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G) Differential Diagnosis & Lab Maneuvers > Term 1 Lab Maneuvers > Flashcards

Term 1 Lab Maneuvers Flashcards

1
Q

Dental occlusion assessment

A

slides 1-32

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2
Q

Cx spine ROM flex, ext, SF, ROT

A

last semester

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3
Q

ms flexibility/palpation of upper traps, scalene, SCM

A

last semester

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4
Q

TMJ ROM opening, closing, protraction, retraction, lateral deviation

A

slides 34-51

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5
Q

TMJ RISOM opening, closing, protraction, retraction, lateral deviation

A

slide 52

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6
Q

TMJ palpation - lateral pole, condyle

A
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7
Q

TMJ passive accessory glides (inf/ant)

A

slides 65-67

Outside technique: Pht place thumb on body of mandible

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8
Q

TMJ palpation - temporalis

A
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9
Q

TMJ palpation - masseter

A
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10
Q

TMJ palpation - Posterior & sub-mandibular muscles

A
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11
Q

TMJ palpation - lateral pterygoid

A
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12
Q

TMJ palpation - medial pterygoid

A
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13
Q

tectorial membrane ligament stress test

A
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14
Q

transverse ligament stress test

A
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15
Q

alar ligament stress test

A
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16
Q

Anterior & Posterior atlanto-axial membranes stress test

A
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17
Q

vertebral artery testing

A

Contraindication to testing VA:
- VBI &/or SC S&S on S/A or first part of dizziness protocol

  • Trauma < than 6 weeks
  • Cr-Vx lig stress test = (+)ve
  • Fracture or risk of fracture

Need 45° of rotation to cause blood flow disturbance & at least another 10-15° to have complete obstruction.

Pht must recognize the potential for obtaining false (-)ve

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18
Q

Neuro exam for cranial nerves

A

see slides 20-32

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19
Q

dizziness differentiation tests

A
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20
Q

GH sup lig stress test

A

Pt supine

Pht

Medial hand: Stabilizes scapula superiorly by applying a gentle pressure on the coracoid process

Lateral hand: Grasps proximal humerus

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21
Q

GH mid lig stress test

A

Pt supine

Pht

Medial hand: Stabilizes scapula superiorly by applying a gentle pressure on the coracoid process

Lateral hand: Grasps proximal humerus

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22
Q

GH inf lig stress test (ant segment)

A

Pt supine

Pht

Medial hand: Stabilizes scapula superiorly by applying a gentle pressure on the coracoid process

Lateral hand: Grasps proximal humerus

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23
Q

GH inf lig stress test (post segment)

A
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24
Q

Posterior GH ligaments stress tests

A
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25
Q

AC joint AROM

A
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26
Q

AC joint PROM ant rot

A
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27
Q

AC joint PROM post rot

A
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28
Q

AC joint - ant glide

A
29
Q

AC joint post glide

A
30
Q

AC joint inf glide

A
31
Q

AC joint sup glide

A
32
Q

AC joint compression

A
33
Q

stability test trapezoid ligament

A
34
Q

stability test conoid ligament

A
35
Q

AC joint special tests

A
36
Q

coracoclavicular joint special tests

A
37
Q

SC joint ROM

A

Pt in sitting:

  • Palpate the SC jt
  • Assess using scapulo-thoracic physiological movts

Depression: Superior glide clavicle on sternum (♂)

Elevation: Inferior glide clavicle on sternum (♂)

Retraction: Posterior glide clavicle on sternum (♀)

Protraction: Anterior glide clavicle on sternum (♀)

38
Q

SC joint - post glide

A
39
Q

SC joint - inf glide

A
40
Q

SC joint sup glide

A
41
Q

SC joint ant glide

A
42
Q

SC joint syability test (compression test)

A
43
Q

SC joint syability test (anterior stability)

A
44
Q

ST joint - 4-point palpation

A
45
Q

Dynamic Scapula Test (bilat abd)

A

Bilateral abduction with thumbs up

46
Q

Dynamic Scapula Test (abd elevation test)

