Term
|
Definition
| passive accessory intervertebral movement |
|
|
Term
|
Definition
| in prone, apply P/A force to SP of C2-T1 |
|
|
Term
|
Definition
| assess for presence of pain or increase/decrease in mobility |
|
|
Term
| PAIVM of T-spine (central and unilateral |
|
Definition
| use pisiform of one hand reinforced by opposite hand to apply P/A force to thoracic spine. Force perpendicular to curvature of spine |
|
|
Term
|
Definition
| assess for pain or increase/decrease in mobility |
|
|
Term
|
Definition
| ptnt supine, guide head into extension and end rage rotation |
|
|
Term
| vertebral artery: what to assess for? |
|
Definition
| dizziness, dysarthria, diplopia, dysphagia, drop attacks, nystagmus, perioral numbness |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| purpose of vertebral artery test |
|
Definition
| identify potential disease of vertebral artery |
|
|
Term
|
Definition
| palpate SP of C2 in sitting while gently sidebending head L>R. SP should move to opposite side |
|
|
Term
| alar ligament test purpose |
|
Definition
| assess integrity of alar ligaments and upper cervical stability |
|
|
Term
|
Definition
| in supine, gently move posterior arch of C1 in an anterior direction with radial aspect of index fingers bilaterally |
|
|
Term
| transverse ligament test purpose |
|
Definition
| assessing for increased mobility and/or signs of cord compromise |
|
|
Term
|
Definition
| in sitting stablize C2 SP with one hand while applying a gentle anterior to posterior force on subjects forehead with head in slight flexion |
|
|
Term
| Positive sharp purser test |
|
Definition
|
|
Term
| sharp purser test purpose |
|
Definition
| assess integrity of AA joint, stabilizers of the dens on the atlas |
|
|
Term
|
Definition
| patient sitting, place hands on top of ptnt's head, gently compressing |
|
|
Term
| cervical compression purpose |
|
Definition
| looking for symptoms, central vs peripheral, increase/decrease in pain/symptoms |
|
|
Term
|
Definition
| ptnt sitting, place hands around jaw, squat and use your body to distract |
|
|
Term
| cervical distraction purpose |
|
Definition
| looking for symptoms, central vs peripheral? increase/decrease |
|
|
Term
|
Definition
| patient supine, grasp base of occiput with one hand and place other hand on forehad. FLex head around axis through the ear keeping head on the table. Rotate head 20 degrees to right or left |
|
|
Term
| suboccipital muscles purpose |
|
Definition
| assess ipsilateral tightness |
|
|
Term
|
Definition
|
|
Term
|
Definition
| have patient lie on their back, depress shoulder, shoulder to 90 abd/ elbow extended, full pronation of wrist and finger/thumb extended. Flex elbow |
|
|
Term
|
Definition
| tingling/numbness in 4th/5th digits/medial forearm |
|
|
Term
|
Definition
| patient supine. depress shoulder. Guide shoulder into 100 degrees flexion, full external rotation with elbow flexed. Extend elbow with forearm supinated, finishing with extension of wrist and fingers |
|
|
Term
|
Definition
| paresthesias into the anterior elbow, thumb and index finger typical |
|
|
Term
|
Definition
| ptnt is asked to clasp hands, attempting to pull hands apart while therapist assesses reflexes |
|
|
Term
|
Definition
| blunt end of reflex hammer to stroke plantar aspect of ptnt's foot lateral heel up side of foot across metatarsal heads ending medial |
|
|
Term
|
Definition
|
|
Term
| babinski positive response |
|
Definition
| big toe extends and smaller toes splay |
|
|
Term
|
Definition
| PT cradles ptnt's hand with distal interphalangeal joint of middle finger exposed. PT pinches or flicks tip of the ptnt's finger |
|
|
Term
| hoffman's reflex negative response |
|
Definition
|
|
Term
| hoffman's reflex positive response |
|
Definition
| adduction and opposition of the thumb with slight finger flexion |
|
|
Term
|
Definition
| while sitting, ptnt is instructed to flex and/or extend their neck |
