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38 Cards in this Set
- Front
- Back
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Barre-Lieou Sign
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S&S: 5 D's and 3N's
Seated Pt, instruct them to rotate the head in both directions Causing compression of vertebral artery on opp sside of rotation |
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Vertibrobasilar artery functional maneuver
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S&S: 5 D's and 3N's
Seated pt, palpate and auscultate the carotid and subclavian arteries for bruits |
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Maigne's sign
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S&S: 5 D's and 3N's
Seated pt, extend and rotate the head and neck and hold for 15-40 sec. repeat to the opposite side. checks vertebral artery patency. |
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Vertebral artery test
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S&S: 5 D's and 3N's
supine pt, head off the edge of the table, examiner passivly hyperextends and laterally flexes the head Hold that postion for 30 ec. repeat to opposite side. similar function to Maigne's sign. positive test S&S: 5 D's and 3N's |
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Dekleyn's test
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S&S: 5 D's and 3N's
Supine pt, with head off the edge of table, Pt hyperextends and rotates the head in both directions patency of vertebral artery on opposite side of head rotation. positive test S&S: 5 D's and 3N's |
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Hautant's test
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pt seated, eyes closed shoulder flexed and elbow extended and palms up, instruct them to extend and rotate the head to one side. Repaet to the opposite side.
S&S: 5 D's and 3N's patency of vertebral, basilar, and subclavian aa. positive test, pt, drops arm and pronantes the hands |
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Underburg's test
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S&S: 5 D's and 3N's
Standing pt, eyes closed, look for diffuculty in balance Next have them flex the shoulder and extend the elbow with palms up, look fo difficulty Have them march in place have them extend and rotate the head while marching checks vertebral, basilar artery for compresion or stenosis, or insufficiency |
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Hallpike's maneuver
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Supine pt, head off the edge of teh table, extend, rotate and laterally flex the pt head, hold for 15-45 seconds. lookking for neurological symptoms. slowly release the pt head and allow it to hang in hyperextension
checks patency of vertebral aa on opposite side. |
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George's screeening procedure
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Take pt BP, determine the character of the pt's radial pulse,
a difference of 10mm/Hg or absent radial pulse suggests subclavian aa compromise. |
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O'Donoghue's Maneuver
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Strain v. Sprain
includes: pt AROM, PROM, and RROM |
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Spinal Percussion test
Tuning fork test |
Fracture, tissue compromise, strain sprrain
Percuss/vibrate bony landmarks and soft tissue. |
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Soto-Hall test
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Indicates pain
Pt supine, press down on pt chest and flex th head and neck nonspecific test |
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Rust's sign
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upper c/s instability
pt grasp haed with both hands, or supports head when moving from a supinf to a seated position. order ambulance request ct scan of upper cervical spine |
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Sharp-Purser test
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severe trauma to the atlas, alar or transverse lig damage/rupture
seated pt, examiner passilvly flexes the pt's head and neck while placing P>A stress on C2 SP and with the other hand examiner places A>P stress on forhead. Looking for laxity and noticable movement, posterior sliding of the head and atlas on the axis, possibly a noticable "clunk". Dense approximating C1 anterior arch. Extreme caution is needed. |
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Transverse ligament stress test
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Cervical instability
Pt supine, examiner supports head and places digits between the occiput and C2, carefuly lift the pt's head with outflexinon or extension, and hold for 10-20 seconds. looking for neurological symptomf, mm spasm, or spft end feel would indicate a positive test. |
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Valsalva's Maneuver
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Space occupying lesion
Instruct pt to inhale and hold breath and bear down as if having a bowel movement. Ask if there is increased pain, request a finger point. This test increases intrathecal pressue |
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Dejerine's sign
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Ask pt if they have increased pain or exacerbation of symptoms with, sneezing, coughing, or having a bowel movement.
positive test would indicate a space occupying lesion. document the extent of the test's positivity(example, pain with sneezing but not coughing or bowel mvmnt,= dejerine's (+) times 1. |
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Foraminal compression test
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C/S neuro compression and irritation
pt seated, head neutral place strong downward pressure, repeat with rotation and bilateral. |
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Jackson's compression
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C/S neuro compression and irritation
pt seated have pt laterally flex the head, provide a strong downward pressure bilaterally. |
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Extension compression
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Checks for anterior disc defect and approxmates the z jts
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Flexion compression
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Checks strength of posterior disc and gaps the z jt's and stretches the ligs and muscles.
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Spurlings test
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Performs jacksons, if negetive, put pt's head in neutral position and administer a vertical blow to the top of the head.
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Maximal foraminal compression test
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Seated pt rotates the head and extends. This test is most provacative with axial load.
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L'hermitte's sign
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Seated pt, passively flex the pt's chin to chest
SC is in traction, discs bulge posterior, used to observe myelopathy |
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Shoulder depression test
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Seated pt, passively laterally flex the pt's head to the opposite side of shoulder depression. resist laterally flexed and depress the shoulder
positive test with pain, and rediculopathy, compression of neurovascular bundle. |
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Distraction test
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pt seated, distract pt's head positive test is indicated with relief of pain.
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Shoulder Abduction test (Bakody's sign)
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pt seated abducts arm and places it on top of head. this releives the traction on the brachial plexus
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Supraspinatus tendinitis test
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Supraspinatus tendonitis
Seated pt, Instruct them to flex and abd shoulder to 90 in scaption with thumb superior against resistance. |
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Aply scratch test
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supraspinatus, rotator cuff strain
instruct pt to touch superior angle of the scapula of the opposite shoulder and the inferior angle of the oposite scapula. this stresses the rotator cuff, in particular the sups.t. |
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Hawkins-Kennedy Impingement test
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Suraspinatus tendonitis
standing pt, flex shoulder to 90, and IR the shoulder, without pt resistance pain indicates Suprasp. tendonitis |
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Neer Impingement sign
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Supraspinatus tendonitis/strain
seated pt, passively move pt's shoulder through fwd flexion. Pain and apprehension indicates a positive test |
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Drop arm test
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supraspinatus strain
Passively move pts arm through fwd flexon and drop the arm at 90, pain and apprehension indicates a positive test. Mostly involves the supraspinatus strain, overuse or rupture. Done with Neer impingement sign. |
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Speed's test
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Bicipital tendonitis
seated pt, supinate wist, extend elbow and flex shoulder against resistance. examiner palpates the biceps tendon in the bicipital groove during the test. |
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Lippman's test
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Bicipital tendontits
have pt flex the elbo to 90, examiner palpates the biceps tendon in the bicipital groove and tries to move the tendon from side to side in the groove. testing the transverse humeral ligament, and the biceps tendon in the grove, for subluxation of the tendon. |
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Gilchrest's sign
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Biceps tendonitis
Have pt grab a weight 5-7lbs and abd shoulder over head, and then slowly externally rotate the shoulder and lower the weight Similar to abbot-Saunder's test, but it's not passive nad requires a weight. ABD and ER of the shlder stresses the biceps tendon and the transverse humeral lig. You may hear a tendon snap, could be dur to subluxation of the tendon, or tendon rub, or congenital shallow bicipital groove. |
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Sub-acromial push button sign
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Bursitis
Seated pt, palpate the supacromial bursa and add pressure. local pain suggest sub acromil bursitis |
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Dawbarn's test
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Bursitis
Apply pressure below the acromion pocess and passively abd the shoulder while maintaining pressure to sub acromial space. |
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Anterior drawer test
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Anterior GH instability
moving the humerus P>A in the jt while stabilizing the scapula tests the stability of the anterior RC muscles |
