Shared Flashcard Set

Details

Dexter Cervical
for Exam II
13
Medical
Graduate
01/20/2010

Additional Medical Flashcards

 


 

Cards

Term
Alar Test
Definition

Do:  w/ every cervical test

1.  Pt SS w/ good posture

2.  Palpate C2 (beneath prominent occiput)

3. Pt to SB L/R - does SP move right away?

 

Cleared if YES

Term
Spurling's Test
Definition

Do if:  + but unconfirmed compression test during screen 

 

Purpose:

To test for the presence or absence of cervical radiculopathy. - shooting pain down the arm


Description:

The patient is seated. The examiner sidebends the neck towards the

affected side and applies compression force straight down toward table


Positive Test:

The test is considered positive if symptoms are reproduced.

 

Term

Shoulder Abduction Relief Test

 

Definition

1.  Pt SS or standing

2.  Place pt’s forearm at top of head, palm down

 

Symptoms relieved - POSITIVE for C4/C5/C6 nerve root compression OR C-radiculopathy OR epidural vein compression OR herniated C disc

Term

Transverse ligament test (holds dens in place) 

Definition

1.  Pt supine

2.  Support occiput w/ palms, fingers 3-5

3.  With fingers 1-2, support arch of C2

4.  Lift head and feel for C2 to come with it

5.  Hold 10-20 sec; watch eyes

 

+ if symptoms reproduced; no treatment

Term

Sharp-Purser Test

(OA Joint)

Definition

Do:  w/ any cervical problem

Description:

1.  The patient is seated in a semiflexed position.

2.  The examiner places the palm of one hand on the patient’s forehead and index finger of the

other hand on the spinous process of the axis

3.  Posterior pressure is applied through the forehead.

 

Positive Test: for c-spine instability if a sliding motion of the head posterior occurs ("feeling it clunk back into place"). This is often accompanied by a reduction in symptoms.

 

Term
Distraction Test (neck)
Definition

Do if:  + Spurling's Compression Test


1.  The patient is supine and the examiner is seated.

2.  The examiner grasps under the chin and occiput while slightly flexing the patient’s neck and applies a distraction force


+ test for cervical radiculopathy if symptoms relieved


Pain increased?  Not radiculopathy--> likely ligamentous or muscular

 

 

 

Term
Cervical Radiculopathy Tests (4):
Definition

+ Upper limb tension test

+ Spurling's test

+ Distraction test

C rotation is <60 degrees to painful side

Term

Cervical Rotation Lateral Flexion Test

(CRLF)

Definition

Test for:  C-radiculopathy

 

1.  Pt. SS

2.  Rotate pt head maximally

3.  Flex head, moving ear to chest, maximally

 

+ if < 60 degrees of flex

Term

Upper Limb Tension Test A (ULLT)

 

Definition

Pt supine; do good side first

• Scapular depression

• Shoulder abduction

• Forearm supination, wrist and finger extension

• Shoulder lateral elevation

• Elbow extension

• Contralateral/ipsilateral cervical side bending


The test is positive for overall nerve involvement / median nerve involvement or cervical radiculopathy if one or more of the following occurs:

• Symptoms reproduced

• Side to side difference in elbow extension greater than 10 degrees

• Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms

 

Term

Upper Limb Tension Test B (ULLT)

 

Definition

Pt supine: do good side first

• Cradle the test arm

• Scapular depression w/ thigh

• Reach down & underneath to grasp hand

• Elbow extension

• Forearm pronation w/ hand

• Slide hand around to pt's dorsum of hand

•Wrist flexion


+ test if symptoms reproduced for RADIAL n. impingement or C-radiculopathy


 

Term

Upper Limb Tension Test C (ULLT)

Definition

Do good side first.

Pt supine.

• Scapular depression w/ thigh

• Elbow extension

• Whole arm lateral rotation (supination)

• PT slides hand to pt's fingers, Wrist/finger ext

• Shoulder Abduction


Positive Test:

The test is positive for C-radiculopathy or Median nerve involvement if symptoms reproduced


 

Term

Upper Limb Tension Test D (ULLT)


 

Definition

Pt supine - do good side first

• Reach nearest arm up under pt's arm to block shoulder; rest pt's elbow in groin region

• Push into abduction w/ body

• Rotate arm into ER

• Flex elbow

• Simultaneous wrist/finger ext + forearm pronation (flip thumb twd body while opening fingers & applying ext OP)


+ test for ulnar nerve pathology, or C-radiculopathy if symptoms reproduced


 

Term
1st rib mobility test:
Definition
Supine; w/ head on the table. Palpate w/ the thumb to find it (have them breathe in). Then shift hand to pad of lateral 1st finger over the rib and oscillate down and in. Can move head to same the test side to slack scalenes.
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