Structural Diagnosis

Front 1

Cervical Range of Motion Flexion

Back 1

60

Front 2

Cervical Range of Motion Extension

Back 2

60

Front 3

Cervical Range of Motion Lateral Flexion

Back 3

45

Front 4

Cervical Range of Motion Rotation

Back 4

80

Front 5

Cervical Orthopedics:

Spinal Percussion indicates:

Back 5

Fracture

Front 6

Cervical Orthopedics:

Active ROM:

Back 6

Functional capacity

Front 7

Cervical Orthopedics:

Passive ROM:

Back 7

Joint Pain

Front 8

Cervical Orthopedics:

Resisted/Isometric ROM

Back 8

MM Involvement

Front 9

Cervical Orthopedics:

Cervical Compression

Back 9

Facet syndrome

Front 10

Cervical Orthopedics:

Cervical Distraction (pulling up on skull)

Back 10

Disc

Front 11

Cervical Orthopedics:

Thoracic Outlet Syndrome (TOS)

Roos test and Doorbell sign

Back 11

TOS

roos: parathesia; doorbell: goes to into scalene with paresthesia

Front 12

Cervical Orthopedics:

Shoulder Depression

Back 12

Nerve Root Irritation

Front 13

Cervical Orthopedics:

Grip strength

Back 13

Disc Herniation

Front 14

Tenderness: Mild tenderness to palpiations

Back 14

Grade I Tenderness

Front 15

Tenderness: mild tenderness with grimace and flinch to moderate palpitation

Back 15

Grade II Tenderness

Front 16

Tenderness: severe tenderness with withdrawal

Back 16

Grade III Tenderness

Front 17

Tenderness: Severe tenderness with withdrawl from stimuli

Back 17

Grade IV Tenderness

Front 18

Cervical Palpitation Anterior

Back 18

SCM

Carotid Arteries

Supraclavicular Fossa

Front 19

Cervical Palpitation Posterior

Back 19

Trapezius

Cervical Intrinsic Musculature

Spinous Processes/facet joints

Front 20

Soto Hall

Back 20

Front 21

SCM Palpation and Stripping

Back 21

Cervical

Front 22

Valsalva Test

Back 22

Front 23

Upper Cross Syndrome

Back 23

Front 24

LOCQSMAT

Back 24

Location

Onset

Chronology/timing

Quality

Severity

Modifying Factor

Associated symptoms

Treatment Hx

Front 25

Common Acupuncture points for Cervical

Back 25

•BL10;

Bai Lau;

GB 21, 12;

An Mian,

SI10,11;

Scapula Ashi;

CTjunction;

Distal points (LR3, LI4, BL18, Sp6, Sp9, Lou Zhen)

Blood moving herbs

Front 26

When to refer a patient

Back 26

-No improvement after 2 weeks

-weakness or progressive neurologic deficit

-Chiropractic- MVA, Joint dysfunction or misalignment

-MD/Neurologist/Neurosurgeon: steroid injections, surgical, pain mgmt

Front 27

Red Flags for more serious Pathology

Back 27

•Signs& symptoms

–Temperature> 102º F / 38º C

–Bloodpressure > 160/95 mm Hg

–Restingpulse > 100 bpm

–Restingrespiration > 25 bpm

–Auscultationof bruits

- carotid, abdomina

l–Widespreadneurological deficits

Front 28

Shoulder Anatomy:

Glenohumeral Joint

Back 28

Front 29

A/C Joint

Back 29

Front 30

Sternoclavicular Joint

Back 30

Front 31

Muscles:

Back 31

SITS

Pectoralis

Serratus Anterior

Front 32

Muscles that Flex Shoulder

Back 32

1. Anterior Deltoid

2. Biceps Brachii

3. Corabrachialis

4. Pec Major

5. Subscapularis

Front 33

Muscles that Extend Shoulder

Back 33

1. Posterior Deltoid

2. Latissimus Dorsi

3. Triceps Brachii

4. Teres Major

5. Subscapularis

Front 34

Muscles that Abduct Shoulder

Back 34

1. Middle deltoid

2. Supraspinatus

Front 35

Muscles that Adduct Shoulder

Back 35

1. Lats dorsi

2. Teres Major

3. Pec Major

Front 36

Muscles that Horizontal Adduct Shoulder

Back 36

1. Pec Major

2. Coracobrachialis

Front 37

Muscles that Horizontal Abduct Shoulder

Back 37

1. Posterior Deltoid

2. Teres Major

Front 38

Muscles that Internally Rotate Shoulder

Back 38

1. Subscapularis

2. Pectorals Major

3. Lats Dorsi

Front 39

Muscles that Externally Rotate Shoulder

Back 39

1. Infraspinatus

2. Teres Minor

Front 40

Shoulder Flexion ROM

Back 40

180

Front 41

Shoulder Extension ROM

Back 41

60

Front 42

Shoulder Int/Ext Rotation

Back 42

90/90

Front 43

Shoulder Abduction ROM

Back 43

180

Front 44

Shoulder Adduction ROM

Back 44

35

Front 45

Shoulder Horizontal Add/Abd ROM

Back 45

130/45

Front 46

Shoulder Scapulohumeral Movement

Back 46

120 :60

Front 47

Acupuncture Shoulder Points for

Subscapularis

Infraspinatus

Pec Minor

Back 47

–Triggerpoint referral

–Ht 1;Scapula ashi; SI10, 11, 12, 13; Jian Qian; Lu1,2

–Armcircles

Front 48

Acupuncture Shoulder Points for

Impingement and Subacromial Bursitis

Back 48

–LI15, 16; TB14; GB21

–Reducepronation

Front 49

Labral Tear

SLAP lesion

Back 49

Co Treat

Referall to ortho surgeon

Front 50

Frozen Shoulder

Back 50

"Hard end feel"

AP, ELECTRO, GUASHA, CUPPING

Front 51

Winging Scapula

Back 51

–Serratusanterior/long thoracic n.(C5,6,7)

–Treatthe neck!

–Push-upplus exercise

Front 52

Shoulder Orthopedic Test:

Apley’sInferior/Superior Scratch

Back 52

General Shoulder Test

Front 53

Lift-offTest

Back 53

Subscapularis

Front 54

AnteriorApprehension test

Back 54

Dislocation

Front 55

Yergason’s/ModifiedYergason’s

Back 55

Biceps / Labrum Tear

Front 56

BicepHyperextension Test

Back 56

Biceps Tendon Strain

Front 57

Codman’sArm Drop Test

Back 57

Suprasinatus Strain

Front 58

Step Defect

Back 58

A/C Joint

Front 59

Empty/FullCan Test

Back 59

Impingement

Front 60

Hawkin’sKennedy Test

Back 60

Impingement

Front 61

ClunkTest

Back 61

Labrum

Front 62

Sulcus Sign

Back 62

Instability