Ed 2, Ver 1.3

ORTHOPEDIC AND NEUROLOGIC TESTS

Definitive Clinical Tests - Signs - Reflexes - Maneuvers

Second Edition - Copyright 1995-1998 R. C. Schafer, DC, PhD, FICC

Table of Contents

PART 1: REGIONAL INDEX OF CLINICAL SIGNS AND TESTS BY
SYNDROME

Abdominal syndromes -16
Ankle syndromes -16
Cerebellar syndromes -16
Cerebral syndromes -17
Cervical syndromes -17
Cranial nerve syndromes -18
Elbow and forearm syndromes -19
Foot syndromes -19
Hand and finger syndromes -20
Hip syndromes -20
Knee syndromes -20
Leg syndromes -21
Low back pain syndromes -21
Pelvic syndromes -22
Sacroiliac syndromes -23
Shoulder and arm syndromes -23
Thigh syndromes -24
Thoracic outlet and related syndromes -24
Thoracic syndromes -24
Wrist syndromes -25

PART 2: SELECTED NEUROLOGIC PROBLEMS

OVERVIEW -26
    Types of Neuritides -26
    Peripheral Neuritis -26
    Local Neuritis -27
    Disassociated Anesthesias in Cord Lesions -27
    Cervical Lesions and Cerebral Vasomotor Disturbances -28
    The Pyramidal System -28
    The Extrapyramidal System -29
    Cerebellar Lesions -29
    Localizing Symptoms and Signs of Intracranial Lesions -29
      Examination of Cranial Nerves -29
    Additional Signs of Intracranial Lesions -31
    Principles of Neurologic Examination -32
      Sensory Disturbances -32
    Motor Disturbances -33
    Neurologic Aspects of Subluxation Syndromes -34
    Nerve Root Insults -34
    Reflex Irritations -36
    Other Causes -37

  GERIATRIC CONSIDERATIONS -40

  PEDIATRIC CONSIDERATIONS -40
    Cranial and Thoracic Measurements -40
    Developmental Progress -40
    Height Estimation During Development -42
    Percent of Mature Height Anticipated -42

  A PHYSICAL EXAMINATION ROUTINE -43
    More Helpful Tables -47

PART 3: DESCRIPTIVE GLOSSARY OF HUNDREDS OF COMMON ORTHOPEDIC AND NEUROLOGIC TESTS, SIGNS, MANEUVERS, REFLEXES, SYNDROMES, AND RELATED CLINICAL PHENOMENA -62

BIBLIOGRAPHY -128

List of Tables
Table 1. Comparison of upper and lower motor neuron lesions -33
Table 2. Chart of superficial and deep reflexes -34
Table 3. Checkpoints in a physical examination routine -44
Table 4. Distribution of cervical nerves -48
Table 5. Function of major upper cervical nerve fibers -48
Table 6. Function of major lower cervical nerve fibers -49
Table 7. Grades of deep (tendon) reflexes -50
Table 8. Motor function signs relative to nervous system levels -51
Table 9. General interpretation of resisted motion signs -51
Table 10. Approaches in evaluating autonomic imbalance -52
Table 11. Grades of muscle strength -53
Table 12. Classes of intervertebral disc syndromes -53
Table 13. Classification of sprains -53
Table 14. Classification of strains -54
Table 15. Common upper body myotome and dermatome tests -55
Table 16. Common upper extremity nerve entrapment syndromes -56
Table 17. Abdominal syndromes signs and tests -57
Table 18. Classic site of spinal majors -57
Table 19. Pertinent clinical laws -58
Table 20. Alarm points of the body -65

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