Nerve Compression

Nerve Compression analogy

How about a nerve compression analogy?   You can describe this as a car running over a garden hose in the driveway.  If the car is on the hose for a month it is very unlikely to return to its normal shape quickly.  If the car is on the hose for a day, the return of the shape occurs much more quickly.  So, if the nerve is compressed for a long period of time, the function will take longer to return. 

Contributed by Jean Kuckhut OTR,CHT

Question Writer Entry_09-08-13_182

Posted Thu, 08/13/2009 - 6:46pm by Editor
Question and Choices
Question: 
A violinist is referred for evaluation and treatment due to complaints of dull left arm pain and numbness and tingling throughout the left hand. She also reports that her left hand gets cold occasionally while playing her violin. Her lower cervical quadrant test is negative. Which of the following special tests would be most appropriate to include in the objective exam?
Choice 1: 
Neer
Choice 2: 
Adson's
Choice 3: 
Yergason’s
Choice 4: 
Lippman’s
Rationale for correct answer: 
Adson's Maneuver is the correct answer because it is a test for thoracic outlet syndrome (TOS) and ruling out cervical involvement, the most likely cause of the patient’s symptoms is TOS. The Neer test is for shoulder impingement, Yegason’s and Lippman’s tests are for bicipital tendonitis.
References
Primary Reference: 
Orthopedic Physical Assessment (4th Ed.) 2002
Reference Pages: 
220
Syndicate content