Term
| vertical compression test |
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Definition
- postural stability
- pt: normal posutre
- therapist: behind pt with hands on pts upper trap or top of head
- tech: apply steady vertical pressure down through shoulder or crown of head
- note: neg test-force is progressively transmitted through the body to feet or base of support
- positive: breaking of psotural stability at any segment (ant shear in spine common)
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Term
| Foraminal Compression (Spurling's Test) |
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Definition
- use: provocation test of the posterior elements of the cervical spine
- pt: sit in chair
- therapist: at pt. side, help pt. move neck into exn., side bending, and rotation to one side
- tech: with pts neck in exn, side bending, and rotation to one side apply a vertical compression to head (slow and monitor)
- perform first in uninvolved side, then do involved side
- positive test: pain radiating into arm on side of neck is side bent and rotated to
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Term
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Definition
- provocation test of posterior elements of the cervical spine
- pt: sitting in chair
- standing at pts side, help pt move neck into exn, and rotation to one side
- tech: pt's neck in exn and roation to one side apply parallel forces at maxilla and scapula while watching and listening to pt
- note: pos test-reproduction of neurologic signs/symptoms, and increased intrascapular pain (cloward's sign)
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Term
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Definition
- determine subluxation of the atlas on the axis
- pt: sitting
- therapist: standing at side of pt. with one hand on pt. forehead and other hand over spinous process of axis to stabilize it
- tech: pt asked to slowly flex the neck, while therapist resists neck flexion through forehead contact
- note: positive test-if felt that head slides psoterior during movement
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Term
| what are 3 test you do to clear cervical spine? |
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Definition
- vertebral artery
- quadrant
- sharp pursor
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Term
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Definition
- use: test vertebral artery function
- pt: suprine on plith with head hanging over end of table
- therapist: standing at head end of plinth, therapist supports head
- tech: therapist takes pt head/neck into meximal exn, sidebending and rotation to same side, position is held for 30 seconds, while therapist observes nystagmus, dizziness, diaphoresis, nausea, pupillary changes
- note: positive-would be indicated by any of the above-mentioned phenomena occurring
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Term
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Definition
- test for thoracic outlet syndrome
- pt: standing with arms abducted to 90, ER at shoulder, and flexed to 90 at elbows
- therapist: standing facing pt, observing
- pt opens hands slowly for 3 min
- pos test: pt being unable to hold arms overhead for assigned time, heaviness of the arms, weakness of the arms, numbness/tingling of the arm occurring during the test period
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Term
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Definition
- eval thoracic outlet syndrome
- pt: standing or sitting
- therapist: locate pt's radial pulse
- tech: pts head rotated to face the test side, pt extends neck while therapist externally rotates ande xtends pt's shoulder. pt is then instructed to take a deep breath and hold it
- note: disappearance of pusle-positive
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Term
| costoclavicular syndrome test |
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Definition
- use: test of thoracic outlet syndrome
- pt: standing
- therapist: palpates radial pulse while standing at side to be tested
- technique: monitor pulse as pt's arm is drawn down and back
- note: positive-absence of pulse
- useful for pt's who report symptoms with wearing a backpack
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Term
| wright test (hyperabduction) |
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Definition
- test thoracic outlet syndrome
- pt: sitting
- therapist: standing on side to be tested, palpate radial pulse
- tech: therapist hyperabudcts arm with elbow and hand in coronal plane and shoulder externally rotated
- note: positive test indicated by absence of pulse
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Term
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Definition
- use if descent of 1st rib is restricted, if first rib is elevated, and in treatment of thoracic outlet syndrome
- therapist: at head of pt.
- stabilizing hand: therapist right hand cups upper cervical spine and occiput
- mobilizing hand: therapist left index finger prox phalanx contact first rib
- landmarks: posterior to clavicle, lateral to C7 transverse process, anterior to the spine of the scapula
- tech: pt instructed to take a deep breath, therapist allow this to happen then follow rib downard as pt breathes out and then hold rib down, pt breathes normally, the patient breathes normally
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Term
| What are 3 thing the sub crabnial inhibitive distraction encourages? |
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Definition
- anterior portion of cranial structures open
- musculature that inserts into nuchal line is being compressed in what is a classic inhibitory technique
- cervical traction is applied to cervical structures
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| what muscle reflexes is C5,C6 |
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Definition
| biceps brachii, brachioradialis |
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Term
| what muscle reflex test C |
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Definition
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Term
| what tests reflex is C7 & C8 |
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- provocation test for rib fracture/subluxation
- pt: seated/standing
- therapist: standing on one side of pt to be test with one hand on anterior half of thorax and other hand on post. aspect of ipsilateral side of thorax
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