot drop. Are they compensated or decompensated?
Decompensated
Herniated Disk Pt with mild low back pain, no other symptoms. Compensated or Decompensated?
Compensated
Thoracic outlet syndrome patient. Frequent paresthesias,/numbness. Compensated or decompensated?
Decompensated
Pt presents with MS. Ocular changes are present, muscle spasticity, urinary incontinence, ataxic gait. Compensated or decompensated?
Decompensated
What OMT can you use in Stroke?
DIRECT Articulatory techniques (Still, Spencer techniques) and DIRECT Myofascial release. Only DIRECT treats contractures!! Lymphatic pumps are good too.
What do you not do in a hemorrhagic stroke?
CRANIAL
What did the study at NYCOM show in Parkinsons patients?
Using computerized 2D gait analysis, they showed that 14 DIRECT techniques showed STATISTICALLY SIGNIFICANT increase in stride length, cadence, and max velocities of upper and lower extremities (TQ).
Is a radiculopathy/herniated disk an absolute contraindication to HVLA?
No, relative. Depends on degree and length of herniations and time.
Pt presents with tension in their suboccipital muscles and no sensory changes, the best area to treat is?
OA.
Pt presents with headache that radiates up the back of their head with sensory changes. Best place to treat?
C2/C3
Where is the sphenoid on the side of the head where you are having a headache?
Lower. So with a left sided headache you have a RIGHT torsion.
Who is more prone to migraines, flexion or extension heads?
Extension.
Would you treat the thoracic inlet in a headache?
YES! It addresses the sympathetic component in the upper/mid thoracics!! Between T1 and L2.
