Lhermitte's Sign Assessment
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Questions and Answers

What position is the patient in during the Lhermitte test?

  • Fowler's position
  • Pike position (correct)
  • Supine position
  • Prone position
  • Which action does the physician perform during the Lhermitte test?

  • Stretches the patient's legs and back
  • Flexes the patient's head and shoulder
  • Simultaneously flexes the patient's head and hip (correct)
  • Tilts the patient's head to the side
  • What is a positive result of the Lhermitte test?

  • Dizziness experienced by the patient
  • No sensation in the legs
  • Pain localized in the hip
  • Pain radiating down the spine and both extremities (correct)
  • In the context of the Lhermitte test, what does the term 'pike position' refer to?

    <p>Sitting with legs straight in front</p> Signup and view all the answers

    Which of the following sensations might be experienced during a positive Lhermitte test?

    <p>Pain radiating down both legs and the spine</p> Signup and view all the answers

    Which of the following best describes the sagittal plane in the lumbar spine?

    <p>It encompasses flexion-extension.</p> Signup and view all the answers

    What is considered an absolute contraindication for HVLA techniques in the lumbar spine?

    <p>Joint instability.</p> Signup and view all the answers

    During the positioning for direct HVLA technique in the lumbar spine, the patient should lie with which side down for both Type 1 and Type 2 SDs?

    <p>The side of the dysfunctional area.</p> Signup and view all the answers

    Which of the following conditions is not a relative contraindication for HVLA techniques?

    <p>Severe discogenic spondylosis with ankylosis.</p> Signup and view all the answers

    What is the role of the cephalad hand during the HVLA technique in the lumbar spine?

    <p>To monitor sagittal motion at the level of dysfunction.</p> Signup and view all the answers

    In a three-plane diagnosis of the lumbar spine, what does the horizontal/transverse plane represent?

    <p>Rotation.</p> Signup and view all the answers

    Which step is involved in preparing a patient for HVLA technique in the lumbar spine regarding the patient's legs?

    <p>Flex the knees and hips.</p> Signup and view all the answers

    Which term refers to conditions like Klippel-Feil syndrome or Chiari malformation in relation to HVLA techniques?

    <p>Absolute contraindications.</p> Signup and view all the answers

    What structural change occurs in patients with increased work of breathing due to COPD or asthma?

    <p>Barrel chest</p> Signup and view all the answers

    Which area of the body is primarily impacted by the relationship between the diaphragm and the psoas muscle in patients with respiratory conditions?

    <p>Lumbar spine</p> Signup and view all the answers

    How does decreased diaphragm motion affect the lymphatic system in patients with COPD or asthma?

    <p>Decreases lymphatic drainage effectiveness</p> Signup and view all the answers

    Which segment of the spine is associated with sympathetic innervation in patients with COPD?

    <p>T1-T6</p> Signup and view all the answers

    What treatment model addresses the need for improved diaphragm function in COPD patients?

    <p>Biomechanical model</p> Signup and view all the answers

    Which area is vital for assisting lymphatic drainage and supports breathing in patients with asthma?

    <p>Thoracic inlet</p> Signup and view all the answers

    What is the condition when the occiput is rotated to the RIGHT and sidebent to the LEFT?

    <p>RIGHT posterior occiput</p> Signup and view all the answers

    What are the primary restrictions observed in a posterior occiput position?

    <p>Extension on the right side</p> Signup and view all the answers

    What consequence does the restriction of thoracic musculature have on the autonomic nervous system in COPD patients?

    <p>Facilitation of sympathetics and parasympathetics</p> Signup and view all the answers

    During the MET technique, how should the physician position their hands?

    <p>One hand on the articular pillar and the other cradling the head</p> Signup and view all the answers

    What is a primary benefit of osteopathic manipulative medicine (OMM) for patients with chronic respiratory conditions?

    <p>Reduction in air hunger</p> Signup and view all the answers

    What is a contraindication for the MET technique in the cervical region?

    <p>Fractures in the cervical area</p> Signup and view all the answers

    What is the first action performed in the Still technique?

    <p>Place dysfunctional tissues into their position of ease</p> Signup and view all the answers

    Which of the following represents a contraindication for the Still technique?

