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
Q

Dx during Cervical Distraction:

A

Cervical Radiculopathy

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26
Q

Anatomy being tested during Cervical Distraction:

A
  • Cervical Nerve roots
  • Cervical IVF’s
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27
Q

Pathophysiology during Cervical Distraction:

A

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

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28
Q

Arthrokinematics during Cervical Distraction:

A

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

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29
Q

+ Signs & Symptoms during Cervical Distraction:

A

Alleviation of Radicular symptoms or (decrease in paresthesia)

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30
Q

Compensation in Cervical Distraction:

A

Guarding, Inability to relax

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31
Q

Dx in Shoulder Abduction (Bakody’s):

A

Cervical Radiculopathy

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32
Q

Anatomy being tested in Shoulder Abduction (Bakody’s):

A
  • Cervical Nerve Roots
  • Cervical IVF
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33
Q

Pathophysiology during Shoulder Abduction (Bakody’s):

A

Tethering of Cervical nerve root due to:
- Stenosis
- Bone Spurs
- Cervical Disc Herniation

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34
Q

Arthrokinematics during Shoulder Abduction (Bakody’s):

A

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

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35
Q

+ Sign & Symptoms during Shoulder Abduction (Bakody’s):

A

Alleviation of Radicular Symptoms

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36
Q

Compensation during Shoulder Abduction (Bakody’s):

A

N/A

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37
Q

Dx during Arm Squeeze Test:

A

Cervical Radiculopathy

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38
Q

Anatomy being tested during Arm Squeeze Test:

A
  • Cervical Nerve Roots
  • AC Joints
  • Subacromial Space
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39
Q

Pathophysiology during Arm Squeeze Test:

A

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

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40
Q

Arthrokinematics during Arm Squeeze Test:

A

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

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41
Q

+ Sign & Symptoms during Arm Squeeze Test:

A

Arm Comprassion QVAS Score difference >3 when compared to AC & Subacromial space QVAS Scores

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42
Q

Compensation during Arm Squeeze Test:

A

N/A

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43
Q

Dx during Soto Hall:

A
  • Cervical Strain
  • Cervical Sprain
  • Cervical Fracture
  • Cervical Derangement
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44
Q

Anatomy being tested during Soto Hall:

A
  • Cervical Vertebrae
  • Cervical Ligamentous structures
  • Cervical Musculature
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45
Q

Pathophysiology during Soto Hall:

A

Due to Trauma Such as Whiplash:
- Cervical Strain
- Cervical Sprain
- Cervical Fracture

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46
Q

Arthrokinematics during Soto Hall:

A

Flexion: A/S

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47
Q

+ Signs & Symptoms during Soto Hall:

A

Recreation of Localized Pain

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48
Q

Compensation during Soto Hall:

A

Guarding, Spasms, Apprehension

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49
Q

Dx during O’Donoghue Maneuver:

A

Cervical Sprain/Strain

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50
Q

Anatomy being tested during O’Donoghue Maneuver:

A
  • Cervical Ligamentous structures
  • Cervical Musculature
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51
Q

Pathophysiology during O’Donoghue Maneuver:

A

Muscular or Ligamentous partial tear or inflammation due to trauma or whiplash

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52
Q

Arthrokinematics during O’Donoghue Maneuver:

A

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

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53
Q

+ Signs & Symptoms during O’Donoghue Maneuver:

A

Recreation of localized pain w/ active ROM = muscular
Recreation of localized pain w/ passive ROM = Ligamentous

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54
Q

Compensation during O’Donoghue Maneuver:

A

Guarding, Spasms & Apprehension

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55
Q

Dx during Sharp-Purser Test:

A

Cervical Instability

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56
Q

Anatomy being tested during Sharp-Purser Test:

A
  • Atlas
  • Axis
  • Transverse Ligament
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57
Q

Pathophysiology during Sharp-Purser Test:

A

Ligamentous stability from trauma or whiplash, and systemic instability due to RA

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58
Q

Arthrokinematics during Sharp-Purser Test:

A

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

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59
Q

+ Signs & Symptoms during Sharp-Purser Test:

A

Clunk or possible Alleviation of Symptoms

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60
Q

Compensation during Sharp-Purser Test:

A

Guarding or Apprehension

61
Q

Dx during Lhermitte’s:

A

Cervical Myelopathy

62
Q

Anatomy being tested during Lhermitte’s:

A

Spinal Cord Compression due to:
- Cervical Canal
- Cervical IVD

63
Q

Pathophysiology during Lhermitte’s:

A

Spinal Cord Compression due to:
- Spinal Stenosis
- Disc Herniation
- Disc Degeneration
- Autoimmune Disorders
- Or Other Trauma

