Neurological Assessment and Movement Testing Quiz

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What is the correct initial step to take when correcting a shift in the lumbar area?

Assess in all planes (lumbar)

Apply direct force to the left to take away right shift

Use your body to shift trunk and stab hip (correct)

Determine reaction when irritability is low

Why is it important to perform an examination in the same order when assessing spinal movements?

To assess all planes of movement (lumbar)

To determine reaction when irritability is low

To watch for deviations (correct)

To assess segmental mobility of the spine

What should be done to close the foraminal space and compromise the facets during the assessment?

Quadrant extension, rotation, and side bending (correct)

Assess in all planes (lumbar)

Perform a segmental mobility assessment

Apply direct force to the left to take away right shift

When assessing spinal movements, what should be done if pain occurs or is relieved?

Assess sitting/standing over pressure Signup and view all the answers

Why is it essential to put thought into the order of examination steps?

To watch for deviations Signup and view all the answers

Which position is recommended for performing pelvic joint mobility testing according to the text?

Prone Signup and view all the answers

What type of sensation should be expected when gently pushing on the sacrum during assessment?

Springy sensation Signup and view all the answers

What is the significance of the 'driving a bus' analogy mentioned in the text?

Indicates a rotational movement pattern Signup and view all the answers

Why is palpation with movement considered crucial during pelvic assessment?

To understand the relationship of reported symptoms with movement Signup and view all the answers

Which test involves the PT's hands on the apex of the sacrum and gentle downward pressure?

Sacral apex pressure test Signup and view all the answers

What is the benefit of conducting examinations in an order that minimizes position changes for the patient?

Avoids unnecessary discomfort for the patient Signup and view all the answers

What is the purpose of performing ROM of the lumbar spine and quadrant testing in patients with stiffness/abnormalities?

To reproduce symptoms and locate the area of symptom experience. Signup and view all the answers

During palpation, what should be checked early on to assess for symmetry?

Iliac crest symmetry Signup and view all the answers

What is the purpose of the Gillette test mentioned in the text?

To assess hip flexion or posterior rotation of the ilium. Signup and view all the answers

In the context of leg length assessment, what role does hooklying position play?

Determining if there is femur or tibia length difference. Signup and view all the answers

What is the significance of keeping hands on PSIS while a patient performs forward flexion or extension?

To observe ilium movement anteriorly and posteriorly. Signup and view all the answers

Why is it important to compare the ASIS to med malleoli measurement side to side in jnt mobility assessment?

To detect leg length differences. Signup and view all the answers

What is the primary difference between natural observation and formal observation in a physical examination?

The patient is aware during natural observation but not during formal observation. Signup and view all the answers

What aspect is crucial during posture assessment in a physical examination?

Checking for skin creases and facial expressions Signup and view all the answers

How can a healthcare provider differentiate between protective and habitual list in a patient's physical examination?

Habitual list may be observed when driving, while protective list occurs when studying in bed. Signup and view all the answers

In scoliosis, how can structural scoliosis be distinguished from functional scoliosis?

Structural scoliosis develops over time, while functional scoliosis develops in children. Signup and view all the answers

What does a lateral shift towards the right indicate in the context of a patient with a herniated disc?

The patient is trying to get away from herniation above the nerve root. Signup and view all the answers

How can a lateral shift towards the left be explained in a patient with a herniated disc?

Pain results from compression of the nerve root on the left side due to herniation. Signup and view all the answers

What is the purpose of performing muscle length testing during a lumbar examination?

To determine the flexibility of hip flexors Signup and view all the answers

In a lumbar examination, what does PAIVMS stand for?

Passive Accessory Intervertebral Movements Signup and view all the answers

What is the recommended sequence when performing joint mobilizations in a lumbar examination?

Begin with Grades 1-2 before progressing to Grades 3-4 manipulations Signup and view all the answers

What is the purpose of using neurodynamic tests during a pelvic examination?

To rule in or rule out nerve involvement Signup and view all the answers

What should be considered when selecting special tests in a lumbar examination?

Risk of nerve latency pain with neurodynamic tests Signup and view all the answers

Why is muscle length testing important in a lumbar examination?

To determine muscle flexibility and dysfunction Signup and view all the answers

What does PIVMS stand for in the context of a lumbar examination?

Passive Intervertebral Movements Signup and view all the answers

Which grade of joint mobilization involves small amplitude movement at the beginning of the range?

Grade 1 and 2 Signup and view all the answers