Screening Flashcards
When is systems review performed?
every pt seen
When is screening exam performed?
select pts only
What are components of screening exam?
active ROM
passive ROM
Resisted Isometrics (RI)
Neurologic exam
Neuro exam components
- Dermatome -light touch and/or pain
- Myotome-isometric contraction at mid range (4-6 second hold
- Deep tendon reflexes
Active ROM components
symmetry
quality of motion
How is RI or RROM performed?
isometric contraction (4-6 second hold)
What intensity is used initially for RI and myotome testing?
25%
What response corresponds to positive RI or myotome test?
pain or wincing
stop the test
What’s the difference bw Myotome-isometric contraction and RI?
Position
Myotonic: mid range
RI: neutral/anatomical position
Examples of inert or Non-Contractile tissues?
ligament, bursa
Examples of contractile tissues?
muscle, tendon, the attachments to bone, and nervous tissue supplying the contractile tissue
When would you r/o contractile tissues as source of sx?
If muscles are strong and painless
What are you assessing with myotomal testing?
N. Root Integrity (weakness)
Assessed midrange - strongest point of motion/muscle
What are you assessing with dermotomal testing?
- Assessing N. Root Integrity (sensory)
- Assessing area of “pure” dermatome, thus only one aspect of dermatome
- If altered - need to assess entire dermatome in order to r/o peripheral nerve problem
Upper quadrant reflex testing:
- C5 - Biceps
- C6 - Brachioradialis
- C7 - Triceps
Strong and Painless?
R/O muscle-tendon unit; no pathology
Strong and Painful?
Minor lesion in muscle-tendon unit; no neurological pathology
Weak and Painless?
(some time after trauma)
Possible complete rupture of muscle-tendon unit
Possible neurological cause-either peripheral or nerve root origin
Weak and paunful?
Possible Partial rupture of muscle -tendon unit
Possible Pain inhibition
Possible Concurrent neurologic pathology
All movements hurt?
Medically incongruent pain; acute inflammation
