By Susan B. O'Sullivan, Raymond P. Siegelman
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Extra resources for National Physical Therapy Examination Review and Study Guide (2008 NPTE)
2) Patient supine with your fingers in between spinous processes of lumbar spine. With your other hand passively perform a straight leg raise. Assess movement of PSIS via comparison (3) If pain presents prior to palpation of move- of positions of your thumbs. Make sure your eyes are level with your thumbs. PSIS ment in lumbar segments, dysfunction is your other thumb on center of sacrum at same level as thumb under PSIS. Ask patient to flex hip and knee of limb being should move in an inferior direction.
2) Patient supine with head supported on table. Glide C I anterior. Should be firm end feel. (3) Positive finding is soft end feel, dizziness, nystagmus, a lump sen·sation in throat, nausea, etc. d. Anterior shear test. (1) Assesses integrity of upper cervical splne ligamems and capsules. (2) Patient supine with head supported on table. Glide C2-7 anterior. Should be firm end feel. (3) Laxity of ligaments is positive finding as well as dizziness, nystagmus, a lump sensation in the throat, nausea, etc.
C. Slump test. (1) Identifies dysfunction of neurologic structures supplying the lower limb. (2) Patient sitting on edge of table with knees flexed. Patient slump sits while maintaining neutral position of head and neck. The following progression is then followed. (a) Passively flex patient's bead and neck. If no reproduction of symptoms move on to next step. (b) Passively extend one of patient's knees. If no reproduction of symptoms move on to next step. (c) Passively dorsiflex ankle of limb with extended knee.
National Physical Therapy Examination Review and Study Guide (2008 NPTE) by Susan B. O'Sullivan, Raymond P. Siegelman