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Cheatography

Routines Cheat Sheet (DRAFT) by

Upper and Lower Routines for Ortho, Neuro, Gen med

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Cervical and TOS

- Obs and posture -
Obs: Ischaemia , jaundice, fever, hypert­rophy atroph­y/f­asc­icu­lations of cx muscles and upper back muscles, atrophy of arm muscles , spacisity , rusts
Posture: AHC, rounded shoulders, hyper/­hyp­olo­rdosis of cx
- Gait - shuffling, spacisity , circum­duc­tion, ataxia, incoor­din­ation of feet and arms
- Palpation: Palpation: upper tx, scalene, LS, SCM, deltoid, cx sp, paraspinal muscles, inters­pinous spaces, pecs, major + minor
- AROM
- Percussion and vibration - f#
- PROM and RROM
- Maximum Cx compre­ssion
- Cervical distra­ction
- Doorbell
- Bakody
- Shoulder depression
- L'herm­ittes - myelop­athy, MS
- Roo's (most sensitive for TOS)
- Adson's and reverse adson's
- Hypera­bdu­ction test
- Costoc­lav­icular test
- MP of Cx and upper Tx

Thoracic

- Obs and posture: Spacisity, rounded shoulders, scapula, curves of the thoracic, AHC
- AROM + Adam's forward bending
- Ott
- Gait - ataxia, UMNL, LMNL
- Palpation: traps, scap stabil­isers, LS, scalenes, rhomboids
- Percussion and vibration (SP and rib heads)
- Closed fist percussion
- PROM and RROM
- Chest expansion
- Supine sign
- Palpation
- Maigne's

Shoulder

- Obs and post
- Sulcus
- Palpation
- Percussion and vibration
- Sulcus sign
- Augmented anterior appreh­ension
- Posterior appreh­ension
- Load and shift
- ROM
- Jobe
- MHK
- Neer's
- Drop arm
- Speeds
- Active compre­ssion
- Cross body adduction
- Beighton's
- Palpation
- PDT

Elbow

- Obs and post
- Palpation
- AROM (elbow ext)
- PROM
- RROM
- Valgus (MCL)
- Varus (LCL)
- Cozens
- Grip strength
- Medial epicon­dylitis
- Pronator teres
- Pinch
- Pronator Quad
- Tinel's (medial elbow and medial hand)
- Froment's
- Arcade of Frohse
- Pivot shift

Wrist and hand

- Obs and post
- Palpation
- Axial compre­ssion of thumb
- ROM
- Triangular fibroc­art­ilage test
- Press test
- UCL test
- Scapho­lunate instab­ility
- Finger extension
- Finkel­steins
- Inters­ection syndrome
- Tinels (CTS + Guyon)
- CTS compre­ssion test
- Phalen's
- Motor strengthe test for CTS (Oppen's pollicis, APB)
- Allens test
- Digital blood flow

NTTS

Radial
Ulnar
Medial

Low Back and SIJ

- Obs and post:
- Gait
- AROM
- FFD
- Schober's
- Single leg hypere­xte­nsion
- Kemps
- Waddells Lx compre­ssion
- Rotation
- Mckenzie (flex + ext + slide gliding)
- Palpation
- PROM
- SLR and WLR
- Gaenslens test
- SI distra­ction
- Thigh thrust
- Fabere
- LL
- Abd palpation
- Mckenzie (knees up)
- SI compre­ssion
- Palpation (prone)
- Percussion and vibration
- LL inequality
- Sacral springing
- Pheasants
- Mckenzies

LL NTT

- Slump
- SLR and WLR
- Bonnets
- Braggards
- Bowstrings
- SLR with planta­rfl­exion and inversion (common peroneal)
- SLR with dorsif­lexion (sural nerve)
- Piriformis test
- Prone knee bend with hip ext, add and ext rot (LFCN)
- Prone SLR with abd and hip ext rot (saphe­nous)

Hip Buttock and Groin

Obs and post
Gait
AROM
Inguinal hernia palpation
Trende­lenburg
Pectineus stretch test
Fulcrum test
Tibial torsion test
Palpation
LL measur­ements
PROM (Drehmann, thomas, adduction contra­cture)
RROM
Flexion adduction test
FAIR test
Posterior imping­ement
Quadrant
Fabere
Leg rolling test
Anvil
Tinels' (lateral surface of inguinal ligament)
LL pulses
Palpation (prone)
LL measur­ements
Hip PROM and RROM - ext
- Rec fem contacture
- ITB contra­cture
- Meralgia paraes­thetica

Knee

- Obs and post
- Gait
- Palpation
- AROM
- Standing meniscal compre­ssion
- Q angle
- Palpation
- Stroke test
- PROM and RROM
- Posterior sag sign
- Lachman's (more sensitive)
- Posterior drawer (more sensitive)
- Pivot shift
- Anterior drawer
- Valgus (hand covering outside of knee MCL) and varus stress test (hand covering inside LCL)
- McMurray
- Patella grind
- Patella appreh­ension
- Quads measur­ement

Ankle and Foot

- Obs and post
Gait
Palpation
Ankle propri­oce­ption
Talus neutral
Windlass
AROM
Palpation
PROM
RROM
Anterior drawer
Inversion stress test
Deltoid ligament stress
Dorsalis pedis and posterior tibial pulses
Mortons neuroma test
DE test

Headache

- Gait - Spacicity, circum­duc­tion, high steppage, ataxia, frontal lobe , straight line, wide base, falling to one side? Stance - look at how they are standing, wobbly? Wide based?
- Stance
- Posture Posture - Upper cross, lower cross, spastic posture, holding head in pain?
- Temper­ature (menin­gitis, infectious causes of HA)
- Blood pressure (hyper­tension HA)
- Gen obs rashes (menin­git­is/­sep­tic­aem­ia/­herpes zoster) Fever, sweaty, redness of face, atrophy, fascic­ula­tions, (face and upper neck/back) , tortic­ollis hypertonic muscles, symmet­rical? , squinting, jaw clenching
- CN Screen: Facial symm/d­rooping
Ptosis
shape and size of pupil
Active facial movements
Pupillary light reflexes and accomm­end­ation
Occular positi­oning and EOM
- Fundoscopy (ICP)
- Otoscopy
- Cx screening ( Bony and soft tissue palpation, AROM, PROM, RROM, end feel, Spurlings, Distra­ction)
- Further palpation ( Lymphn­odes, scalp tender­ness, temporal arteries, sinuses)
- UL Reflexes
- UL muscle strength
- LL Reflexes + plantar response
- LL muscle strength
- Nuchal rigidity (Kernig's and Brudin­iskis)

Risk of falls

- Obs and post
- Gait
- Tredel­enberg
- One leg standing
- Tx and Lx AROM
- Timed get up and go
- Pulse rate and rhythm
- Vision
- Grip strength
- Muscle tone UL
- PROM hip ext
- Hip PROM
- Knee PROM
- Ankle PROM
- LL muscle tone
- Propri­oce­ption of big toe
- Sensation ofhands and feet
- Blood pressure (ortho­static hypote­nsion) - immedi­ately standing then after 1-3 minutes standing