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What tests can you perform for facet irritation
Quadrant Test
What tests can you perform for space occupying lesions / nerve root impingement.
Compression and distraction
What is the purpose of Spurlings Test
Assess radicular px.
Px down the same side as bending = nerve root impingement
Px down opposite side as bending = disc herniation
How do you perform Spurlings Test
Same position as qudrant but add compression
With Adsons test what is the arm doing?
Pt looks":
Extend arm back, slightly down and externally rotate.
Pt looks towards the arm
With Wrights 1 what is the arm doing
Pt looks:
Stop sign position
Pt looks away from the arm
With Wrights 2 what is the arm doing
Arm straight up in OH position with internal rotation.
Specific testing
Addsons:
Wrights 1:
Wrights 2:
Scalenes
Pec minor
1st rib