Upper and lower screening

Question 1

ROM LE

Answer 1

AROM Lumbar Spine:Flexion, Extension, Side Bend (SB) Bilaterally (B)

AROM Thoraco-lumbar spine: Thoracic-Lumbar (T-L) Rotation (B)

AROM HIP: Flexion, extension, IR/ER

AROM KNEE: Flexion, extension

AROM ANKLE: dorsiflexion, plantarflexion, inversion/eversion

Question 2

Functional Tests

Answer 2

Trendelenberg (Single Leg Stance)
                Full Squat
                Toe Walking (L5, S1, S2)
               Heel Walking (L4, L5, S1)

Question 3

Resisted Test LE

Answer 3

Resisted Hip Flexion (L2)

Resisted Knee Extension (L3,)

Resisted Ankle/Foot (DF/INV)(Tib.Ant. L4)

Resisted Hallux Ext (EHL) (L5)

Resisted knee flexion Medial hamstrings (L5)

Resisted Ankle/Foot (PF/EVER)( S1)

Resisted Knee Flexion – Biceps Femoris (S1)lateral ham

Resisted Gluteal Test (S1)

Question 4

Reflex LE

Answer 4

Patellar reflex ( L3): leg extension 
Hamstring Medial (L5): 
Hamstring Lateral ( S1): 
Achilles reflex ( S1) : dorsiflexion

Question 5

Neurodiagnostic Testing LE

Answer 5

slump test: 2 types
proximal initiation: Chink tuck, slump, DF, Knee ext, Raise head
distal initiation: DF, Knee extension, Slump, chin tuck, PF

Straight leg raise 2 types:
Proximal initiation: chin tuck, DF ,SLR , release chin tuck
Distal initiation: DF, SLR< Chin tuck, release DF

Question 6

Dermatomes Sensation LE

Answer 6

L1: up inner thigh
L2:  middle of thigh and medial. 
L3: directly at medial knee 
L4: Medial malleoulus 
L5: base of great toe 
S1 : back on lateral heel

Question 7

screening is what type of test?

Answer 7

provocation exam. look for tests that reproduce the pt. pain.

Question 8

what are the 4 things we are looking for with screeening ?

Answer 8

quality, quantity, provocation

Question 9

Reflex testing

Answer 9

Reflex testing incorporates an assessment of the function and interplay of both sensory and motor pathways. It is simple yet informative and can give important insights into the integrity of the nervous system at many different levels.

When the tendon is struck by the reflex hammer, stretch receptors contained within it generate an impulse that is carried via sensory nerves to the spinal cord. At this juncture, the message is transmitted across a synapse to an appropriate lower motor neuron. An upper motor neuron, whose cell body resides in the brain, also provides input to this synapse.

Question 10

Neurodiagnostic testing

Answer 10

To assess whether a herniated disc, neural tension, or altered neurodynamics are contributing to the patient’s symptoms.