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test n measures

reflex/ sensory and spine/ TMJ tests

lightly stroke the test area. ask pt if they feel light sensation by saying yes or no,. if yes- is sensation normal, diminished or absent, monafilaments can be used for specific testing of the skin, what test is this? light touch
2 test tubes with stoppers. one test tube with warm water other one crushed ice. place tube on skin surface area, ask pt if they feel hot or cold. do not use on pts with sensitive skin conditions. temperture
awareness of the joint, joint held in start position. joint moved to new reference and held in position for a few sec. pt repeats position with ipsilateral extremity. pt can use contralateral extremity for alternate position. pt given a test trial 1st. proprioception/ kinesthesia
what is the awareness of the movement of the parts of the body at the joints? kinesthesia
joint held at a start position. joint moved slowly to a new position, pt describes motion. pt given practice test 1st, then test. cation hand placement, avoid excessive tactile stimulation. speech impairment- use contralateral extremity. kinesthesia test
what is the name of the test that tests for the recognition of weight? barognosis
set up weights consisting of small objects of same size/ shape with different weights, pt asked to compare weight of object with previous one. alternative- compare in both hands. which is heavier or lighter. barognosis
what is the name of the test to recognize objects? stereognosis
pt is given objects to recognize. pt tells you what object is. pt with speech impairment- use pictures to identify objects. looking for a diminished sensation. stereognosis
name the test to recognize letter, numbers or designs traced on skin. graphesthesia
use a fingertip or pencil to draw in the palm of the hand. between each drawing a cloth is used to indicate new drawing. pt with speech impairment- use line drawings, graphesthesia
by testing tendons, gives a insight on motor or sensory pathways of the nervous system. what kind of testing is this? reflex
interruption in the sensory pathway that prevents or delays the transmission of the impulse to the spinal chord. this can cause a diminish or absent reflex. hypo-reflexia
an example of an peripheral motor neuron is transected as a result of trauma. this is an abnormal LMN. what type of reflex is it? hypo-reflexia
if the UMN is transected (traumatic spinal cord), the arc receiving the input from the nerve becomes disinhibited resulting in hyperactive reflexes. what reflex test is this? hyper-reflexia
absent, no evidence of contraction, what is the grade of reflex? 0
decreased, but still present (hypo-reflexic), what grade is this? 1 plus
normal or physiologic, what grade is this? 2 plus
increased; may be normal pathologic, what grade is this? 3 plus
markedly hyperactive with transient clonus , what grade is this? 4 plus
marked hperactive with sustained clonus ( repetitive shortening of the muscle after a single stimulation), what grade is this? 5 plus
weighted heads, so when you swing it 10 cm from target, there will be adequate force on tendon, what size hammer? large hammer
this hammer is swung loosely between the thumb and forefinger. what size hammer is this? small hammer
musculocutaneous nerve (C5, C6) reacts with what muscle? biceps
radial nerve (C6) reacts with what muscle? brachioradialis
radial nerve (C7-C8) reacts wih what muscle? ticeps
femoral nerve (L3-L4) reacts with what bone? patellar
sciatic nerve (S1-S2) reacts with what tendon? achiles tendon
sciatic nerve (L5-S2) reacts with what muscle? tibia
the area of the skin that mainly supplied by a single spinal nerve is called? dermatones
how many cervical, thoracic, lumbar and sacral nerves are there? cervical (8), thoracic (12), lumbar(5), sacral (5)
a block of embryonic mesoderm that segmentally develops into blocks of skeletal muscle, what is this? myotomes
muscles in ---- are served mainly by one to two nerve roots. myotomes
you can use quick isometric testing to clear or identify motor deficits in different nerve root levels and between different named nerves. what are we testing for? myotomes
proximal , lateral shoulder and arm (dermatones ) is C5
radial border of thumb (dermatones ) is C6
anterior/ posterior middle finger (dermatones) is C7
anterior/ posterior 4th and 5th digits (dermatones ) is C8
medial elbow (dermatones ) is T1
shoulder abduction, elbow flex (myotomes) is C5
wrist extension (myotomes ) is C6
