MSK 1B

Question 1

nerve tissue responds to movement by

Answer 1

gliding

lengthening

compression (from surrounding tissues)

Question 2

Adverse neural tension

Answer 2

Abnormal physiological or mechanical response from the nervous system that:

Limits the range/stretch of neurologic tissue

Results in neurologic symptoms through available range

Question 3

3 tension sites where dura is tethered to bony canal

Answer 3

C6

T6

L4

Question 4

Adhesions results in decreased dural or neural mobility and increased distances for the tissue to travel. t/f

Answer 4

T

Question 5

tunnels

Answer 5

increase the probability of spatial compromise of n.

nerve can rub on tunnel surface and creates friction and any trauma to tunnel structure compromise nerve

Question 6

branches

Answer 6

more difficult for n to move away from forces at those points where a nerve branches

ex: radial n at elbow

Question 7

hard interfaces

Answer 7

Nerve more readily compressed if it lies on a bone or passes through fascia (i.e. radial nerve in spinal groove of humerus)

Question 8

proximity to surface

Answer 8

Superficial nerves, such as sensory radial nerve in forearm, are more vulnerable to external compression

Question 9

Adherence to interfacing structures

Answer 9

Some areas of nerve are more firmly adherent to interfacing tissues than others (i.e. the common fibular nerve at head of fibula)

Question 10

3 signs of + NPT

Answer 10

Reproduces pt’s symptoms (concordant pain)

Test responses altered by movement of distant body parts that would not be attributable to any other tissue except neural tissue (i.e. sensitization)

Test differences from L side to R side or from normal (i.e. differences in pain, ROM)

Question 11

ULTT 2

Answer 11

(radial n. dominant)

Question 12

ULTT 3

Answer 12

(ulnar n. dominant)

Question 13

Double Crush injuries

Answer 13

Condition composed of neurologic dysfunction d/t compressive pathology at multiple sites
May impair a nerve’s ability to withstand compression at distal site

Used to explain many co-existing proximal and distal impairments

NPT necessary to determine sites and severity of nerve compression

Clinical examples:
Cervical radiculopathy and CTS
Cervical radiculopathy and cubital tunnel syndrome