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Practical 1 Flashcards

1
Q

Dx in Neutral Cervical Compression

A

Cervical Radiculopathy

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2
Q

Anatomy being tested during Neutral Cervical Compression:

A
  • Nerve Roots
  • Cervical IVF’s
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3
Q

Pathophysiology during Neutral Cervical Compression:

A

Cervical nerve root compression due to:
- IVF stenosis
- Bone Spurs
- Disc Herniation
- Facet Hypertrophy
- Tumor

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4
Q

Arthrokinematics of Neutral Cervical Compression:

A

Flexion: A/S
Extension: P/I
Ipsilateral Rotation: P/I
Contralateral Rotation: A/S
Lateral Flexion (Ipsilateral): P/I

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5
Q

+ Sign & Symptoms during Neutral Cervical Compression:

A

Recreation of parenthesia down involved arm
(Numbness, Burning, Tingling)

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6
Q

Compensation during Neutral Cervical Compression:

A

Guarding & Apprehension

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7
Q

Dx in Spurling’s A:

A

Cervical Radiculopathy

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8
Q

Anatomy being tested during Spurling’s A:

A
  • Nerve Roots
  • Cervical IVF
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9
Q

Pathophysiology of Spurling’s A:

A

Cervical nerve root compression due to:
- IVF Stenosis
- Bone Spurs
- Disc Herniation
- Facet Hypertrophy
- Tumor

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10
Q

Arthrokinematics for Spurling’s A:

A

Flexion: A/S
Extension: P/I
Ipsilateral Rotation: P/I
Contralateral Rotation: A/S
Lateral Flexion (Ipsilateral): P/I

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11
Q

+ Sign & Symptoms during Spurling’s A:

A

Recreation of Paresthesia down involved arm
(Numbness, burning, tingling)

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12
Q

Compensation during Spurling’s A:

A

Guarding & Apprehension

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13
Q

Dx of Spurling’s B:

A

Cervical Radiculopathy

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14
Q

Anatomy being tested during Spurling’s B:

A
  • Nerve Roots
  • Cervical IVF
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15
Q

Pathophysiology of Spurling’s B:

A

Cervical nerve root compression due to:
- IVF Stenosis
- Bone Spurs
- Disc Herniation
- Facet Hypertrophy
- Tumor

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16
Q

Arthrokinematics during Spurling’s B:

A

Flexion: A/S
Extension: P/I
Ipsilateral Rotation: P/I
Contralateral Rotation: A/S
Lateral Flexion (Ipsilateral): P/I

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17
Q

+ Sign & Symptoms during Spurling’s B:

A

Recreation of Paresthesia down involved arm
(Numbness, burning, tingling)

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18
Q

Compensation during Spurling’s B:

A

Guarding & Apprehension

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19
Q

Dx for Maximal Cervical Compression:

A

Cervical Radiculopathy

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20
Q

Anatomy being tested during Maximal Cervical Compression:

A
  • Nerve Roots
  • Cervical IVF’s
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21
Q

Pathophysiology during Maximal Cervical Compression:

A

Cervical nerve roots compression due to:
- IVF Stenosis
- Bone Spurs
- Disc Herniation
- Facet Hypertrophy
- Tumor

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22
Q

Arthrokinematics during Maximal Cervical Compression:

A

Flexion: A/S
Extension: P/I
Ipsilateral Rotation: P/I
Contralateral Rotation: A/S
Lateral Flexion (Ipsilateral): P/I

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23
Q

Compensation during Maximal Cervical Compression:

A

Guarding & Apprehension

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24
Q

+ Signs & Symptoms during Maximal Cervical Compression:

A

Recreation of Paresthesia down involved arm
(Numbness, burning, tingling)

