Pain Eval Lab Flashcards
Tibial n
DF/EV
Sural N
DF/ INV
Fibular N
PF/INV
Median N
Stabilize Scap
Forearm supination
shoulder abd to 90
W/F/TH Ext
Shoulder ER
Elbow Ext
Radial N
Scapular depression
elbow extension
shoulder IR
Forearm pronation
W/Th/F Flexion/UD
Shoulder Abd
Ulner N
W/F ext
Forearm pro
elbow flex
scap depression
shoulder ER
Shoulder abd
Median N palpation
- mid humerus: abd shoulder to 90, med n is just under biceps on ant-med aspect of arm
- elbow: med to biceps tendon in cubital fossa
- carpal tunnel: very deep so we use indirect palpation –> slowly apply pressure over tunnel
Radial N Palpation
- upper arm: 90 shoulder abd and ER, just distal to axilla
- distal humerus: 3-4 finger widths distal to deltoid tuberosity - runs oblique
- lateral forearm: just proximal to styloid process - 3-4 finger width prox along radial aspect of radius
- anatomical snuffbox: come up from dorsal aspect and push dorso radially
Ulnar N palpation
- mid hum: 90 abd, 90 ER - post to biceps and med n on medial hum
- elbow: cubital tunnel - prox and distal to tunnel
- Guyon canal - start at pisiform, move still and toward little finger - press Doral and try rolling over - just med to hamate
sciatic n palpation - prone
- 1/2 way between isch tub and greater troch - nerve in bottom 1/3 of that line - deep
- wont typically feel nerve but may illicit symptoms
tibial n palpation
- supine, flexed hip/knee to 90
- popliteal fossa between ST and biceps tendon
- superficial
fibular n palpation
- just med to BF
- superficial fibular - ankle PF/INV - can see on dorsum of foot
- deep fib - webspace of big toe ew
sural n palpation
- one hand width above lat Mal
- one CM below lat Mal - palpate perpendicular to bottom of foot
laterality testing
a) Form of motor imagery – pt. imagines left hand in orientation of left had stimuli
b) Implicit motor imagery – patient is unaware of imagined movement
c) Activates cortical (prefrontal) network involved in limb representation and preparation for movement
d) Does NOT activate motor cortices
limb laterality testing
use affected body part or part nearby on the homunculus