Spine Flashcards
CPR Manipulation
no pain below knee \+ PA glide < 16 days < 19 FABQ > 35 hip IR
SIJ Test Cluster
distraction compression thigh thrust sacral thrust gaenslen
Thoracic Manip Criteria
symptoms < 30 days no symptoms distal to shoulder look up does NOT aggravate symptoms < 12 FABQ diminished upper thoracic kyphosis cervical ext < 30
Cervical Radic
ULTT A (median)
spurling
distraction
rot < 60 to affected side
Dorsal Scapular
C4-C5
Rhomboids/LS
Long Thoracic
C5-C7
SA
Suprascapular
C5-C6
Infra/Supra
Lat Pec
C5-C7
Pec maj/min
Musculocut
C5-C7
coraco, brach, biceps
Upper and lower subscap
C5-C6
subscap (upper/lower), TM (lower)
Thoracodorsal
C6-C8
lats
Axillary
C5-C6
ant delt, post TM, post delt
Radial
C5-T1
triceps, brachiorad, supinator, forearm ext
Med Pec
C8-T1
Pec maj/min
Ulna
C8-T1
2 medial lumbricals, medial digitorum profundus, intrinsics except thenar
Canadian CSpine Rules Risk Factors
High - dangerous mechanism, > 65, paresthesia
Low - can sit, ambulatory, no midline tenderness, delayed onset of pain
Cervical Myelopathy
Hoffman's (finger flick) hyperreflex brachiorad gait disturbance Babinski > 45
Referral Patterns
Diaphragm (C4) Heart (T3-T4) Esophagus (T4-T5) Stomach (T8) Small Intestine (T10) Colon (T11) Gall Bladder and Liver (T8-T11) Kidney and Testes (T10-T11) Bladder (T11-L1)
Murphy’s and McBurney’s
Murphy’s - gall bladder, lower border of ribs medial lowest angle
McBurney’s - appendix, midway between ASIS and umbilicus on R side
Cluster for stabilization exercises
< 40
ASLR > 91
+ PITT
aberrant movement present
Cluster for mechanical traction
< 21 FABQ
no neuro deficit involvement
> 30
non manual job
Cluster for spinal stenosis
B symptoms
leg > back symptoms
pain during walking/standing - relief with sitting
> 48