|
|
Term
| Lhermitte's sign: negative response |
|
Definition
|
|
Term
| Lhermitte's sign: positive response |
|
Definition
| electrical-type sensation in midline and occoasional to extremities during flexion |
|
|
Term
|
Definition
| ptnt sitting, patient's foot is quickly forced into dorsiflexion with pressure maintained |
|
|
Term
| clonus testing: negative response |
|
Definition
| one to two involuntary beats of the ankle |
|
|
Term
| clonus testing: positive response |
|
Definition
| three or more involuntary beats of ankle |
|
|
Term
|
Definition
| feet comfortably apart, feet together, feet semi-tandem (heel to instep), feet tandem (heel to toe), each position held for 30-60 seconds. PT assesses ptnt's steadiness |
|
|
Term
| Positive responses for the following tests indicate what: Banbinski, Hoffman's reflex, Lhermitte's sign, Clonus Testing, Modified Rhomberg's |
|
Definition
| UMN lesion or spinal cord compression |
|
|
Term
| Lhermitte's sign may be associated with |
|
Definition
| spinal cord lesions, MS, cord compression from stenosis |
|
|
Term
|
Definition
| siiting/standing, palms up with elbows extending, resist active shoulder flexion to 90 degrees |
|
|
Term
|
Definition
|
|
Term
| pain in the bicipital groove as a result of teh speed's test indicates what sort of patholgoy |
|
Definition
|
|
Term
|
Definition
| sitting/standing, passive forward flex ptnt's shoulder while stabilizing scapula with opposite hand |
|
|
Term
|
Definition
| pain at end range flexion |
|
|
Term
| positive neer's test indicates what |
|
Definition
| rotator cuff impingement/pathology |
|
|
Term
| apprehension/relocation test |
|
Definition
| ptnt supine, ptnt's elbow flexed 90 degrees, slowly externally rotate shoulder looking for signs of apprehension or pain |
|
|
Term
| apprehension/relocation test: anterior pain |
|
Definition
|
|
Term
| apprehension/relocatoin test posterior pain |
|
Definition
|
|
Term
| apprehension/relocation test apprehension |
|
Definition
| significant anterior instability |
|
|
Term
|
Definition
| repeat apprehension test until pain produced, apply pressure to anterior shoulder |
|
|
Term
| If during the relocation test, after applying pressure to anterior shoulder, pain decreases, and ROM increases what could it indicate |
|
Definition
|
|
Term
|
Definition
| sitting, grasp humerus and distract inferior with ptnt arm at their side |
|
|
Term
|
Definition
| observable sulcus moves inferior to acromion process |
|
|
Term
| what does a positive sulcus sign indicate |
|
Definition
| multidirectional instability of shoulder |
|
|
Term
|
Definition
| sitting,ptnt resists PTs attempt to depress elevated and adducted shoulder with the arm in internal rotation, repeat with external rotation |
|
|
Term
|
Definition
| pain and or popping that decreases when test is repeated with arm in external rotation |
|
|
Term
| what does a positive obrien's test suggest |
|
Definition
|
|
Term
|
Definition
| place arm in 120 of abduct, elbow in 90 of flex, forearm supinated. Move shoulder to end range ext rot. PT tries to pull elbow into extension, Ptnt resists with elbow flexion |
|
|
Term
| Positive biceps load II test |
|
Definition
| reproduction of pain or primary symptoms |
|
|
Term
| positive biceps Load II test suggest what |
|
Definition
| SLAP (superior labral tear from anterior to posterior) lesion |
|
|
Term
| latissimus imbalance test |
|
Definition
| observe thorax for increased extension with forward shoulder flexion to end range in supine |
|
|
Term
| pectoralis major imbalance test |
|
Definition
| observe shoulder horizontal abduction in supine with arms at different degrees of elevation to test different components of pec major |
|
|
Term
|
Definition
| observe acromion height from table with patient supine. 2 inches WNL |
|
|
Term
| serrators anterior/scapular winging test |
|
Definition
| perform wall push-up observing scapula for winging |
