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Thoracic Outlet Syndrome Tests have poor validity, as there is a false positive rate of 53-92%. So if someone does this test on you and you have a positive result (usually a + is elicited pain/numbness/tingling or loss of a pulse), it doesn't mean anything for sure. Positive tests should be "assessed cautiously".
( more )
( more )Orthopedics: Cervical Spine Exams
Oct. 5th, 2010 02:31 pm1) Observe pt, posture (standing)
2) Palpate c-spine (sitting)
3) Test ROM: (sitting) active (AROM), resisted (RROM)
4) MRS: muscle testing
5) MRS: reflex: DTR: deep tendon reflexes
6) MRS: sensory: sharp/dull and light touch to dermatomes
7) Spinal Percussion (still sitting)
8) Valsalva maneuver (to confirm suspicion of herniated disc or SOL in spinal cord or IVF)
9) Special orthopedic tests (cervical compression test & variations, cervical distraction test, shoulder depression test)
10) Passive ROM (PROM) (supine)
11) Soto Hall Test
12) Vertebral basilar artery insufficiency tests
( notes )
2) Palpate c-spine (sitting)
3) Test ROM: (sitting) active (AROM), resisted (RROM)
4) MRS: muscle testing
5) MRS: reflex: DTR: deep tendon reflexes
6) MRS: sensory: sharp/dull and light touch to dermatomes
7) Spinal Percussion (still sitting)
8) Valsalva maneuver (to confirm suspicion of herniated disc or SOL in spinal cord or IVF)
9) Special orthopedic tests (cervical compression test & variations, cervical distraction test, shoulder depression test)
10) Passive ROM (PROM) (supine)
11) Soto Hall Test
12) Vertebral basilar artery insufficiency tests
( notes )1) Increase L hip extension using PIR stretch: what ms group is stertched?
2) Using PIR corect a hypertonic R quad.
3) Increase L hip adduction with PIR strectch (which muscles?)
4) Perform a grade 4 mobilization to correct a L tibia internal rotation restriction
5) Correct a R calcaneus anterio glide restriction using grade 2 mob.
6) Correct a L navicular superior glide restriction.
7) Use strain/counterstrain to correct a hypertonic R piriformis.
8) Use s/cs to correct a L biceps femoris hypertonicity.
( notes need cleaning up )
2) Using PIR corect a hypertonic R quad.
3) Increase L hip adduction with PIR strectch (which muscles?)
4) Perform a grade 4 mobilization to correct a L tibia internal rotation restriction
5) Correct a R calcaneus anterio glide restriction using grade 2 mob.
6) Correct a L navicular superior glide restriction.
7) Use strain/counterstrain to correct a hypertonic R piriformis.
8) Use s/cs to correct a L biceps femoris hypertonicity.
( notes need cleaning up )
MIDTERM IS WEEK 5
bring fasting info page for Thea
don't mobilize hands/wrists in case of arthritis until you have a firm dx
know the disease process
don't do grade 3+ if inflamed
( notes on Frangos' lab class 2-5pm )
bring fasting info page for Thea
don't mobilize hands/wrists in case of arthritis until you have a firm dx
know the disease process
don't do grade 3+ if inflamed
( notes on Frangos' lab class 2-5pm )For this practical exam we may be asked to demonstrate assessments of VertebroBasilar Artery sufficiency, the Transverse Atlantal Ligament, the Alar Ligament and Lateral Flexion of the entire C-spine by segment. We are also covering strain/counterstrain of the cervical extensors, anterior and middle scalenes, SCM, upper trapezius, levator scapula, masseter and lateral pterygoid. We may have to demonstrate Positional Isometric Relaxation technique on the extensors, scalenes, SCM and traps, levator and masseter.
( notes )
( notes )Orthopedics Lab Exercise 1
Oct. 5th, 2008 12:07 pm
I'm not going to rewrite the whole case, but I will summarize it here, then answer the questions. 38 yo male moves heavy stuff and wakes up one morning with a kink in his neck. It gets worse, with cramping, burning pain in his neck and shoulders. He can't sleep, and goes everywhere with his arm over his head (Bakody's sign) because that's the only position in which he gets relief from the pain. A day later he goes to the urgent care center and they prescribe narcotic pain meds and muscle relaxers, but the pt won't take them because he's a recovering addict. They don't take any xrays.
( notes on the case and answers to the homework )My assigned Q:
How does manipulation affect the anatomy and physiology of the body?
How would manipulation to T1-7 help RH's condition?
Also: Report on hydrotherapy and spondylotherapy.
( notes )
How does manipulation affect the anatomy and physiology of the body?
How would manipulation to T1-7 help RH's condition?
Also: Report on hydrotherapy and spondylotherapy.
( notes )
