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Outpatient Assessment 1 Sof > Week 6: Neurodynamics > Flashcards

Week 6: Neurodynamics Flashcards

1
Q

How can we assess peripheral nerves?

A

Neurodynamic tests

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2
Q

What is a dermatome

A

Area of skin that is mainly supplied by a single spinal nerve

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3
Q

Number of dermatomes in each section of vertebrae

A

8 cervical nerves
12 thoracic nerves
5 lumbar nerves
5 sacral nerves

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4
Q

What is a myotome

A

A group of muscles served by a spinal nerve root

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5
Q

What is a neurodynamic test

A

assessment and treatment of the physical nervous system

Series of movements that place consecutive load on the nervous system

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6
Q

Neurodynamic tests used

A

Straight leg raise (+ biases)
Slump
Prone knee bend
ULTT1 median
ULTT2a median
ULTT 2b radial
ULTT3 ulnar

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7
Q

Nerve trunk innervated in straight leg raise

A

L4-S3

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8
Q

Steps of SLR

A

Hip flexion (maintain knee ext)
DF ankle
Hip adduction
Hip internal rotation
Cervical flexion
Trunk lateral flexion

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9
Q

Tibial nerve modified SLR

A

dorsiflexion + eversion + pronation

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10
Q

Sural nerve modified SLR

A

dorsiflexion + inversion

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11
Q

Peroneal nerve modified SLR

A

Plantarflexion + inversion

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12
Q

Slump test nerve trunk innervated

A

L4-S3

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13
Q

Nerve trunk innervated in prone knee bend

A

L2-L4

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14
Q

Slump knee bend nerve trunk innervated

A

L2-L4

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15
Q

ULTT1 - Median nerve nerve trunk innervated

A

C6-T1

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16
Q

ULTT2b - Radial nerve nerve trunk innervated

A

C5-T1

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17
Q

ULTT3 - Ulnar nerve nerve trunk innervated

A

C8-T1

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18
Q

What is structural differentiation

A

Allows us to differentiate between neural and non-neural structures

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19
Q

If a change in symptoms is based on a differentiating maneuvre - symptoms are ___

A

neurogenic

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20
Q

What is a positive neurodynamic test

A

reproduction of patients symptoms
structural differentiation gives a neural result
range of motion may be reduced

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21
Q

What is not a positive neurodynamic test

A

contralateral testing: symmetrical response. e.g. bilateral tightness
Does not reproduce patients symptoms

22
Q

Which ULNT helps determine whether a patient has cervical radiculopathy

A

Median

23
Q

Does Median Nerve ULNT help diagnose carpal tunnel syndrome

A

No

24
Q

What is a slider

A

Sliders aim to induce sliding of the peripheral nerves in relation to their surrounding structures with a minimal increase in nerve strain

Achieved by simultaneous lengthening of the nerve bed at one joint while shortening the nerve bed over another joint

25
Q

What is a tensioner

A

Aim to increase nerve strain by simultaneously elongating the nerve bed at multiple joints

26
Q

how many pairs of spinal nerves

A

31

27
Q

Brachial plexus

A

C5-T1
Median, Ulnar, Radial, Musculocutaneous, axillary

28
Q

Median nerve

A

C5-T1
Flexors of wrist

29
Q

Radial nerve

A

C5-T1
Posterior arm (extensors)

30
Q

Ulnar nerve

A

C8-T1
Hand muscles

31
Q

Axillary nerve

A

C5-C6
Deltoid and Teres minor

32
Q

Musculocutaneous nerve

A

C5-C7
Biceps brachii, brachialis, coracobrachialis

33
Q

L2

A

Lift your shoe
Hip flexion

34
Q

L3

A

Extend the knee
Knee extension

35
Q

L4

A

Stop the door
Dorsiflexion

36
Q

L5

A

The toes divide
Toe extension

37
Q

S1

A

Lift a tonne
plantarflexion

38
Q

S2

A

Heel to bum
Knee flexion

39
Q

C2

A

look at your shoe
neck flexion

40
Q

C3

A

fallen tree
Lateral neck flexion

41
Q

C4

A

I’m not sure
Shoulder elevation

42
Q

C5

A

Arms out wide
Shoulder abduction

43
Q

C6

A

smell your wrist
elbow flexion and wrist extension

44
Q

C7

A

no zombies in heaven
elbow extension and wrist flexion

45
Q

C8

A

Youre doing great
thumb extension and ulnar deviation

46
Q

Lumbar plexus

A

L1-L4

47
Q

Lumbosacral trunk

A

L4-L5

48
Q

Sacral plexus

A

S1-S4

49
Q

What do Neurodynamics do

A

detect if movement is a contribution to nerve pain

50
Q

Tensioner

A

Tension at both ends

51
Q

Slider

A

Tension on one side

Outpatient Assessment 1 Sof (6 decks)

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