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Ortho Neuros-Rae Shock
Ortho Neuros-Rae Shock
37
Medical
Graduate
11/04/2012

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Term
Which 4 tests are used to determine NR/Foraminal Compression?
Definition
1) Bakody 2)Distraction 3) Jackson's 4) Spurling's
Term
Which 3 tests are used to determine if there is foraminal encroachment?
Definition
1) Foraminal Compression 2) Max Cervical Compression 3) Soto Hall
Term
Which 4 tests suggest cervical radiculopathy?
Definition
1) Foraminal Compression 2)Max Cervical Compression 3) Bikele's 4) Bakody
Term
3 tests that suggest facet capsulitis
Definition
1)Foraminal Compression 2) Max Cervical Compression 3) Spurling's
Term
3 tests suggest SOL in cervical area
Definition
1) Jackson's 2)Naffziger's 3)Valsalva's
Term
What tests for MS/Myelopathy?
Definition
Lhermitte's
Term
Sprain/Strain of cervicals?
Definition
O'Donohues, Cervical Collapse Sign, Increased pain with Distraction Test
Term
What tests for brachial plexus neuritis?
Definition
Bikele's
Term
What tests for brachial plexus neuritis?
Definition
Bikele's
Term
This test tells you there is a fracture or cervical disc rupture
Definition
Soto Hall's
Term
What does anterior pain on a Soto Hall's test suggest
Definition
anterior compression fracture
Term
What does posterior pain on a Soto Hall's test suggest
Definition
posterior ligament sprain/strain
Term
What does head pain on a Soto Hall's test suggest
Definition
Meningitis (knees and hips buckle)
Term
What tests for vascular insufficiency
Definition
1) Vertebral Basilar Artery Function Test, 2) Maigne's, 3) Barre Leiou Sign
Term
Which Tests are for TOS? (6)
Definition
1)Adson's 2) Allen's 3) Costoclavicular (Eden's), 4) Reverse Bakody 5) Roo's, 6) Wright's Test (hyperabduction)
Term
How do you perform Bakody and what is a positive?
Definition
Patient actively places palm of extremity of complain on top of head with elbow at level of head +decreased pain -increased pain-->TOS
Term
What does a Bakody Sign indicate?
Definition
Foraminal Compression or Cervical Radiculopathy
Term
How do you perform the Distraction test and what does it indicate?
Definition
Exert upward pressure on patient's head at base of skull/mastoids. +decreased pain=NR comp; -increased pain=sprain/strain/spasm
Term
Which tests start out with rotating head side to side?
Definition
Foraminal Compression, Spurling's,Barre'Leiou
Term
What are the steps to Foraminal Compression Test?
Definition
1)Rotate head side to side. P?
2)Head in neutral, exert downward pressure. P?
3)Rotate head to side of complaint and push down. P?
4)Repeat on opposite side
Term
Which tests have patient laterally flex head?
Definition
Jackson's, Spurling's
Term
How do you perform Jackson's Test? What does it indicate?
Definition
1)Laterally flex head to right and press down. P?
2)Repeat on opposite side. P?
--SOL compressing nerve root (pain on side of LF is + with radiation down arm)
Term
How do you perform Lhermitte's Sign?
Definition
Patient actively flexes head toward chest and has sharp, electric shock feeling-->MS or myelopathy
Term
Which tests have patient flex their head?
Definition
Lhermitte's, Maximum Cervical Compression, Soto-Hall
Term
How do you perform the Maximum Cervical Compression Test?
Definition
1) Pt actively, maximally flexes neck and rotates R. P?
2) Rotate L. P?
3)Repeat with Pt next in extension L and R
Term
Which ON test has no contact by doctor?
Definition
Maximal Cervical Compression Test
Term
Which test do you compress the jugular veins for one minute?
Definition
Naffziger's Test. Then have Pt take breath and cough-->radicular or local pain-->SOL
Term
When should you not do a Naffziger's Test?
Definition
If the jugular veins are visible, if Pt has migraines, If Pt has vascular disordrs
Term
When you do O' Donohue's does active or passive ROM indicate sprain?
Definition
Passive. 3Ps--pain, passive sPrain
Term
How do you perform the Soto-Hall Test?
Definition
One hand on sternum to stablize, other hand passively flexes head to chest-->local pain, fx, cervical disc rupture
Term
What are the 3 things asked in a Valsalva's?
Definition
1)sit up straight
2)Take Deep Breath
3)Bear Down
Term
What are you looking for in Valsalva's Maneuver?
Definition
Pain. Ask Pt where. Local or shooting pain indicate an SOL. Increased intrathecal pressure due to SOL sends shooting pain
Term
How do you perform a Bikele's Test?
Definition
1)Shoulder abducted to 90 degrees with elbow flexed
2)Patient actively extends elbow while attempting to reach behind them-->rad pain-->brachial plexus neuritis
Term
How do you perform the vertebral-basilar artery function test?
Definition
1)Pt sits up straight
2)Dr. palpates and auscultates carotid and subclavian arteries.
3)Hyperextend and rotate neck
4)Hold for 30sec and repeat on other side
Term
What are the 3 tests that are + when the patient exhibits vertigo, diplopia, nystagmus, syncope or nausea?
Definition
1)Vertebral-Basilar Artery Function Test
2) Maigne's Maneuver
3) Barre-Leiou Sign
Term
How do you perform Maigne's Maneuver?
Definition
Rotate and extend head for 30 seconds to each side
Term
What is the Barre-Leiou Sign?
Definition
Pt exhibits vertigo, diplopia, nystagmus, syncope, and/or nausea when they rotate head from side to side. Slowly at first and then accelerate
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