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Neck Assessment
| Question | Answer |
|---|---|
| Peripheral nerve compression Ulnar nerve compression by anterior & middle scalenes. | Adson's maneuver |
| Client in seated position Practitioner behind client practitioner finds radial pulse extend & slight externally rotate the clients affected arm instruct client to rotate head towards affected side slightly elevate chin deep breath & hold hold 30 | Adson's maneuver |
| muscle assessment, weakness weakness deep neck flexors, hypertonic SCM & sub occipitals | Anterior neck flexion |
| Client position- Supine Therapist position- standing at the clients side Action- client is asked to bring their chin to their chest what are you looking for? If the client's chin juts forward as the initiating motion, positive test for over active sub | Anterior neck flexion |
| Trigger point pain Scalenes | Scalene cramp |
| Test un-affected first Client is asked to turn rotate their head & tuck their chin behind the clavicle Communication about change in sensation, pain or discomfort Communication to client about treatment plan | Scalene cramp |
| Inability to touch pads of the fingers to the metacarpophalangeal joint | Finger flexion |
| Tested simultaneously client seated asked to flex their fingers & try to touch the pads of their fingers to press against the metacarpophalangeal joints inquired about pain or discomfort | Finger flexion |
| Relief of pain, sharp shooting, numbness, & tingling changes in temp down medial arm on the ulnar side to the 5th, 4th, & 1/2 of the middle finger | Scalene relief |
| Tested un-affective side first client is supine client is asked to place wrist on forehead hold for at least 30 sec communication about change in sensation, pain or discomfort | Scalene relief |
| Pain &/or decreased strength, compare & contrast from left to right | Trap Manual Resisted Test |
| Test unaffected side first,Client is asked to rotate their head away from the affected side Next client is asked to look up at the ceiling, Client is asked to raise the affected side's shoulder toward their ear | Trap Manual Resisted Test |
| Radiating pain or other neurological signs in the arm of the affected side? Where the pain is, indicates which nerve root is involved. Pain that is local to the neck or shoulder indicates cervical facet joint irritation on the side bending tested | Cervical compression test |
| Client is in a seated position, Practitioner stands behind the client, Carefully apply compression downward pressure compress the intervertebral foramen, the nerve root & the facet joints on that side. | Cervical compression test |
| Relief of the client's pain. It releases the pressure from the intervertebral foramina reducing the pressure on the facet joint, & possible nerve. | Cervical distraction |
| Client seated or supine position, grasp the client's head at the occiput & temporal areas. Return head to the anatomically neutral position, apply a slow traction in a superior direction maintaining traction for up to 30 seconds. | Cervical distraction |
Created by:
Bebert30
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