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EEO > Evaluation of the Spine (unfinished) > Flashcards

Evaluation of the Spine (unfinished) Flashcards

(50 cards)

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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

Study These Flashcards
A

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

22
Q

Cervical Extensors MMT

Study These Flashcards
A

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

23
Q

Cervical Anterolateral Flexors MMT

Study These Flashcards
A

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

24
Q

Cervical Flexors Endurance Test

Study These Flashcards
A

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

25
Lumbar Degenerative Disc Disease
-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
Lumbar Disc Pathology
-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
Lumbopelvic Rhythm
1st lumbosacral flexion, then anterior pelvis tilt, hip flexion
28
Spondylolisthesis
-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
Chronic low Back Pain
Tests -Posture -Gait, lifting -MMT (trunk and hip) -ROM Outcome Measures -STaRT back tool -Sit to stand
30
Lumbar Spinal Stenosis
-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
SIJ Hypermobility
-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
Cervical AROM Values
Flx: 40 Ex: 50-70 LSB: 22 Rot: 70-90
33
Thoracolumbar AROM Values
Flx: 60 Ex: 25 LSB: 35 Rot: 45
34
Lumbar AROM Values
Flx: 40-50 Ex: 15-20 LSB: 25
35
Sorenson Back Extensor Test
36
Prone Plank Endurance Test
37
5x Sit to Stand
38
Power Hand Grip Dynamometry
39
Cervical Flexor Test
40
Clearing the Lumbar Spine
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
Passive SLR & Dural Stretch
-hamstring shortness and mobility -flx hip w/ extended knee -DF ankle and tthen ask to flex head
42
SLUMP Tests
-neural tension -hands behind back, slouched -knee extended off table and ankle DF -have patient tuck chin
43
Valsalva Test
-neuro involvement of spine -hold breath and press down -increases intraabdominal pressure
44
Compression Test
-SI pain test -sidelying, press on iliac crest creating ant pressure on SI
45
Distraction Test
-SI pain test -supine, press on ASIS down and laterally
46
Sacral Thrust
-SI pain test -prone, push on sacrum with overlapping hands
47
Thigh Thrust
-SI pain test -supine, 90 deg hip flx -one hand on sacrum, another on bent leg patella -push into hand
48
Quadratus Test
-quadratus fem strength -side plank -lift side up
49
Trunk & Neck Elevation Test
-prone, hands behind back, raise trunk -take height
50
Quadrant Testing
-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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