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EEO > Evaluation of the Spine (unfinished) > Flashcards

Evaluation of the Spine (unfinished) Flashcards

1
Q

Clearing the spine

A

-to rule out spine in complaints
-all 6 plans (rotation, side bend, extension, flexion)
-Cervial AND thoracic/lumbar

-AROM
-RROM
-Overpressure
-Distraction/Compression

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2
Q

Observations/questions

A

-posture
-sitting without cueing
-knees
-arms

-job
-setting
-chairs

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3
Q

Most Common Areas of Spine for Disc Pathology

A

-C6-C7
-L4-L5
-L5-S1

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4
Q

Common Spinal Hinge Points

A

-transititon areas that that a lot of pressure

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5
Q

Cervical Foraminal Stenosis

A

-unilateral
-Opening/closing
-pain can migrate down limb

Tests
-paraesthesia/decreased sensation
-reflex
-AROM
-MMT

Outcome Measures
-NDI
-Grip test
-Flexor endurance

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6
Q

Cervical Central Stenosis

A

-bilateral
-motor and sensory
-falls

Tests
-UMNL tests
-AROM
-MMT
-Balance

Outcome Measures
-NDI
-Grip test
-Flexor endurance

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7
Q

Cervicogenic Headache

A

-starts a neck, migrates to head
-upper cervical dysfunction

Sinus: around nose and eyes
Cluster: behind eyes
Neck: top and back of head
Tension: forehead
Migrane: 1 side
TMJ: temples

Tests:
-AROM
-MMT
-Sensation
-Reflexes

Questions:
-screen time
-MOI
-areas of head/face

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8
Q

Cervical Disc Pathology

A

-flexion or whiplash
-central protrusion herniation
-bilateral
-motor Sx first

Tests
-Myotome
-AROM
-MMT
-Reflexes
-Sensation

Outcome Measures
-NDI
-Grip test
-Flexor endurance

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9
Q

Whiplash

A

-muscle tightness, brain stem-like Sx

Tests
-JPSE laser
-ROM
-Reflexes
-Myotomes/Dermatomes

Outcome Measures
-NDI
-Kinesiophobia
-Grip test
-Flexor endurance

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10
Q

Cervical Flexion Inclinometer ROM

A

-Cranium to T1

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11
Q

Cervical Flexion Goni ROM

A

-0-45
Stationary: Perp. floor
Axis: Ear hole
Movement: Base of nose

-take resting, subtract from final number

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12
Q

Cervical Extension Tape Measure ROM

A

-Chin to sternal notch

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13
Q

Cervical Extension Inclinometer ROM

A

-superior cranium and T1

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14
Q

Cervical Extension Goni ROM

A

0-45
Stationary: Perpendicular to floor
Axis: ear hole
Movement: Base of nose

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15
Q

Cervical Lateral Flexion ROM Tape Measure

A

-Mastoid to lateral acromion

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16
Q

Cervical Lateral Flexion ROM Inclinometer

A

-Superior cranium to T1 (frontal plane)

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17
Q

Cervical Lateral Flexion ROM Goni

A

-0-45 (180 hold)
Stationary: Perp to floor
Axis: C7
Movement: bisect cranium

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18
Q

Cervical Rotation ROM Tape Measure

A

-Nip of nose to lateral acromion

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19
Q

Cervical Rotation ROM Inclinometer

A

-PROM
-Supine
-Center of forehead (frontal plane)

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20
Q

Cervical Rotation ROM Goni

A

-0-60
Stationary: lateral acromion
Axis: Center of cranium
Movement: nose

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21
Q

Cervical Flexors MMT

A

-Capitus, SCM, Ant. scalene
-Supine
-Chin to test; push forehead

22
Q

Cervical Extensors MMT

A

-Spinae, Capitus, upper Trap
-Prone
-Lift head off table; push base of cranium

23
Q

Cervical Anterolateral Flexors MMT

A

-SCM
-supine
-Lateral flexion and rotation; push forehead

24
Q

Cervical Flexors Endurance Test

A

-tuck chin and lift head an inch
-Male: 40s; Female: 30s

25
Q

Lumbar Degenerative Disc Disease

A

-nucleus p. dehydrates and annulus looses height
-leg Sx, activites

Tests
-Posture
-Gait
-MMT (trunk and hip)
-neuromuscular screen

Outcome Measures
-ODI
-Modified plank
-FLI

26
Q

Lumbar Disc Pathology

A

-flexion and rot
-most herniate pos.
-bilateral
-motor and sensory
-valsalva/weightbearing
-leg issues, squat tollerance