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25
Dx during Cervical Distraction:
Cervical Radiculopathy
26
Anatomy being tested during Cervical Distraction:
- Cervical Nerve roots - Cervical IVF’s
27
Pathophysiology during Cervical Distraction:
Cervical nerve root compression due to: - IVF Stenosis - Bone Spurs - Disc Herniation - Facet Hypertrophy - Tumor
28
Arthrokinematics during Cervical Distraction:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
29
+ Signs & Symptoms during Cervical Distraction:
Alleviation of Radicular symptoms or (decrease in paresthesia)
30
Compensation in Cervical Distraction:
Guarding, Inability to relax
31
Dx in Shoulder Abduction (Bakody’s):
Cervical Radiculopathy
32
Anatomy being tested in Shoulder Abduction (Bakody’s):
- Cervical Nerve Roots - Cervical IVF
33
Pathophysiology during Shoulder Abduction (Bakody’s):
Tethering of Cervical nerve root due to: - Stenosis - Bone Spurs - Cervical Disc Herniation
34
Arthrokinematics during Shoulder Abduction (Bakody’s):
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
35
+ Sign & Symptoms during Shoulder Abduction (Bakody’s):
Alleviation of Radicular Symptoms
36
Compensation during Shoulder Abduction (Bakody’s):
N/A
37
Dx during Arm Squeeze Test:
Cervical Radiculopathy
38
Anatomy being tested during Arm Squeeze Test:
- Cervical Nerve Roots - AC Joints - Subacromial Space
39
Pathophysiology during Arm Squeeze Test:
Cervical nerve roots compression due to: - IVF Stenosis - Bone Spurs - Disc Herniation - Facet Hypertrophy - Tumor
40
Arthrokinematics during Arm Squeeze Test:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
41
+ Sign & Symptoms during Arm Squeeze Test:
Arm Comprassion QVAS Score difference >3 when compared to AC & Subacromial space QVAS Scores
42
Compensation during Arm Squeeze Test:
N/A
43
Dx during Soto Hall:
- Cervical Strain - Cervical Sprain - Cervical Fracture - Cervical Derangement
44
Anatomy being tested during Soto Hall:
- Cervical Vertebrae - Cervical Ligamentous structures - Cervical Musculature
45
Pathophysiology during Soto Hall:
Due to Trauma Such as Whiplash: - Cervical Strain - Cervical Sprain - Cervical Fracture
46
Arthrokinematics during Soto Hall:
Flexion: A/S
47
+ Signs & Symptoms during Soto Hall:
Recreation of Localized Pain
48
Compensation during Soto Hall:
Guarding, Spasms, Apprehension
49
Dx during O’Donoghue Maneuver:
Cervical Sprain/Strain
50
Anatomy being tested during O’Donoghue Maneuver:
- Cervical Ligamentous structures - Cervical Musculature
51
Pathophysiology during O’Donoghue Maneuver:
Muscular or Ligamentous partial tear or inflammation due to trauma or whiplash
52
Arthrokinematics during O’Donoghue Maneuver:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
53
+ Signs & Symptoms during O’Donoghue Maneuver:
Recreation of localized pain w/ active ROM = muscular Recreation of localized pain w/ passive ROM = Ligamentous
54
Compensation during O’Donoghue Maneuver:
Guarding, Spasms & Apprehension
55
Dx during Sharp-Purser Test:
Cervical Instability
56
Anatomy being tested during Sharp-Purser Test:
- Atlas - Axis - Transverse Ligament
57
Pathophysiology during Sharp-Purser Test:
Ligamentous stability from trauma or whiplash, and systemic instability due to RA
58
Arthrokinematics during Sharp-Purser Test:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
59
+ Signs & Symptoms during Sharp-Purser Test:
Clunk or possible Alleviation of Symptoms
60
Compensation during Sharp-Purser Test:
Guarding or Apprehension
61
Dx during Lhermitte’s:
Cervical Myelopathy
62
Anatomy being tested during Lhermitte’s:
Spinal Cord Compression due to: - Cervical Canal - Cervical IVD
63
Pathophysiology during Lhermitte’s:
Spinal Cord Compression due to: - Spinal Stenosis - Disc Herniation - Disc Degeneration - Autoimmune Disorders - Or Other Trauma
64
Arthrokinematics during Lhermitte’s:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
65
+ Signs & Symptoms during Lhermitte’s:
Reproduction of Neurological Symptoms in the Cape-Like distribution/bilaterally (Electrical shock down arms & legs)
66
Compensation during Lhermitte’s:
Guarding or Apprehension
67
Dx during Brudzinski’s:
Meningitis
68
Anatomy tested during Brudzinski’s:
- Spinal Cord - Meninges
