UQ and LQ scanning Flashcards
(26 cards)
Purpose of the scanning exam (4)
- identify major areas of involvement if patient cannot delineate
- eliminate confusing or conflicting information provided by patient/client
- assist in delineating source of the problem or complaint to a single area or region
- rule out referred pain or symptoms from another body system or region
the scan is a part of what section under the Regis HOAC model?
Examination- under data gathering “systems review”
3 components to the scanning exam:
1- observation
2- spine and extremity mobility assessment
3- strength and nerve root level assessment
Observation component of the scanning exam includes:
- a posture assessment
- skin integrity
- Functional movement assessment
What is a functional movement assessment?
- performed by assessing functional movement patterns through observation and to determine contribution of multiple body parts
- helps to delineate possibility of regional interdependence
Regional interdependence
determination of whether seemingly unrelated impairments in a remote anatomical region may contribute to or be associated with the patient’s primary complaint
Strength and nerve root level assessment…
- referred to as myotome testing
- assess strength of key muscles to each nerve root level
- use MMT procedure
- assess bilaterally
- grade response as WNL or DIMINISHED
skin integrity should check for…
Edema, bruising, areas of redness, temperature changes
functional movement assessment for UQ (patient should perform)
- hands behind back and neck
- comb hair
- bring cup to mouth
Add overpressure (OP) when patient has…
pain free AROM
Nerve root for Neck flexion
C1-2
Nerve root for lateral flexion at neck
C3
Nerve root for Shoulder shrug
C4
Nerve root for shoulder abduction
C5
Nerve root for elbow flexion OR wrist extension
C6
Nerve root for elbow extension or wrist flexion
C7
nerve root for thumb abduction
C8
Nerve root for abduction of the fingers
T1
Functional Activities LQ scan
- include assessment of individual stepping-up and stepping down off a step-stool
- squatting
- sit-to-stand
- Gait analysis (painful - antalgic- walking)
Nerve root for Hip flexion
L2-3
Nerve root for knee extension
L3-4
Nerve root for ankle dorsiflexion OR walking on heels
L4-L5
Nerve root for big toe extension
L5
Nerve root for single-leg standing toe-raises or walking on toes
L5-S1