64
Q

Arthrokinematics during Lhermitte’s:

A

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

65
Q

+ Signs & Symptoms during Lhermitte’s:

A

Reproduction of Neurological Symptoms in the Cape-Like distribution/bilaterally
(Electrical shock down arms & legs)

66
Q

Compensation during Lhermitte’s:

A

Guarding or Apprehension

67
Q

Dx during Brudzinski’s:

A

Meningitis

68
Q

Anatomy tested during Brudzinski’s:

A
  • Spinal Cord
  • Meninges
69
Q

Pathophysiology during Brudzinski’s:

A

Inflammation of the Meninges which can be bacterial or viral

70
Q

Arthrokinematics during Brudzinski’s:

A

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

71
Q

+ Signs & Symptoms during Brudzinski’s:

A

Relieve Symptoms by Bending the Knees

72
Q

Compensation during Brudzinski’s:

A

Resistance to Movement

73
Q

Dx during Kernig’s:

A

Meningitis

74
Q

Anatomy being tested during Kernig’s:

A
  • Spinal Cord
  • Meninges
75
Q

Pathophysiology during Kernig’s:

A

Inflammation of the meninges which can be bacterial or viral

76
Q

Arthrokinematics during Kernig’s:

A

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

77
Q

+ Signs & Symptoms during Kernig’s:

A

Cervical Extension to relieve Symptoms

78
Q

Compensation during Kernig’s:

A

Resistance to Movement

79
Q

+ Cervical tests that are Red Flags:

A
  • Lhermitte
  • Sharp Purser test
  • Brudzinski
  • Kernigs
  • Rust Sign
  • Soto Hall
80
Q

Dx During Shoulder Depression Test:

A

Brachial Plexopathy

81
Q

Anatomy being tested during Shoulder Depression Test:

A

Brachial Plexus

82
Q

Pathophysiology during Shoulder Depression Test:

A

Tethering/Tension of brachial Plexus due to trauma or pregnancy

83
Q

Arthrokinematics during Shoulder Depression Test:

A

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

84
Q

+ Signs & Symptoms during Shoulder Depression Test:

A

Recreation of radicular symptoms
(Numbness, burning, tingling, sharp & shooting pain)

85
Q

Compensation during Shoulder Depression Test:

A

Guarding & Apprehension

86
Q

Dx During Morley’s Compression (Morley’s Sign or Doorbell):

A

Brachial Plexopathy

87
Q

Anatomy being tested during Morley’s Compression (Morley’s Sign or Doorbell):

A
  • Brachial plexus
  • Interscalene Groove
  • scalene muscles
88
Q

Pathophysiology during Morley’s Compression (Morley’s Sign or Doorbell):

A

Brachial Plexus Inflammation due to Trauma

89
Q

Arthrokinematics during Morley’s Compression (Morley’s Sign or Doorbell):

A

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

90
Q

+ Signs & Symptoms during Morley’s Compression (Morley’s Sign or Doorbell):

A

Recreation of radicular symptoms
(Numbness, burning, tingling, sharp & shooting pain)

91
Q

Compensation during Morley’s Compression (Morley’s Sign or Doorbell):

A

Guarding & Apprehension

92
Q

Dx during Brachial Plexus Tension Test (BPTT):

A

Brachial Plexopathy

93
Q

Anatomy being tested during Brachial Plexus Tension Test (BPTT):

A

Brachial Plexus

94
Q

Pathophysiology during Brachial Plexus Tension Test (BPTT):

A

Tethering/tension of brachial plexus due to trauma or pregnancy

95
Q

Arthrokinematics during Brachial Plexus Tension Test (BPTT):

A

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

96
Q

+ Sings & Symptoms during Brachial Plexus Tension Test (BPTT):

A

Recreation of radicular symptoms
(Numbness, burning, tingling, sharp & shooting pain)

97
Q

Compensation during Brachial Plexus Tension Test (BPTT):

A

Guarding & Apprehension

98
Q

Dx during Allen Maneuver:

A

TOS

99
Q

Anatomy being tested during Allen Maneuver:

A
  • Subclavian neurovascular bundle
  • Pec minor
  • Middle scalene
100
Q

pathophysiology during Allen Maneuver:

A

Vascular insufficiency of TOS and/or nerve bundle compression from trauma, repetitive injuries, job/sports activities, certain anatomical defect and pregnancy

101
Q

Arthrokinematics during Allen Maneuver:

A

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

102
Q

+ Sign & Symptoms during Allen Maneuver:

A
  • No Radial Pulse
  • Diminished radial Pulse
  • Reproduction of neurogenic symptoms (paresthesia especially in the medial forearm)
103
Q

