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G) Differential Diagnosis & Lab Maneuvers > Term 1 Lab Maneuvers > Flashcards

Term 1 Lab Maneuvers Flashcards

1
Q

Dental occlusion assessment

A

slides 1-32

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2
Q

Cx spine ROM flex, ext, SF, ROT

A

last semester

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3
Q

ms flexibility/palpation of upper traps, scalene, SCM

A

last semester

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4
Q

TMJ ROM opening, closing, protraction, retraction, lateral deviation

A

slides 34-51

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5
Q

TMJ RISOM opening, closing, protraction, retraction, lateral deviation

A

slide 52

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6
Q

TMJ palpation - lateral pole, condyle

A
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7
Q

TMJ passive accessory glides (inf/ant)

A

slides 65-67

Outside technique: Pht place thumb on body of mandible

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8
Q

TMJ palpation - temporalis

A
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9
Q

TMJ palpation - masseter

A
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10
Q

TMJ palpation - Posterior & sub-mandibular muscles

A
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11
Q

TMJ palpation - lateral pterygoid

A
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12
Q

TMJ palpation - medial pterygoid

A
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13
Q

tectorial membrane ligament stress test

A
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14
Q

transverse ligament stress test

A
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15
Q

alar ligament stress test

A
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16
Q

Anterior & Posterior atlanto-axial membranes stress test

A
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17
Q

vertebral artery testing

A

Contraindication to testing VA:
- VBI &/or SC S&S on S/A or first part of dizziness protocol

  • Trauma < than 6 weeks
  • Cr-Vx lig stress test = (+)ve
  • Fracture or risk of fracture

Need 45° of rotation to cause blood flow disturbance & at least another 10-15° to have complete obstruction.

Pht must recognize the potential for obtaining false (-)ve

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18
Q

Neuro exam for cranial nerves

A

see slides 20-32

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19
Q

dizziness differentiation tests

A
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20
Q

GH sup lig stress test

A

Pt supine

Pht

Medial hand: Stabilizes scapula superiorly by applying a gentle pressure on the coracoid process

Lateral hand: Grasps proximal humerus

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21
Q

GH mid lig stress test

A

Pt supine

Pht

Medial hand: Stabilizes scapula superiorly by applying a gentle pressure on the coracoid process

Lateral hand: Grasps proximal humerus

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22
Q

GH inf lig stress test (ant segment)

A

Pt supine

Pht

Medial hand: Stabilizes scapula superiorly by applying a gentle pressure on the coracoid process

Lateral hand: Grasps proximal humerus

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23
Q

GH inf lig stress test (post segment)

A
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24
Q

Posterior GH ligaments stress tests

A
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25
AC joint AROM
26
AC joint PROM ant rot
27
AC joint PROM post rot
28
AC joint - ant glide
29
AC joint post glide
30
AC joint inf glide
31
AC joint sup glide
32
AC joint compression
33
stability test trapezoid ligament
34
stability test conoid ligament
35
AC joint special tests
36
coracoclavicular joint special tests
37
SC joint ROM
Pt in sitting: - Palpate the SC jt - Assess using scapulo-thoracic physiological movts Depression: Superior glide clavicle on sternum (♂) Elevation: Inferior glide clavicle on sternum (♂) Retraction: Posterior glide clavicle on sternum (♀) Protraction: Anterior glide clavicle on sternum (♀)
38
SC joint - post glide
39
SC joint - inf glide
40
SC joint sup glide
41
SC joint ant glide
42
SC joint syability test (compression test)
43
SC joint syability test (anterior stability)
44
ST joint - 4-point palpation
45
Dynamic Scapula Test (bilat abd)
Bilateral abduction with thumbs up
46
Dynamic Scapula Test (abd elevation test)
To assess when Pt’s symptoms are produced in abduction & Scapula dysfunction is present Pht corrects scapula position - Stand behind your pt on the side of the shoulder being assessed - Place one hand anteriorly over the acromion (your arm is between the pt’s arm and their body) - The other hand is on the scapula posteriorly - Correct the observed dysfunction (Eg: if the pt’s scapula is not upwardly rotating, create the upward rotation of the scapula with your hands) - Ask pt to repeat GH abduction as you correct the scapula position & guide the scapula through abduction \*Be aware not to block GH ROM as you are doing the correction q (+)ve test: Improve ROM or reduced pain
47
Dynamic Scapula Test (ER scapula stability test)
48
Scapula stability test (Kibler’s lateral slide - lateral scapula slide test)
49
scapula combined movements (ax ms flexibility)
50
scapula combined movements (ax ms strength)
51
Tx spine hypomobility in extension kinetic test
52
Tx spine Hypermobility Stability test (SAL)
53
Tx spine Hypermobility Stability test (PAL)
54
Tx spine PAL/SAL stability tests part 2
also see slides 24/25
55
Tx spine combined movements (ipsilateral coupling)
56
Tx spine combined movements (contralateral coupling)
57
Tx spine combined movements (flex/SF)
58
Tx spine combined movements (ext/SF)
59
Tx spine PPIVM flex
Pt seated on edge of bed with arms across chest - One arm under their contralateral axilla - One arm above the other on top of pht’s arm Pht standing at the side of pt - Ant hand: on contralateral shoulder/btw pt’s arms or under or over pt’s arms - Post hand: Palp jt line using key pinch grip or index/middle fingers. - Palp on both Z jt (bilat) or 1 Z jt (unilat) or 1 CTjt
60
Tx spine PPIVM ext
Pt seated on edge of bed with arms across chest - One arm under their contralateral axilla - One arm above the other on top of pht’s arm Pht standing at the side of pt - Ant hand: on contralateral shoulder/btw pt’s arms or under or over pt’s arms - Post hand: Palp jt line using key pinch grip or index/middle fingers. - Palp on both Z jt (bilat) or 1 Z jt (unilat) or 1 CTjt
61
Tx spine - PPIVM SF
Pt seated on edge of bed with arms across chest - One arm under their contralateral axilla - One arm above the other on top of pht’s arm Pht standing at the side of pt - Ant hand: on contralateral shoulder/btw pt’s arms or under or over pt’s arms - Post hand: Palp jt line using key pinch grip or index/middle fingers. - Palp on both Z jt (bilat) or 1 Z jt (unilat) or 1 CTjt
62
Tx spine - PPIVM rot
Pt seated on edge of bed with arms across chest - One arm under their contralateral axilla - One arm above the other on top of pht’s arm Pht standing at the side of pt - Ant hand: on contralateral shoulder/btw pt’s arms or under or over pt’s arms - Post hand: Palp jt line using key pinch grip or index/middle fingers. - Palp on both Z jt (bilat) or 1 Z jt (unilat) or 1 CTjt
63
Cx spine PPIVM flex
64
Cx spine PPIVM ext
65
Cx spine PPIVM rot
66
Cx spine PPIVM SF
67
Cx spine AP/PA glides (and post-sup/post-inf glides)
- review lecture on surface anatomy!
68
TOS special tests
see slides ## Footnote Adson Roos Hyperabduction for symptoms Hyperabduction for pulse Tinels sign at the supraclavicular space
69

G) Differential Diagnosis & Lab Maneuvers (5 decks)

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