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Always:Name TestReport FindingsIndicationCervical Spine1)Vertebrobasilar artery insufficiencya)Vertebrobasilar Artery Functional Maneuver pp. 1541)Patient seated
(1)
Auscultate carotid and subclavian arteries for pulsationsand/or bruits
(a)
Positive
report findings
indication of VBAI
(b)
Negative
(2)
Rotate and hyperextend patient’s head to one side (Maigne’sPosition) approx 30 seconds per side
(a)
Use finger for patient to focus on and ask patient:
(i)
Dizziness(ii)Nausea(iii)Numbness(iv)or Double Vision?
(b)
Please Swallow
dysphagia
(c)
Look for:(i)Dysarthria (difficulty speaking)(ii)Drop Attacks(iii)Nystagmus(iv)Ataxia
(d)
Positive
report findings
indication of VBAI
confirmation tests
(e)
Negative
repeat on other side
b)
Hautant’s pp. 1021)Patient seated
(1)
Ask patient if they can hold arms out for a couple of minutes
(2)
Have patient hold arms out in front of them with palms up andclose their eyes
(a)
Put patient in Maigne’s Position to one side – 30 seconds –and ask:(i)Dizziness(ii)Nausea(iii)or Numbness
(b)
Please Swallow
dysphagia
(c)
Look for:(i)Dysarthria (difficulty speaking)(ii)Drop Attacks(iii)Ataxia
(d)
Positive
report findings
indication of VBAI
confirmation tests
(e)
Negative
repeat on other side
c)
Underburg’s pp. 1461)Patient standing
(1)
Ask patient if they can hold arms out for a couple of minutes
(2)
Have patient hold arms out in front of them with palms up andclose their eyes while they march in place
(a)
Put patient in Maigne’s Position to one side – 30 seconds –and ask:(i)Dizziness(ii)Nausea(iii)or Numbness
(b)
Please Swallow
dysphagia
(c)
Look for:(i)Dysarthria (difficulty speaking)(ii)Drop Attacks(iii)Ataxia
(d)
Positive
report findings
indication of VBAI
confirmation tests
(e)
Negative
repeat on other side
d)
Barre-Lieou
pp. 761)Patient seated
(1)
Ask patient to slowly rotate head from side to side and ask:(i)Dizziness(ii)Nausea(iii)Numbness(iv)or Double Vision?
(b)
Please Swallow
dysphagia
(c)
Look for:(i)Dysarthria (difficulty speaking)(ii)Drop Attacks(iii)Nystagmus(iv)Ataxia
(d)
Positive
report findings
indication of VBAI
confirmation tests
(e)
Negative
repeat on other side
e)
Hallpike pp. 981)Patient lying supine w/ head extending off the end of theexamination table
(a)
Put patient in Maigne’s Position to one side – 30 seconds –and ask:(i)Dizziness
(ii)Nausea(iii)Numbness(iv)or Double Vision?
(b)
Please Swallow
dysphagia
(c)
Look for:(i)Dysarthria (difficulty speaking)(ii)Drop Attacks(iii)Nystagmus(iv)Ataxia
(d)
Positive
report findings
indication of VBAI
confirmation tests
(e)
Negative
repeat on other side
f)
DeKleyn’s pp. 861)Patient in supine position w/ head off end of table
(a)
Put patient in Maigne’s Position to one side – 30 seconds –and ask:(i)Dizziness(ii)Nausea(iii)Numbness(iv)or Double Vision?
(b)
Please Swallow
dysphagia
(c)
Look for:(i)Dysarthria (difficulty speaking)(ii)Drop Attacks(iii)Nystagmus(iv)Ataxia
(d)
Positive
report findings
indication of VBAI
(e)
Negative
repeat on other side2)Fracture
a)
Spinal Percussion pp. 137
1)
With patient seated, support the head and flex cervical spineexposing spinous processes as much as possible
(1)
Percuss spinous processes
(a)
Positive findings
(i)
Localized pain
Fracture or severe sprain
(ii)
Radiating pain
IVD syndrome
(2)
Percuss paravertebral soft tissues
(a)
Positive findings
(i)
Pain
muscular strain & highly sensitive myofascialtrigger points
b)
Rust’s Sign
pp. 128
1)
Patient presents w/ markedly splinted cervical spine and holdsweight of head w/ both hands. Patient cannot tolerate pain of
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