Final Flashcards
(28 cards)
C2-C7
Motion Palpation: Lateral Flexion
Example:
Right lateral flexion restriction may cause prominence and tenderness of the articular pillar/lamina on the right side.
Motion palpation: CO-C1-C2
“egg on spoon”
Procedure:
Radial and ulnar deviation of both hands creates a nodding motion of the occiput on atlas.
Imagine an axis through the external auditory meatuses—rotate around this axis.
To bias the assessment to the right CO-C1 joint laterally, flex the occiput right and induce nodding.
To bias the assessment to the left CO-C1 joint, laterally flex the occiput to the left and induce nodding.
State the elements of “the First Three First” & the interpret each finding. Perform it & what does it mean?
“First three first”:
1. Observe (Rust’s sign or abnormalities)
Rust’s sign: Hands holding Cervicles…
Bakody’s sign (AKA Shoulder Abduction Relief Sign, Shoulder Abduction Test): Nv. root irritation if a patient reports relief from peripheral sxs with the arm overhead.
- AROM of head & neck
- Fracture screen (if this was trauma)
⬥ AROM
⬥ Palpation & visualization … pain, displacement, swelling, discoloration
⬥ Percussion & Vibration (tuning fork) … unreliable
⬥ Resistance and Torque
Canadian C-spine rules for X-rays
- Cognitive awareness (Glasgow Coma Scale > 15)
- Neurological symptoms
- High-Risk trauma (MVC high speed, roll-over, ejection)
- Age 65 or older (does not apply to
Middle Deltoid
C5- Auxillary Nv.
C6 Motor Fxn
Biceps->Musculocutaneous n.
Wrist extensors->Radial nerve
Wrist extensors
Radial nerve-C6
Musculocutaneous n.
Biceps-C6
C7 Motor Fxn
Triceps->Radial Nv.
Wrist flexors->Median/Ulnar nerve
Finger extensors->Ulnar/Median nerve
Wrist flexors
Median/Ulnar nerve-C7
Finger extensors
Median/Ulnar nerve-C7
Triceps
Radial Nv.-C7
C8 Motor Fxn
Finger flexors-Ulnar/Median nerve
T1 Motor Fxn
Ulnar Nerve-Finger abductors/adductors
DTR-Biceps
C5 & C6
DTR-Brachioradialis
C5 & C6
DTR-Triceps
C7 & C8
Sensation C5-T2
Nerve root Dermatome location C5 Over deltoid tuberosity C6 Lateral distal forearm and radial aspect of the hand C7 Middle finger C8 Ulnar aspect of hand and wrist T1 Medial forearm at level of elbow T2 Medial upper arm (axilla region)
What are the 5D’s
5D’s:
Diplopia (or other visual problems)
Dizziness (vertigo, light-headedness, giddiness)
Drop attacks (sudden weakness in face/arm/leg)
Dysarthria (speech disorder)
Dysphagia (difficulty swallowing)
What are the “And the 3N’s?”
And:
Ataxia of gait (unsteady, hemiparesis)
3 N’s:
Nausea (possibly with vomiting)
Numbness (hemianesthesia)
Nystagmus
(TOS)
Scalene syndromes
Adson’s & Reverse Adson’s
(TOS)
Costoclavicular syndrome
Eden’s test (-Valsalva) & Roos’ test (3 Min.)
(TOS)
Hyperabduction syndrome
(d/t ->Pectoralis Minor & Hyperabd. S/d)
Wright’s test
(+) Positive test …..
the radial pulse disappears
if symptoms of pain are reproduced
Neurogenic Syndrome
Upper limb tension test
(differentiate nervous tissue from local tissue)
Soto Hall test
