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Last practical Flashcards

(53 cards)

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1
Q

Causes of Thoracic Outlet Syndrome

A

Cervical Rib
Scalenus Anticus/Medius problem
Costcoclavicular Syndrome
Pectoralis Minro Problem

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2
Q

ROM for Cervical Neck

A

Flexion 60
Extension 75
Lateral Flexion 45
Rotation 80

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3
Q

Rust’s Sign

A

Upper Cervical Instabillity

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4
Q

Libman’s Test

A

Press on Mastoid- Pain threshold

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5
Q

Bakody’s Test

A

LOWER brachial plexus, POSITIVE if pain allivieted

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6
Q

Reverse Bakody’s Test

A

Worse pain in Bakody’s sign- THORACIC OUTLET SYNDROME

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7
Q

Bikele’s Test

A

Abduct should to 90, Brachial Plexus Lesion

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8
Q

Brachial Plexus Tension Test

A

Hands behind head and pulling on elbows; Brachial Plexus lesion

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9
Q

Valsalva’s Test

A

Ask patient to bear down; SPACE OCCUPYING LESION

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10
Q

Dejerine’s Triad

A

SPACE OCCUPYING LESION
Herniated IVD
Spinal Cord tumor
Spinal Compression

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11
Q

Swallowing Test

A

Have patient swallow liquid, positive if pain in doing so

S.O.L., Sprain, Strain, Fracture, Disc Protrusion, Tumor, or Osteophyte @ Anterior portion of cervical spine

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12
Q

Naffzigner’s Test

A

Test Doctor stands behind patient and occludes the EXTERNAL JUGULAR VEINS @ level of CLAVICLE, then ask patient to cough

  • NOT for cardiac patients
  • Purpose is to find a pooling of venous venous sinuses that will cause an increase in CEREBRAL SPINAL FLUID PRESSURE- Positive + Sharp accentuating level at level of lesion
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13
Q

Barre-Lieou Test

A

Instruct patients to rotate their head back and forth as fast as thy can- any symptoms associated with this procedure is a positive.

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14
Q

Vertebrobasilar Functional Maneuver

A

To rule out vascular insufficiency
Auscultate Carotid and subclavian on both sides of patient–if no asymmetry/bruits exist instruct patient to EXTEND AND ROTATE their head and tell the to count from 20 down by 1’s

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15
Q

DeKleyn’s Test

A

Vetebrobasilar artery Insufficiency;

Patient is supine and doctor stimulates ROM

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16
Q

Distraction Test

A

Cup occiput with web of hand and palm on forehead and lift upwards; Decrease pain is IVF encroachment

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17
Q

Foraminal Compression Test

A

Neutral Compression; IVF Compression

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18
Q

Jackson’s Compression Test

A

Laterally Bend head both head and press down; IVF compression

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19
Q

Maximum Cervical Compression Test

A

Patient turns head and looks up and down without passive influence of doctor
IVF Encroachment. Pain on opposite side-Strain

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20
Q

Spurling’s Test

A

Couples ROTATION AND LATERAL FLEXION for compression

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21
Q

Lhermitte’s Test

A

Tucking chin to chest passively by doctor ; cord inflammation usually of C4/C5

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22
Q

O’Donahue’s Cervical Test

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A

Patient flex/extends/laterally bends with doctor holding head in place
Sprain/Strain

23
Q

Kernig’s Sign

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A

Patient is supine and doctor flexes hip and knee to 90* THEN extends leg; meningitis