|
|
Term
| External occipital protuberacne: palpation |
|
Definition
| located at midpoint of nuchal line |
|
|
Term
| External occipital protuberance clinical significance |
|
Definition
| pt of reference, attachment of nuchal ligament |
|
|
Term
|
Definition
| insertion of SCM, point of reference |
|
|
Term
| Transverse Process/Lateral mass of C1 (Atlas) palpation |
|
Definition
| located just anterior and inferior to mastoid, sitting/supine, first bony landmark |
|
|
Term
| Transverse process/lateral mass of C1 (atlas) |
|
Definition
| to assess upper CV stability and mobility, palpation can provoke nausea/headache |
|
|
Term
|
Definition
| first palpable spinous process, sitting |
|
|
Term
| occiput-c2 interval: palpation |
|
Definition
| space between occiput and C2 SP |
|
|
Term
| occiput-c2 interval, decreased space is a result of what |
|
Definition
| extension of cerivcal vertebra |
|
|
Term
| transverse process of c2-c6: palpation |
|
Definition
| ptnt supine, palpate side of neck below earlobes |
|
|
Term
| transverse process of c2-c6: clinical significance |
|
Definition
| assists in assessing mobility/location |
|
|
Term
| TMJ (temporomandibular joint) Palpation |
|
Definition
| right in front of nub of ear, had ptnt open and close jaw |
|
|
Term
| TMJ clinical significance |
|
Definition
| palpate for tenderness or abnormal mechancis |
|
|
Term
|
Definition
| clench teeth palpating just anterior to angle of mandible |
|
|
Term
| masseter clinical significance |
|
Definition
| assess for tenderness or trigger points |
|
|
Term
|
Definition
| clench jaws, palpating temples |
|
|
Term
| temporalis clinical significance |
|
Definition
| assess for tenderness or trigger points |
|
|
Term
|
Definition
| in front of trapezius, have ptnt take a deep breath to feel rib rise |
|
|
Term
| 1st rib clinical significance |
|
Definition
|
|
Term
|
Definition
| palpate 2nd rib inferior to clavicle where it joins at sternum, follow rest of ribs down |
|
|
Term
| ribs 2-12 clinical significance |
|
Definition
| point of reference, mobility |
|
|
Term
|
Definition
| located in line with medial vertebral border of the scapula, palpate shaft of rib moving anterior |
|
|
Term
| rib angles clinical significance |
|
Definition
| prominence may indicate dysfunction or pain could mean fracture |
|
|
Term
| intercostal spaces palpation |
|
Definition
| check for tenderness, size of space in relation to adjacent ribs |
|
|
Term
| thoracic spinous processes palpation |
|
Definition
| palpate interspinous spaces for alignment, spring test. Id SP of T1-T12 |
|
|
Term
| Thoracic transverse processes palpation |
|
Definition
| 1 1/2 fingers width lateral to SP, rule of 3s |
|
|
Term
| Thoracic transverse process rule of 3s |
|
Definition
1-3: TP/SP Same
4-6: TP 1/2 lvl above SP
7-9: TP 1 lvl above SP
10: TP 1 lvl above SP
11: TP 1/2 lvl above SP
12: TP/SP Same |
|
|
Term
|
Definition
| palpate bilaterally to assess upper middle and lower segments (over upper traps, below chest line, below angles of scapula) Assess motion of ribs, measure difference between rest and full inspiration |
|
|
Term
| WHich is greater neck ext or neck flex |
|
Definition
|
|
Term
| Which portion of the cervical spine contributes the most to flexion |
|
Definition
|
|
Term
| which portion of the C spine contributes the most to extension |
|
Definition
|
|
Term
| Sidebending of the cervical neck ROM approximate |
|
Definition
|
|
Term
| What portion of the neck contributes the most to lateral flexion of the c spine |
|
Definition
|
|
Term
| approximate cervical rotation ROM |
|
Definition
|
|
Term
| What portion of the C spine provides the most rotation |
|
Definition
|
|
Term
| Position of the cervical spine when sitting in a slouched position |
|
Definition
| upper cervical extended, mid/lower cervical flexed |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| ankle dorsiflexion with inversion (heel walk) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| great toe extension, heel walk |
