Evaluation and Intervention Flashcards
cauda equina s/s
B/B dysfunction, saddle paresthesia, severe LBP, B leg pain, motor weakness; is a medical emergency compression must be removed within 48hrs
Cord compression s/s
motor changes, sensory changes, reflex changes “hyperreflexia”, B/B dysfunciton; not an emergency
Vertebral Artery Symptoms
Drop attack "falling without LOC" dizziness diploplia dysarthria dysphagia
McKenzies law of repeated motion
because 1 time with OP might not elicit the symptom
A segmental neuro exam is appropriate for?
anyone with radiating symptoms, someone who is not sable, not typical presentation, or work related injury
MMT vs. Myotomes
MMT consistent weakness indicates musculoskeletal condition
Myotome weakness will be fatiguing from motor neuron involvement strength will rapidly drop without rest 5-6 times
PPIVM
passive physiological intervertebral movement
flexion/extension/sidebending/rotation
PAIVM
Passive accessory intervertebral motion
Central PA or unilateral PA
Central PA’s stress what?
disc, soft tissue, neural arch, lock for the amount of range, end feel, reproduction of symptoms or muscle spasm
Unilateral PA’s stress?
the facet joints, performed on articular processes
perform what last in exam
the most painful motion or test
Treatments for Spine conditions:
Disc/DDD
mckenzie protocol, traction, rotations, disc hydration exercises
Acute nerve Root
gentle traction, rotations (I’s and II’s), modalities
Chronic Nerve Root
unilaterals, roations, nerve glides
acute facet
rotations, unilaterals, manipulation