24
Q

Brudzinski Test

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A

Patient is supine and doctor flexes head; meningitis

25
Shoulder Depressor Test
Depress shoulder while stabilizing the cervical region; IVF encroachment
26
Soto Hall Test
Patient is supine chin to chest- resist with hand on sternum can be active or passive
27
Allen’s Test
Patient holds up hand with elbow flexed at 90*, pumps hand 5 times, doctor hangs on to both ULNAR AND RADIAL ARTERY ---> Extend elbow down release occlusion of radial first THEN CHECK bilateral side THEN ULNAR pulses
28
Adson’s Test
Doctor holds onto radial pulse--> patient then turns head to SAME SIDE and extends head back and patient holds breathe, CHECK for change in pulse
29
Modified Adson’s Test
Doctor holds onto radial pulse--> patient then turns head to OPPOSITE SIDE and extends head back and patient holds breathe, CHECK for change in pulse
30
Halstead’s Test
Feels pulse of radial artery while extending arm at elbow joint. patient turns head away and holds breathe
31
Allen’s Maneuver Test
Check pulse, raise are to side (WITH elbow at 90*), Head turned AWAY, looking for amplitude decrease
32
Roos’ Test
Patient holds BOTH hands up with elbows flexed at 90* ( Stick'em up position) and holds position for 60 seconds THEN PATIENT PUMPS HANDS for 3 minutes ---> looking for pain while performing maneuver
33
Wright’s Test
Feel radial pulse and raise arm with elbow fully extended and hyper-ABduct arm, note where and if pulse decreases. Check bilaterally
34
Costoclavicular Maneuver Test
Grab radial pulse on both sides from behind patient, extend elbows and brings arms backwards (extending shoulders), checking for change in AMPLITUDE, PATIENT FLEXES HEAD FORWARD
35
Apley’s Scratch Test
Checking for shoulder RANGE OF MOTION (ROM) 1st arm from above THEN opposite arm 2nd from BELOW THEN opposite arm -Common finding include a greater ROM in non-dominant hand + Test: Rotator Cuff injury, usually SUPRASPINATOUS TENDON
36
Apprehension Test
Passively abduct arm and externally rotate with elbow at 90*, THEN have patient lay down and doctor brings arm across body elbow flexed and doctor pushes straight down on arm -Patient will be apprehensive as a positive because it will feel like the shoulder is going to dislocate again + Test: Anterior Shoulder dislocation
37
Codman’s Arm Drop Test
Brings arm up with the THUMB DOWN and quickly releases arm once the patents arm is at 90*; patient should be able 'to catch' it with minor recoil down and up +Test: SUPRASPINATOUS TENDON INJURY
38
Dawbarn’s Test
Doctor pinches area around shoulder joint FIRST, Then abducts arm with palm down and with elbow is straight/fully extended, ask if there is any pain while performing the passive movement + Test: SUBACROMIAL BURSITIS
39
Dugas Test
Patient grabs opposite shoulder by hand and doctor presses elbow into patients chest + Test: Possible Joint dislocation
40
Impingement Test
Bring arm up with elbow extended; ask patient if this passive motion illicit any pain + Test: BICIPITAL TENDONITIS, Supraspinatous oversue, or possible Degenerative Joint Disease
41
Speed’s Test
Have patient flex elbow against resistance of Doctor's stabilization at wrist, allow patient to move arm by flexing shoulder through ROM + Test: BICIPITAL TENDONITIS
42
Supraspinatus Press Test
Abduct shoulder passively with elbow fully extended and THUMB DOWN. THEN have patient resist downward motion provided by doctor (similar to muscle test of supraspinatous)
43
Yergason’s Test
Yergason’s Test- Doctor places one hand pinching shoulder while the other hand is being held by the patient. Elbow is FLEXED, Forearm SUPINATES doctors hand, Doctor externally rotates arm while feeling for a CLICK in shoulder + Test: TRANSVERSE HUMERAL LIGAMENT and/or Bicipital TENDONITIS
44
Load and Shift Test-
Doctor places one hand on trap/shoulder while the other hand FIRST pulls down on arm--> LOOKING for SULCUS SIGN THEN push shoulder up, forward and pull backwards feeling for laxity + Test: Supporting ligaments of shoulder
45
O’Brien’s Test
Have patient cross arm 30* (CROSSING STERNUM, to PERFORM CORRECTLY) with elbow extended and lift shoulder up THUMB UP FIRST and doctor will press against patients arm to test resistance THEN perform same with THUMB DOWN; ask patient which hurts worse + Test: Labral region of shoulder joint
46
Lift off Test
Patient brings arm backwards with elbow slightly flexed. Doctor is seeing if the patient can move hand away from back in both arms equally on both sides + Test: Supporting ligaments of shoulder
47
Elbow Flexion Test
Instruct patient to flex both elbows with hands going towards shoulders; ask patient if hold position illicit and pain, numbness, or tingling + Test: Cubital Tunnel Syndrome
48
Tinel’s Test at the Elbow
Elbow extended Tapping 1-2 inches above and below medial and lateral side of elbow; Ask patient if any of 4 sights per arm illicit any radiating pain/numbness/tenderness/tingling in arm + Test either Ulnar or Radial Nerve
49
Cozen’s Test
ARM ON LAP with PRONATED GRIP AND WRIST/HAND UP Doctor has hand on dorsum of hand and the other holding onto cubital fossa Doctor instructs patient to resist and doctor tries pressing down + Test for Lateral Epicondylitis
50
Golfer’s Elbow Test
ARM ON LAP with SUPINATED GRIP and WRSIT/HAND UP (FLEXED) Doctor has hands on patient's hand and proximal forearm Doctor instructs patient to resist and doctor tries pressing down + test Medial Epicondyle
51
Lift Test
Patient hold forearm out in space and doctor stabilizes forearm with both hands Instruct patient to grab sandbag and EXTEND WRIST FIRST SECOND patient will supinate hand and FLEX WRIST
52
Ligament Instability Test
Doctor extends patients elbow and presses on patients elbow both laterally and medially Stressing LATERAL COLLATERAL--> VARUS STRESS Stressting MEDIAL COLLATERAL --VALGUS STRESS
53
Mill’s Test
Have patient "Make a muscle" with flexed wrist forearm is pronated and extended After "Make a muscle" move have patient turn hand away from them and extend elbow After elbow is extended have patient bring arm backwards Doctor may passively flex wrist further if no pain is illicit when arm is behind shoulder + test LATERAL EPICONDYLE

NMS (3 decks)

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