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Musculo Lab > Upper Quarter Screen > Flashcards

Upper Quarter Screen Flashcards

1
Q

What does ART stand for

A

Asymmetries
ROM
Tissue texture changes

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2
Q

True or false:

You always screen the joint above and below the joint in question

A

True

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3
Q

UQS

A

Upper quarter screening

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4
Q

Observing posture what do you look at

A

Alignment of head and shoulders

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5
Q

What do you do during the skin assessment

A

Observe areas of inflammation, bruising, redness, temperature

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6
Q

To observe temperature which part of the hand is used

A

The back side

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7
Q

Posture examination requirements (8)

A
  1. Sitting or standing
  2. Cervical and thoracic alignment
  3. Upper extremity B symmetry
  4. Muscular/soft tissue imbalances
  5. Iliac crest height
  6. Nose over sternum
  7. Tragus aligned with acromion
  8. Umbilicus centered
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8
Q

ROM of cervical spine requirements (4)

A
  1. Flexion
  2. Extension
  3. Sidebending
  4. Rotation
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9
Q

What do you do if the patient is pain free

A

Apply gentle overpressure and hold for a few seconds

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10
Q

What should you screen if there is any numbness or tingling in limbs

A

Spine

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11
Q

ROM of shoulder requirements (6)

A
  1. Flexion
  2. Extension (elbow flexed and extended)
  3. Scaption
  4. Abduction
  5. FIR
  6. FER
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12
Q

Is over pressure applied for the FIR and FER

A

NO MA’AM

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13
Q

ROM of the Elbow, Wrist, and Hang requirements (8)

A
  1. Elbow flexion
  2. Elbow extension
  3. Forearm supination
  4. Forearm pronation
  5. Wrist flexion
  6. Wrist extension
  7. Finger ABD/ADD/opposition
  8. Radial/ulnar deviation
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14
Q

What is a myotome

A

A single nerve root that innervates a muscle

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15
Q

What should be said to the patient before myotomal testing

A

I want you to… Match my resistance, best effort, and don’t let me move you

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16
Q

Do you examine strength one side at a time

A

NO, bilaterally

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17
Q

Do you want to reproduce symptoms

A

YES YES YES

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18
Q

What are the grades for strength (4)

A
  1. Strong painless
  2. Strong painful
  3. Weak painless
  4. Weak painful
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19
Q

How should force be applied

A

A bell curve

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20
Q

What are the requirements of myotomal testing (10)

A
  1. Cervical spine (flexion, extension, sidebending) (C1 - 3)
  2. Shoulder elevation (C5)
  3. Shoulder abduction (C5)
  4. Shoulder IR/ER (no specific myotome)
  5. Elbow flexion (C6)
  6. Elbow extension (C7)
  7. Wrist flexion (C7)
  8. Wrist extension (C6)
  9. Thumb extension (C8)
  10. Finger abduction (T1)
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21
Q

Do you have to ask for consent

A

YES, ALWAYS

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22
Q

True or False:

You should always ask if the patient has resting pain

A

True

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23
Q

Risks of these tests include what

A

Recreating symptoms, may be uncomfortable

24
Q

If there is pain what should you ask

A

What type, location, the same as your symptoms, was the pain with active movement or overpressure

25
Q

C1 and C2 dermatome

A

Base of skull

26
Q

C3 dermatome

A

Lateral neck

27
Q

C4 dermatome

A

Acromion

28
Q

C5 dermatome

A

Lateral elbow

29
Q

C6 dermatome

A

Thumb

30
Q

C7 dermatom

A

middle finger

31
Q

C8 dermatome

A

Pinky medial hand

32
Q

T1 dermatome

A

Medial forearm

33
Q

What are things to ask during light touch test

A

Does it feel the same on both sides, if they don’t feel it how is it different

34
Q

What are the 5 aspects of cutaneous sensory testing

A
  1. Light touch
  2. Sharp vs. dull
  3. Hot vs. cold
  4. Two point discrimination
  5. Vibration sensation
35
Q

What is the normal two point discrimination range for the finger tip

A

2 - 4 mm

36
Q

What is the normal two point discrimination range for the palm

A

4 - 8 mm

37
Q

What does proprioception/kinesthetic awareness assess

A

Skin, joints, muscle spindles, dorsal column, and medial lemniscus tracts

38
Q

What is the static test for proprioception

A

Move patients arm passively at elbow joint and ask them whether the arm is oriented up or down. PATIENT MUST HAVE EYES CLOSED

39
Q

What do deficits during static position sense represent damage to

A

Thalamus

40
Q

What is dynamic passive motion sense mirroring

A

Passively move patients arm (eyes closed) and ask patient to mirror where the arm is with the opposite arm. Can be done with position or while moving

41
Q

What is dynamic passive motion sense following

A

Passively move patients arm (eyes closed) and ask patient to follow the motion of the arm with the opposite arm

42
Q

What does an upper motor neuron (UMN) lesion or brain and spine lesion indicated by

A

Hyperreflexive

43
Q

What does lower motor neuron (LMN) lesion or nerve root/peripheral nerve lesion indicated by

A

Hyporeflexive

44
Q

What is damaged in an UMN lesion

A

Nerve cells in spinal cord

45
Q

What is damaged in a LMN lesion

A

Alpha motor neuron

46
Q

What is MSR

A

Muscle stretch reflexes

47
Q

What is the grading scale for MSR from

A

0 - 4

48
Q

What is a 0 on the MSR scale

A

Areflexive

49
Q

What is a 1 on the MSR scale

A

Hyporeflexive

50
Q

What is a 2 on the MSR scale

A

Average/normal

51
Q

What is a 3 on the MSR scale

A

Hyperreflexive

52
Q

What is a 4 on the MSR scale

A

Spastic

53
Q

What helps when reflex is weak

A

Jendrassik Maneuver

54
Q

Cranial nerve V (5) test

A

Mandibular and corneal reflex

55
Q

C5 and C6 test

A 
Biceps brachii (C5)
Brachioradialis (C6)
56
Q

C7 and C8 test

A

Triceps (C7)

Musculo Lab (5 decks)

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