Orthopedic Examination Techniques: Overpressure Check and Neurological Examination
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Questions and Answers

What is the key point for C2 in the Cervical Plexus examination?

  • Acromioclavicular joint
  • Key muscle testing
  • Middle of the supraclavicular fossa
  • External occipital protuberance (correct)
  • Which muscle is tested in the Brachial Plexus examination for C7?

  • Flexor digitorum profundus
  • Triceps (correct)
  • Abductor digiti minimi
  • Biceps
  • What is the method used in the Distraction test during a neurological examination?

  • Lifting the legs
  • Tapping on the back
  • Pressing on the abdomen
  • Placing one hand under the chin and the other under the occiput (correct)
  • What type of end feel is considered normal during range of motion tests?

    <p>Tissue stretch</p> Signup and view all the answers

    Which scale is commonly used for pain assessment in the provided text?

    <p>Visual Analog (VA) Scale</p> Signup and view all the answers

    What aspect of a patient's facial expression should be observed during examination as per the text?

    <p>Facial expression</p> Signup and view all the answers

    During palpation, what should be assessed in the soft tissues?

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

    Which of the following is a movement that should be checked during the neurological examination as described in the text?

    <p>Muscle strength of the lower limbs</p> Signup and view all the answers

    What is the purpose of neck traction in relieving pain?

    <p>Widening the foramen</p> Signup and view all the answers

    How is the Compression test conducted?

    <p>Press down on the patient's head</p> Signup and view all the answers

    What is the purpose of the Valsalva maneuverer test?

    <p>Increase intrathecal pressure</p> Signup and view all the answers

    What does a positive response to the Valsalva maneuverer test indicate?

    <p>Presence of a space-occupying lesion</p> Signup and view all the answers

    Study Notes

    Cervical and Brachial Plexus Examination

    • C2 in the Cervical Plexus examination key point involves assessing the function of the sternocleidomastoid muscle.
    • C7 in the Brachial Plexus examination primarily tests the strength of the triceps muscle.

    Neurological Examination Techniques

    • The Distraction test is used to alleviate upper cervical spine pain by utilizing a gentle pulling force on the head.
    • Normal end feel during range of motion tests is characterized as a soft or firm resistance without pain.

    Pain Assessment and Observation

    • The Numerical Rating Scale (NRS) is commonly used for pain assessment, allowing patients to rate their pain on a scale of 0 to 10.
    • A patient's facial expression should be observed for signs of distress, discomfort, or pain during the examination.

    Palpation and Movement Assessment

    • During palpation, assessment of soft tissues includes checking for tenderness, tightness, and any abnormalities.
    • Movements such as flexion, extension, and rotation should be checked during the neurological examination for functionality and pain response.

    Therapeutic Techniques and Tests

    • The purpose of neck traction is to relieve pain by reducing pressure on spinal nerves and promoting circulation.
    • The Compression test involves applying pressure on the cervical spine to assess for nerve root compression symptoms.
    • The Valsalva maneuver test serves to identify increased intrathecal pressure, which can indicate the presence of herniated discs or other issues.
    • A positive response to the Valsalva maneuver test indicates that symptoms, such as pain or discomfort, are reproduced or increased, suggesting potential nerve root irritation.

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    Description

    Learn about orthopedic examination techniques including overpressure check for end feel and neurological examination focusing on the cervical and brachial plexus. Explore range of motion tests, active movements for flexion, extension, rotation, side flexion, combined movements, repetitive movements, and sustained positions.

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