Chiropractic Ortho Tests

Front 1

patient actively moves against resistance and then the dr passively moves the part through a full ROM

Back 1

o'donohues test

Front 2

patient raises both arms over head while seated and laterally bends to both sides

Back 2

schepelmanns sign

Front 3

what does schepelmanns sign test for?

Back 3

pain on concave side is INTERCOSTAL NEURALGIA

pain on convexity is PLEURISY

Front 4

patient spontaneously grasps the head with both hands when rising from the recumbent position

Back 4

rust sign

Front 5

what ortho test indicates cervical instability due to sprain strain, fracture or RA

Back 5

rust sign

Front 6

dr applies finger pressure over mastoid process. pressure increased until patient expresses discomfort

Back 6

libmans test

Front 7

patient seated or supine. patient actively passively flexes head toward chest

Back 7

lhermittes sigh

Front 8

what does lhermittes sign present if positive?

Back 8

sharp electric shocklike sensation down the spine into extremeties

Front 9

when arising from supine position, patient turns to prone position then climbs up on themselves

Back 9

gowers sign

Front 10

patient supine dr flexes the hip and knee to 90/90 position and then attempts to extend knee

kicking motion

Back 10

kernigs sign

Front 11

supine, dr passively flexes the patients head approximating the chin to chest

Back 11

brudzinski sign

Front 12

patient asked to go from a side lying position to a seated position.

Back 12

amoss sign

Front 13

positive amiss sign is indicative of?

Back 13

AS, ivd syndrome or S/S

Front 14

supine, dr supports teh legs on the table the patient is then asked to sit up without using hand

testing for? AS

Back 14

lewin supine test

Front 15

while standing the patient performs side bending to both sides

Back 15

forrestiers bowstring sign

Front 16

what does foresters bowstring sign indicate?

Back 16

AS- muscle tightening on concave side

Front 17

doctor takes resting pulse rate, dr then applies pressure over painful area and takes pulse rate again

Back 17

not a malingerere. Mannkopf's sign

Front 18

at the beginning of the case history, patient is asked to point to the site of pain on the back, the examiner marks it with a skin pencil, later on the patient is again asked to point to the site of pain

Back 18

magnussons

Front 19

patient is sitting upright on the edge of a table or chair which has no backrest. the examiner faces the patient and usually under the guise of checking circulation extends the patients leg below the knee one at a time so that the limb is parallel with the floor

Back 19

lasegues sitting

no pain when there had been a +SLR

Front 20

patient supine, doctor places one hand under each heel and asks patient to lift affected limb

Back 20

hoovers sign

Front 21

patient instructed to kneel on a table 18 inches from floor, bend forward at the trunk and touch the floor, dr holds ankles

Back 21

burns bench test

Front 22

patient prone, feet hanging off the table, dr flexes knee to 90 degrees and squeezes calf

Back 22

thompsons test / simmonds test

Front 23

what is indicated when thompsons test is positive?

Back 23

no plantar flexion of the foot shows achilles tendon rupture

Front 24

patient is seated or supine, dr grasps the patients foot and passively inverts and everts it.

Back 24

medial/lateral stability test

Front 25

if the Medial/lateral stability test is positive, there is excessive gapping what is this indicative of?

Back 25

during inversion- anterior talofibular or calcaneofibular ligament tear

during eversion- deltoid ligament tear.

Front 26

patient supine, doctor places hand around anterior aspect of lower tibia while grasping calcaneus in the palm of the other hand and pulls calcaneus forward

Back 26

anterior foot drawers test

Front 27

if the anterior foot drawer test is positive.....

Back 27

the talus slides forward and that indicates anterior talofibular ligament instability

Front 28

patient supine. the dr displaces the patella medial to lateral

Back 28

apprehension test

Front 29

if the patella feels as if it will dislocate and the patient will contract the quadriceps, or look of apprehension

Back 29

indicates chronic patellar dislocation

Front 30

patient is supine with knee flexed completely. the knee is then dropped into extension

Back 30

bounce test

Front 31

the bounce chest is indicative of?

Back 31

torn meniscus if there is incomplete extension

Front 32

pt prone with knee flexed to 90 degrees. the dr anchors the thigh of the pt and grasps proximal to foot and apples downward pressure and rotates leg internally and externally heel points towards side of being tested.

Back 32

apleys compression test

Front 33

patient supine, the doctor flexes the thigh and leg to 90 degrees. the doctor places one hand on the knee, the other grasps the patients heel. the doctor externally rotates the leg and then slowly extends the knee. the doctor then internally rotates the leg and brings it into extension with a valgus stress to the joint

Back 33

mcmurray sign

Front 34

what does a positive mcmurray sign indicate?

