Practical 2 Flashcards
what are the 6 main components of the upper c/s exam
-observation
-AROM only
-neuro screen
-vasculogenic screen
-craniovertebral stress test
-biomechanical exam
what are the 8 components of the c/s biomechanical/traditional exam
-observation
-AROM B sh
-AROM c/s, OP, resist
-neuro exam (if upper not performed)
-PROM w/ eyes open
-deep neck flexor strength assessment AS indicated
-palpation
-special tests AS indicated
what does the vasculogenic screen consist of
BP and vertebral/carotid artery palp and auscultation
what does the craniovertebral stress test consist of
-alar (supine or sitting)
-transverse (supine)
-sharp purser (supine or sitting)
what are the 5D’s
dysphagia
dysarthria
dizziness
diplopia
drop attacks
what are the 3 N’s
nystagmus
nausea
numbness
what is the sh abd test
Bakody’s sign
+ if relief of symptoms with hand on head
what is cervical distraction test
seated or supine
+ if symps relieved
what is spurling’s test
-SB to side of referred symps, assess symps
+ if radicular pain present
what is ULTT test positioning
-cervical spine neutral
-sh girdle depression
-GH abd 110
-ER
-wrist ext/finger ext
-forearm sup
-elbow ext
-contralat SB
when is ULTT test +
reproduction of pt’s exact pain, eased w/ ipsilateral SB and worsened with contralateral SB
Cervical thrust CPR (4)
-symptoms < 38 days
+ expectation that thrust will help
-side to side difference in cervical rot >10 degrees
-pain with mid cervical PA testing
how to decide what level to do cervical thrust?
lateral side glide on C3-7
Contraindications for HVLAT
-osteoporosis
-cancer
-cord involvement
-unstable fx
-VBI symps
-blood clotting disorders
-acute radicular
Precautions for HVLAT
-neuromuscular (scoliosis, spondylolisthesis, recent trauma w/o fx)
-vascular (CAD/PVD)
-past hx of DVT
-advanced/brittle diabetes
Cluster to rule in radiculopathy (4)
-distraction
-ULTT
-ipsilateral rot < 60 degrees
-spurlings
