Upper Quarter Screen Flashcards
The purpose of Upper/Lower Quarter Screens:
- ID joints which may need closer examination
- Rule in/out peripheral nerve involvement
- Rule in/out cervical/lumbar spine involvement
- Reproduction of patient’s symptoms
Got it
Basic Components of an Upper/Lower Quarter Screen
- (AROM/PROM) with overpressure
- Muscle testing ((dermatomes/myotomes)) > hold for _ seconds
- Sensation testing ((dermatomes/myotomes))
- Reflex testing
Neurologic Screen:
Motor: (muscle testing/sensation testing)
Sensory: (muscle testing/sensation testing)
AROM; 5; myotomes; dermatomes; muscle testing; sensation testing
Upper/Lower Quarter Screen
(AROM/PROM) with overpressure and muscle testing
o Separated here for your reference by body part; typically performed doing all ROM (first/second), then all muscle testing
AROM; first
Cervical Spine
AROM:
Flexion, extension, R rotation, L rotation, R side flexion, L side flexion (with overpressure)
Muscle Testing:
N/A
Got it
Scapula
AROM:
Elevation
Muscle Testing:
Isometric scapula elevation - (C_-C_)
C2-C4
Glenohumeral Joint
AROM:
Elevation (with overpressure)
Muscle testing:
Isometric GHJ abduction (C_)
C5
Elbow
AROM:
Flexion, extension, pronation, supination (with overpressure)
Muscle testing:
Isometric elbow flexion (C_-C_)
Isometric elbow extension (C_)
**WILL ACCEPT C7 OR C7-8
C5-C6; C7;
Wrist
AROM:
Flexion, extension (with overpressure)
Muscle testing:
Isometric wrist flexion (C_)
Isometric wrist extension (C_)
C7; C6;
Digits
AROM:
Flexion, extension, abduction, adduction
Muscle testing:
Isometric thumb extension (C_)
Isometric finger abduction/adduction (T_)
C8; T1;
Sensory testing
Posterior neck - C_-C_
C2-C3
Sensory testing
Lateral clavicle/AC joint - C_
C4
Sensory testing
Lateral aspect of the proximal arm - C_
C5
Sensory testing
Lateral aspect of the forearm, hand; and thumb and index finger - C_
C6
Sensory testing
Tip of middle finger - C_
C7
Sensory testing
Ring and little finger / medial aspect of the hand and wrist - C_
C8
Sensory testing
Medial forearm - T_
T1
Sensory testing
Medial arm/axilla - T_
T2
Reflexes
Grading of reflexes: (0/1+) absent (0/1+) diminished (1+/2+) normal (2+/3+) exaggerated (3+/4+) hyperactive repeated, clonus
0; 1+; 2+; 3+; 4+
Reflexes
Biceps - C_-C_
Hint: same myotomes as isometric elbow flexion
C5-C6
Reflexes
Brachioradialis - C_
C6
Reflexes
Triceps - C_
Hint: Same myotome as isometric elbow extension
C7
