Screening and Spinal diagnosis review

Question 1

what are the 10 steps in the screen exam?

Answer 1

1. Gait/Posture
2. Standing Spine Sidebending Test
3. Standing Flexion test
4. Seated Flexion Test
5. Seated Upper Extremity Motion
6. Seated Trunk Tests
7. Seated Cervical Motion
8. Supine Thoracic Cage Motion
9. Lower Extremity Motion
10. Pelvis Landmarks

Question 2

what is the brief screen exam?

Answer 2

1. Posture: assess major landmarks (shoulder heights, iliac crest heights, popliteal creases, arches, thoracic kyphosis, lumbar lordosis, etc.)
2. Scan for TART changes in the cervical, thoracic, and lumbar spine. If TART changes are present, use segmental motion testing to check for vertebral somatic dysfunction
3. Standing flexion test. If positive, check pelvic landmarks (ASIS, PSIS, pubic symphysis) for pelvic somatic dysfunction
4. Seated flexion test. If positive, check sacral landmarks (sacral sulci, ILAs, may confirm laterality with backward bending test and pelvic rock) for sacral somatic dysfunction.

Question 3

in the neutral position the c-spine has what type of curve?

Answer 3

lordotic

Question 4

first spinous process palpated below the occiput?

Answer 4

C2

Question 5

what vertebra is the hyoid anterior to ?

Answer 5

C3

Question 6

thyroid cartilage is anterior to what vertebrae?

Answer 6

C4 and C5

Question 7

cricoid cartilage is anterior to what vertebrae

Answer 7

C6

Question 8

what is the gold standard for diagnosing any somatic dysfunction

Answer 8

motion testing

Question 9

what are the MAJOR motions of the OA joint

Answer 9

flexion and extension

Question 10

in what direction are sidebending and rotation of the OA

Answer 10

OPPOSITE

Question 11

in what direction are sidebending and rotation of C2-C7

Answer 11

SAME SIDE

Question 12

what does TART stand for

Answer 12

Tissue texture change
Asymmetry
Restriction of range of motion
Tenderness

Question 13

Rule of 3’s?

T1-3
T4-6
T7-9
T10
T11
T12

Answer 13

T1-3–> spinous process at same level as transverse process
T4-6- spinous process is half step below
T7-9- spinous process FULL step below
T10- full step
T11- half step
T12- at same level