Back 34

internal rotation checks lateral meniscus, external rotation checks medial meniscus

Front 35

patietn is supine with knees flexed to 90 and hips flexed to 45. dr compares prominence of tibial tuberosities

Back 35

posterior sag sign showing PCL tear

Front 36

patient is supine, knee flexed to 30. the dr stabilizes the femur with one hand and pulls the tibia forward with the other hand

Back 36

lachmans test testing for ACL instability

Front 37

pt supine, knee is flexed to 90. foot is put in internal and external rotation. dr stabilizes the foot and grasps the leg with the thumbs palpating the knee joint. dr pulls the tibia applying P-A stress in the knee

Back 37

slocums test

Front 38

slocums test....

Back 38

acl and mcl (external)

lcl (internal)

Front 39

patient is supine. knee is flexed to 90 and hip to 45. doctor stabilizes foot on they table. tibia is the dawn forward and posterior

Back 39

drawer sign

testing acl and pcl

(like slocums without internal and external rotation)

Front 40

what does a positive apleys distraction test indicate?

Back 40

Collateral ligament tear if there is pain in the knee

Front 41

what is the most commonly injured muscle of the knee?

Back 41

vastus medialis

Front 42

most commonly injured ligament

Back 42

acl

Front 43

genu varum

Back 43

bowed leg

Front 44

the patient stands and raises on one foot on the side of involvement and raises the other foot and leg for thigh and knee flexion

Back 44

trendelenburg test

Front 45

if the buttock on foot that is elevated drops that shows....

Back 45

a weak glut medius on stance leg (not raised leg)

Front 46

patient prone. the heel is approximated to the buttock after flexion of the knee. approximated to the opposite buttock and hyperextended test (kick butt)

Back 46

elys sign/test

Front 47

patient side lying, involved side up. dr places one hand on pelvis. thigh is abducted and extended...the doctor the allows leg to drop into adduction

Back 47

TFL contracture if knee is elevated

Front 48

what is the test for checking contracture of the tfl

Back 48

obers test

Front 49

patient supine, patient flexes both knees to 90. with the feet placed flat on the table and both malleoli approximated. the examiner compares the height of the knees

Back 49

allis test

Front 50

if allis test is positive...

Back 50

there is posterior displaced femoral head or femur shortening

Front 51

while the patient is supine the thigh is flexed with the knee bent upon the abdomen

Back 51

thomas test

Front 52

if the opposite thigh or knee rises off the table during thomas test.....

Back 52

positive hip flexion contracture

Front 53

Patient supine. doctor flexes abducts and laterally rotates the hip. doctor then applies pressure over the opposite ASIS with one hand and with the other hand presses down on the knee

Back 53

laguerres test (patrick fabere in the air)

Front 54

what is another name for laguerres test

Back 54

patrick fabere in the air

Front 55

what will the pt experience when laguerres test is positive

Back 55

pain in the hip

Front 56

patient is supine. thigh is flexed abducted externally rotated and extended while downward pressure is placed on the opposite ASIS and same knee.

Back 56

patricks test (fabere)

Front 57

another name for patricks test

Back 57

fabere

Front 58

what will the patient experience if patricks test is positive

Back 58

hip pain

Front 59

dr stabilizes SI joint testing with other hand. dr flexes leg of affected side and hyperextends the thigh by lifting knee off the table

Back 59

yeomans test

Front 60

the leg flexed to 90 degrees heel is approximated to same buttocks. dr stabilizes the side they are testing

Back 60

nachlas test

Front 61

what will the patient experience if nachlas test is positive?

Back 61

pain in the SI joint and if there is pain in the anterior thigh femoral nerve stretch.

Front 62

doctor stabilizes pelvis on side they are standing. with other hand, dr grasps the ankle of opposite leg and flexes knee to 90 degrees. the dr slowly pushes the leg laterally away producing interla rotation of the hip

Back 62

hibbs test

Front 63

patient is in side lying position with involved side up. the drs hands are placed over the upper part of the iliac crest. dr exerts downward pressure.

Back 63

iliac compression

Front 64

patient lies on unaffected side and pulls lower knee to chest. dr stands behind pt stabilizes pelvis and hyperextends the top thigh

Back 64

lewin-gaenslens test

Front 65

patient is lying on non affected side. Patient actively abducts leg, then the dr exerts downward pressure proximal to knee

Back 65

hip abduction stress test

Front 66

patient is supine with the involved side near the edge of the examining table. the opposite knee and thigh are fully flexed and fixed against the abdomen by the patient. the involved leg is gradually extended off the table by the examiner. dr then applies downward pressure against clasped knee and knee of the extended hip.

Back 66

gaenslens test

Front 67

ask patient to rise from seated position

Back 67

minors sign

Front 68

what does the pt feel when minors sign is positive

Back 68

the patient will support body with uninvolved side balancing on good side. = sciatica

Front 69

patient seated. the patient attempts to extend each leg one at a time. doctor places one hand on the side being tested to resist hip flexion by the patient. the patient then attempts to extend both legs together with both thighs stabilized by the doctor

Back 69

bestrews sitting test

Front 70

what will a patient experience when bestrews sitting test is positive?