|
|
Term
|
Definition
| dorsum of foot btwn 1st and 2nd toes |
|
|
Term
|
Definition
| ankle plantar flexion (toe walk) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| bladder, intrinsics of foot |
|
|
Term
|
Definition
| concentric rings around anus |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| elbow flexion/wrist extension |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| elbow extension/wrist flexion |
|
|
Term
|
Definition
| dorsum of middle/long finger |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| ulnar border of little finger |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| hyperreflexive with clonus |
|
|
Term
| suprasternal notch palpation |
|
Definition
| midposition of superior aspect of chest wall |
|
|
Term
| sternoclavicular joint palpation |
|
Definition
| lateral to suprasternal notch, shallow articulation |
|
|
Term
| sternoclavicular joint clinical significance |
|
Definition
| normally stable joint, look for asymmetry |
|
|
Term
| clavicle clinical significance |
|
Definition
| s shaped, muscle attachments inferior and posterior only |
|
|
Term
| coracoid process palpation |
|
Definition
| move inferior, lateral, and posterior to deep portion of clavicle |
|
|
Term
| acromioclavicular joint palpation |
|
Definition
| move medial from acromion, have ptnt flex and extend shoulder to palpate motion |
|
|
Term
|
Definition
|
|
Term
| greater tuberosity palpatoin |
|
Definition
| move inferior from anterolateral tip of acromion |
|
|
Term
| biceps tendon/intertubercular sulcus |
|
Definition
| anterior and medial to greater tuberosity, externally rotate shoulder 20-30 degrees to palpate |
|
|
Term
| lesser tuberosity palpation |
|
Definition
| medial to biceps tendon or lateral to coracoid |
|
|
Term
| spine of the scapula palpation |
|
Definition
| follow medial border at root of spine to acromion |
|
|
Term
| vertebral border of scapula palpation |
|
Definition
| 2" from thoracic spine, inferior angle at t7, superior angle at t2, upward/downward rotation 5 degrees WNL |
|
|
Term
|
Definition
| promininent medial border |
|
|
Term
|
Definition
|
|
Term
|
Definition
| put arm behind back to expose RC tendons, inferior to anterior/lateral margin of the acromion. SS, IS, TM palpate anterior to posterior on greater tubercle. Observe belly at fossa |
|
|
Term
|
Definition
| observe belly at infraspinatus fossa |
|
|
Term
|
Definition
| observe belly at lateral margins of inferior angle of scapula |
|
|
Term
| subacromial/subdeltoid bursa palpation |
|
Definition
| palpate inferior to acromion while extending the shoulder |
|
|
Term
| latissimus imbalance test clinical significance test |
|
Definition
|
|
Term
| pec major imbalance test clinical significance |
|
Definition
|
|
Term
| pec minor imbalance test clinical signifiance |
|
Definition
|
|
Term
|
Definition
|
|
Term
| movement of the clavicle during shoulder abduction |
|
Definition
| elevates, posteriorly spins |
|
|
Term
| importance of rotator cuff for elevation of the arm |
|
Definition
| supraspinatus main mover and strength provider |
|
|
Term
| importance of serratus anterior vs trapezius for elevation of the arm |
|
Definition
|
|
Term
| force couples at the shoulder |
|
Definition
| glenohumeral, scapulothoracic |
|
|
Term
| medial epicondyle palpation |
|
Definition
| medial side of distal end of humerus |
|
|
Term
| medial supracondylar line of humerus |
|
Definition
| move superiorly from medial epicondyle and palpate bony ridge |
|
|
Term
|
Definition
| large process at upper end of ulna |
|
|
Term
| what is the olecranon covered by |
|
Definition
| olecranon bursa, triceps tendon and aponeurosis |
|
|
Term
| olecranon fossa palpation |
|
Definition
| partial extension of the slackens the triceps muscle, exposing a portion of the fossa to be palpated |
