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176 Cards in this Set
- Front
- Back
|
grind
|
compress and rotate MCP joints of fingers. Positive if pain is elicited and indicative of DJD
|
|
|
Finkelstein
|
snuff box tendinitis. patient folds thumb in fists and bends wrists down with palms facing each other
|
|
|
Tinel's sign
|
tap lightly at pc 6/li 10
|
|
|
cosens
|
lateral epicondylitis hyperextension of wrist, pain at LI 10
|
|
|
reverse cosens
|
medial epicondyle
|
|
|
thoracic outlet syndrome
|
feel pulse, have patient turn head. If pulse diminishes the sign is positive. Addisons test support patients arm at wrist signs and symptoms throbbing due to impingement
|
|
|
can of soda
|
extended arm rotate internally/externally. test supraspinatus
|
|
|
when checking reflexes
|
they need to be the same on both sides
|
|
|
Neck compression test
|
pressing on nerves, decreasing space and creating symptoms
|
|
|
Neck Stretching test
|
distraction. pulling up on neck to increase space palm under chin, other hand on gb 20
|
|
|
Arm Dermatones
|
c5/bicep (Lu 5)
|
|
|
ring pinky dermatones
|
c 8
|
|
|
thumb dermatones
|
always c6
|
|
|
index dermatones
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c 6
|
|
|
middle finger dermatone
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c7
|
|
|
frozen shoulder, reflexes diminished?
|
no. they are normal
|
|
|
Concussion level 2
|
more severe post traumatic amnesia/no loss of consciousness
|
|
|
concussion level 3
|
memory loss from past (retrograde amnesia)
|
|
|
Concussion level 4
|
lost consciousness
|
|
|
concussion level 5
|
knocked out for longer/ loss of consciousness
|
|
|
distinct markers for severe concussions
|
retrograde amnesia and lost consciousness
|
|
|
cervical radiculopathy
|
injury to the nerve roots that may result in pain, muscle weakness (myotome), sensory alteration (dermatome) and reflex hypoactivity
|
|
|
cervical radiculopathy injury
|
can be due to degenerative changes to the disc or bone
|
|
|
cervical radiculopathy positive sign
|
if pain radiates down arm
|
|
|
information retrieval
|
history of injury, history of patient, inspection, palpation, ROM, ortho test, neuro tests, differential diagnosis, special test, diagnosis, treatment plan
|
|
|
Information retrieval/history of injury
|
OPQRST: Onset, Provocative/palliative, Quality, Radiation, Severity, Time, look at ADL
|
|
|
Deep Tendon Reflexes (DTR)
|
C5-Bicep (Lu 5)
|
|
|
C6 DTR
|
Brachioradialis (Li 10, Lu 7
|
|
|
C7 DTR
|
Triceps (SJ 10)
|
|
|
L2-L4
|
Patella
|
|
|
S1
|
Achilles
|
|
|
Spurling's test
|
designed to provoke symptoms of nerve root irritation. Positive if pain radiates into the arm
|
|
|
Cervical spine disctraction
|
test is used to alleviate nerve root irritation. Test is positive if pain decreases indicating that pressure on the nerve roots has been relieved
|
|
|
cervical sprain (Whiplash)
|
acute trauma resulting in pain and spasm
|
|
|
cervical strain
|
acute or chronic resulting in pain and spasm
|
|
|
3 stages of healing
|
inflammation, repair, remodeling
|
|
|
|
|
|
|
L5, S1
|
plantar responses
|
|
|
L5
|
sensory to lateral calf and big toe, 2nd and 3rd toes
|
|
|
L4 DTR
|
sensory to lateral thigh and ankle
|
|
|
Olfactory 1
|
smell
|
|
|
Optic 2
|
vision
|
|
|
oculomotor 3
|
eye movement
|
|
|
Trochlear 4
|
eye movement
|
|
|
trigeminal 5
|
face and scalp sensation/pain chewing
|
|
|
Abducens 6
|
eye movement
|
|
|
Facial 7
|
facial expressions, saliva and tear excretion, taste. (Bell's Palsy's)
|
|
|
Vestibulocochlear 8
|
balance, equilibrium, hearing
|
|
|
Glossopharyngeal 9
