QUESTIONS WITH ANSWERS GRADED A+
◍ does transverse ligament or dens fail first?.
Answer: dens since ligament is very strong
◍ upper limb tension test A vs B test.
Answer: A is strongerboth used for cervical radiculopathy
◍ which special tests to do before joint mobs?.
Answer: vertebral STs - we do BP in the clinic, more reliable and valid I
thinkligamentous stability STs
◍ valsava test +.
Answer: elicitation of upper extremity symptoms
◍ Sharp-Purser Test - positive.
Answer: larger posterior translationdecrease in sx from baselineaudible
clunk
◍ cervical compression test - + test.
Answer: pain provocation
◍ preliminary vertebral artery tests.
Answer: make sure no vertebral arterial sx to continueseated-look up to sky
and hold for 15 sec-then rotate to R and hold for 15 sec-then rotate to L and
hold for 15 secsupine-extension (look for nystagmus, make sure they
talk)-rotate to R-rotate to Lthen move onto standard vertebral
◍ use shoulder abduction if... (which types of raciulopathy).
Answer: considering C4, C5, C6 cervical radiculopathy
◍ congentital and NM scoliosis are idiopathic or nonidiopathic.
Answer: non idiopathic
, ◍ use flexion-rotation test w/....
Answer: unilateral headache complaintssuspected involvement of C1, C2
◍ flexion-rotation test.
Answer: pt in supineassess resting sxfull neck flexionfull rotationperform
bilaterally
◍ vertebral artery test.
Answer: combined cervical motion to assess for vertebrobasilar
insufficiency (VBI)combines cervical extension with rotation-->Combined
motions are completed after single motion testing-->If the patient has
concerning symptoms with single motion testing, for example, just cervical
rotation or just cervical extension, that you need to really carefully consider
the value of combining cervical extension and rotation-->likely performed
bilaterallyhold 30 secondsterminated if any sx occur
◍ Adam's forward bend test - screening sensitivity and specificity.
Answer: This test is a good screening tool and then it does pretty well at
ruling out scoliosispoor specificity
◍ cervical distraction - + test.
Answer: radicular pain decreased or eliminated
◍ vertebral artery test - recommended?.
Answer: no, poor and inconsistent findings including sensitivity, specificity,
negative LR, positive LR
◍ cervical distraction performed in what position.
Answer: supine or seated
◍ before performing techniques that may affect C1, C2, be sure to....
Answer: be sure to screen for instability using a alar ligament test, either
with side bending or rotation, and screen the transverse ligament using the
sharps purser
◍ + LR.
Answer: large if greater than 10likelihood that a + test was obtained in a