tension testing (nerve flossing) Flashcards
symptoms that may indicate the need for testing?
- numbness/tingling in UE
- difficulty with certain movements such as grasp or release
- neck pain
ulnar nerve path
C8-T1 ventral rami
anterior and middle scalenes
Arcade of Struthers
Groove for ulnar nerve on the medial epicondyle of humerus
Osborne’s ligament (roof of cubital tunnel)
Cubital tunnel
anterior wrist
Guyon’s canal
innervates anterior hand intrinsics
innervates digits 4.5-5
ulnar nerve test
depress scapula
abduct glenohumeral joint
ER GHJ
pronate forearm
flex elbow
extend wrist
extend fingers
side bend neck to side being tested
median nerve path
(C5) C6-T1 ventral rami
anterior and middle scalenes
medial upper arm
travels anterior to elbow
innervates anteromedial muscles of the FA
anterior wrist
carpal tunnel
innervates anterior hand intrinsics
digits 1-3.5
median nerve test
depress scapula
abduct and ER GHJ
extend elbow
supinate FA
extend wrist
extend fingers
side bend away from side being tested
radial nerve path
C5-T1 ventral rami
anterior and middle scalenes
radial groove
lateral intermuscular spetum
cubital fossa
posterior lateral muscles of the FA
posterior/lateral wrist
digits 1-3.5 posteriorly
radial nerve test
depress scapula
abduct GHJ slightly
IR GHJ
extend elbow
pronate FA
flex wrist
flex fingers
side bend away from side being tested
the slump test tests what?
sciatic nerve (lumbar and sacral nerve roots)
slump test position
T and L spine flexion first
C spine flexion second
leg extension third
ankle dorsiflexion fourth
obturator nerve path
L2-L4 nerve roots
under psoas major
obturator foramen
medial compartment of thigh
adductors
distal medial thigh
obturator nerve test
head flexion
spine flexion
hip abduction
tibial nerve path
L4-S3 nerve roots
greater sciatic notch
piriformis
posterior thigh
popliteal fossa
superfical and deep compartment of the posterior leg
tarsal tunnel
medial/lateral and cutaneous sole of the foot
tibial nerve test
head flexion
spine flexion
hip flexion
knee extension
ankle dorsiflexion
foot eversion
toes extension
common fibular nerve path
L4-S2 nerve roots
greater sciatic notch
piriformis
posterior thigh
popliteal fossa
anterior and lateral leg
dorsal and cutaneous foot
common fibular nerve test
head flexion
spine flexion
hip flexion
knee extension
ankle plantar flexion
foot inversion
toe flexion
femoral nerve path
L2-L4 nerve roots
psoas major
lingual ligament
anterior and medial thigh compartments
femoral nerve test
head flexion
spine flexion
hip extension
goal of nerve flossing is
mobilization
benefits of nerve flossing
reduces parathesis
reduces pain
improves motor control