Canadian Boards (Part C) Orthos

Ataxia

Tandem Gait - Cerebellar Lesion +=balance

Babinski Weil - Cerebellar (if backwards lean to same side) Vesitbular (if backwards lean to opp side)

Rhomberg's Position - Cerebellar +=balance

Cerebellar Vermis

Nystagmus - looking to the side for ~10s +=nystagmus

UMNL (DDK)

+=uncoordinated / inability

Finger Tapping

Alternating Hand Slap

Foot Tap

Seated March

UMNL (Dysmetria)

+=Intention Tremor

Finger to Nose

Heel to knee

UMNL (Clonus)

+=Clonus

Wrist/Foot Ext

UMNL

+=clasp knife spasticity

Tone across the elbow

UMNL (Pathologial reflexes)

Gordons - Pisiform Squish

Chaddock - carpal tunnel squish

Rossolimo - 3rd MCarpal head tap

Tromner - Finger flick into ext.

Hoffman - DIP flick into flx.

Gordon - Calf squeeze

Chaddock - Brush "C" around lat. malleolus

Rossolimo - 3rd MTarsal head tap

Oppenheim - Stroke prox tibia

Schaefers - Achilles tendon

Plantar Reflex

Snout

Glabella

Gordon (upper ext)

Pisiform

Chaddock (upper ext)

Carpal Tunnel Squish

Rossolimo (upper ext)

3rd MCarpal head tap

Tromner (upper ext)

Finger flick into ext.

Hoffman (upper ext)

DIP flick into flx.

Gordon (lower ext)

Calf squeeze

Chaddock (lower ext)

Brush "C" around lat. malleolus

Rossolimo (lower ext)

3rd MTarsal head tap

Oppenheim (lower ext)

Stroke prox tibia

Schaefers (lower ext)

Achilles tendon Squeeze

UMNL (Pallesthesia)

Inability to feel vibrations

Tuning fork

+=dorsal column

UMNL (Kinesthesia)

Inability to feel body position

Positional change of digits

Rhomberg Test

+=dorsal column lesion

UMNL (Deep Pressure)

Inability to detect deep pressure

Abadie

Biernacki

+=Dorsal Column

Cranial Nerves

1 - Smells

2,3 - Direct/Indirect

3,4,6 - Fields of Gaze

5 - TMJ & Face Sensory

7 - Facial Expressions

8 - Weber/Rinne, Swivel Chair, Babinski Weil

9,10 - HUGS Hx (Hoarseness, Uvular Deviation, Gag Reflex, Swallowing)

11 - SCM/Traps Strength

12 - Tongue Protrusion/Stength

CN 1 Test

1 - Smells

CN 2,3 Test

2,3 - Direct/Indirect

CN 3,4,6 Test

3,4,6 - Fields of Gaze

CN 5 Test

5 - TMJ & Face Sensory

CN 7 Test

7 - Facial Expressions

CN 8 Test

8 - Weber/Rinne, Swivel Chair, Babinski Weil

CN 9,10 test

9,10 - HUGS Hx (Hoarseness, Uvular Deviation, Gag Reflex, Swallowing)

CN 11 Test

11 - SCM/Traps Strength

CN 12 Test

12 - Tongue Protrusion/Stength

C5 MRS

M- Delt

R- Biceps

S- Lat Shoulder

C6 MRS

M- Wrist Ext

R- Brachioradialis

S- Lateral Forearm

C7 MRS

M- Wrist Flx

R- Triceps

S- 3rd Digit

C8 MRS

M- Finger Flx

R- 2* Brachioradialis

S- Medial Forearm

T1 MRS

M- Interossei

R- None

S- Medial Arm

Axillary MRS

M- Delt & Teres Minor (Ext Rot)

R-

S- Lateral Shoulder

Musculocutaneous MRS

M- Biceps & Coracobrachialis

R- Biceps

S- Lat. Forearm (extensor attachment)

Radial MRS

M- Extensor Digitorum & brachioradialis & Triceps

R- Brachioradialis or Triceps

S- Dorsal thumb web

Median MRS

M- Flexor Pollicis Brevis (thumb flx) & Flexor Carpi Radialis

R-

S- Lateral 2nd DIP

Ulnar MRS

M- Adductor Pollicis & Flexor Carpi Ulnaris & Interossei

R-

S- Medial 5th DIP

L1 MRS

M- Iliopsoas

R-

S- Top Thigh

L2 MRS

M- Iliopsoas

R-

S- Middle Thigh

L3 MRS

M- Adductors

R- 2* Patella

S- Bottom Thigh

L4 MRS

M- Tib Ant & Quads

R- Patella

S- Medial Leg (behind ankle to medial 1st toe)

