NMS 1 SIM 2 (Cervical sprain/strain)

Passive movement pain=

Ligament sprain

Active movement pain=

Muscle strain

What category of ligament sprain is described?

Only a few ligamentous fibers are severed

Mild

What category of ligament sprain is described?

More severe but less than a complete separation

Moderate

What category of ligament sprain is described?

Compete tearing of the ligament from its attachment

Severe

What category of ligament sprain is described?

Ligamentous attachment pulls bone loose

Sprain-fracture

What category of muscle strain is described?

Low grade inflammatory (min swelling and edema)

Mild

What category of muscle strain is described?

Laceration of fibers, swelling and edema, and hemorrhaging or surrounding tissue

Moderate

What category of muscle strain is described?

Complete disruption of muscle uni t

Tendon torn from bone

Severe

What grade of sprain is stretch without a tear to about 20% of the ligament?

Grade 1

What grade of sprain involves 20-75% ligamentous tear?

Grade 2

What grade of sprain is 75% tear to a complete disruption of the ligamnet capsule

Grade 3

What grade of strain stretching of msucle tendon fiber with <10% tearing of fibers and without palpable defect?

Grade 1

What grade of strain is a 10-50% tear and a palpable defect is present?

Grade 2

What grade of strain is a complete rupture of muscle/tendon with a large palpable depression in the muscle unit?

Grade 3

Pain during AROM of o'donoghues manuever?

What about PROM?

Muscle strain

Ligament sprain

Ligament sprain:

Grade ___- joint gapping

Grade ___- passively strong

Grade 2

Grade 1

What are the two test for muscle strain and ligament sprain?

Soto-hall test

Naffziger test

Swallowing test

O'donoghue

What test indicates only a severe sprain?

Rust sign

What test are only for muscle strain?

Jacksons compression

Maximum cervical compression test