Upper Quarter Screening Flashcards
What are the main sites for vascular screening?
Carotid artery under the chin
Brachial artery in cuboid fossa
Radial artery at the wrist
What two positions help clear the shoulder?
hand behind back with overpressure and hand behind head with overpressure
How do you clear the neck?
Take neck through PROM and AROM with and without overpressure
How do you clear the upper rib cage?
Cervical Rotation-Lateral Flexion Test
Passively rotate patients head AWAY from the side being tested and genelty have them flex their head as far as possible, moving their ear towards their chest
a positive test is when the lateral flexion movement is blocked
How do you clear the thoracic spine?
Have patient put their hands behind their neck and go into flexion and extension, apply overpressure as necessary
have patient cross their arms and go into rotation and sidebending, applying overpressure as necessary
When do you need to perform a neurological examination for cervical spine patients?
When patient exhibits upper quarter pain with symptoms extending into the scapula or UE or for any patient with upper quarter symptoms of questionable origin
What myotome correlates with neck flexion?
C1 and C2
What myotome correlates with shoulder elevation?
C4
What myotome correlates with shoulder abduction?
C5
What myotome correlates with neck sidebending?
C3
What myotome correlates with Elbow flexion? Elbow Extension?
C6
C7
What myotome correlates with thumb and finger abduction?
thumb=C8
fingers=T1
Where are the dermatomal areas for C5-T1?
C5-mid deltoid C6-radial aspect 2nd metacarpal C7-dorsal aspect middle finger C8-ulnar aspect 5th metacarpal T1-medial forearm
What are the 3 UE reflexes and which nerve root do they correspond with?
Biceps Brachii (C5)
Brachioradialis (C6)
Triceps (C7)