Compensation during Allen Maneuver:

A

N/A

104
Q

Dx during Adson’s Test:

A

TOS

105
Q

Anatomy being tested during Adson’s Test:

A
  • Subclavian neurovascular bundle
  • Anterior Scalene’s
106
Q

Pathophysiology during Adson’s Test:

A

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
Q

Arthrokinematics during Adson’s test:

A

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

108
Q

Arthrokinematics during Halstead’s test:

A

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

109
Q

Arthrokinematics during Eden’s Maneuver:

A

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

110
Q

Arthrokinematics during Wright’s test:

A

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

111
Q

Arthrokinematics during Roos Test:

A

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

112
Q

Arthrokinematics during Shoulder Girdle Passive Elevation test:

A

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

113
Q

Pathophysiology during Halstead’s test:

A

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
Q

Pathophysiology during Eden’s Maneuver:

A

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
Q

Pathophysiology during Wright’s test:

A

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
Q

Pathophysiology during Roos Test:

A

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
Q

Pathophysiology during Shoulder Girdle Passive Elevation test:

A

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
Q

+ Signs & Symptoms during Adson’s Test:

A

No radial pulse, Diminished radial pulse, reproduction of neurogenic symptoms such as paresthesia down the arm specially in the medial forearm

119
Q

+ Signs & Symptoms during Halstead’s Test:

A

No radial pulse, Diminished radial pulse, reproduction of neurogenic symptoms such as paresthesia down the arm specially in the medial forearm

120
Q

+ Signs & Symptoms during Eden’s test:

A

No radial pulse, Diminished radial pulse, reproduction of neurogenic symptoms such as paresthesia down the arm specially in the medial forearm

121
Q

+ Signs & Symptoms during Wright’s test:

A

No radial pulse, Diminished radial pulse, reproduction of neurogenic symptoms such as paresthesia down the arm specially in the medial forearm

122
Q

+ Signs & Symptoms during Roos Test:

A

Reproduction of neurogenic symptoms such as paresthesia down the arm specially in the medial forearm.

123
Q

+ Signs & Symptoms during Shoulder Girdle Passive elevation test:

A

Relieve paresthesia symptoms such as numbness, burning, and tingling, and improve in vascular circulation.

124
Q

Dx during Shoulder Girdle Passive Elevation test:

A

TOS

125
Q

Dx during Roos test:

A

TOS

126
Q

Dx during Wright’s Test:

A

TOS

127
Q

Dx during Eden’s Maneuver:

A

TOS

128
Q

Dx during Halstead’s test:

A

TOS

129
Q

Compensation during Adson’s test:

A

Trunk Rotation

130
Q

Anatomy being tested during Halstead’s test:

A
  • Subclavian neurovascular bundle
  • Middle scalene’s
131
Q

Compensation during Halstead’s test:

A

Trunk Rotation

132
Q

Anatomy being tested during Eden’s maneuver:

A
  • Subclavian neurovascular bundle
  • First Rib
  • Clavicle
133
Q

Compensation during Eden’s Maneuver:

A

N/A

134
Q

Anatomy being tested during Wright’s Test:

A
  • Subclavian neurovascular bundle
  • Pec minor
  • First Rib
  • Clavicle
135
Q

Compensation during Wright’s test:

A

Lateral Flexion of the trunk

136
Q

Anatomy being tested during Roos test:

A

Subclavian neurovascular bundle

137
Q

Compensation during Roos Test:

A

Dropping the arm below 90 degrees of ABduction

138
Q

Anatomy being tested during Shoulder Girdle passive Elevation Test:

A

Subclavian Neurovascular Bundle

139
Q

Compensation during Shoulder Girdle Passive Elevation Test:

A

N/A

140
Q

Brachial Plexopathy Tests:

A

1) Shoulder Depression test
2) Morley’s Compression
3) BPTT

141
Q

TOS Tests:

A

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
Q

Tests for brachial Plexus ONLY:

A

1) Shoulder Depression Test
2) BPTT

143
Q

“Bundle” Definition

A

Nerves, Veins & Arteries

144
Q

Decreased Pulse w/ Arm raise means:

A

Issue with pec Minor

145
Q

Decreased pulse with Arm raised + Head turned:

A

Issue with Middle Scalene

146
Q

What test do you put your thumb in the patients Supraclavicular groove?

A

Morley’s Compression

147
Q

What tests include tethering of the Brachial plexus due to trauma or pregnancy?

A

1) Shoulder Depression test
2) BPTT

148
Q

What level does the Brachial Plexus start?

A

C5

149
Q

What creates a Brachial Plexopathy?

A

Traction or Compression