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101 Cards in this Set

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  • Back
Faber/Patrick'sJansen's/Figure Four
Tests: Hip, Anterior S/I ligament, Iliopsoas Contracture, obturator nerve
+ Inability to lower leg parallel to straight leg, pain, neurological symptoms
Thomas test
test hip flexion contracture
positive: decreases ROM at hip (45 degrees expected)
Obers test
tests length of TFL and ITB contracture
positive: foot of tested leg does not drop below table
Ely's test
Indication: Rectus Femoris Contracture, femoral nerve (via stretch)
Positive - Ipsilateral hip flexes (some say look at unaffected hip), neurological symptoms
Straight Leg Raise
indication: Hamstring Contracture, tests sciatic nerve via stretch
Positive: client is unable to achieve minimum of 70 degrees of knee extension, neurological symptoms
double hibbs
indication: piriformis contracture, compression of sciatic nerve
Positive: lever of the lower leg is less than 45 degrees, neurological symptoms
anterior draw (ankle)
tests anterior talofibular ligament
positive: pain and/or laxity
Hibb's / prone gapping
Indication: Posterior Sacroiliac Ligament Pathology, or Piriformis Contracture, sciatic nerve compression
+ Pain at S/I or reduced mobility at the S/I joint, neurological symptoms
talar tilt
tests: lateral ligaments and medial / deltoid ligament of the ankle (talofibular being the most often sprained)
positive: pain and/or laxity
Adson Test
Tests for subclavian artery compression
+ pulse diminishes with arm extended
Finklestein test
tests for tenosynovitis at the wrist (DeQuarvains)
+ if pain in the area of the thumb/wrist
Nobels test
tests for ITB dysfunction at the lateral femoral condyle
+ if pain and/or crepitus at lateral femoral condyle
Speeds Test
test for tenosynovitis at the long head of biceps
+ if pain felt at shoulder where tendon passes through the intertubecular sulcus
Which SC segment is tested with the brachioradialis reflex test?
C5 / C6
Describe the steps in a cervical scan test
1. AF at c/s with overpressure
2. AF at GH joint abduction and scaption ; elbow ; wrist
3. upper limb dermatomes, myotomes and deep tendon reflexes
what is the capsular pattern of restriction at the glenohumeral joint?
external rotation
abduction
internal rotation
what is the capsular pattern of restriction at the lumbar spine?
side flexion and rotation equally
extension
what is the capsular pattern of restriction at the hip?
flexion, abduction, internal rotation
(order may vary)
what is the capsular pattern of restriction at the knee?
flexion
extension
what is the capsular pattern at the ulnohumeral joint?
flexion
extension
What is the capsular pattern of restriction at the radiohumeral joint?
flexion
extension
what is the industry standard ROM for cervical spine flexion?
80 - 90
what is the industry standard ROM for cervical spine extension?
70
what is the industry standard ROM for cervical spine lateral flexion?
20 - 45
what is the industry standard ROM for cervical spine rotation?
70 - 90
what is the resting position of the cervical spine?
slight extension
what is the close packed position of the cervical spine?
full extension
what is the resting position of the GH joint?
40 - 55 degrees of abduction
what is close packed position of the GH joint?
full abduction, lateral rotation
what is the industry standard ROM for GH abduction?
170 - 180
what is the industry standard ROM for GH flexion?
160 - 180
what is the industry standard ROM for GH adduction?
50 - 75
what is the industry standard ROM for GH extension?
50 - 60
what is the industry standard ROM for GH internal rotation?
60 - 100
what is the industry standard ROM for GH external rotation?
80 - 90
what is the close-packed position of the ulnohumeral joint?
extension with supination
what is the resting position of the radiohumeral joint?
full extension and full supination
What is the close packed position of the radiohumeral joint?
90 degrees elbow flexion, 5 degrees supination
what is the resting position of the radiocarpal joint?
neutral with slight ulnar deviation
what is the resting position of the lumbar spine?
midway between flexion and extension
what is the close packed position of the lumbar spine?
extension
what is the industry standard ROM for hip flexion?
110 - 120
what is the industry standard ROM for hip extension?
10 - 15
what is the industry standard ROM for hip abduction?
30 - 50
what is the industry standard ROM for hip external rotation?
40 - 60
what is the industry standard ROM for hip internal rotation ?
30 - 40
what is the resting position of the tibiofemoral joint?
25 degrees of flexion
what is the close packed position of the tibiofemoral joint?
full extension, external rotation of tibia
what is the myotome for T1?
digital (hand) abduction and adduction
Phaelen test
tests for carpal tunnel syndrome by compressing the median nerve
+ tingling burning or numb sensation in the hand
yergesen's test
tests for biceps tendinitis/tenosynovitis
+ is pain at the shoulder in biceps tendon
Froment test
tests ulnar nerve / adductor pollicis
+ is weakness
Painful Arc
tests for supraspinatus tendinitis, subacromial bursitis
+ pain at 40 to 60 degrees - 120 degrees is GH impingement; local pain in the last 10 degrees is AC joint pathology
Appley's Scratch Test
tests for shoulder pathology, past dislocation, tendon impingement under the acromion, bursitis
+ is pain or decreased ROM
Apprehension test
Indicates previous GH joint dislocation
+ Look of apprehension from the client
Hawkins-Kennedy
indicates: Supraspinatus Tendinitis
+ Pain in the shoulder
describe the upper limb tension test for the median nerve
c/s lateral flexion
wrist extension
GH extension and abduction
what is the myotome for L3?