69
Pathophysiology during Brudzinski’s:
Inflammation of the Meninges which can be bacterial or viral
70
Arthrokinematics during Brudzinski’s:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
71
+ Signs & Symptoms during Brudzinski’s:
Relieve Symptoms by Bending the Knees
72
Compensation during Brudzinski’s:
Resistance to Movement
73
Dx during Kernig’s:
Meningitis
74
Anatomy being tested during Kernig’s:
- Spinal Cord - Meninges
75
Pathophysiology during Kernig’s:
Inflammation of the meninges which can be bacterial or viral
76
Arthrokinematics during Kernig’s:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
77
+ Signs & Symptoms during Kernig’s:
Cervical Extension to relieve Symptoms
78
Compensation during Kernig’s:
Resistance to Movement
79
+ Cervical tests that are Red Flags:
- Lhermitte - Sharp Purser test - Brudzinski - Kernigs - Rust Sign - Soto Hall
80
Dx During Shoulder Depression Test:
Brachial Plexopathy
81
Anatomy being tested during Shoulder Depression Test:
Brachial Plexus
82
Pathophysiology during Shoulder Depression Test:
Tethering/Tension of brachial Plexus due to trauma or pregnancy
83
Arthrokinematics during Shoulder Depression Test:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
84
+ Signs & Symptoms during Shoulder Depression Test:
Recreation of radicular symptoms (Numbness, burning, tingling, sharp & shooting pain)
85
Compensation during Shoulder Depression Test:
Guarding & Apprehension
86
Dx During Morley’s Compression (Morley’s Sign or Doorbell):
Brachial Plexopathy
87
Anatomy being tested during Morley’s Compression (Morley’s Sign or Doorbell):
- Brachial plexus - Interscalene Groove - scalene muscles
88
Pathophysiology during Morley’s Compression (Morley’s Sign or Doorbell):
Brachial Plexus Inflammation due to Trauma
89
Arthrokinematics during Morley’s Compression (Morley’s Sign or Doorbell):
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
90
+ Signs & Symptoms during Morley’s Compression (Morley’s Sign or Doorbell):
Recreation of radicular symptoms (Numbness, burning, tingling, sharp & shooting pain)
91
Compensation during Morley’s Compression (Morley’s Sign or Doorbell):
Guarding & Apprehension
92
Dx during Brachial Plexus Tension Test (BPTT):
Brachial Plexopathy
93
Anatomy being tested during Brachial Plexus Tension Test (BPTT):
Brachial Plexus
94
Pathophysiology during Brachial Plexus Tension Test (BPTT):
Tethering/tension of brachial plexus due to trauma or pregnancy
95
Arthrokinematics during Brachial Plexus Tension Test (BPTT):
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
96
+ Sings & Symptoms during Brachial Plexus Tension Test (BPTT):
Recreation of radicular symptoms (Numbness, burning, tingling, sharp & shooting pain)
97
Compensation during Brachial Plexus Tension Test (BPTT):
Guarding & Apprehension
98
Dx during Allen Maneuver:
TOS
99
Anatomy being tested during Allen Maneuver:
- Subclavian neurovascular bundle - Pec minor - Middle scalene
100
pathophysiology during Allen Maneuver:
Vascular insufficiency of TOS and/or nerve bundle compression from trauma, repetitive injuries, job/sports activities, certain anatomical defect and pregnancy
101
Arthrokinematics during Allen Maneuver:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
102
+ Sign & Symptoms during Allen Maneuver:
- No Radial Pulse - Diminished radial Pulse - Reproduction of neurogenic symptoms (paresthesia especially in the medial forearm)
103
Compensation during Allen Maneuver:
N/A
104
Dx during Adson’s Test:
TOS
105
Anatomy being tested during Adson’s Test:
- Subclavian neurovascular bundle - Anterior Scalene’s
106
Pathophysiology during Adson’s Test:
Vascular insufficiency of thoracic outlet and/or nerve bundle compression from physical trauma/car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy.
107
Arthrokinematics during Adson’s test:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
108
Arthrokinematics during Halstead’s test:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
109
Arthrokinematics during Eden’s Maneuver:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
110
Arthrokinematics during Wright’s test:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
111
Arthrokinematics during Roos Test:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
