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58 Cards in this Set
- Front
- Back
Foraminal compression test: position and execution |
-sitting with head laterally flexed -therapist places both hands on top of head and exerts a downward force |
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Foraminal compression test: positive result and indication |
+ result: pain radiating in to the arm toward the flexed side nerve root compression |
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Vertebral artery test: position and execution |
- supine -therapist places pts head into ext, lateral flex, and rotation to the SAME SIDE |
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Vertebral artery test: positive result and indication |
+ result: dizziness, nystagmus, slurred speech or LOC, compression of vertebral artery * test prior to performing joint mobilization |
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SI joint stress test (distraction): position and execution |
- supine - cross arm pressure on patients ASIS -therapist applies a downward and lateral force to pelvis |
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SI joint stress test (distraction): positive result and indication |
+ result: unilateral pain in the SI joint or gluteal area SI joint dysfunction |
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sitting flexion test: position and execution |
-sitting with knees flexed to 90 and feet on the floor -pt's hips should be abducted to allow pt to bend forward -therapist places thumbs on inferior margin of PSIS nad monitors movement of bony structures as pt bends forward |
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sitting flexion test: positive result and indication |
+ result: one PSIS moving first or further in a cranial direction articular restriction |
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standing flexion test: position and execution |
-standing with feet 12 in apart -therapist places thumbs on inferior margin of PSIS and monitors movement during forward flex with knees extended |
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standing flexion test: positive result and indication |
+ result: one PSIS moving farther in a cranial direction articular restriction |
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cervical spine loose packed position |
midway btn flex and ext |
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cervical spine closed packed position |
extension |
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cervical spine capsular pattern |
lateral flex=rotation, ext |
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thoracic spine loose packed position |
midway between flex and ext |
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thoracic spine close packed position |
extension |
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thoracic spine capsular pattern |
lateral flex=rotation, ext |
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Muscles: cervical flexion |
SCM longus colli scalenus |
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muscles: cervical extension |
splenius cervicis semispinalis cervicis iliocostalis cervicis longissimus cervicis multifidus trap |
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muscles:cervical rotation and lateral bending |
SCM scalenes splenius cervicis iliocostalis cervicis longissimus cervicis multifidus levator scap |
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muscles: thoracic and lumbar flex |
rectus abd internal oblique external oblique |
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muscles: thoracic and lumbar ext |
erector spinae QL multifidus |
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muscles: thoracic and lumbar rotation and lateral flex |
psoas major QL external oblique internal oblique multifidus longissimus thoracis iliocostalis thoracis rotatores |
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cervical spine flex ROM |
45 |
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cervical spine ext ROM |
45 |
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cervical spine lateral flexion ROM |
45 |
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cervical spine rotation ROM |
60 |
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thoracic and lumbar flex ROM |
80 |
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thoracic and lumbar ext ROM |
25 |
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thoracic and lumbar lateral flex ROM |
35 |
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thoracic and lumbar rotation ROM |
45 |
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Hautants test purpose |
differentiates vascular vs. vestibular causes of dizziness/vertigo |
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Hautants test: position and execution |
2 steps: - pt sitting, shoulders at 90 deg and palms up. have pt close eyes and maintain position for 30 sec * if arms lose position--vestibular condition - pt sitting, shoulders at 90 and palms up. close eyes and cue pt into head and neck ext with rotation right, then left, hold for 30 each position * if arms lose position--vascular condition |
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Transverse ligament stress test: position and execution |
supine, with head supported on table glide C1 anteriorly--should be firm end feel + finding--soft end feel, lump in throat, dizziness, nystagmus, nausea |
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Anterior shear test: position and execution |
supine, head supported on table glide C2-7 anterior--should be firm + finding--laxity, dizziness, nystagmus, lump in throat, nausea |
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Maximum cervical compression test purpose |
identifies compression of neural structures at intervertebral foramen or facet dysfunction |
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Maximum cervical compression test: position and execution |
sitting, passively move head into side bending and rotation toward nonpainful side, followed by extension. repeat to painful side + finding-- pain or paresthesia in dermatomal pattern for nerve root localized pain for facet dysfunction |
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Distraction test |
sitting, head passively distracted + finding--decrease in symptoms in neck or decrease upper limb pain |
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shoulder abduction test purpose |
indicated compression of neural structures within intervertebral foraman |
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shoulder abduction test procedure and result |
sitting, asked to place one hand on top of their head + finding-- decrease in symptoms into upper limb |
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Lhermittes signs |
indicates dysfunction of spinal cord or UMN lesion pt long sitting in table, passively flex patients head and one hip + finding--pain down spine into LE |
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Romberg test |
identifies UMN lesion standing, close eyes for 30 sec + finding-- excessive sway |
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Rib springing |
evaluates rib mobility start prone and PA force to each rib repeat in sidelying |
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Slump test |
sitting on edge of table pt slumps passively flex head and neck passively extend knee passively DF ankle
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Lasegues test (SLR) |
supine, passively flex hip with knee extended until pt complains of shooting pain into lower limb slowly lower limb until pain subsides, then passively DF foot + finding--pain with DF |
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Femoral nerve traction test |
lie on nonpainful side with trunk in neutral, head slightly flexed, and hip and knee flexed passively extend hip while knee of painful limb is in extension if no pain, flex knee of painful leg |
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Quadrant test |
standing intervertebral foramen-- cue pt in to side bending left , rotation left , and extension facet dysfunction--cue pt into side bending left, rotation RIGHT, and extension |
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Stork standing test |
identifies spondylolisthesis pt standing on one leg cue pt into trunk extension + finding--pain in low back with ipsilateral leg on ground |
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McKenzies side glide test purpose |
differentiates btn scoliotic curvature vs neuro dysfunction causing abnormal curvature of trunk |
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McKenzies side glide test procedure |
"lateral shift" noted during observation standing, PT stand on side of pt that upper trunk is shifted toward you place shoulders into patients upper trunk and wrap you arms around patients pelvis stabilize upper trunk and pull pelvis to bring into proper alignment |
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Bicycle (van Gelderens test) purpose |
differentiates between intermittent claudication and spinal stenosis |
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Bicycle (van Gelderens test) procedure |
seated on stationary bike time how long pt can ride at as set pace/speed after rest period have pt ride bike at same speed but slumped posture + finding-- spinal stenosis-- pt should be able to ride bike longer while slumped |
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Gillets test purpose |
assessing posterior movement of ilium relative to sacrum |
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Gillets test procedure |
pt standing place thumb under PSIS of test side other thumb on center of sacrum at same level of other thumb ask pt to flex hip and knee in test side PSIS SHOULD move INFERIOR direction + finding-- no identified movement of PSIS as compared to sacrum |
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Ipsilateral anterior rotation test |
place thumb under PSIS of test limb place other thumb on center of sacrum at same level of other thumb ask pt to extend hip of test limb PSIS SHOULD move SUPERIOR direction + finding-- no movement |
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Gaenslens test |
SIJ dysfunction pt sidelying at edge of table while holding bottom leg in max hip and knee flex standing behind pt, passively extend top hip + pain |
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Long sit to supine |
supine to long sitting position hand on medial malleoli to assess long to short=anterior rotation short to long= posterior rotation |
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Goldthwaits test purpose |
differentiates btn dysfunction in lumbar spine vs SIJ |
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Goldthwaits test procedure |
pt supine with fingers btn spinous process of lumbar spine with other hand, perform passive SLR if pain presents prior to palpation of movement in lumbar segment, dysfunction is SIJ |