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Flashcards in Clinical Science 3 Deck (65):
1

Schober's test =

- Schober's test assesses the amount of lumbar Flexion (limited)
- A markis made at the level of the posterior iliac spine on the vert column, ( aprox L5)
- Therapist then places one finger 5cm below this mark, adn another finger 10 cm above the mark
- Pt actively touches toes
- iF the increase in distance between the two fingers on the Pt's spine is less than 5cm, this indicates limited lumbar Flexion

2

Hoover's Test =

Malingering Test

3

Cervical spine loose packed position:

Midway between Flexion & Extension

4

Cervical spine close pack position:

Extension

5

Thoracic & Lumbar spine loose pack position:

Midway btw Flexion & Extension

6

Thoracic and Lumbar closed pack position:

Extension

7

Which way does the cervical/t-spine vertebrae translate on right side Flexion?

Side bending is coupled with axial rotation on the SAME side

8

Which way do lumbar vertebrae translate on right side Flexion?

Side bending is coupled with axial rotation in the OPPOSITE side

9

Cervical Spine ligaments that we test:

Alar, Transverse, Apical

10

Most Common direction of disc Herniation:

Posterolateral

11

S/sx of a slipped disc include:

P and numbness, MC on one side of the body
P that extends to your arms and/or legs
P that worsens at night
P that worsens after standing/sitting
P when walking short distances
Unexplained mm weakness
Tingling, aching, or burning sensations in the affected area

12

Nerve that passes between L4 and L5

L5

13

L5 nerve impingement =

Foot drop

14

If the L5 near root is impinged, where is the impingement located?

Between L4 and L5

15

If S1 nerve root is impinged, where is the impingement?

L5/S1
May cause loss of the ankle reflex

16

Common S/sx assoc. with Facet lock / Facet jt pain :

- Mm spasm which can pull the spine out of alignment adn cause back pain
- Often Pt's will report just bending over to tie shoes, adn suddenly not being able to take move
- The usual acute joint attack of back pain involving facet joint occurs suddenly with no warning

17

Piriformis Syndrom:

- Pain behind hip adn buttocks
- Electric shock pains traveling Down the back of the lower extremity
- numbness in the lower extremity
- tenderness with pressure on the piriformis mm (often causes Pain when sitting on hard chairs)

18

BAck strain S/Sx

Pain that worsens with movement
Mm cramping/spasm
Sudden uncontrolled mm contractions
Decreased function and/or ROM of joint
Difficulty walking, bending forward/sideways, standing straight

19

Lumbago:

Pain in the mm joints of the low back

20

Rule of 3 in the T-spine

T 1-3. T12. SAME

T 4-6. T11. 1/2 segment ABOVE

T 7-9. T10. Full segment ABOVE

21

SPondyllisthesis

Forward displacement of the vertebra, especially L5

MC occurs after break or Fx

Backward displacement = Retrolisisthesis

22

Spondylolysis

Defect of the Pars Interarticularis of the vertebral arch

23

Spondylitis

INflammation of the joints of the vertebrae

24

What's indicative of Intrathorasic / Intrathorasic-Abdominal Pain while pooping?

Herniated Disc
Trauma
Tumor
Osteophyte in lumbar canal

(Valsalva Test)

25

Trendelenburgs Gait:

Weak Glut Med (and Min)
NO stabilization through stance phase = excess Lat movement to standing side

If boy side are weak = side to side swing "Chorus Girl Swing"

Also seen in congenital hip dislocation/ Coxa Vera

26

Lurch Gait:

Weak Glut Max
Thorax lurches Posteriorly in Initial Contact (heel strike)

27

Trendelenburg Test, positive =

Slouching hip of the affected aside while opposite foot is OFF the ground

28

A woman walk in with shoulder Pan that came on gradually. She is experiencing night pain and Pain with ABduction. What could this be and what special test are indicated?

Frozen Shoulder

Do an Impingement Test + Adhesive Capsulitis ABduction Test

29

A man presents with Neuro signs in left arm, what special test would you perform?

Distraction/Compression
Spurlings,
Upper Limb Tension Test

30

What is a step deformity?

AC Separation

31

What is a Sulcus Sign?