|
|
Term
| lateral epicondyle palpation |
|
Definition
| smaller and less defined than the medial |
|
|
Term
| lateral supracondylar line palpation |
|
Definition
| from lateral epicondyle, palpate up the arm |
|
|
Term
|
Definition
| posterior to wrist extensor group, locate lateral epicondyle and move distal until a visible depression in the skin, have patient supi/pronate arm to confirm |
|
|
Term
|
Definition
| situated between the medial epicondyle and olecranon process. |
|
|
Term
|
Definition
| may be injured or unstable secondary to supracondylar or epicondylar fracture, direct trauma, repetetive motion |
|
|
Term
| wrist flexor/pronator group muscles |
|
Definition
| pronator teres, flexor carpi radialis, palmaris longus, flexor carpi ulnaris |
|
|
Term
| medial collateral ligament palpation |
|
Definition
| medial epicondyle to medial marign of trochlear notch |
|
|
Term
| lateral collateral ligament palpation |
|
Definition
| cord like band, starts at lateral epicondyle, goes to annular ligament as well as lateral side of ulna |
|
|
Term
| olecranon bursa palpation |
|
Definition
| only if the bursa is inflammed |
|
|
Term
|
Definition
| have ptnt support weight on his arm, medial head may be palpated on the medial sepct of the distal end of humerus |
|
|
Term
|
Definition
| brachioradialis, extensor carpi radialis longus, extensor carpi radialis brevis, extensor carpi radialis ulnaris |
|
|
Term
| extensor carpi radialis longus/brevis palpation |
|
Definition
| lateral epicondyle to side of annular ligament |
|
|
Term
|
Definition
| triangular space bordered laterally by the brachioradilais and medially by pronator teres |
|
|
Term
| cubital fossa: structures lateral to medial |
|
Definition
| musculocutaneous nn, biceps tendon, brachial aa, median nn |
|
|
Term
|
Definition
| medial to brachioradialis |
|
|
Term
|
Definition
| one hand grasps medial/lateral elbow, PT imparts varus/valgus force at wrist |
|
|
Term
|
Definition
| tap over ulnar nerve tunnel, lateral to medial epicondyle |
|
|
Term
|
Definition
| ptnt places elbows in flexion with wrists in extension and holds for 30 seconds |
|
|
Term
| tennis/lateral epicondylitis elbow test |
|
Definition
| passively flex wrist w/ elbow extended and forearm pronated. Maintain hand in a fist. ptnt attempts to extend while PT resists |
|
|
Term
| golfer's/medial epicondylitis elbow test |
|
Definition
| elbow extended forearm supinated, passive extend wrist. make fist. ptnt attempts to flex wrist and PT resists |
|
|
Term
| position of the elbow with arms hanging at the side |
|
Definition
|
|
Term
| anatomic snuffbox palpation |
|
Definition
|
|
Term
| borders of teh anatomic snuffbox |
|
Definition
lateral: abductor pollicis longus, extensor pollicis brevis
Medial: extensor pollicis longus
floor: scaphoid |
|
|
Term
| tubercle of the radius aka |
|
Definition
|
|
Term
| lister's tubercle palpation |
|
Definition
| dorsum of hand, 1/3 of the way across wrist from radial styloid |
|
|
Term
| which carpal is most frequently fractured |
|
Definition
|
|
Term
| which carpal articulates with the first metacarpal |
|
Definition
|
|
Term
| what forms the tunnel of guyon |
|
Definition
|
|
Term
|
Definition
| abductor pollicis longus, extensor pollicus brevis, site of Dequervain's |
|
|
Term
|
Definition
| extensor carpi radialis longus, extensor carpi radialis brevis |
|
|
Term
|
Definition
|
|
Term
|
Definition
| extensor digitorum communis, extensor indicis |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| lies over the radiocarpal joint space |
|
|
Term
|
Definition
| proximal to MCP joints of digits 2-5 |
|
|
Term
|
Definition
| prayer stretch but reversed, hold for 60 seconds |
|
|
Term
|
Definition
|
|
Term
| Tinel's test of median nn |
|
Definition
| tap carpal tunnel at base of palm |
|
|
Term
|
Definition
| thumb into fist, ulnar deviate. test for dequervain's |
|
|
Term
|
Definition
|
|
