Clin2 Final Review

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barbostick
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95035
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Clin2 Final Review
Updated:
2011-08-12 16:20:52
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Soma Clin Clinical Integration cervical tests vocabulary final review
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Clin2 Final Review
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  1. Active free ROM for cervical region- flexion
    • 45-50 degrees
    • Chin to chest
  2. Active free ROM for cervical region- extension
    • 75-85 degrees
    • Chin to ceiling
  3. Active free ROM for cervical region- lateral flexion
    • 40-45 degrees
    • Ear to shoulder
  4. Active free ROM for cervical region- rotation
    • 90 degrees (80 more realistic)
    • Chin over clavicle
  5. Spurling's Test
    • Compression test
    • Stage 1: Compression top of head in neutral
    • Stage 2: Compression top of head in partial extension and rotation to affected side
    • Stage 3: Compression in lateral flexion
    • Test if sharp local pain in neck and/or nerve pain, with possible numbness/ingling in neck radiating in arm/hand
  6. Distraction Test
    • Crasp client's head at occiput and temporal areas. Return head to a neutral position. Apply slow traction superiorly.
    • Positive test if it reduces the client's pain
    • Tests for SOL, facet joint irritation, nerve root impingement
  7. Scalene Cramp Test
    • Tests for active trigger points in scalenes
    • Have client actively and fully rotate their head to the affected side and forcefully hold for up to one minute.
    • Positive if reproduces signs and symptoms
    • Use test for anterionr/lateral neck pain (cull/achy), pain following scalene trigger pt referral pattern (upper back, chest, arm, hand), cramping in neck.
  8. Adson's Test
    • Tests for TOS with anterior scalene involvement (Adson's = Anterior scalene)
    • Palpate pulse; abduct and extend client's arm; instruct client to look at therapist (ipsi rotation and extension to stretch anterior scalene); instruct client to hold breath and therapist should count down to zero.
    • Positive test if diminished or absent pulse; recreation of symptoms.
    • Test if pain in the neck/shoulder (if achy muscle pain and nerve pain present radiating down arm; vascular symptoms in hands
  9. Adson's Test with Halstead Manuever
    • Tests for TOS with middle scalene involvement (Halstead is a middle road)
    • Palpate client's radial pulse; abduct and extend client's arm; instruct client to look at therapist (contralateral rotation and extension to stretch middle scalene); instruct client to hold breath and therapist counts down to zero.
    • Positive test if palpable diminished or absent pulse; recreation of symptoms.
    • Test if pain in the neck/shoulder (if achy muscle pain and nerve pain) present down arm; vascular symptoms in hands.
  10. Costoclavicular/Military Brace Test
    • Tests for TOS with clavicle and first rib involvement.
    • Palpate client's radial pulse bilaterally; extend both arms and instruct client to slump, retract and dpress shoulders- maintain posture for about 60 seconds.
    • Positive test if palpable diminished or absent pulse, recreation of symptoms at any point during test.
    • Test if pain in the neck/shoulder (if achy muscle pain and nerve pain) present down arm; vascular symptoms in hands.
  11. Wright's Hyperabduction Test
    • Tests for TOS with pec minor involvement.
    • Palpate client's radial pulse; client slowly abducts and extends arm to 90 degrees or greater (hand up = Wright answer)
    • Positive test if palpable or absent pulse, recreation of symptoms at any point during test.
    • Test if pain in the neck/shoulder (if achy muscle pain and nerve pain) present down arm; vascular symptoms in hands.
  12. What tests would you use for someone who complains about shoulder pain and cold hands?
    • AROM
    • PROM (then Spurling's if joint problem)
    • Manual Resisted
    • Adson's
    • Adson's with Halstead
    • Costoclavicular/Military Brace
    • Wright's
  13. Contractile tissue
    • Tissue that is actively engaged to create movement
    • Muscles and tendons
  14. Non-Contractile Tissue
    • Tissue that lacks the ability to produce movement
    • Joint capsule, ligament, bursa, cartilage, fascia, dura mater and nerves
  15. What is the primary reason to use resisted manual testing?
    To test the strength of contractile tissue
  16. What type of mechanical disruption occurs when structures are pressed together?
    Compression
  17. What type of mechanical disruption occurs when a pulling force is applied to one or more tissues?
    Tension
  18. What type of mechanical disruption occurs when a sliding force is applied between two tissues that generates excess friction?
    • Shear
    • One part is stuck and the other can't go where it wants.
  19. What type of mechanical disruption occurs when a rotary (twisting) force is applied to tissue?
    Torsion
  20. What type of mechanical disruption occurs when a combination of compression on one side while the other side is stretched?
    Bending
  21. What type of disruption occurs when errors in signal processing within the CNS and PNS occur?
    Neurological
  22. What is the ideal end feel for PROM in the cervical region?
    Tissue stretch (soft)
  23. Name this end feel: a sudden stop end-feel- can indicate osteophytes with DJD
    Bony
  24. Name this end feel: when motion is stopped by the compression of muscle tissue between opposing limb segments
    Soft
  25. Name this end feel: leathery feel, can indicate capsular fibrosis when inflammation is not present
    Tissue stretch
  26. Name this end feel: sudden stop end feel prior to where the end range should be with sudden rebound and pain. Limited ROM
    • Muscle spasm
    • It prevents you from getting to the end range.
  27. Name this end feel: pathological caused by a loos body within the joint
    • Springy block
    • Can mean cartilage is floating around; similar to bony but springy
  28. Name this end feel: pain is felt before true end feel is attained.
    • Empty
    • Too much pain; can't test without torturing client (moo ah ah ha)
  29. Limitations of movement at a joint is called the...
    capsular pattern
  30. What does MRT test?
    Contractile tissue only

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