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Test 4 Flashcards

1
Q

Combined the SLR and DF will imply what?

A

Tibial n

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2
Q

How to test muscle length of the pec major

A

UE AB, ER

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3
Q

ROM in OA jt

A

Flex: 5
Ext: 10
Rotation: Neg.
Lat flex: 5

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4
Q

Total cervical ROM

A

Flex/Ext: 120-130
Rotation: 65-75
Lat flex; 35-40

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5
Q

How to test OA ROM

A

full rotation, nodding of upper cervical spine; full chin tuck (capital flexion) with lateral flexion and rotation

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6
Q

Flexion preference TBC implication

A

> 50 yoa

lumbar spinal stenosis

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7
Q

During the SLR what does posterior pain on the aspect of leg and LB mean?

A

Intermediate disc protrusion

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8
Q

If pt feels pain in the 70+ ROM during the SLR what is implicated?

A

Lumbar or SI jt pain

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9
Q

Thoracic facet angles

A

15-25 degree frontal bias

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10
Q

TBC manipulation

A 
No symptoms distal to knee
Recent onset (<16 days)
Low FABQ (<19)
Lumbar hypomobility
Hip IR >35 for at least 1 hip
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11
Q

Cervical disc herniation

A

Flexion may increase pain

Pain provocation and foraminal closure tests may be positive, pain not relieved by rest

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12
Q

Cervical facet angles

A

45 in all 3 planes

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13
Q

Signs of Cervical Myelopathy

A 
Wide based spastic stance
Clumsy stance
Changes in handwriting
Difficulty manipulating
Hyperreflexia
\+ Babinski, Hoffman, Lhermitte's
Urinary retention followed by overflow incontinence.
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14
Q

Laslett’s regimen CPR

A 
3/6 + tests
Thigh thrust
R Gaenslen's
L Gaenslen's
ASIS distraction
ASIS compression
Sacral thrust
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15
Q

Signs of Cervical instability

A 
Intolerance to prolonged static posture
Fatigue to hold head
Head feels heavy
Sharp pain
Neck gets stuck
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16
Q

TBC traction

A

S/S nerve root compression

No movements centralize

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17
Q

How to MMT the abs?

A
  1. Hands behind neck, scap off table (20-30)
  2. Arms crossed, scap off table (15-20)
  3. Arms straight, scap off table (10-15)
  4. Hands behind head, top of scap off table (1-10)
  5. Arms straight, only head off table
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18
Q

Firing pattern of core muscles:

A
  1. TA/multifidi before spinal extensors

2. Diaphagm/pelvic floor stabilize core

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19
Q

Upper Crossed Syndrome

A

Weak Deep neck flexors, lower trap and SA

Tight Pecs, upper trap and levator scap

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20
Q

Cervical spondylosis

A

Extension reproduces pain; unilateral pain into affected dermatomes
Slow onset, pain not relieved with rest

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21
Q

Centralization TBC

A

Radicular/referred: traction

Peripheralization: movements to centralize

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22
Q

Damage to VA or carotid artery causes pain where?

A

Ipsilateral neck and neck

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23
Q

How would we assess the muscle length of the piriformis?

A

IR, ADD below 90 hip flexion

ER, ADD above 90 hip flexion

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24
Q

Neoplastic condition signs:

A 
>50
Unexplained weight loss
Previous history of cancer
Constant pain, no relief
Night pain
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25
Waddell Criteria: Tenderness
- Significant pain to light touch or pinch | - Non-anatomic (LS, Pelvis, TS)
26
What happens to the TPs if there is a R unilateral flexion/opening restriction?
Flexion: R TP more posterior Extension: R TP more anterior
27
S/S Cauda Equina syndrome:
LBP, LOS in LEs, muscle weak/atrophy, B/B changes, perineal pain, unilateral or bilateral sciatica, change in DTRs
28
Vestibular symptoms vs VBI:
Vestibular symptoms will change from sitting to supine. | VBI will be unchanged.
29
How to test muscle length of the Levator scapulae
Cervical flexion and CL rotation
30
Compression fx CPR
``` 5/5=99%, 9.3 + LR Age >52 No leg pain BMI <22 Sedentary Female ```
31
How to test AA ROM
full flexion and turn to L and R
32
What is a + Brudzinski-Kernig test
Pain decreases w/ knee flexion | Meningeal or dural irritation
33
SLR with inversion/DF will imply
Sural
34
How would we assess the muscle length of the ITB?
CL lateral flexion
35
Vestibular diagnosis symptoms:
dizziness, vertigo, loss of balance or unsteadiness, N/V
36
Total Thoracic ROM
Flex/Ext: 50-65 rotation: 30-45 Lat flex: 25-30
37
Lumbar facet angles
25 degree sagittal bias
38
Van der Wurff's CPR
``` 3/5 + tests ASIS distraction ASIS compression Thigh thrust FABER Gaenslen's test ```
39
What are the different levels of the leg lowering test?
Normal: reach 0-15 from table Good: reach 16-45 from table Fair: reach 46-75 from table Poor: reach 75-90 from table
40
TBC stabilization
``` <40 yoa > gen flexibility Instability catch + prone instability test Postpartum pts ```
41
During the SLR, what does posterior pain in the leg radiating below the knee mean?
Lateral disc protrusion
42
Waddell criteria: Distraction
SLR inconsistent findings in sittings or standing
43
What is the most important Waddell criteria?
``` Overreaction: Disproportionate pain response Bracing when seated Clutching affected area >3s Dramatic grimacing Sighing with shoulders rising and falling ```
44
During SLR, what does pain in the LB w/ B/B symptoms mean?
Central disc protrusion L4 or L5
45
Signs that a person is in the centralization TBC category
Signs of nerve root compression | Diagnosis of cervical radiculopathy
46
Subjective pain descriptions with strongest support
Absence of lumbar region pain Pain below L5 Pain in PSIS region Groin pain
47
Waddell criteria: Regional disturbance
Weakness (cog-wheeling R when MMT in LE) | Sensory: stocking loss, non-dermatomal
48
Specific exercise to promote centralization
Symptoms distal to buttock Centralize w/ extension Peripheralize with flexion
49
Total lumbar ROM
Flex/Ext: 50-75 Rotation: 5-7 Lat flex: 20
50
Multiple TBC
Recent onset: gentle active ROM Symptoms d/t trauma: ROM exercises Referred symptoms in UQ: modalities Poor tolerance: modifications
51
Signs that a person is in the mobility TBC category:
Restricted ROM w/ rotation or lat. flexion ROM | No signs nerve root compression or peripheralization w/ cervical ROM
52
How would we assess the muscle length of the quads?
Hip extension and knee flexion
53
What is implied during the Sharp-purser test?
Injury to transverse ligament
54
What are the Waddell Criteria:
``` Tenderness Simulation Distraction Regional Disturbance Overreaction ```
55
SLR with inversion/PF will imply
Peroneal
56
Cervical myelopathy CPR
``` 4/5: 100% spec, Inf + LR Age >45 Gait deviation Brachioradialis hyperreflexia + Hoffman's +Babinski ```
57
How to test muscle length of the pec minor
Shoulder IR
58
Cervical radiculopathy CPR
``` + LR of 30.3 if all 4 tests are positive + median N ULTT Cervical rotation <60 + Spurlings + Distraction ```
59
How to test muscle length of the Scalenes
Ipsi rotation, CL side bending with cervical rotation
60
SLR with DF/ADD/IR will imply
Sciatic
61
How to test muscle length of the SCM
Ipsi rotation, cervical extension, CL lateral flexion
62
Mobility TBC
Recent: C/T manips/mobes | No referred symptoms: AROM exercises
63
Waddell criteria: simulation
Axial loading | rotation (passive in standing)
64
Reduce HA TBC
Unilateral HA w/ neck pain: C spine manip/mobes HA triggered by neck movements: strengthen HA elicited by pressure on posterior: postural education
65
ROM in AA jt
Flex: 5 Ext: 10 Rotation: 45 Lat flex: Neg.
66
ROM in C2-C7
flex: 35 Ext: 70 Rotation: 45 Lat flex: 35
67
How to MMT the lumbar extensors?
5. Hands behind head, lift head/chest/ribs off bed (20-30) 4. Hands at side, lift head/chest/ribs off bed (15-20) 3. Hands at side, lift sternum off bed (10-15) 2. Hands at side, lift head off bed (1-10) 1. Slight muscle contraction
68
VAI insufficiency symptoms:
``` Drop attacks Dizziness Dysphasia Dysarthria Diplopia N/V Incoordination Weakness ```
69
Cervical spinal stenosis
Several dermatomes affected | Pain increases with extension, relieved by rest
70
How to test muscle length of the Lats
Max shoulder elevation, ER
71
Cervicogenic headaches
Neck movement alters HA Painful limitation of neck movements, poor head or neck posture, hypomobile OA jt, sensory deficits in occipital and suboccipital areas
72
Inflammatory/systemic disease signs:
``` >98.6 F >160/95 mmHg Rest pulse >100 Rest respiration >25 Fatigue ```
73
If pt feels pain/pulling in the 35-70 degree ROM during SLR what is implicated?
Sciatic root tense
74
How would we assess the muscle length of the gastroc/soleus?
Gastroc: Knee extension and ankle DF Soleus: Knee flexion and ankle DF
75
How would we assess the muscle length of the hip flexors?
Anterior tilting of pelvis causing excessive lordosis

MSA (2 decks)

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