L5 MRS

M- Toe Extensors & Abductors

R- Medial Hamstring

S- Lateral leg to 1st toe web

S1 MRS

M- Peroneus L&B & Tricep Surae & GMX

R- Achilles

S- Lateral Foot

Femoral MRS

M- Sartorius, Quads, Iliopsoas

R- Patella

S- Anterior Thigh

Obturator MRS

M- Adductor

R-

S- VMO

Superficial Peroneal MRS

M-Peroneus L&B

R-

S- Lateral Lower Leg

Deep Peroneal MRS

M- Toe Extensors & Tib Ant

R-

S- 1st Toe Web

Common Peroneal MRS

M-

R-

S- Fibular Head

Tibial MRS

M- Tib Post, Tricep Surae, Med Hamstring

R- Achilles

S- Heel

Superior Gluteal MRS

M- Hip Abd & Glut Med

R-

S-

Inferior Gluteal MRS

M- GMX

R-

S-

Cervical Compression

- Neutral

- Jacksons Lateral Flexion

- Rotary Foraminal

- Hyperextension

- Maximum Compression (Spurling)

+=nerve pain into UE

Bakody/Reverse Bakody

Hand on head

Bakody +=relief of pain

Reverse += increase pain (TOS Pec Min)

Cervical Distraction

+= relief of pain

SOF incr pain = facet capsule inflammation

Shoulder Depression Test

Seated, LF head and depress shoulder

+=increased nerve Sx

Rust Sign

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O'Donaghue Maneuver

Go through Active Resisted & Passive ROM of any joint

Resisted Pain = Muscle Sprain

Passive Pain = Ligament Strain

Triad of Dejerine, Valsalva

Dejerine = Cough, Sneeze, Bowel Movement

+=Space Occupying Lesion

Milgrams Test

Pt Supine and hold feet 3-6" from table for 15s

+=Incr Pain = Space Occupying Lesion

Inability = Weak abs

Allen's (TOS)

Hand blood flow refill

90/90 w/ repeated open/closing

Occlude radial & ulnar

Lower hand and let 1 vessel go and observe refill time

Adsons/Reverse (TOS)

(Reverse Adsons = Halstead)

Feel pulse and have them look to same (adsons) or opp (reverse) side

+=Scalenes

Edens (TOS)

Radial pulse

Pt brings shoulders back and down

+=Costoclavicular

Soldiers (TOS)

Passive edens

+=Costoclavicular

Roos (TOS)

Arms @ 90/90 open and close and observe vascular insufficiency

+=Pec Min

Hostage (TOS)

90/90 and Passive Ext Rot

+=Pec Min

Wrights (TOS)

Take radial Pulse and abd arm to 120*

+=Pec Min

Traction (TOS)

Radial Pulse, LF head and Lean away

+=Cervical Rib

Apleys

Shoulder ROM

Yergasons

Elbow @ 90* @ 3 positions

+= Biceps Tendonitis

Speeds

Elbow @ 0* Thumb Up

Doc presses down and pronates pt

+=Biceps Tendonitis

Abbot Saunders

+=Transverse humeral Lig

Impingement

Arm in scaption, depress AC and flx arm

+=Supraspinatus impingement

Codmans arm drop

+=Rotator cuf tear w/ quick loading of supraspin

Dugas

Bring arm down

+=dislocated shldr

Apprehension

Start arm @ 90* neutral and ER arm

+=GH Instability

Dawbarns Pushbutton

Press @ Anterior Bursa (inferior to acromion)

Reduction of pain past 90*

+=subacromial bursitis

Cozens

Extended wrist w/ resisted flexion

+=Lateral Epicondylitis

Mills

Bicep Position and then move into extension, pronation, wrist flexion & Overpressure @ end range

+=Lateral Epicondylitis

Golfers Elbow

Elbow & Wrist Ext

+=Medial Epicondylitis

Adduction/Abduction

ligament instability

Tinel Tap

Neuropathy

Phalen/Prayer

Compression of median nerve

English/Sphyg/Tourniquet

Compression of median nerve

Finkelstein

Hold thumb and ulnar deviate

+=DeQuervain

Froment Paper Test

Flexion of thumb

+=ulnar neuropathy

Turyn

Dorsiflex great toe

+=Sciatic Nerve

SLR

+=Sciative nerve or Hamstring

Sicard

SLR + Turyn

Braggard

SLR + Dorsiflex foot

Well Leg Raise (Fajersztajn Test)

Non-symptomatic leg is raised & pain in symptomatic leg

+=Medial Disc Herniation

Lindners

Cervical spine flexion

Pain into symptomatic leg

+=Lateral disc herniation

Bowstring Sign

SLR + Knee flx & press in spots (popliteal, HS tendons)

Popliteal Fossa + lumbar pain += radiculopathy

Sciatic Distribution += sciatic neuritis

Hamstring +=hamstring

Piriformis Stretch

Stabilize contralateral SI and ER Thigh (pull leg toward you)

+=Piriformis entrap of sciatic nerve

Bonnets

SLR + ER & Abd/IR &Add

+=ER decr pain, IR incr pain Piriformis entrap of sciatic nerve

Goldthwaite

SLR while palpating LS junction

+=SI lesion or LS Lesion

Smith Petersen

After +Goldthwaite

Well leg raise --> If Well side higher than symptomatic side = SI

If same height = LS

Double leg Raise

LS Lesion