    <p>Absence of somatic dysfunction</p> Signup and view all the answers

    What type of forces are added during the Still technique?

    <p>Axial force vector</p> Signup and view all the answers

    What is an appropriate reaction by the physician when performing the MET technique?

    <p>Instructing the patient to rotate to the ease</p> Signup and view all the answers

    What does a positive result in the lumbar spring test indicate?

    <p>The sacrum is stuck in extension</p> Signup and view all the answers

    In a left-on-left sacral torsion, how is L5 expected to present?

    <p>Neutral and rotated right</p> Signup and view all the answers

    What characterizes double crush syndrome?

    <p>Impaired neural function due to simultaneous lesions</p> Signup and view all the answers

    Which muscle is used to treat rib 6 during exhaled rib somatic dysfunction with muscle energy techniques?

    <p>Latissimus dorsi</p> Signup and view all the answers

    Which of the following is a hallmark of adhesive capsulitis?

    <p>Gradual onset of stiffness and pain in the shoulder</p> Signup and view all the answers

    What distinguishes tennis elbow from golfer's elbow?

    <p>Tennis elbow affects the lateral epicondyle</p> Signup and view all the answers

    What is indicated by the backward sacral torsion when referred to lumbar mechanics?

    <p>Type 2 mechanics with non-neutral spine</p> Signup and view all the answers

    During the treatment of rib 3-5 with MET, what position should the patient's arm be?

    <p>Flexed up near the head</p> Signup and view all the answers

    Which factors contribute to the development of carpal tunnel syndrome?

    <p>Conditions such as diabetes and pregnancy</p> Signup and view all the answers

    What happens to the sacrum during the sphinx test if the landmarks improve with backward bending?

    <p>The sacrum prefers flexion</p> Signup and view all the answers

    What anatomical structures define the boundaries of the carpal tunnel?

    <p>Carpal bones and the flexor retinaculum</p> Signup and view all the answers

    Which symptoms are commonly associated with ulnar nerve impingement at the cubital tunnel?

    <p>Pain and tenderness in the ring and little fingers</p> Signup and view all the answers

    What is the common approach to assess the ASIS compression test?

    <p>Assess sacral sulcus depth</p> Signup and view all the answers

    What is true about the treatment for exhaled rib somatic dysfunctions?

    <p>Pressure is applied to the posterior aspect of the rib</p> Signup and view all the answers

    How does venous and lymphatic congestion affect nerve conduction?

    <p>It decreases blood flow and alters nerve conduction.</p> Signup and view all the answers

    What is a common misconception regarding the symptoms of adhesive capsulitis?

    <p>Symptoms arise suddenly and remain constant.</p> Signup and view all the answers

    What is the anterior location for the bronchus?

    <p>Between ribs 2-3, close to the sternum</p> Signup and view all the answers

    Where is the posterior location for the tonsils?

    <p>Midway between the spinous process and tip of the transverse process of C1</p> Signup and view all the answers

    Which structure does not have a posterior reference point described as being midway between the spinous process and transverse process?

    <p>Nose</p> Signup and view all the answers

    What is the anterior reference point for the larynx?

    <p>Upper surface of the 2nd rib, 2-3 inches lateral from the sternum</p> Signup and view all the answers

    Where is the anterior location for the middle ear?

    <p>Upper edge of the clavicle, medial to the 1st rib</p> Signup and view all the answers

    The upper lungs are located posteriorly in which space?

    <p>Intertransverse space, T3-T4</p> Signup and view all the answers

    In which region is the posterior reference point for the lower lungs found?

    <p>Intertransverse space of T4-T5</p> Signup and view all the answers

    Which anterior location corresponds to the pharynx?

    <p>Front of the 1st rib, medial to the clavicle</p> Signup and view all the answers

    Study Notes

    Lhermitte's Sign

    • Patient positioned in sitting pike with legs extended.
    • Physician simultaneously flexes head and hip.
    • Positive test: Pain radiating down the spine and into both lower extremities.

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    Description

    This quiz covers the assessment of Lhermitte's Sign, a clinical test used to evaluate for neurological issues. The physician's procedure involves flexing the patient's head and hip to check for pain radiating down the spine and into the lower extremities. Understand the implications of this sign in diagnosing conditions affecting the nervous system.

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