Scenerios/questions (week 2) Flashcards
True or false… when doing a stress test on a patient you should apply gentle, rapid and deep force.
False
When doing a stress test on a patient you should apply gentle, brief and shallow force
A patient states that they have no pain when initially doing the stress test. What should be the next step?
You should then apply a slower,larger,and deeper force and hold for 10 seconds.
What type of tissue is generally tested by doing a stress test?
Non-contractile tissue
When you distract the joint in a patient and they indicate increased pain what type of tissues could be involved?
Capsule,ligament, or annulus
When you distract a joint a the patient indicates decreased pain what types of tissue could be involved?
Joint surface tissue Cartilage, nucleus pulposus, bone or spinal nerve
When you compress a joint and the patient indicates decreased pain what type of tissue could be involved?
Capsule,ligament, or annulus
What do we usually lose sensory function first?
-The neurons are smaller and more susceptible to compression
-More numerous
A patient comes in and you do a neurological sensory test… you note that their light and sharp touch are WNL what should we do next?
Test for hyperesthesia
When doing a neurological test on a patient you shaft that the patient scored a 1 on the sensory test… what does this mean?
The patient has diminished sensation in the area being treated
A patient scores a 3 on the sensory testing… what does this mean
The patient is experiencing hyperesthesia
What score is WNL for neurological testing?
2
What is the grading scale for DTR?
0: absent;LMN condition
1+: hyporeflexive; LMN condition
2+:WNL
3+:Hyperreflexive- brisk large arc but normal dampening; UMN condition
4+: clonus; >3 beats; UMN condition
5:substained clonus
How to we do a myotomes stress test?
Hold patient in shortened position and ask them to resist you for 10 secs
What is a red flag S&S when doing neurological testing?
Patient who has positive test in all other neuro test but the neurodynamic mobility test is negative.
A patient comes in with a nerve issue, the patients symptoms include atrophy in muscle, urinary incompetence, and the DTR scored a 1. Would this be a LMN OR UMN issue?
LMN
A patient scores a 3+ on the vascular test… is this good or bad?
Depends, but not good because it could indicate cardiac problems
What indicates joint hyper mobility/instability during stress testing?
A late and soft end feel
What is the area of skin supplied by spinal nerve?
Dermatome
What level of severity should be indicates if both distraction and compressing at the some joint increase symptoms during stress testing?
Acute
A patient comes in with gradual onset of multiple segment weakness and multiple segments with decreased sensation. What should we do next?
Refer the patient to a physician
