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NWHSU Spinal Orthopedic Tests with complete solutions
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NWHSU Spinal Orthopedic TestsO'Donoghue iiManeuver ii- iiAnswers ii-Passive iiand iiresisted iiROM ii
+ iipain iiwith iipassive ii= iiligament iisprain
+ iipain iiwith iiresisted iiROM ii= iimuscle iistrain
Bakody iiSign ii- iiAnswers ii-Patient iifeels iibetter iiwith iiarm iion iitop iiof iitheir iihead. ii
+ iidecrease iiin iidiscomfort ii= iicervical iidisc iiherniation, iiepidural iivein iicompression iior
iinerve iiroot iicompression ii(C5/C6 iiMC)
Distraction iiTest ii- iiAnswers ii-Doctor iilifts iiI iito iiS iion iipatients iihead. ii
+ iilocal iipain ii= iisprain/strain/spasm
Relief iiof iipain ii= iidisc iidefect iior iiforamina iiencroachment
Foraminal iiCompression iiTest ii- iiAnswers ii-Doctor iiapplies iidownward iipressure iion iithe
iipatients iihead, iithen iiwith iileft iiand iiright iirotation.
+ iilocal iior iiradicular iipain ii= iicervical iicord iidisease, iimeningitis, iiosteophytes
+ iielectrical iitingling iisensation iifelt iialong iispine iior iiextremities ii= iicervical iimyelopathy
iior iiMS
Spurling iiTest ii- iiAnswers ii-Laterally iiflex iipatients iihead iiand iiapply iidownward iipressure
iibilaterally. ii
+ iilocal iipain ii- iifacet iijoint iiinvolvement
+ iiradicular iipain ii- iilateral iidisc iidefect, iiDJD iior iiforaminal iiencroachment
Lhermitte iiSign ii- iiAnswers ii-Patient iiseated, iipassively iiflex iipatients iihead ii
+ iilocal iipain ii- iisuspect iiforaminal iiencroachment
+ iiRadicular iipain ii- iidisc iidefect
Shoulder iiDepression iiTest ii- iiAnswers ii-Patient iiseated, iiapply iidownward iipressure iion
iipatients iishoulder iiwhile iilaterally iiflexing iithe iihead iiaway ii(bilaterally) ii
+local iipain iion iiside iibeing iitested ii- iimuscular iiadhesions, iispasm iior iiligament iiinjury
+ iiradicular iipain ii- iicompressed iineurovascular iibundle, iidural iisleeve iiadhesions, iiTOS
+ iipain iion iiopposite iiside ii- iiforaminal iiencroachment, iifacet iipathology, iidisc iidefect
Valsalva iiManeuver ii- iiAnswers ii-Patient iiseated, iidoc iiinstructs iipatient iito iibear iidown
iiby iiholding iibreath iiand iitightening iiabdomen.
+ iilocal iipain ii- iidisc iidefect, iimass, iiosteophytes iior iiother iispace iioccupying iilesion.
Adson iiTest ii- iiAnswers ii-Patient iiis iiseated, iidr iistands iibehind iipatient iiand iipalpates
iiradial iipulse iiamplitude iiand iiinstructs iipatient iito iitake iia iibreath iiin iian iirotate iihead
iitoward iithem iiand iilook iiup. ii
, + iidiscomfort iior iialtered iipulse iiamplitude
... iior iiinstruct iipatient iito iitake iia iibreath iiand iirotate iiand iielevate iichin iiaway.
+ iidiminshed iipulse ii- iihypertophied iiscalenes, iicervical iirib iior iimass
+ iiparesthesia iior iiradiculopathy ii- iicompression iiof iithe iineural iicomponent iiof iithe
iibrachial iiplexus
Allen iiTest ii- iiAnswers ii-Patient iiseated, iidoctor iioccludes iiradial iiand iiulnar iipulse iiand
iihas iipatient iipump iifist. iiThen iipatient iiopens iipalm iiand iidoc iireleases iipressure iion
iiradial iior iiulnar iiartery. ii
+ iidelay iiof ii10+ iiseconds iiindicates iiarterial iiinsufficiency.
Roo's iiTest ii- iiAnswers ii-Patient iiseated iiwith iigoal iipost iiarms ii- iiopens iiand iicloses
iihands iifor ii3 iiminutes
+ iiparesthesia iior iiradicular iipain iisuspect iinarrowed iicostoclavicular iispace iior
iihypertrophied iiscalene iimuscles
Costoclavicular iimaneuver. ii- iiAnswers ii-Palpate iibilateral iiradial iipulses, iidoc iibrings
iishoulders iiinto iiextension iiand iipatient iiflexes iichin iito iichest. ii
+ iidiminished iipulse ii- iicompression iiof iivascular iiportion iiof iibundle, iiclavicle/first iirib
iifracture, iidiclocation, iisubclavius iimuscle
+ iiparesthesia iior iiradicular iipain ii- iisuspect iicompression iiof iibrachial iiplexus iior iiaxillary
iivein
Wright's iiTest ii- iiAnswers ii-Palpate iiunilateral iiradial iipulse iiand iiabduct iiarm iito ii180. ii
+ iidiminished iipulse ii- iisuspect iicompression iiof iiaxillary iiartery, iihypertrophied iipec
iiminor
Soto-Hall iiTest ii- iiAnswers ii-Patient iiis iisupine, iiflex iichin iito iichest iiand iiapply iipressure
iiover iisternum. ii
+ iilocal iipain ii- iiligament, iimuscle iior iiosseous iipathology, iicervical iicord iidisease
+ iiRadicular iipain iisuspect iidisc iidefect
Adams iiPosition ii- iiAnswers ii-Patient iistanding iiwith iigown iiopen iito iiback. iiIntern
iiobserves iiand iipalpates iifor iiscoliosis. iiPatient iibends iiat iithe iihips, iiobserve iifor
iiscoliosis. ii
+ iiscoliosis iipresent iiwhile iistanding iiand iigoes iiaway iiwhen iiflexed ii- iifunctional
iiscoliosis
+ iiscoliosis iipresent iiwhile iipatient iiis iistanding iiand iidoes iiNOT iigo iiaway iiwhile iipatient
iiflexes ii- iistructural iiscoliosis ii(hemivertebra, iicompression iifracture, iior iiidiopathic
iiscoliosis.
Chest iiExpansion ii- iiAnswers ii-Place iitape iimeasure iiaround iithe iichest iiat iilevel iiof
iinipple, iiinstruct iipatient iito iiexhale iiand iirecord iimeasurement. iiThen iiinhale iiall iithe
iiway iiand iirecord.
+ iinormal iiis ii2+ iiin ii(male), ii1+ iiin ii(female). iia iidecrease iiindicates iiankylosing
iiconditins.
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