Trunk/Nerves Special Tests Flashcards
tectorial membrane ligament stress test
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/144/a_image_thumb.png?1535991625)
transverse ligament stress test
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/145/a_image_thumb.png?1535991627)
alar ligament stress test
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/146/a_image_thumb.png?1535991628)
Anterior & Posterior atlanto-axial membranes stress test
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/148/a_image_thumb.png?1535991631)
vertebral artery testing
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
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/149/a_image_thumb.png?1535991632)
Neuro exam for cranial nerves
see slides 20-32
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/150/a_image_thumb.png?1535991634)
dizziness differentiation tests
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/151/a_image_thumb.png?1535991635)
ULNT1
Move almost all the nerves btw neck & hand – median, radial & ulnar n, brachial plexus, spinal ns & Cx n roots
Indications:
- Should be performed when a neural component to U/Q pain/sy is present or when pht want to exclude a neural component
- This test is particularly relevant in cases where symptoms are localized to the median nerve
Good inter & intra reliability
Normal Responses:
- Similar areas of response in both ULNTs
- Sensory response was more frequent in ULNT2m than ULNT1
- The nature of the response was more neurogenic (tingling, burning, P&N) in ULNT2m than ULNT1
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/152/a_image_thumb.png?1535991636)
ULNT2m
It Ax the median n, brachial plexus, related spinal ns & low Cx n roots
Indications:
- When pt’s symptoms are provoked by scap depression
- Symptoms are localized to the median nerve
- Can be used in preference to the ULNT1 when shoulder problem & want to avoid abd
Distal Manoeuvre:
- Cx spine ipsilat side flex or
- Releasing scapula depression or
- Wrist flexion
Normal Responses:
- Similar areas of response in both ULNTs
- Sensory response was more frequent in ULNT2m than ULNT1
- The nature of the response was more neurogenic (tingling, burning, P&N) in ULNT2m than ULNT1
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/153/a_image_thumb.png?1535991638)
ULNT2r
Indications:
- This test is particularly relevant in cases where symptoms are localized to the radial nerve
- Posterior shoulder pain
- Lateral elbow pain
- Dorsal F/A pain (radial tunnel syndrome, de Quervain’s disease)
Distal Manoeuvre:
- Cx spine ipsilat side flex or
- Release a small amount of pressure from scapula depression or
- Wrist extension
Normal Responses:
- Posterior/lateral FA & wrist deep pain/stretch
- Painful stretch post aspect of hand, lat arm & biceps
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/154/a_image_thumb.png?1535991640)
ULNT3
Indications:
- This test is particularly relevant in cases where symptoms are localized to the ulnar nerve
- Anterior shoulder
- Axilla
- Along the medial aspect of the arm & elbow to the hypothenar eminence & 4-5th fingers
- C8 radiculopathy
- TOS
- CuTS
- Guyon’s canal syndrom
Distal Manoeuvre:
- Cx spine ipsilat side flex or
- Release a small amount of pressure from scap depression or
- Wrist flexion
Normal Responses:
- Stretch sensation in almost any region of the upper limbs
- But more common in ulnar distribution
- P & N and burning sensation can also occur
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/155/a_image_thumb.png?1535991642)
sciatic nerve neuromeningeal testing
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/156/a_image_thumb.png?1535991643)
tibial nerve neuromeningeal testing (tibial branch)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/157/a_image_thumb.png?1535991645)
tibial nerve neuromeningeal testing (tibial branch)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/160/a_image_thumb.png?1535991646)
fibular (peroneal) nerve neuromeningeal testing
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/161/a_image_thumb.png?1535991649)
sural nerve neuromeningeal testing
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/162/a_image_thumb.png?1535991651)
SI Joint - ASIS gap test
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/164/a_image_thumb.png?1535991886)
SI Joint - ASIS compression test
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/165/a_image_thumb.png?1535991886)
SI joint - thigh thrust
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/197/a_image_thumb.png?1535991887)
SI joint - Gaenslen’s test
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/201/a_image_thumb.png?1535991887)
SI joint - sulcus thrust
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/203/a_image_thumb.png?1535991888)
SI joint forward bending test
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/244/a_image_thumb.png?1535991889)
SI joint - standing flexion kinetic test
1) is for SI joint dysfunction
2) is for confirming SI hypermobility/instability
![](https://s3.amazonaws.com/brainscape-prod/system/cm/254/367/287/a_image_thumb.png?1535991889)