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Cervical
Cervical/Thoracic Notes
| Question | Answer |
|---|---|
| Erb-Duchenne Paraysis (Erb's Palsy) | upper brachial plexus roots C5-C6 injury. Causes-fall on shoulder; birth trauma, pulling of head thru pelvis |
| Erb-Duchenne Paraysis (Erb's Palsy) | Signs- Waiters tip: arm adducted and IR; forearm pronated; wrist flexed; normal finger function and grip reflex; biceps reflex absent |
| Klumple (Dejerine-Klumpke) Paralysis | lower brachial plexus roots C7, C8, T1 injury. Causes-traction to arm. |
| Klumple (Dejerine-Klumpke) Paralysis | Signs- Claw hand deformity |
| Claw hand deformity | Hand intrinsic weakness, Grasp reflex absent on affected side, Biceps and radial reflex present, Horner's Syndrome if T1 affected, Upper arm unaffected |
| Foraminal Compression Test | Assess for- pressure on cervical nerve root |
| Foraminal Compression Test | Test Assessment Method- pt bends head to unaffected side then to affected side; therapist presses straight down on head |
| Foraminal Compression Test | Test is positive if- pain radiates into arm on the side the head is side flexed towards |
| Distraction Test | Assess for- pressure on cervical nerve root |
| Distraction Test | Test Assessment Method- place hand under chin and other around occiput; slowly lift head. |
| Distraction Test | Test is positive if- pain relieved or decreased when traction applied |
| Lhermitte's Sign | Assess for- spinal cord lesion or UMN lesion; dural or meningeal irritation or possible cervical myelopathy |
| Lhermitte's Sign | Test Assessment Method- long sitting; passively flex pt's head and one hip simultaneously w/knee kept extended. |
| Lhermitte's Sign | Test is positive if- Sharp pain down spine and into upper or lower limbs. |
| Vertebral Artery Test | Assess for- vertebral artery compression. |
| Vertebral Artery Test | Test Assessment Method- supine; passively extend and side flex neck; then rotae neck to same side as side flexed to, for 30 sec. |
| Vertebral Artery Test | Test is positive if- dizziness or nystagmus occurs |
| Naffzigers Test | Assess for- may have nerve root problems or space occupying lesion(tumor) |
| Alar ligament Test | Test is positive if- C2 spinous process doesn't move immediately to opposite direction |
Created by:
don74key
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