|
swallow
|
|
|
Vagus 10
|
voice and swallowing
|
|
|
Accessory 11
|
movements of shoulder, head, viscera
|
|
|
Hypoglossal
|
tongue movement, swallowing
|
|
|
fasette joints
|
extension-closes. rotate on one side, opens on other side. fasette pain-bending over, sideways. NOT bending forwards
|
|
|
C5, C6, C7
|
|
|
|
Hilton's Law
|
stimulate joint below & joint above-nerve will supply both muscle and skin relating to joint.(the nerve that inervates joint also inervates skin above it)
|
|
|
if something is tight
|
its weak
|
|
|
tennis elbow
|
lat epicondylitis
|
|
|
golfer's elbow
|
medial epicondylitis
|
|
|
dermatome
|
area of skin innervated by specific sensory nerve
|
|
|
myotome
|
group of muscles supplied by nerve roots
|
|
|
exam principles
|
chk normal side first; AROM before PROM; if AROM normal, PROm unnecessary; painful movements are done last
|
|
|
arom normal
|
skip prom
|
|
|
if arom abn
|
check prom
|
|
|
if arom abn and prom is normal
|
muscle/tendon prob
|
|
|
if arom and prom abn
|
joint prob
|
|
|
arom
|
muscle/tendon
|
|
|
prom
|
joint
|
|
|
pain at rest
|
inflammation
|
|
|
pain with compression
|
joint
|
|
|
pain with stretch
|
muscle, tendon
|
|
|
C5, C6, C7, L4, S1
|
bicep (lu 5), brachioradialis (Li10, lu 7), triceps (sj10), patella, achilles
|
|
|
muscle grade testing: 5,4, 3 ON 5 SCALE
|
max resistance agnst gravity; some resistance; against gravity(resists gravity only)
|
|
|
reflex testing
|
ON 4 SCALE- only 2 is normal. 0/1-hyporeflexia (pressure on nerve). 3/4 hyperreflexia (spinal cord)
|
|
|
abduction
|
supraspinitus (si12, li15); deltoid
|
|
|
ext rotators
|
teres minor (si 9,si 10), infraspinitus (si 11)
|
|
|
int rotators
|
teres major, subscapularis
|
|
|
3 stages of healing
|
inflammation, repair, remodeling
|
|
|
reciprocal inhibition
|
if something is contracting, something else is relaxing. needling ren effects du; needling L effects R. cross crawl reflex-opposite leg &arm work tog
|
|
|
supraspinitus
|
where majority of probs are
|
|
|
ortho neuro BIG THREE
|
reflex, sensation, strength
|
|
|
thoracic outlet syndrome
|
scalenes pinching on artery
|
|
|
lateral epicondylitis test
|
cozens, mills
|
|
|
evisceral cutaneous reflex
|
whats happening in organ reflected in skin (&vice versa)
|
|
|
sprains
|
ligaments
|
|
|
strains
|
muscles/tendons
|
|
|
OPQRST
|
onset;provocative/palliative;quality;radiation;severity;time
|
|
|
antalgic
|
painful
|
|
|
|
|
|
|
grind
|
compress and rotate MCP joints of fingers. Positive if pain is elicited and indicative of DJD
|
|
|
Finkelstein
|
snuff box tendinitis. patient folds thumb in fists and bends wrists down with palms facing each other
|
|
|
Tinel's sign
|
tap lightly at pc 6/li 10
|
|
|
cosens
|
lateral epicondylitis hyperextension of wrist, pain at LI 10
|
|
|
reverse cosens
|
medial epicondyle
|
|
|
thoracic outlet syndrome
|
feel pulse, have patient turn head. If pulse diminishes the sign is positive. Addisons test support patients arm at wrist signs and symptoms throbbing due to impingement
|
|
|
can of soda
|
extended arm rotate internally/externally. test supraspinatus
|
|
|
when checking reflexes
|
they need to be the same on both sides
|
|
|
Neck compression test
|
pressing on nerves, decreasing space and creating symptoms
|
|
|
Neck Stretching test
|
distraction. pulling up on neck to increase space palm under chin, other hand on gb 20
|
|
|
Arm Dermatones
|
c5/bicep (Lu 5)
|
|
|
ring pinky dermatones
|
c 8
|
|
|
thumb dermatones
|
always c6
|
|
|
index dermatones
|
c 6
|
|
|
middle finger dermatone
|
c7
|
|
|
frozen shoulder, reflexes diminished?
