Screening Techniques for Head Trunk Spine (Quiz 1)

Question 1

What are the clinical exam components

Answer 1

observation
palpation
sensation/vascular
ROM
strength testing
Special & functional tests
gait assessment
outcome measures

Question 2

What is the screening exam designed to provide?

Answer 2

provide the practitioner with minimum objective data needed to provide orthotic and prosthetic services

Question 3

Occipit/C1 motion

Answer 3

15-20 degrees sagittal flexion/extensino
10 degrees of lateral flexion
little to no rotation

Question 4

C1/C2 motion

Answer 4

most mobile articulation of the spine
10 degrees of sagittal flexion/extension
5 degrees of lateral flexion
50 degrees of rotation

Question 5

how do most discogenic pathologies occur in lumbar spine

Answer 5

result of sagittal flexion
anterior compression resulting in postero-lateral displacement

Question 6

Radiculopathy

Answer 6

as intervertebral disc deforms, it can displace and compress the adjacent nerve root resulting in pain and/or loss in sensation or motor function

Question 7

Spondylolysis

Answer 7

no displacement
most commonly affect L5/S1

Question 8

Spondylolisthesis

Answer 8

displacement
most commonly affect L5/S1

Question 9

Palpation

Answer 9

most commonly used to identify areas of bony prominence, presence of underlying scars

Question 10

What does the straight leg raising test assess

Answer 10

presence of radiculopathy

Question 11

Straight Leg Raising Test Maneuver

Answer 11

limb is placed into IR/Adduc at the hip
knee extended
hip is flexed until the patient has pain or tightness on lumbar region or posterior thigh

Question 12

Straight Leg Raising Test Results

Answer 12

lumbar pain = disc herniation or spinal cord compression

Question 13

Straight Leg Raising Correlates

Answer 13

Discogenic and/or nerve root pathology on the ipsilateral side

Question 14

What does the stork standing lumbar extension test for

Answer 14

screens for presence of spondylosis or spondylolisthesis in lumbar spine

Question 15

stork standing test results

Answer 15

pain is exacerbated on the ipsilateral side of the stance foot

Question 16

Adams forward bending test results

Answer 16

an elevation is observed on the convex side of the curve

Question 17

When is LEAP Performed

Answer 17

when patient has loss of sensation or suspected loss

Question 18

LEAP Annual Foot Screening

Answer 18

5.01 monofilament
10 grams of force

Question 19

LEAP risk
categorization

Answer 19

0 –> no loss of protective sensation
1 –> loss of protective sensation
2 –> loss of sensation with high pressure (callus/deformity) OR poor circulation
3 –> history of ulceration, neuropathic fracture, or amputation

Question 20

Inflammation

Answer 20

redness (rubor)
swelling (tumour)
heat (calor)
pain (dolor)
loss of function

Question 21

Peripheral Edema Temporary Conditions

Answer 21

injury (fracture or sprain)
sitting or standing too long
pregnancy
hormonal changes
excessive salt intake
drug
allergic reaction
obesity

Question 22

Peripheral Edema Associated Diseases

Answer 22

venous insufficiency
blood clot
heart failrue
pericarditis
preeclampsia
cirrhosis
renal failure
lymphedema
malnutrition

Question 23

Pitting Edema

Answer 23

observable swelling of body tissues due to fluid accumulation that may be demonstrated by applying pressure to swollen area

Question 24

Capillary Fill Atypical findings

Answer 24

dehydration
shock
vascular disease
hypothermia

Question 25

Capillary Fill Upper Limb

Answer 25

hold hands above the heart assess thumbs

Question 26

Capillary Fill Lowe Limb

Answer 26

Have patient lay supine, assess great toes