Screening for Upper Quarter Flashcards
What body systems could refer pain to the upper extremity?
-Cardiac, Pulmonary, Gastrointestinal or Gynecologic
What red flags may suggest a patient has Cervical Myelopathy?
- sensory disturbances of the hands
- muscle wasting of hand intrinsic muscles
- unsteady gait
- Hoffman’s Reflex
- Hyperreflexia
- Bowel and bladder disturbances
- Multisegmental weakness and/or sensory changes
What red flags may suggest a patient has a Neoplastic Condition?
- age over 50
- previous history of cancer
- unexplained weight loss
- constant pain w/ no relief from bed rest
- night pain
What red flags may suggest a patient has Upper Cervical Ligamentous Instability?
- Occipital headache and numbness
- Severe limitation during neck AROM in all directions
- Signs of cervical myelopathy
What red flags may suggest a patient has Vertebral Artery Insufficiency?
- Drop-attacks
- Dizziness related to neck movement
- Dysphasia
- Dysarthria
- Diplopia
- Positive cranial nerve signs
What red flags may suggest a patient has an inflammatory or systemic disease?
- temperature over 100F
- BP over 160/95 mmHg
- Resting Pulse over 100 bpm
- Resting Respiration over 25 bpm
- fatigue
How can you clear the shoulder w/ functional/ROM testing?
How can you clear the elbow/wrists/hands?
have pt. put their arms overhead and behind the head and back (both arms)
may be performed using combined movements such as flexion/extension
When should you perform a Neuro exam for an upper body patient?
when pt. has symptoms when extending into the scapula or upper extremity or for any patient w/ upper quarter symptoms of questionable origin
