Term
| With the px either sitting or standing ask him/her to rotate trunk and lean back obliquely. The test is (+) if pn radiates down the leg towards the side to which the px is bending. (pn in the lo-back alone not considered (+) ). |
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Definition
Kemp's Test
(+): n root compression d/t lumbar disc lesion, SOL, degenerative joint dz or degenerative disk dz |
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Term
| ask px to extend one leg at a time, then both legs together. The test is (+) if px cannot extend the leg b/c of radicular pn, or px can only perform tests by leaning his/her trunk backwards b/c of the pn. The results of this test should correlate w/the supine straight leg raise. |
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Definition
Sitting Straight Leg Raise
(+): radicular neuropathy d/t lumbar disc lesion, adhesions entrapping the n. root, spasm. or degenerative arthritis |
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Term
| while seated, the px is asked to bear down as if to cough or have a BM. The test is (+) if lower back or leg pn is produced. |
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Definition
Valsalva's Maneuver
(+): lumbar disc syndrome or other SOL affecting the lumbar region of the spinal column |
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Term
| w/the px lying on his/her back, keep the leg straight while lifting it. The test is (+) if there is radicular pn (pn below the knee) |
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Definition
Supine Straight Leg Raise
(+): n. root compression d/t lumbosacral or sacroiliac lesions, lumbar disc syndrome, dural adhesions or other SOL in the intervertebral foramen e.g. tumors or degenerative arthritis. |
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Term
| this is a continuation of the Supine Straight Leg Raise test. If radicular pn is produced, lower the leg to a point that will ease the pn, then dorsiflex the foot. If pn returns, the test is (+). |
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Definition
Bragard's Sign
(+): n. root compression d/t lumbosacral or sacroiliac lesions, lumbar dis syndrome, dural adhesions or other SOL in the intervertebral foramen e.g tumors or degenerative arthritis. |
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Term
Bring the px's arm down and back while palpating the px' radial p;ulse. Ask the px to rotate the head towad the arm being tested and have him/her tilt head backwards. Then ask px to inhale deeply and hold breath for 10 sec. The test is (+) if pulse diminishes or stops, or if there is increased sensation in the arm.
If the test is negative, turn px head to the opposite side and check for (+) signs. |
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Definition
Adsons' Maneuver
(+): Thoracic Outlet Syndrome |
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Term
Palpate the radial pulse while the px is looking straight ahead. Lift the arm through the normal range of motion above the px head. The test is (+) if the pulse is diminished.
Note the degree of elevation of the arm at which diminishing or loss of pulse occurs. |
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Definition
Wright's Test
(+): Thoracic Outlet Syndrome |
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Term
| With the px seated, gently press down on px head. The test is (+) if there is increased pn or abnormal sensation radiating from the neck into the arm |
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Definition
Foraminal Compression
(+): pressure on the nerve root d/t cervical disk syndrome, degenerative arthritis, or SOL |
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Term
Lift the px head away from his/her body.
The px w/cervial and/or radicular shoulder/arm/hand pn gets relief when cerival traction is applied to head |
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Definition
Foraminal Distraction
(+): n. root compression d/t SOL
local pn: neck strain/sprain |
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Term
| Px must use both hands to support the weight of the head. If yes, the test is (+). Do not proceed further w/the examination and call ambulance |
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Definition
Rust's Sign
(+): indi cervical fracture |
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Term
| Circumference Measuring: Lumbar Spine |
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Definition
| Lumbar: meas umbilicus to knee; divide into thirds and measure 1/3 up from knee (i.e. measuring the thigh). Then measure calf at largest diameter. |
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Term
| Circumference Measuring: Arm |
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Definition
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Term
Cervical Spine:
Main Pts
Distal Pts
Adjacent Pts
Local Pts
Other tx modalities |
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Definition
Luo Zhen: usu contralateral
Ear cervical pts: same side
UB 60: mirror contralateral
Achilles Pt
Distal Pts:
SI3 & UB62, LI4, LI11, SJ4, LIV3, LIV2, LIV8, GB39, Extra Pt next to Luo Zhen
Adjacent Pts: SI10, 11, 12, 13 (palpate for tenderness +/or pn relief)
Local Pts:
Bai Liao: bilaterally
GB20, 21 : bilaterally occiput pn
UB10
DU14: affect entire cervical region.
Ashi Pts: Hua Tuo Jia Ji
ST9, LI18
SJ15
*Begin w/distal pts to pen the channel and move Qi*
Other modalities: 7-Start from GB20 to 21, or from UB10 down UB line to T-4 |
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Term
Lumbar Spine
Distal Pts:
Extra Pts:
Ear Pts:
Local Pts:
Other Modalities |
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Definition
Distal Pts: UB60, 58, 40, 36, 37, GB 30 for sciatica radiating down back of leg;
GB40, 41, 34, 31, 30 for sciatica radiating down side of leg;
DU20: acute lo-back pn
Extra pts: Ling Gu, Da Bai
Ear Pts (lumbar pt on the same side)
SI3 & UB62: open the DU
Local Pts: Ashi, UB23, 52, DU4, ShiQiZhui, Ashi pts at lat edge of quadratus lumborum, needles obliquely toward midline; HuaTuoJiaJi (esp on affected side), Yao Tong Xue (needle contralateral)
Other Modalities: cupping, gua sha, linament
1. Trauma: use sedating tech for Qi & Blood stag d/t trauma (except UB23!)
2. Cold/Damp Bi: use all sam pts
--add moxa & herbs
3. Chornic low back pn d/t KID xu: use all same pts and add KID3; KID7 (yang xu) KID6 (yin xu)
--add moxa & herbs |
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Term
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Definition
1. stress, aggravated by bad posture and emotions (LQS = LYR)
2. trauma, whiplash (cervical strain/sprain syndrome), Qi & Blood stasis
3. osteoarthritis (cold-damp bi)
4. flu-like sx= EFP= wind-cold or wind-heat |
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Term
| Main causes of neck pain (4) |
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Definition
1. stress, aggravated by posture & emo (LQS -- LYR)
2. trauma--whiplash, cervical strain/sprain, Qi + Blood Stag
3. Osteoarthritis -- Cold Damp bi
4. Flu-like sx: EPF--WC or WH |
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Term
| Main pts tx Cervical injury: |
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Definition
Luo Zhen
Ear cervical pts
UB 60 (mirror contralateral)
Achilles Pt |
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Term
| Distal Points: Cervical Spine |
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Definition
| SI3, LI4, LI11, SJ4, LIV3, LIV2, LIV8, GB39, So Jing Dian |
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Term
| Adjacent Points: Cervical Spine |
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Definition
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Term
| Local Points: Cervical Spine |
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Definition
| Bai Liao, GB20, 21, UB10, DU14, Ashi Pts, ST9, LI18, SJ15 |
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