Upper/lower cervical orthos Flashcards
O’donoghue Maneuver
pain with passive ROM–ligament sprain
pain with resisted ROM–muscle strain
Bakody Sign
decrease in discomfort suspect a cervical herniated disc, epidural vein compression, or nerve root compression
distraction test
-local pain: sprain, strain, spasm, or facet capsulitis
-relief of pain: disc defect or foraminal encroachment
foraminal compression test
local or radicular px: cervical cord disease, meningitis, osteophytes, mass
electrical tingling: cervical myelopathy or MS
jackson test
local px: facet joint involvement
radicular px: lateral disc defect, DDD, foraminal encroachment
Lhermitte sign
local px: foraminal encroachment
radicular px: disc defect or foraminal encroachment
shoulder depression test
local px on side being tested: muscular adhesions, spasms, ligamentous injury
radicular px on side being tested: compressed neurovascular bundle, dural sleeve adhesions
px on OPPOSITE side: foraminal encroachment, facet pathology, disc defect
valsalva maneuver
local px: disc defect, mass, osteophyte, space occupying lesion
soto hall test
local px: ligament, muscular, or osseous pathology
radicular px: disc defect
maximum cervical compression test
local px on side of rotation: apophyseal joint pathology
ipsilateral px with radiculopathy: nerve root compression
contralateral px: strain/sprain
rust sign
pt supports head with both hands
severe sprain, fracture, RA
Adson test
diminished pulse amplitude: hypertrophied scalene, cervical rib, or mass
paresthesia/radiculopathy: compression of neural component of brachial plexus
allen test
observe return of blood flow to hand
delay of 10 sec: arterial insufficiency
Roos test
paresthesia/radicular px: narrowed costoclavicular space or hypertonic scalene
costoclavicular maneuver
diminished pulse amplitude: compression of vascular component
paresthesia/radicular px: compression of brachial plexus or axillary vein
