Neurological Scan as Part of the Orthopedic Examination

presented by Pam Kikillus, PT, DHSc, OCS, CHT, FAAOMPT

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Financial: Pam Kikillus receives compensation from MedBridge for the production of this course. She has no other relevant financial relationships.

Nonfinancial: Pam Kikillus has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 72 Minutes, Learning Assessments: 39 Minutes

Clinicians regularly perform some type of neurological scan as part of an orthopedic examination. This is one of the basics that need to be done well. There is a great deal of variation in scanning techniques and documentation of results. This course will examine the main portions of the neurological scan as part of a typical orthopedic examination. The course will discuss meaningful results and documentation of those results. Examples will be provided to predict the level/location of nerve root involvement based on the results of the neurological scan.

Meet Your Instructor

Pam Kikillus, PT, DHSc, OCS, CHT, FAAOMPT

Pam Kikillus received her entry-level physical therapy degree and a Doctor of Health Science degree from the University of Indianapolis. She is a board-certified orthopedic clinical specialist, a certified hand therapist, and a fellow of the American Academy of Orthopaedic Manual Physical Therapists. She practices physical therapy and provides clinical mentorship at Olympic Sport and…

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1. The Role of the Neurological Scan as Part of the Orthopedic Examination

This chapter will provide an overview of the contents of the neurological scan as part of the orthopedic examination. It will discuss the purpose of the scan and its role in the overall examination/evaluation.

2. Sensory Testing

This chapter will present the dermatomal patterns and their variations. It will demonstrate light-touch sensation as part of the scan. There will be a discussion of meaningful documentation of the sensory scan results.

3. Motor Testing

This chapter will present the myotomal patterns. It will demonstrate manual resistance testing as part of the scan. There will be a discussion of meaningful results and the documentation of the motor scan results.

4. Reflex Testing

This chapter will discuss the role of reflex testing in the neurological scan. It will present key reflexes and their corresponding nerve roots. There will be a discussion about meaningful documentation of the results.

5. The Patterns: Putting it All Together

This chapter will combine the results of sensory, motor, and reflex testing. It will discuss predictable patterns that are clinically meaningful. Examples of findings will be provided, along with a discussion of results that warrant additional medical assessment.