Dislocated AC joint, humerus appears dropped from shoulder

32

Colle's Fracture

Wrist fracture involving a break of the distal end of the Radius
"Dinner Fork" appearance

25% of Colles Fx have Complex Regional Pain Syndrom (CRPS)

@ 9 weeks, most Pain resolves

33

What is Reflex Sympathetic Dystrophy?

Also called Complex Regional Pain Syndrom CRPS

Condition characterized by diffuse Pain, swelling, limited mvmt that follows injury such as a Fx to arm or leg.

S/Sx are always out of proportion to the injury and can linger long after the site has healed.

34

Nursemaids Elbow involves:

Subluxation of head of radius from it's encirclement of the Annular Lig
Radial subluxation
Prox humeroradial dislocation

35

Bouchard's Nodes:

Sign of RA or OA

Hard bony outgrowths or gelatinous cysts on PIP jts of fingers / toes

36

Heberden's Nodes

Hard, bony swellings that can develop in the DIPs

Sign of OA

37

OK sign - Pinch Test - Median Nerve / Ant Int Oss Nerve

Lesions of the Ant Int Oss nerve may cause weakness of:

FPL
FDP
FDS
Pronation Quadraus mm

38

Histology of the Carpal Tunnel:

- Carpal Tunnel is an osteofibrous canal situated in the wrist
- Goes from the carpal bones+flexor retinaculum
- Contains Median Nerve + 9 tendons:
FPL, FDS, FDP

39

If asked to make the "OK" sign, patients who make a triangle instead exposes:

Weak FPL +FDP leading to weakness of the Flexion of distal phalanges of thumb and index finger
= impairment of pincer mvmt + difficulty picking up sm items

40

If you've torn your meniscus, you may experience the following signs on your knee:

"Popping"
Inflam, stiffness
Pain w twisting/rot mvmts
Difficult straightening knee fully
"Blocked" feeling when moving knee / Locked in place

41

Terrible Triad:

Injury to ACL, MCL, Medial Menicus

42

Housemaids Knee, aka:

Pre patellar Bursitis

43

If a soccer player gets kicked in the back of the knee, what is most likely to be injured?

ACL Injury

44

If a patient can't straighten the knee, it's most likely a:

Bucket Handle Tear (Med. Meniscal Injury)

45

If someone if experiencing Pain going up stairs it is likely:

Patella Femoral Pain Syndrom

Pain from posterior surface of the patella articulating with the femur out of alignment

46

Hallmarks of Runners Knee:

No Pain on Knee Extension
"Click" sound with extension
Due to mm imbalance of Strong Vastus Lateralis (pulls knee Lat)
Vs
Weak Vastus Medialis (need to strengthen)

47

What is a Reverse Q Angle?

Patella tracks Laterally and may sublux
Pt needs to strengthen ADDuctors
Stretch ITB + Vast Lat

48

Screw Home Mechanism=

External Rot of Tibia on Femur in last 20* of Extension
(Locking Mechanism)

Open Chain: Tib Ext Rot on Femur + Ant glide to become more congruent on Femur

Closed Chain: Femoral Int Rot on Tibia

49

An Inversion Sprain of the Ankle commonly affects the:

Anterior Talofibular Ligament

50

A tear to the Spring Ligament of the foot would cause:

Pronation (Drop Arch)

51

Myotome C1-2

Neck FLX/EXT

52

Myotome C3

Neck side FLX

53

Myotome C4

Shoulder elevation

54

Myotome C5

Shoulder ABduction

55

Myotome C6

Elbow FLX / Wrist EXT

56

Myotome C7

Elbow EXT / Wrist FLX

57

Myotome C8

Ulnar Deviation
Thumb EXT
Finger FLX + ABduction

58

Myotome T1

ABduction / ADDuction of Intrinsics

59

Myotome L1-2

Hip FLX

60

Myotome L3

Knee EXT

61

Myotome L4

Ankle Dorsi FLX

62

Myotome L5

Big Toe EXT

63

Myotome S1

"Poo on shoe"

Ankle Plantar FLX, Eversion, Hip EXT, Knee FLX

64

Myotome S2

Knee FLX

65

Myotome S3

Foot Intrinsics