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32 Cards in this Set

  • Front
  • Back
tandem walk
walk a line heel-to-toe
Porprioceptive space test
patients eyes are closed and examiner puts one limb in a position
patient is asked to duplicate w opposite limb
hand-thigh test
patient pats thigh (seated) while pronating and supinating hands
past pointing
point fingers upwards and then touch examiner's fingers, then perform w eyes closed
finger to nose
Propprioception
eyes open first, then closed, and increasing speed
VBAI
Vertebro-basilar Insufficiency
Radicular
Pain radiated along a Nerve
drift test
Intracranial lesion
seated patient elevated arms to 90 w/ hands supinated, eyes closed
+slow dropping of one arm inf. and lat.
rhomberg sign
intracranial lesion
patient stands w/ feet together & arms by sides, eyes closed
+patient sways or falls
foraminal compression test
cerv nerve root encroachment
-patient seated, examiner rotates patients neck exerting downward pressure on head
+localized pain=form. encroach
+radicular pain=nerve root pressure
jackson's comp. test
nerve root irritation/SOL
-flex head toward ear and examiner applies axial compression, 5 sec
+Pain radiates down arm of affected side
Max Cerv. Comp. test
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)
Spurling's Test
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
Shoulder Depression Test
Nerve root irr./SOL
patient seated, examiner depresses shoulder and lat. flex head away
+radicular pain produced
Brachial Plex. Tension Test
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)
cerv. distraction
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
bakody sign
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!
Reverse Bakody
T.O.S.
Place hand of univolved arm on top of head
+Arm Pain COMES BACK
ROO's
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
Adson's Test
TOS
Find radial pulse, pat. head rot. and neck extended towards dr., hold breath
+loss of pulse
Allen Maneuver
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
Halstead Test
TOS
Find radial pulse, apply downward traction, neck should be hyperextended too
+Loss or weakening of pulse
Eden's
TOS
find radial pulse while pat.s shoulders drawn down and in ext., pat. flexed head(chin to chest) Hold breath
+lost pulse
Wright's Hyperabduction Test (Wright's Test)
TOS
find radial pulse, both arms in turn abducted 180, noting angle where pulse disappears
+pulse decreases or lost just above 90*
Lhermitte's Sign
Head and neck passively flexed toward chest
+sharp pain radiating down spine and into limbs
Soto-Hall Sign
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"
Valsalva Maneuver
SOL
Seated, Pat. takes deep breath and holds while bearing down
+Incr. pain near bowls or intrathecal pressure
Dejerine's Sign
SOL
coughing, sneezing, and straining during defecation
+pain during strain
Naffzigger's
SOL
Seated, examiner occludes/holds pressure over the jugular veins (choke)
30-40sec
+Pain
O'Donoghue's Maneuver
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
Alar Ligament Stress Test
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
Rust's Sign
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.