Random NBS 3 Flashcards
LBP ortho neuro for radiculopathy
SLR
Bragard
Sicard
Bowstring - flex hip, bend knee, traction popliteal
LBP orho neuro to confirm neuropathy - piriformis syndrom (sciatica)
Bonnet
SOTO
Bring leg in or adduct and internally rotate
Bonnet
Bring leg out or abduct and externally rotate (decrease pain)
SOTO
LBP ortho neuro medial disc
WLR
Fajerstein
LBP ortho neuro lateral disc
Lindner (supine, flex chin to chest)
Kemps localized pain
Facet = sclerotogenous
Pain above the knee
Kemps radiating pain
Radiating = nerve root
Pain below knee - dermatogenous
Bechterew
Sciatica - piriformis
Hamstrings ortho
Tripod sign
Neri Bowing (bend forward - knee buckles)
Beery (sitting relieves discomfort)
AS ortho
Forrestier bowstring - ipsilateral contraction during lat flex
Lewin supine - attempt a sit up
Chest expansion - male 2” female 1.5”
Belt/ supported Adams
Pain better = SI
Pain worse = lumbar
SI ortho neuro
Iliac compression
Lewin gaenslen - lay on unaffected side, extend affected
Gaenslen - supine
Hibbs - prone, int rotate femur by pushing leg away
Yeoman - prone, flex knee and lift it
Goldthwait
Palpate L5-S1, SLR
Before separation - SI
After - L5 - radiation
Mennel / Erichson SI
Press PSIS together creating pressure in SI
Mennel / Erichson condition
AS
Cord lesion
Prostate CA
Hip Ortho neuro
Anvil - SLR hit bottom of heel
Fabere patrick - push down affected knee
Laguerre - fabere in the air
Hibbs - also SI
Anvil pain
Pain in heel - calcaneal, tib-fib fracture
Pain in hip - femoral neck fracture, infection, Arthritis
Fabere patrick condition
OA, RA
SCFE, AVN
Fracture, sprain-strain
Thomas
Psoas contracture
Ober & Noble
TFL contracture
Trendelenburg
Stand on affected leg. Crest on affected lower
Gluteus medius weakness (contralateral), QL spasm
Hip dysplasia
ortolani - flex and abduct hip
Barlow
Schepelman
pain towards = intercostal neuritis
pain away = pleurisy
Homan
DVT, gastroc strain
Raise leg 45 degrees, squeeze calf, dorsiflex
Rust sign
ADI instability
Hard collar, ER, ortho
Vagus N - Uvula
Hypoglossal - tounge
Uvula points away
tounge towards
Stroke spares forhead or no?
Yes
Gunstock deformity
Cubital varus
Bow leg
Coxa valgus - genu varus - pes valgus (toe points out)
Knocked knee
Coxa varus - genu valgus - pes varus (toe in)
Talipes equinovarus - unilateral congenital
Scanogram
Xray evaluation of leg length
Apparent vs actual leg length
Actual - ASIS to med malleolus - structural
Apparent - umbillical to med malleolus - functional
Valgus - ABduction knee test
Medial collateral ligament
Hold knee, pull foot outward
Drawer knee
Push - AP- poterior cruciate
Pull - PA - anterior cruciate
Lachman
ACL - ant drawer but supine
Appleys
Compression - meniscus
Distraction - ligament
McMurray
External rotation - medial meniscus
Hyperlordosis - cross syndrome
Abdominal weakness Paraspinal spasm PSOAS SPASM Pelvic Tilt - AS - ham weak, quad spasm Sole lift, Williams exercise, post pelvic tilt Strengthen ab, ham, glut mx Stretch paraspinals, quads
Hypolordosis
Ab spasm, paraspinal weak
PSOAS WEAK
Heel lift
McKenzie exercise
Common peronneal N
Lat knee, head of fibula injury
Foot drop
common peroneal nerve
Lat. Femoral Cutaneous N
Sensory - ant. lat. thigh
Meralgia paresthetica - L2,L3
Psoas
Winging of scap
DSN, serratus ant
Flaring of scap
LTN, rhomboids
Anterior talofibular ligament ortho test
Lateral stability
Draw
Injury is inversion and plantarflexion
Anterior head carriage WEAK muscle
Suprahyoid, deep neck flexor
Subscap, lower trap, serratus ant
Diaphragm
Anterior head carriage TIGHT muscle
Pectoralis
SCM, Masseter, Subocciput
Upper trap, levator scap
What flexes the forearm and supinates
Biceps
Deep peroneal innervates tibialis anterior and causes
dorsiflexion and inversion
Superficial peroneal innervates peroneal longus and causes
Eversion
Common peroneal innvervates dorsiflexion, inversion and eversion?
All
Hyoid landmark
C3
Thyroid landmark
C4-5
Cricoid landmark
C6
Sternal angle landmark
T5
2nd intercostal space
Xiphoid
T10
7th rib, 7th dermatome