+ pain on opposite side - foraminal encroachment, facet pathology, disc defect
Valsalva Maneuver Patient seated, doc instructs patient to bear down by holding breath
and tightening abdomen.
+ local pain - disc defect, mass, osteophytes or other space occupying lesion.
, NWHSU Spinal Orthopedic Tests Questions
And Answers
Adson Test Patient is seated, dr stands behind patient and palpates radial pulse amplitude
and instructs patient to take a breath in an rotate head toward them and look up.
+ discomfort or altered pulse amplitude
... or instruct patient to take a breath and rotate and elevate chin away.
+ diminshed pulse - hypertophied scalenes, cervical rib or mass
+ paresthesia or radiculopathy - compression of the neural component of the brachial plexus
Allen Test Patient seated, doctor occludes radial and ulnar pulse and has patient pump fist.
Then patient opens palm and doc releases pressure on radial or ulnar artery.
+ delay of 10+ seconds indicates arterial insufficiency.
Roo's Test Patient seated with goal post arms - opens and closes hands for 3 minutes
+ paresthesia or radicular pain suspect narrowed costoclavicular space or hypertrophied scalene
muscles
Costoclavicular maneuver. Palpate bilateral radial pulses, doc brings shoulders into
extension and patient flexes chin to chest.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller UpperClass. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £10.96. You're not tied to anything after your purchase.
