Orthopedic Tests NMS I Flashcards Preview

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Flashcards in Orthopedic Tests NMS I Deck (57)
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1

Rust's Sign

grasps head with both hands
Sprain, RA, FX, Sever subluxation

2

Libman's Sign

apply pressure to mastoid increase pressure til it hurts
pain tolerance

3

Bakody Sign

place hand on head with elbow at level of ear>reduced pain
traction on Brachial Plexus

4

Reverse Bakody Sign

pt. place hand on head>increase pain
TOS

5

Bikeles sign

Pt. abducts straight arm to 90º

6

Brachial Plexus Tension test

Pt. Hands behind head. Dr. Pulls back.

7

Dejerin's Triad

coughing, sneezing, straining cause radicular Sx

8

Swallowing Test

pt. swallows>pain

9

Valsalva's Maneuver

pt. breath in and bear down>dizzy

10

Barre Lieou

pt. seated shake head back and forth as fast as can>vertigo, dizziness, nystagmus, nausea, visual disturbances

11

Vertebrobasilar Artery Fxnal maneuver

pt. seated, Dr. auscultates (bell + diaphragm) carotid and subclavian bilat. Then plapates. Pt. Rotates and hyperextends counts backwards from 20>vertigo, dizziness, visual stuff, nausea

12

Dekleyn's Test

pt. lying supine. Dr. rotates and hyperextends to one side. count back from 20>vertigo, dizziness, visual stuff, nausea

13

Distraction test

pull up on back of pt. head hold 30-60 sec

14

Foramina Compression Test

pt. rotates head side to side. Dr. pushes down on neutral head, then rotate head with pushing down

15

Jackson Compression test

pt. rotates head, then lateral bend. Dr. pushes on neutral head, then lateral flexed head 30-60 sec

16

Maximum Cervical Compression Test

pt. looks over shoulder

17

Spurling's

pt. rotates, laterally bends. Dr. pushes on neutral head, then laterally flexes and extends head as far as tolerated while pushing down 30-60s. Head neutral give it a bop>pain, paresthesia

18

Lhermitte's

pt. drops chin to chest Dr. then passively flexes>electric shock down spine

19

O'Donoghue $

cervical active ROM, passive ROM, resisted ROM

20

Kernig

flex hip and knee to 90º then extend leg>pain, flexion of opposite hip

21

Brudzinski

pt. supine flex head to xiphoid>pain, hip and knee flexion

22

Shoulder Depression Test

Dr. Push on head and shoulder opposite directions>radicular Sx

23

Soto-Hall

Dr. places hand on sternum of pt. then flexes pt's head to chest>pain

24

Allen's Test

pt. rests forearms palms up, pump fist and hold. Dr. occludes Radial and Ulnar art. Open hand and release on side. Repeat with other side>greater than 5 sec filling time

25

Adson's Test

dr. palpates radial pulse then slightly ABduct ext. rotates arm. Pt. looks to same side extends neck and holds deep breath for 10s>paresthesia, decrease in amplitude

26

Modified Adson's

same as adsons but pt. rotates head away from side being tested>paresthesia, decrease in amplitude

27

Halstead

palpate Radial pulse, dr. pulls down on affected arm pt. hyperextends neck, no change pt. rotates head to opposite side>paresthesia, decr. amplitude

28

Allen's MANEUVER

find pulse, pt in bicep flex position, rotate head away check pulse>absent pulse

29

Roo's Test

Hands up pump fist for 3 minutes>paresthesia

30

Wright's Test
aka hyperabduction test

feel pulse from lap to hail position>compare side to side for diminished pulse at what º