A

To assess when Pt’s symptoms are produced in abduction & Scapula dysfunction is present

Pht corrects scapula position

  • Stand behind your pt on the side of the shoulder being assessed
  • Place one hand anteriorly over the acromion (your arm is between the pt’s arm and their body)
  • The other hand is on the scapula posteriorly
  • Correct the observed dysfunction (Eg: if the pt’s scapula is not upwardly rotating, create the upward rotation of the scapula with your hands)
  • Ask pt to repeat GH abduction as you correct the scapula position & guide the scapula through abduction

*Be aware not to block GH ROM as you are doing the correction q (+)ve test: Improve ROM or reduced pain

47
Q

Dynamic Scapula Test (ER scapula stability test)

A
48
Q

Scapula stability test (Kibler’s lateral slide - lateral scapula slide test)

A
49
Q

scapula combined movements (ax ms flexibility)

A
50
Q

scapula combined movements (ax ms strength)

A
51
Q

Tx spine hypomobility in extension kinetic test

A
52
Q

Tx spine Hypermobility Stability test (SAL)

A
53
Q

Tx spine Hypermobility Stability test (PAL)

A
54
Q

Tx spine PAL/SAL stability tests part 2

A

also see slides 24/25

55
Q

Tx spine combined movements (ipsilateral coupling)

A
56
Q

Tx spine combined movements (contralateral coupling)

A
57
Q

Tx spine combined movements (flex/SF)

A
58
Q

Tx spine combined movements (ext/SF)

A
59
Q

Tx spine PPIVM flex

A

Pt seated on edge of bed with arms across chest

  • One arm under their contralateral axilla
  • One arm above the other on top of pht’s arm

Pht standing at the side of pt

  • Ant hand: on contralateral shoulder/btw pt’s arms or under or over pt’s arms
  • Post hand: Palp jt line using key pinch grip or index/middle fingers.
  • Palp on both Z jt (bilat) or 1 Z jt (unilat) or 1 CTjt
60
Q

Tx spine PPIVM ext

A

Pt seated on edge of bed with arms across chest

  • One arm under their contralateral axilla
  • One arm above the other on top of pht’s arm

Pht standing at the side of pt

  • Ant hand: on contralateral shoulder/btw pt’s arms or under or over pt’s arms
  • Post hand: Palp jt line using key pinch grip or index/middle fingers.
  • Palp on both Z jt (bilat) or 1 Z jt (unilat) or 1 CTjt
61
Q

Tx spine - PPIVM SF

A

Pt seated on edge of bed with arms across chest

  • One arm under their contralateral axilla
  • One arm above the other on top of pht’s arm

Pht standing at the side of pt

  • Ant hand: on contralateral shoulder/btw pt’s arms or under or over pt’s arms
  • Post hand: Palp jt line using key pinch grip or index/middle fingers.
  • Palp on both Z jt (bilat) or 1 Z jt (unilat) or 1 CTjt
62
Q

Tx spine - PPIVM rot

A

Pt seated on edge of bed with arms across chest

  • One arm under their contralateral axilla
  • One arm above the other on top of pht’s arm

Pht standing at the side of pt

  • Ant hand: on contralateral shoulder/btw pt’s arms or under or over pt’s arms
  • Post hand: Palp jt line using key pinch grip or index/middle fingers.
  • Palp on both Z jt (bilat) or 1 Z jt (unilat) or 1 CTjt
63
Q

Cx spine PPIVM flex

A
64
Q

Cx spine PPIVM ext

A
65
Q

Cx spine PPIVM rot

A
66
Q

Cx spine PPIVM SF

A
67
Q

Cx spine AP/PA glides (and post-sup/post-inf glides)

A
  • review lecture on surface anatomy!
68
Q

TOS special tests

A

see slides

Adson

Roos

Hyperabduction for symptoms

Hyperabduction for pulse

Tinels sign at the supraclavicular space

69
Q
A

G) Differential Diagnosis & Lab Maneuvers (5 decks)

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