NMS I cervicals Flashcards
rust’s sign positive
pt holds neck up
rust’s sign meaning
instability
perform libman’s
push on mastoids
Libman’s positive
low threshold
Libman’s meaning
interpreting pain threshold
perform bakody’s
pt puts hand on head
bakody’s positive
pain disappears
bakody’s meaning
cervical NR compression
perform reverse bakody’s
pt puts hand on head
reverse bakody’s positive
pain
reverse bakody’s meaning
interscalene compression
perform bikele’s
abduct arm, extend arm posteriorly, extend elbow
bikele’s positive
pain
bikele’s meaning
meningitis
perform dejerine’s
pt coughs, sneezes, bears down
dejerine’s positive
pain
dejerine’s meaning
SOL
perform swallowing test
pt swallows water
swallowing test positive
pain or difficulty
swallowing test meaning
SOL
perform naffziger’s
put pressure on jugular veins for 30-40 seconds
naffziger’s positive
pain
naffziger’s meaning
NR compression, strain, sprain
perform distraction test
pull up on head
distraction test positive
relief of pain
distraction test meaning
IVF encroachment, NR compression, facet
perform foraminal compression
push on head when rotated
foraminal compression positive
pain
foraminal compression meaning
localized: foraminal encroachment
radiating: NR compression
perform barre-lieou
pt rotates head side to side
barre-lieou positive
dizziness, nauseam nystagmus, blurred vision, faintness, syncope
barre-lieou meaning
VBAI
perform vertebrobasilar functional maneuver
listen for bruits in carotid and subclavian arteries, then palpate if none
vertebrobasiliar functional maneuver positive
bruit present
vertebrobasiliar functional maneuver meaning
murmur
perform dekleyn’s
head off table, rotate and hold on each side
dekleyn’s positive
dizziness, nausea, nystagmus, blurred vision, faintness
dekleyn’s meaning
VBAI
perform lhermitte’s
flex head
lhermitte’s positive
radiating sharp pain
lhermitte’s meaning
cervical myelopathy
perform o’donahue’s
active cervical ROM then resisted cervical ROM
o’donahue’s positive
pain
o’donahue’s meaning
active: strain
passive: sprain
perform kernig
flex leg, extend leg
kernig positive
pain, knee buckles
kernig meaning
meningitis
perform brudzinski
pt is laying down, flex head
brudzinski positive
knees flex
brudzinski meaning
meningitis
perform shoulder depressor
laterally flex head and push down on shoulder
shoulder depressor positive
pain
shoulder depressor meaning
brachial plexitis, NR
perform soto hall
hand on sternum and active flexion of head, then passive flexion of head
soto hall positive
pain
soto hall meaning
fx, subluxation, disc, sprain, strain