Tests
-Squatting
-Gait
-AROM
-neuromuscular screen

Outcome Measures
-ODI
-Sit to stand
-FLI

27
Q

Lumbopelvic Rhythm

A

1st lumbosacral flexion, then anterior pelvis tilt, hip flexion

28
Q

Spondylolisthesis

A

-repetitive hyperextension
-pain and time of day, walking, back positions

Tests
-Posture
-Myotomes/reflexes
-MMT (trunk)
-AROM

Outcome Measures
-ODI
-Sit to stand
-FLI

29
Q

Chronic low Back Pain

A

Tests
-Posture
-Gait, lifting
-MMT (trunk and hip)
-ROM

Outcome Measures
-STaRT back tool
-Sit to stand

30
Q

Lumbar Spinal Stenosis

A

-age related
-motor and sensory
-after walking and standing
-positions of relief

Tests
-Posture
-LE Neurosensory
-Gait, lifting
-MMT (trunk and hip)
-AROM

Outcome Measures
-Timed Treadmill test

31
Q

SIJ Hypermobility

A

-common with pregnancy
-unilateral activities
-pain radiating behind leg
-inability to stand or sit for a while

Tests
-MMT (trunk and hip)
-AROM

Outcome Measures
-Plank
-Sorensen

32
Q

Cervical AROM Values

A

Flx: 40
Ex: 50-70
LSB: 22
Rot: 70-90

33
Q

Thoracolumbar AROM Values

A

Flx: 60
Ex: 25
LSB: 35
Rot: 45

34
Q

Lumbar AROM Values

A

Flx: 40-50
Ex: 15-20
LSB: 25

35
Q

Sorenson Back Extensor Test

A
36
Q

Prone Plank Endurance Test

A
37
Q

5x Sit to Stand

A
38
Q

Power Hand Grip Dynamometry

A
39
Q

Cervical Flexor Test

A
40
Q

Clearing the Lumbar Spine

A

AROM
-Flexion: Bend forward
-Extension: hands on hips
-Lat SB: arms to the side
-Rotation: arms crossed, stabilize hips

RROM
-Flexion: resist being pulled back
-Extension: resist being pushed
-Lat SB: push shoulder down, stabilize contra pelvis
-Rotation: Pull one shoulder back, stabilize contra pelvis

Overpressure
-Flexion: sitting, Bend forward hands together, stabilize low back with forearm and push upper back with other forearm
-Extension: sitting, cross arms and arch back, stabilize low back with forearm and push chest
-Lat SB: sitting, lean to one side using trunk only, push ipsi shoulder down, stabilize contra pelvis
-Rotation: arms crossed, rotate to one side, push isi shoulder

41
Q

Passive SLR & Dural Stretch

A

-hamstring shortness and mobility

-flx hip w/ extended knee
-DF ankle and tthen ask to flex head

42
Q

SLUMP Tests

A

-neural tension

-hands behind back, slouched
-knee extended off table and ankle DF
-have patient tuck chin

43
Q

Valsalva Test

A

-neuro involvement of spine

-hold breath and press down
-increases intraabdominal pressure

44
Q

Compression Test

A

-SI pain test

-sidelying, press on iliac crest creating ant pressure on SI

45
Q

Distraction Test

A

-SI pain test

-supine, press on ASIS down and laterally

46
Q

Sacral Thrust

A

-SI pain test

-prone, push on sacrum with overlapping hands

47
Q

Thigh Thrust

A

-SI pain test

-supine, 90 deg hip flx
-one hand on sacrum, another on bent leg patella
-push into hand

48
Q

Quadratus Test

A

-quadratus fem strength

-side plank
-lift side up

49
Q

Trunk & Neck Elevation Test

A

-prone, hands behind back, raise trunk
-take height

50
Q

Quadrant Testing

A

-spine pathology

-Flx and RSB: disc on left
-Flx and LSB: disc on right
-Ext and RSB: foramen on right
-Ext and LSB: foramen on left

EEO (37 decks)

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