Back 70

pain or leaning back

Front 71

what ortho test indicates a posteromedial disc issue when patient experiences pain when good leg is raised.

Back 71

becterews

Front 72

when bending forward from the waist the knee flexes on the side of involvement

Back 72

neris bowing test

Front 73

neris bowing test indicates....

Back 73

knee buckling and tight hamstrings

Front 74

patient seated/standing and supported by the doctor. dr rotates the patients trunk from the original position and circumducts the trunk toward the affected side and then way from the affected side.

Back 74

kemps test

Front 75

what does kemps test indicate?

Back 75

sciatic pain down the involved side

Front 76

when kemps test is positive away from the pain

Back 76

posteromedial disc

Front 77

when kemps test is positive into pain

Back 77

posterolateral disc

Front 78

the patient bends forward and the examiner notes when the pain occurs. then while dr is behind the pt the dr grasps the ASIS and braces their hip into the sacrum. the pt then flexes again and ROM is noted.

Back 78

belt test....supported adams test

Front 79

belt test...if the lesion is in the pelvis...

Back 79

the pt will have no pain while the pelvis is stabilized

Front 80

belt test...if the lesion is in the spine.....

Back 80

the pain will be present in both situations.

Front 81

with the patient supine the doctor stands on the side being tested...doctor internally rotates leg and adducts leg then performs SLR

Back 81

bonnets sign

Front 82

what does bonnets sign show...

Back 82

piriformis syndrome...feeling pain into the limb

Front 83

the doctor performs the SLR to the point of pain. the knee is flexed slightly and placed on the Dr's shoulder. digital pressure is placed over the posterior thigh and then in the popliteal fossa.

Back 83

bowstring sign

Front 84

bowstring sign indicates...

Back 84

sciatica

Front 85

patients head is passively flexed to the chest

Back 85

lindners sign

Front 86

linders sign will show pain...

Back 86

in the lumbar spine radiating to sciatic nerve (root sciatica)

Front 87

patient supine with affected leg raised slowly while hand is under lumbar portion of the spine....repeat

Back 87

goldthwaits sign

Front 88

if a patient experiences pain during goldthwaits sign during 0-30 degrees where is the problem?

Back 88

si joint

Front 89

if a patient experiences pain during goldthwaits sign during 30-60 degrees where is the problem?

Back 89

lubosacral joint

Front 90

if a patient experiences pain during goldthwaits sign during 60-90 degrees where is the problem

Back 90

lumbar spine or contralateral si joint

Front 91

the patient is supine with limbs extended. patient is asked to elevate both legs until 6 inches off the table and hold for as long as possible

Back 91

millgrams test.

Front 92

SLR with dorsiflexion of the foot is performed on the asymptomatic side of a sciatic patient

Back 92

well leg raiser (fajerstazns)

Front 93

perform SLR. drop 5 degrees and dorsiflex big toe

Back 93

sicards sign (sciatica)

Front 94

after pain is elicited with SLR, the leg is lowered below the point of discomfort and the foot is sharply dorsiflexed

Back 94

braggards sign (sciatica)

Front 95

the patient is supine with legs extended. dr places one han under heel and the other over the knee and slowly raises the leg

Back 95

lasegues (SLR) - sciatica

Front 96

patient extends the head back. the examiner exerts downward traction on arm while taking pulse

Back 96

halsteads test

Front 97

what does halteads test indicate?

Back 97

cervical rib if alteration in the amplitude of radial pulse

Front 98

while seated, the patient actively places palm on top of the head

Back 98

reverse bakody maneuver

Front 99

patient seated while dr palpates radial pulse. arms are abducted to 180 degrees. the dr notes angle at which radial pulse diminishes or disappears

Back 99

wrights test (hyper abduction maneuver)

Front 100

what is indicated when wrights test is positive?

Back 100

pectoralis minor syndrome (axillary arter)

Front 101

the dr palpates the radial pulse while drawing the pts shoulder down and into extension. the patient flexes the vertical spine to chest.

Back 101

edens test (costoclavicular maneuver)

Front 102

what does positive edens test indicate?

Back 102

compression btw the first rib and clavicle.

Front 103

with the patient seated, doctor slightly abducts, extends and externally rotates the arm while taking the radial pulse. patient rotates head toward tested side and extends head. patient takes deep breath.

Back 103

adsons test. (scalenus anticus test)

Front 104

what does adsons test indicate?

Back 104

cervical rib is amplitude of radial pulse is changed.

Front 105

when adsons test is negative, the patient rotates head to the opposite side, extends head and takes deep breath

Back 105

modified adsons test shows subclavian artery.

Front 106

the patient is seated with elbow flexed and forearm supinated, ask the patient to pump the hand while the examiner occludes the radial and ulnar arteries until hand is blanched. the patient slowly opens the hand while the doctor opens one artery and records filling time. repeat for other artery.

Back 106

allens test