Cervical Examination: Difference between revisions

(New page: a. Patient Intake i. Self‐report and performance‐based outcome measures ii. Region‐specific Historical Examination b. Observation: i. Posture ii. Movement Patterns c. Functiona...)
 
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a. Patient Intake  
Patient Intake
i. Self‐report and performance‐based outcome measures  
**Self‐report and performance‐based outcome measures
ii. Region‐specific Historical Examination  
**Region‐specific Historical Examination
b. Observation:
Observation
i. Posture  
**Posture
ii. Movement Patterns  
**Movement Patterns
c. Functional Tests: Looking up, transferring sit stand, lifting one or both arms overhead  
Functional Tests
d.
**Looking up, transferring sit stand, lifting one or both arms overhead
Palpation
Palpation
i. supine— temporal mandibular joint, auditory meatus, mastoid process, atlas (C1)
**supine— temporal mandibular joint, auditory meatus, mastoid process, atlas (C1) transverse processes, clavicle, soft tissue both posterior and anterior, hyoid bone, articular pillars, C2-C7 spinous processes
transverse processes, clavicle, soft tissue both posterior and anterior, hyoid
**prone—occipital process, nuchal line, spinous processes, transverse processes, soft tissue
bone, articular pillars, C2-C7 spinous processes
**seated – first rib  
ii.
Systems Review (Red Flags, Yellow Flags)
prone—occipital process, nuchal line, spinous processes, transverse processes,
Radiological Considerations
soft tissue
Movement Testing
iii.
**AROM, PROM, and Overpressure
seated – first rib
**Passive Intervertebral Motion
**Muscle Strength specific to Cervical Spine
e. Systems Review (Red Flags, Yellow Flags)  
**Cranio‐cervical Flexion Test
f. Radiological Considerations  
Dermatomal Assessment (including neurologic screening)  
g. Movement Testing  
Special Tests
i. AROM, PROM, and Overpressure  
*Spurling’s Test
ii. Passive Intervertebral Motion  
*Vertebral Artery Test
iii. Muscle Strength specific to Cervical Spine  
*harp‐Purser Test
1. Cranio‐cervical Flexion Test  
*Transverse Ligament Stress Test
h. Dermatomal Assessment (including neurologic screening)  
*Slump Test
 
*Upper Limb Tension Test (ULTT‐A)
g. Special Tests  
*Distraction Test
i. Spurling’s Test  
*Shoulder Abduction Test
ii. Vertebral Artery Test  
*Rhomberg’s Test
iii. Sharp‐Purser Test  
*Babinski’s Reflex
iv. Transverse Ligament Stress Test  
*Lhermitte’s Test
v. Slump Test  
*Cranio‐cervical Flexion Test
vi. Upper Limb Tension Test (ULTT‐A)  
*Thoracic Outlet Tests
vii. Distraction Test  
*Test for First Rib Mobility
viii. Shoulder Abduction Test  
ix. Rhomberg’s Test  
x. Babinski’s Reflex  
xi. Lhermitte’s Test  
xii. Cranio‐cervical Flexion Test  
xiii. Thoracic Outlet Tests  
xiv. Test for First Rib Mobility

Revision as of 21:14, 2 October 2008

Patient Intake

    • Self‐report and performance‐based outcome measures
    • Region‐specific Historical Examination

Observation

    • Posture
    • Movement Patterns

Functional Tests

    • Looking up, transferring sit stand, lifting one or both arms overhead

Palpation

    • supine— temporal mandibular joint, auditory meatus, mastoid process, atlas (C1) transverse processes, clavicle, soft tissue both posterior and anterior, hyoid bone, articular pillars, C2-C7 spinous processes
    • prone—occipital process, nuchal line, spinous processes, transverse processes, soft tissue
    • seated – first rib

Systems Review (Red Flags, Yellow Flags) Radiological Considerations Movement Testing

    • AROM, PROM, and Overpressure
    • Passive Intervertebral Motion
    • Muscle Strength specific to Cervical Spine
    • Cranio‐cervical Flexion Test

Dermatomal Assessment (including neurologic screening) Special Tests

  • Spurling’s Test
  • Vertebral Artery Test
  • harp‐Purser Test
  • Transverse Ligament Stress Test
  • Slump Test
  • Upper Limb Tension Test (ULTT‐A)
  • Distraction Test
  • Shoulder Abduction Test
  • Rhomberg’s Test
  • Babinski’s Reflex
  • Lhermitte’s Test
  • Cranio‐cervical Flexion Test
  • Thoracic Outlet Tests
  • Test for First Rib Mobility
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