knee extension
what is the myotome for L4?
ankle dorsiflexion
what is the myotome for L5?
big toe extension
what is the myotome for S2?
knee flexion
what is tested with the patellar reflex test?
spinal segments of L3-L4
what is tested with the achilles tendon reflex test?
spinal segments of S1
Braggarts Test
Indication: sciatic nerve pathology ; hamstring length
+ nerve pain / symptoms (usually appear once the leg is past 30 degrees) ; decreased ROM
kernig brudzinski
Indication: Sciatic nerve pathology ; hamstring length
+ nerve pain / symptoms ; decreased ROM
Yeoman's Test
Indication: femoral nerve pathology; rectus femoris length ; psoas major length ; SI Joint pathology
+ nerve pain / symptoms ; decreased ROM / length ; pain
Gaenslen's Test
Indication: femoral nerve pathology ; rectus femoris length ; psoas major length ; SI joint pathology
+ nerve pain ; decreased ROM ; pain
chvostek test (type of Tinnel's test)
Indication: abnormal reaction to the stimulation of the facial nerve
+ facial muscles on the same side of the face will contract momentarily
Compression Test
Indication: cervical spine nerve compression ; disc pathology
+ nerve pain, neurological symptoms, local pain
Distraction Test
Indication: cervical spine nerve compression ; cervical ligament sprain
+ relief of neurological symptoms ; local pain
which cranial nerves are tested with the finger movement test?
III - occulomotor
IV - trochlear
VI - abducens
Lhermittes test
tests: sciatic nerve ; entire spinal cord and meninges
+ is neurological symptoms
Brachial Plexus Compression Test
tests: brachial plexus
+ is recreation of neurological or vascular symptoms
piriformis test
tests: length of piriformis ; piriformis syndrome
+ is decreased ROM / length ; neurological symptoms
lumbar compression test
tests: lumbar nerve roots ; lumbar discs
+ is neurological symptoms ; pain
valsalva test
tests: entire spinal column ; disc pathology / herniation
+ is pain ' neurological symptoms
shoulder depression test
tests: brachial plexus
+ is pain and neurological symptoms and possibly vascular symptoms
vertebral artery compression tests
tests: vertebral artery for occlusion
+ is dizziness ; nauseous ; eyes flicker
hautant test
test: vertebral artery compression
+ is dizziness ; nauseous ; eyes flicker ; unable to hold arms up
naffzigger test
tests: drainage of the jugular veins
+ is pain in head or neck with coughing
** positive result = refer
Allen's maneuver
tests: TOS due to scalenes or possibly pec minor
+ is diminished or loss of palpated pulse
Wrights test
tests: TOS due to pec minor compression
+ is diminished or loss of palpated pulse
digital blood flow test
tests: capillary refill in nail bed
+ is if nail bed does not refill within a few seconds
Buerger test
tests: blood flow to lower extremities
+ is if refill is slow (may become bright red also before returning to normal)
** this test may also be performed by palpating a lower extremity pulse and feeling for loss or diminishment.
Homan test
tests: presence of DVT
+ is pain deep and local in the calf
allen's test
tests: radial and ulnar artery and refill to the hand
+ refill is slow
shoulder elevation test
tests: for clavicular syndrome
+ is relief of symptoms
Homan Test
Tests: DVT in lower extremity
+ is pain deep in calf area

* no longer considered clinically reliable
Thompson Test
Tests: achilles tendon integrity
+ is no motion of foot. Achilles tendon rupture
Anterior Drawer
Test: anterior cruciate ligament
+ is pain or laxity
Appley's Distraction Test
Tests: ligamentous structures
+ is pain. Relief of pain may indicate meniscal damage
Appley's Compression / Grind
Tests: menisci
+ is pain
SI Rocking / Sacrotuberous stress
tests: sacrotuberous ligament
+ is pain
Squish Test
Tests: posterior SIJ ligaments
+ is pain
Clarke's Test
Tests for patellofemoral dysfunction
+ is retropatellar pain, inability to complete or maintain contraction without pain
Halstead Test
tests: TOS due to scalene syndrome
+ is diminished pulse
Lachman Test
Tests: anterior cruciate ligament
+ is mushy or soft end feel
McMurray Test
Tests: menisci
+ is pain or clicking or snapping
Nachlas Test
Tests: L2 and L3 nerve root ; femoral nerve ; quadriceps
+ is neurological pain in the ipselateral lumbar area, buttock. Neurological symptoms in anterior thigh ; decreased ROM
ROOS test
tests: TOS
+ is unable to keep arms in starting position, ischemic pain, heaviness, profound weakness, numbness, tingling
Sag Test
Tests: posterior cruciate ligament
+ is sulcus at the tibial plateau ; the tibia will 'sag' posteriorly