NSE 13A/B Lecture Notes - Lecture 1: Bone Pain, Palpation, Caffeine

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How often do you have caffeine and alcohol? . Place your two fingers over tmj and ask client to open and close jaw. Vertical motion, lateral motion and protrusion and retraction. Repeat rom and apply resistance (all movements except retraction) Test cnv - trigeminal - clench teeth. Spinous processes and sternomastoid, trapezius and paravertebral muscle for symmetry. All rom movements (also tests cnxi-spinal nerve) Flexion, hyperextension, internal and external rotation, abduction, adduction. Shrug, flex, extend, adduct, and abduct (also, tests cnxi-spinal nerve) Olecranon process of ulna and medial & lateral epicondyles of the humerus. So no pain or tenderness, full rom and no crepitus heard . Flexion, extension, hyperextension, ulnar(pinky) and radial (thumb) deviation. Acute flexion of wrist should produce no symptoms. Can reproduce numbness and burning sensation associated with carpal tunnel syndrome. Can reproduce burning and tingling sensation associated with carpal tunnel syndrome. Flexion (knee straight and bent), abduction, adduction, internal and external rotation, hyperextension while standing.

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