|
no. they are normal
|
|
|
Concussion level 2
|
more severe post traumatic amnesia/no loss of consciousness
|
|
|
concussion level 3
|
memory loss from past (retrograde amnesia)
|
|
|
Concussion level 4
|
lost consciousness
|
|
|
concussion level 5
|
knocked out for longer/ loss of consciousness
|
|
|
distinct markers for severe concussions
|
retrograde amnesia and lost consciousness
|
|
|
cervical radiculopathy
|
injury to the nerve roots that may result in pain, muscle weakness (myotome), sensory alteration (dermatome) and reflex hypoactivity
|
|
|
cervical radiculopathy injury
|
can be due to degenerative changes to the disc or bone
|
|
|
cervical radiculopathy positive sign
|
if pain radiates down arm
|
|
|
information retrieval
|
history of injury, history of patient, inspection, palpation, ROM, ortho test, neuro tests, differential diagnosis, special test, diagnosis, treatment plan
|
|
|
Information retrieval/history of injury
|
OPQRST: Onset, Provocative/palliative, Quality, Radiation, Severity, Time, look at ADL
|
|
|
Deep Tendon Reflexes (DTR)
|
C5-Bicep (Lu 5)
|
|
|
C6 DTR
|
Brachioradialis (Li 10, Lu 7
|
|
|
C7 DTR
|
Triceps (SJ 10)
|
|
|
L2-L4
|
Patella
|
|
|
S1
|
Achilles
|
|
|
Spurling's test
|
designed to provoke symptoms of nerve root irritation. Positive if pain radiates into the arm
|
|
|
Cervical spine disctraction
|
test is used to alleviate nerve root irritation. Test is positive if pain decreases indicating that pressure on the nerve roots has been relieved
|
|
|
cervical sprain (Whiplash)
|
acute trauma resulting in pain and spasm
|
|
|
cervical strain
|
acute or chronic resulting in pain and spasm
|
|
|
3 stages of healing
|
inflammation, repair, remodeling
|
|
|
|
|
|
|
L5, S1
|
plantar responses
|
|
|
L5
|
sensory to lateral calf and big toe, 2nd and 3rd toes
|
|
|
L4 DTR
|
sensory to lateral thigh and ankle
|
|
|
Olfactory 1
|
smell
|
|
|
Optic 2
|
vision
|
|
|
oculomotor 3
|
eye movement
|
|
|
Trochlear 4
|
eye movement
|
|
|
trigeminal 5
|
face and scalp sensation/pain chewing
|
|
|
Abducens 6
|
eye movement
|
|
|
Facial 7
|
facial expressions, saliva and tear excretion, taste. (Bell's Palsy's)
|
|
|
Vestibulocochlear 8
|
balance, equilibrium, hearing
|
|
|
Glossopharyngeal 9
|
swallow
|
|
|
Vagus 10
|
voice and swallowing
|
|
|
Accessory 11
|
movements of shoulder, head, viscera
|
|
|
Hypoglossal
|
tongue movement, swallowing
|
|
|
fasette joints
|
extension-closes. rotate on one side, opens on other side. fasette pain-bending over, sideways. NOT bending forwards
|
|
|
C5, C6, C7
|
|
|
|
Hilton's Law
|
stimulate joint below & joint above-nerve will supply both muscle and skin relating to joint.(the nerve that inervates joint also inervates skin above it)
|
|
|
if something is tight
|
its weak
|
|
|
tennis elbow
|
lat epicondylitis
|
|
|
golfer's elbow
|
medial epicondylitis
|
|
|
dermatome
|
area of skin innervated by specific sensory nerve
|
|
|
myotome
|
group of muscles supplied by nerve roots
|
|
|
exam principles
|
chk normal side first; AROM before PROM; if AROM normal, PROm unnecessary; painful movements are done last
|
|
|
arom normal
|
skip prom
|
|
|
if arom abn
|
check prom
|
|
|
if arom abn and prom is normal
|
muscle/tendon prob
|
|
|
if arom and prom abn
|
joint prob
|
|
|
arom
|
muscle/tendon
|
|
|
prom
|
joint
|
|
|
pain at rest
|
inflammation
|
|
|
pain with compression
|
joint
|
|
|
pain with stretch
|
muscle, tendon
|
|
|
C5, C6, C7, L4, S1
|
bicep (lu 5), brachioradialis (Li10, lu 7), triceps (sj10), patella, achilles
|
|
|
muscle grade testing: 5,4, 3 ON 5 SCALE
|
max resistance agnst gravity; some resistance; against gravity(resists gravity only)
|
|
|
reflex testing
|
ON 4 SCALE- only 2 is normal. 0/1-hyporeflexia (pressure on nerve). 3/4 hyperreflexia (spinal cord)
|
|
|
abduction
|
supraspinitus (si12, li15); deltoid
|
|
|
ext rotators
|
teres minor (si 9,si 10), infraspinitus (si 11)
|
|
|
int rotators
|
teres major, subscapularis
|
|
|
3 stages of healing
|
inflammation, repair, remodeling
|
|
|
reciprocal inhibition
|
if something is contracting, something else is relaxing. needling ren effects du; needling L effects R. cross crawl reflex-opposite leg &arm work tog
|
|
|
supraspinitus
|
where majority of probs are
|
|
|
ortho neuro BIG THREE
|
reflex, sensation, strength
|
|
|
thoracic outlet syndrome
|
scalenes pinching on artery
|
|
|
lateral epicondylitis test
|
cozens, mills
|
|
|
evisceral cutaneous reflex
|
whats happening in organ reflected in skin (&vice versa)
|
|
|
sprains
|
ligaments
|
|
|
strains
|
muscles/tendons
|
|
|
OPQRST
|
onset;provocative/palliative;quality;radiation;severity;time
|
|
|
antalgic
|
painful
|
|
|
|
|
