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32 Cards in this Set
- Front
- Back
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tandem walk
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walk a line heel-to-toe
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Porprioceptive space test
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patients eyes are closed and examiner puts one limb in a position
patient is asked to duplicate w opposite limb |
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hand-thigh test
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patient pats thigh (seated) while pronating and supinating hands
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past pointing
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point fingers upwards and then touch examiner's fingers, then perform w eyes closed
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finger to nose
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Propprioception
eyes open first, then closed, and increasing speed |
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VBAI
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Vertebro-basilar Insufficiency
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Radicular
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Pain radiated along a Nerve
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drift test
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Intracranial lesion
seated patient elevated arms to 90 w/ hands supinated, eyes closed +slow dropping of one arm inf. and lat. |
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rhomberg sign
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intracranial lesion
patient stands w/ feet together & arms by sides, eyes closed +patient sways or falls |
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foraminal compression test
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cerv nerve root encroachment
-patient seated, examiner rotates patients neck exerting downward pressure on head +localized pain=form. encroach +radicular pain=nerve root pressure |
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jackson's comp. test
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nerve root irritation/SOL
-flex head toward ear and examiner applies axial compression, 5 sec +Pain radiates down arm of affected side |
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Max Cerv. Comp. test
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Nerve Root Irr./SOL
Patient seated, instructed to approximate the chin to the shoulder and extend neck (This can be done having patient follow examiners fingers towards ceiling and back) |
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Spurling's Test
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Nerve Root Irr./SOL
Patient seated, examiner puts hand on top of head and gradually increases downward pressure, pressure also applied while head is lat. flexed and extended +pain or parasthesia on side of flex |
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Shoulder Depression Test
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Nerve root irr./SOL
patient seated, examiner depresses shoulder and lat. flex head away +radicular pain produced |
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Brachial Plex. Tension Test
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Nerve Root Irr./SOL
Examiner elevates pat. shoulders through abduct., elbows extended up, shoulders extern. rotated, examiner supports the shoulders and forearms as the pat. flexs the elbows (hands go behind pat. head) |
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cerv. distraction
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Nerve Root Irr./SOL
Lift patients head by mastoid for 5 sec. or (examiner wraps arms around ears with elbows apply upward pressure) +rad. arm pain reduced |
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bakody sign
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nerve root irr./SOL
pat. seated, pat. actively places palm of affected extremity on top of head, raising the elbow to height of head +Radiating pain RELIEF! |
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Reverse Bakody
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T.O.S.
Place hand of univolved arm on top of head +Arm Pain COMES BACK |
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ROO's
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TOS
Bilateral, simultaneous, pat. raises both arms at 90, abducts and ext. rot. then open and close fist for 3 MIN. +Affected arm->numbness, tingling or discomfort |
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Adson's Test
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TOS
Find radial pulse, pat. head rot. and neck extended towards dr., hold breath +loss of pulse |
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Allen Maneuver
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TOS
Pat.'s elbow flexed to 90, shoulder abducted & ext. rot. Examiner finds radial pulse, pat. rotates head away +If pulse disappears when pat.s head is rotated away |
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Halstead Test
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TOS
Find radial pulse, apply downward traction, neck should be hyperextended too +Loss or weakening of pulse |
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Eden's
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TOS
find radial pulse while pat.s shoulders drawn down and in ext., pat. flexed head(chin to chest) Hold breath +lost pulse |
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Wright's Hyperabduction Test (Wright's Test)
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TOS
find radial pulse, both arms in turn abducted 180, noting angle where pulse disappears +pulse decreases or lost just above 90* |
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Lhermitte's Sign
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Head and neck passively flexed toward chest
+sharp pain radiating down spine and into limbs |
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Soto-Hall Sign
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SOL
Supine, examiner places one hand on sternum (fingers twd head) and exert slight pressure, other hand placed on occiput and flex pat.s head toward chest +pain in cev. or thorac. "PATIENT MUST SEPARATE BREAST TISSUE FIRST" |
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Valsalva Maneuver
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SOL
Seated, Pat. takes deep breath and holds while bearing down +Incr. pain near bowls or intrathecal pressure |
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Dejerine's Sign
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SOL
coughing, sneezing, and straining during defecation +pain during strain |
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Naffzigger's
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SOL
Seated, examiner occludes/holds pressure over the jugular veins (choke) 30-40sec +Pain |
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O'Donoghue's Maneuver
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Cerv. Instability
Pat. seated, the cerv. spine is actively moved through resisted range of motion and then through passive ROM +Pain during resisted=muscle strain +Pain during passive=ligament sprain |
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Alar Ligament Stress Test
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Cerv. Instability
Supine:examiner holds head w/ one hand and a pinch grip on C2 process and lamina, attempt side to side shearing stress +Excessive movement (laxity)=streched or torn ligament |
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Rust's Sign
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Cerv. Instability
If patient grasped head w/ both hands while laying or getting up +Pain w/ out hands in position= rheumatoid arthritis,sprain,fracture and or sublux. |