elbow extention, wrist flexion (myotomes ) is C7
long finger (myotomes ) is C8
finger abduction, adduction (myotomes ) is T1
biceps (C5-C6) (reflex) is C5
brachioradialis (reflex) is C6
triceps (C7-C8) (reflex) is C7
triceps (C7-C8) (reflex) is C8
reflex fr T1 is none
C6 -motor , reflex, sensation motor- biceps , wrist extensor reflex- brachioradialis sensation- radial side forearm and hand
C5- motor , reflex, sensation motor- biceps, deloids reflex- biceps sensation - radial side of upper arm
C7- motor, reflex, sensation motor- wrist flexors, finger extensors reflex- triceps sensation- middle finger
C8- motor, reflex, sensation motor- intrinsics of hand reflex- none sensation - ulnar side of forearm and hand
T1- motor, reflex, sensation motor- intrinsics of hand reflex- none sensation - ulnar side of elbow
anterio-medial mid thigh (dermatones ) is L3
anterior knee; medial malleolus (dermatones ) is L4
lateral upper leg; top of foot between toes 1 &2 (dermatones ) is L5
lateral leg, malleolus , heel (dermatones ) is S1
medial heel (dermatones ) is S2
hip flexion (myotomes ) is L3
ankle dorsiflexion (myotomes ) is L4
1st toe extension (myotomes ) is L5
ankle plantar flexion , eversion (myotomes ) is S1
ankle plantar flexion (myotomes ) is S2
quad (L3-L4) (reflex) is L3 and L4
achilles (S1-S2) (reflex) is S1 and S2
reflex L5 is hard to get to
screening exam for L3 is squat / rise
screening exam for L4 is squat/ rise
screening exam for L5 is heel walking
screening exam for S1 and S2 is toe walking
motor- hip flexion(L2-L3), knee extention (L2-L4) reflex- patellar sensation- anteromedial mid- thigh
L4- motor, reflex, sensation motor- tibialis anterior, knee extension (L2-L4) reflex- patellar sensation - anterior knee, medial malleous
L5- motor, reflex, sensation motor- gastrocnemius, fibularis longus and brevis reflex- achilles sensation- lateral malleolus and heel, lateral 5th toe
S2- motor, reflex, sensation motor- gastronemius, soleus reflex- Achilles sensation - posteromedial calf and medial heel
heel walk is L4-L5
toe walk is S1-S2
supine position. take measuring tape and measure distal ASIS to distal ipsilateral medial malleolus. if positive , a difference in 1 cm discrepancy in femur , tibia or angle of femur neck. name the discrepancy test. verify with radiology. name the test true leg length
supine position. take measuring tape and measure distal umbilical cord to distal medial malleolus . if positive, a difference in 1 cm , abnormal pelvic positioning or contractions around hip and knee joints. name the test? apparent leg length
swelling in hands and feet is measured with volumetrics
compression garments specify locations and techniques of _______ measurements girth
circumferential measurements can be taken in 3 cm increments based on anatomical landmarks.; smaller intervals =representation . what measurement is this? girth
figure 8 girth measurement is helpful in measuring swelling from an ______ injury. ankle
a method used to measure changes in body dimensions and is also accurate. perform this test with a container of water. extremity is placed in water for measuring. what test is this? volumetrics
wells clinical probablity is 10 items from history and exam. what are they? active cancer, paralysis or immobilization of leg, recent bedridden , tenderness of deep venous system, entire leg swollen, calf swelling, pitting edema (leg), collateral superficial veins, documented DVT, alternate diagnosis as likely as DVT
slight pitting, no visible change.; disappears rapidly .what grade? 1 plus
no marked change in shape of extremity; disappears in 10-15 sec. what grade? 2 plus
noticeable deep pitting, swollen extremity; duration 1-2 min. what grade? 3 plus
very swollen and distorted extremity; duration 2-5 min. what grade? 4 plus
a test that calculates from weight and height to estimate body fat. it uses this formula (weight / height) squared x 703 BMI
hydrostatic weighting (under water weighing) is the__________ for BMI. gold standard
lordosis; greatest ROM cervical spine
kyphosis; protection of spinal cord thoracic spine
lordosis; equal balance between protection and ROM lumbar spine
what posture is plumb line to align anterior to medial malleolus ? lateral
what posture is plumb line to align through mid -sagittal plane between heels? posterior
what posture is plumb line to align to pass through mid-sagittal plane of the body? anterior
open kinetic chain all the joints are free to move
Created by: Shannon10



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