ATTR 213 Annette final practical

Question 1

cervical compression test

Answer 1

postive: pain in c/s with vertical compression

implications: compression of facet joints, narrowing of the intervertebral foreman resulting in pain

Question 2

Spurling test

Answer 2

postive: pain in c/s with vertical compression with lateral flexion

implications: nerve root impingement

Question 3

shoulder abduction test

Answer 3

postive: decrease in pain when pt. puts hand on top of head (shoulder abduction)

implications: herniated disc or nerve root compression

Question 4

valsalva test

Answer 4

positive: increased spinal or radicular pain while pt. “bears down”

implications: space occupying lesion such as herniated disk, tumor, osteophyte

Question 5

cervical distraction

Answer 5

postive: relief of pain when c/s is distracted force

implications: compression of facet joints and/or narrowing of canal

Question 6

brachial plexus traction

Answer 6

postive: reproduction of pain when brachial plexus is stretched

implications: brachial plexus neuropraxia, stretching or compression of brachial plexus

Question 7

erb’s point or tines sign of c/c test

Answer 7

postive: increased pain or radicular symptoms when prac. taps on transverse process of c6

implications: brachial plexus lesion

Question 8

vertebral artery test

Answer 8

postive: dizziness, confusion, nystagmus, unilateral pupil changes, etc. when prac. lays pt. head back off the table

implications: occlusion of cervical vertebral arteries