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Cervical/Thoracic Notes

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