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Anatomy Spine VIVA (Overall knowledge and handling (bonus stuff for…
Anatomy Spine VIVA
Overall knowledge and handling
bonus stuff for additional marks
demo good knowledge
demo good handling
know what has been taught
HOCAPAPS
History not needed
Assessed on - Cx, Tx and Lx
SIJ not assessed but may be questioned on
EXAM - 20-30 mins total. including 3-5 minutes prep time.
ACTIVE RESISTED (isometric)
THEORY - why
Contractile vs Non-Contractile. List and give examples
Contractile - Muscle / Tendon / MTJ / TOJ
Non-Contractile - Ligaments / Bones / cartilage / IVDs
Bursae are weird and wonderful
Pain / strength / weakness
#
Weak vs Pain
PRACTICAL + HANDLING - perform some isometric movements
name 4 muscles contributing to movements
Isometric - contraction but no movement
mid range of joint - strongest
OXFORD SCALE
PALPATION
L O S T
Location
Scar tissue
Swelling
Temperature
THEORY - know what palpating and why
Quickly navigate around spine
specific land marks
rule of 3
PRACTICAL + HANDLING
PAVIMS
Pisiform and thumb tech
OBSERVATION
THEORY - why we observe
Be Careful With Sharks
Specific area
General
posture - saggittal / frontal
Frontal - Ear lobes / Acromion process / clavicles / ASIS / Gr. Trochanter / Tibial Tuberosity / Medial Malleolus
Saggittal - Ear Lobes / Acromion / Gr. Trochanter / Lat. Knee / Lat. Mall
Chin poke / flat back / sway back / Ant Tilt / Lordotic / Scolosis / Kyphosis
plumb line
symmetry
PRACTICAL + HANDLING - go through observations
CLEARING
THEORY - why. where.
eg. hip - below for Lx - just flex/ext. Cx - above for Tx
ABOVE - NEURO
Nerve impingement Cx spine = pain in shoulder
BELOW - BIOMECHANICAL
Knee - valgus + pain contributing to hip problems.
PRACTICAL + HANDLING - may ask how + demo
AROM + OP
THEORY - Why?
End Feels.
SHE SHE
Quality. Pain. Range and Willingness
PRACTICAL + HANDLING - appropriate movements + demo.
Normal range + Over Pressure
PROM
THEORY - why + what
Pain
End Feel
SHE. SHE.
SOFT. HARD. ELASTIC. SPRINGY. HARD WHEN SHOULDN'T BE. EMPTY.
ROM
PRACTICAL + HANDLING - demo PPIVMS
SPECIAL TESTS
THEORY - What testing and why
which nerve testing
Median / Radial / Ulnar / Sciatic / Tibial / Common Peroneal
nerve root
pathway of nerve
where they go
possible sites of impingement
PRACTICAL AND HANDLING
ULTT's 1, 2a, 2b, 3. SLR. Slump.
reflexes
myotomoes / dermatomes
MOVEMENT ANALYSIS
THEORY
what plane in
what axis rotates around
Agonist/antagonist muscles - eccentric
ligaments stressed / slacked
what happens to the discs