112
Arthrokinematics during Shoulder Girdle Passive Elevation test:
Flexion: A/S Extension: P/I Ipsilateral Rotation: P/I Contralateral Rotation: A/S Lateral Flexion (Ipsilateral): P/I
113
Pathophysiology during Halstead’s test:
Vascular insufficiency of thoracic outlet and/or nerve bundle compression from physical trauma/car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy.
114
Pathophysiology during Eden’s Maneuver:
Vascular insufficiency of thoracic outlet and/or nerve bundle compression from physical trauma/car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy.
115
Pathophysiology during Wright’s test:
Vascular insufficiency of thoracic outlet and/or nerve bundle compression from physical trauma/car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy.
116
Pathophysiology during Roos Test:
Vascular insufficiency of thoracic outlet and/or nerve bundle compression from physical trauma/car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy.
117
Pathophysiology during Shoulder Girdle Passive Elevation test:
Vascular insufficiency of thoracic outlet and/or nerve bundle compression from physical trauma/car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy.
118
+ Signs & Symptoms during Adson’s Test:
No radial pulse, Diminished radial pulse, reproduction of neurogenic symptoms such as paresthesia down the arm specially in the medial forearm
119
+ Signs & Symptoms during Halstead’s Test:
No radial pulse, Diminished radial pulse, reproduction of neurogenic symptoms such as paresthesia down the arm specially in the medial forearm
120
+ Signs & Symptoms during Eden’s test:
No radial pulse, Diminished radial pulse, reproduction of neurogenic symptoms such as paresthesia down the arm specially in the medial forearm
121
+ Signs & Symptoms during Wright’s test:
No radial pulse, Diminished radial pulse, reproduction of neurogenic symptoms such as paresthesia down the arm specially in the medial forearm
122
+ Signs & Symptoms during Roos Test:
Reproduction of neurogenic symptoms such as paresthesia down the arm specially in the medial forearm.
123
+ Signs & Symptoms during Shoulder Girdle Passive elevation test:
Relieve paresthesia symptoms such as numbness, burning, and tingling, and improve in vascular circulation.
124
Dx during Shoulder Girdle Passive Elevation test:
TOS
125
Dx during Roos test:
TOS
126
Dx during Wright’s Test:
TOS
127
Dx during Eden’s Maneuver:
TOS
128
Dx during Halstead’s test:
TOS
129
Compensation during Adson’s test:
Trunk Rotation
130
Anatomy being tested during Halstead’s test:
- Subclavian neurovascular bundle - Middle scalene’s
131
Compensation during Halstead’s test:
Trunk Rotation
132
Anatomy being tested during Eden’s maneuver:
- Subclavian neurovascular bundle - First Rib - Clavicle
133
Compensation during Eden’s Maneuver:
N/A
134
Anatomy being tested during Wright’s Test:
- Subclavian neurovascular bundle - Pec minor - First Rib - Clavicle
135
Compensation during Wright’s test:
Lateral Flexion of the trunk
136
Anatomy being tested during Roos test:
Subclavian neurovascular bundle
137
Compensation during Roos Test:
Dropping the arm below 90 degrees of ABduction
138
Anatomy being tested during Shoulder Girdle passive Elevation Test:
Subclavian Neurovascular Bundle
139
Compensation during Shoulder Girdle Passive Elevation Test:
N/A
140
Brachial Plexopathy Tests:
1) Shoulder Depression test 2) Morley’s Compression 3) BPTT
141
TOS Tests:
1) Allen Maneuver 2) Adson’s Test 3) Halstead’s Test 4) Eden’s 5) Wright’s Test 6) Roos Test 7) Shoulder Girdle passive Elevation Test
142
Tests for brachial Plexus ONLY:
1) Shoulder Depression Test 2) BPTT
143
“Bundle” Definition
Nerves, Veins & Arteries
144
Decreased Pulse w/ Arm raise means:
Issue with pec Minor
145
Decreased pulse with Arm raised + Head turned:
Issue with Middle Scalene
146
What test do you put your thumb in the patients Supraclavicular groove?
Morley’s Compression
147
What tests include tethering of the Brachial plexus due to trauma or pregnancy?
1) Shoulder Depression test 2) BPTT
148
What level does the Brachial Plexus start?
C5
149
What creates a Brachial Plexopathy?
Traction or Compression

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