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MSA > Test 4 > Flashcards

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
Q

Waddell Criteria: Tenderness

A
  • Significant pain to light touch or pinch

- Non-anatomic (LS, Pelvis, TS)

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26
Q

What happens to the TPs if there is a R unilateral flexion/opening restriction?

A

Flexion: R TP more posterior
Extension: R TP more anterior

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27
Q

S/S Cauda Equina syndrome:

A

LBP, LOS in LEs, muscle weak/atrophy, B/B changes, perineal pain, unilateral or bilateral sciatica, change in DTRs

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28
Q

Vestibular symptoms vs VBI:

A

Vestibular symptoms will change from sitting to supine.

VBI will be unchanged.

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29
Q

How to test muscle length of the Levator scapulae

A

Cervical flexion and CL rotation

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30
Q

Compression fx CPR

A 
5/5=99%, 9.3 + LR
Age >52
No leg pain
BMI <22
Sedentary
Female
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31
Q

How to test AA ROM

A

full flexion and turn to L and R

32
Q

What is a + Brudzinski-Kernig test

A

Pain decreases w/ knee flexion

Meningeal or dural irritation

33
Q

SLR with inversion/DF will imply

A

Sural

34
Q

How would we assess the muscle length of the ITB?

A

CL lateral flexion

35
Q

Vestibular diagnosis symptoms:

A

dizziness, vertigo, loss of balance or unsteadiness, N/V

36
Q

Total Thoracic ROM

A

Flex/Ext: 50-65
rotation: 30-45
Lat flex: 25-30

37
Q

Lumbar facet angles

A

25 degree sagittal bias

38
Q

Van der Wurff’s CPR

A 
3/5 + tests
ASIS distraction
ASIS compression
Thigh thrust
FABER
Gaenslen's test
39
Q

What are the different levels of the leg lowering test?

A

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
Q

TBC stabilization

A 
<40 yoa
> gen flexibility
Instability catch
\+ prone instability test
Postpartum pts
41
Q

During the SLR, what does posterior pain in the leg radiating below the knee mean?

A

Lateral disc protrusion

42
Q

Waddell criteria: Distraction

A

SLR inconsistent findings in sittings or standing

43
Q

What is the most important Waddell criteria?

A 
Overreaction:
Disproportionate pain response
Bracing when seated
Clutching affected area >3s
Dramatic grimacing
Sighing with shoulders rising and falling
44
Q

During SLR, what does pain in the LB w/ B/B symptoms mean?

A

Central disc protrusion L4 or L5

45
Q

Signs that a person is in the centralization TBC category

A

Signs of nerve root compression

Diagnosis of cervical radiculopathy

46
Q

Subjective pain descriptions with strongest support

A

Absence of lumbar region pain
Pain below L5
Pain in PSIS region
Groin pain

47
Q

Waddell criteria: Regional disturbance

A

Weakness (cog-wheeling R when MMT in LE)

Sensory: stocking loss, non-dermatomal

48
Q

Specific exercise to promote centralization

A

Symptoms distal to buttock
Centralize w/ extension
Peripheralize with flexion

49
Q

Total lumbar ROM

A

Flex/Ext: 50-75
Rotation: 5-7
Lat flex: 20

50
Q

Multiple TBC

A

Recent onset: gentle active ROM
Symptoms d/t trauma: ROM exercises
Referred symptoms in UQ: modalities
Poor tolerance: modifications

51
Q

Signs that a person is in the mobility TBC category:

A

Restricted ROM w/ rotation or lat. flexion ROM

No signs nerve root compression or peripheralization w/ cervical ROM

52
Q

How would we assess the muscle length of the quads?

A

Hip extension and knee flexion

53
Q

What is implied during the Sharp-purser test?

A

Injury to transverse ligament

54
Q

What are the Waddell Criteria:

A 
Tenderness
Simulation
Distraction
Regional Disturbance
Overreaction
55
Q

SLR with inversion/PF will imply

A

Peroneal

56
Q

Cervical myelopathy CPR

A 
4/5: 100% spec, Inf + LR
Age >45
Gait deviation
Brachioradialis hyperreflexia
\+ Hoffman's
\+Babinski
57
Q

How to test muscle length of the pec minor

A

Shoulder IR

58
Q

Cervical radiculopathy CPR

A 
\+ LR of 30.3 if all 4 tests are positive
\+ median N ULTT
Cervical rotation <60
\+ Spurlings 
\+ Distraction
59
Q

How to test muscle length of the Scalenes

A

Ipsi rotation, CL side bending with cervical rotation

60
Q

SLR with DF/ADD/IR will imply

A

Sciatic

61
Q

How to test muscle length of the SCM

A

Ipsi rotation, cervical extension, CL lateral flexion

62
Q

Mobility TBC

A

Recent: C/T manips/mobes

No referred symptoms: AROM exercises

63
Q

Waddell criteria: simulation

A

Axial loading

rotation (passive in standing)

64
Q

Reduce HA TBC

A

Unilateral HA w/ neck pain: C spine manip/mobes
HA triggered by neck movements: strengthen
HA elicited by pressure on posterior: postural education

65
Q

ROM in AA jt

A

Flex: 5
Ext: 10
Rotation: 45
Lat flex: Neg.

66
Q

ROM in C2-C7

A

flex: 35
Ext: 70
Rotation: 45
Lat flex: 35

67
Q

How to MMT the lumbar extensors?

A
  1. Hands behind head, lift head/chest/ribs off bed (20-30)
  2. Hands at side, lift head/chest/ribs off bed (15-20)
  3. Hands at side, lift sternum off bed (10-15)
  4. Hands at side, lift head off bed (1-10)
  5. Slight muscle contraction
68
Q

VAI insufficiency symptoms:

A 
Drop attacks
Dizziness
Dysphasia
Dysarthria
Diplopia
N/V
Incoordination
Weakness
69
Q

Cervical spinal stenosis

A

Several dermatomes affected

Pain increases with extension, relieved by rest

70
Q

How to test muscle length of the Lats

A

Max shoulder elevation, ER

71
Q

Cervicogenic headaches

A

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
Q

Inflammatory/systemic disease signs:

A 
>98.6 F
>160/95 mmHg
Rest pulse >100
Rest respiration >25
Fatigue
73
Q

If pt feels pain/pulling in the 35-70 degree ROM during SLR what is implicated?

A

Sciatic root tense

74
Q

How would we assess the muscle length of the gastroc/soleus?

A

Gastroc: Knee extension and ankle DF
Soleus: Knee flexion and ankle DF

75
Q

How would we assess the muscle length of the hip flexors?

A

Anterior tilting of pelvis causing excessive lordosis

MSA (2 decks)

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