Upper Quarter Screen Flashcards
(56 cards)
What does ART stand for
Asymmetries
ROM
Tissue texture changes
True or false:
You always screen the joint above and below the joint in question
True
UQS
Upper quarter screening
Observing posture what do you look at
Alignment of head and shoulders
What do you do during the skin assessment
Observe areas of inflammation, bruising, redness, temperature
To observe temperature which part of the hand is used
The back side
Posture examination requirements (8)
- Sitting or standing
- Cervical and thoracic alignment
- Upper extremity B symmetry
- Muscular/soft tissue imbalances
- Iliac crest height
- Nose over sternum
- Tragus aligned with acromion
- Umbilicus centered
ROM of cervical spine requirements (4)
- Flexion
- Extension
- Sidebending
- Rotation
What do you do if the patient is pain free
Apply gentle overpressure and hold for a few seconds
What should you screen if there is any numbness or tingling in limbs
Spine
ROM of shoulder requirements (6)
- Flexion
- Extension (elbow flexed and extended)
- Scaption
- Abduction
- FIR
- FER
Is over pressure applied for the FIR and FER
NO MA’AM
ROM of the Elbow, Wrist, and Hang requirements (8)
- Elbow flexion
- Elbow extension
- Forearm supination
- Forearm pronation
- Wrist flexion
- Wrist extension
- Finger ABD/ADD/opposition
- Radial/ulnar deviation
What is a myotome
A single nerve root that innervates a muscle
What should be said to the patient before myotomal testing
I want you to… Match my resistance, best effort, and don’t let me move you
Do you examine strength one side at a time
NO, bilaterally
Do you want to reproduce symptoms
YES YES YES
What are the grades for strength (4)
- Strong painless
- Strong painful
- Weak painless
- Weak painful
How should force be applied
A bell curve
What are the requirements of myotomal testing (10)
- Cervical spine (flexion, extension, sidebending) (C1 - 3)
- Shoulder elevation (C5)
- Shoulder abduction (C5)
- Shoulder IR/ER (no specific myotome)
- Elbow flexion (C6)
- Elbow extension (C7)
- Wrist flexion (C7)
- Wrist extension (C6)
- Thumb extension (C8)
- Finger abduction (T1)
Do you have to ask for consent
YES, ALWAYS
True or False:
You should always ask if the patient has resting pain
True
Risks of these tests include what
Recreating symptoms, may be uncomfortable
If there is pain what should you ask
What type, location, the same as your symptoms, was the pain with active movement or overpressure
