Omm Special Tests

Front 1

Spurling Test (compression)

Back 1

from behind, sidebends C spine toward side being tested and pushesh down on top of pt's head
- (+) if pain radiates down ipsilateral arm

Front 2

Wallenberg's Test

Back 2

-tests for vertebral artery insufficiency
- patient supine; flex neck, hold for ten second, extend neck for ten seconds, rotate R and L each for ten seconds;
- (+) if patient complains of dizziness, visual changes, lightheadedness, or nystagmus

Front 3

Underberg's Test

Back 3

-tests vertebral artery insufficiency
- neck backward bend and head fully rotated to either side

Front 4

Adson's Test

Back 4

-monitor pt pulse, extend arm at elbow, extend shoulder, externally rotated, slightly abducted; pt told to take a deep breath and turn his/her head toward ipsilateral arm
(+) when radial pulse is absent/diminished

Front 5

Wright's Test

Back 5

TOS
- tests for compression b/w pec minor at coracoid
- hyperabducting arm above the head with some extension
- (+) with severely decreased or absent radial pulse

Front 6

Costoclavicular syndrome test (Military/Halsted)

Back 6

TOS
-entrapment b/w clavicle and 1st rib
- depressing and extending the shoulder
-(+) w/ decreased/absent pulse

Front 7

Apley's scratch test

Back 7

evaluates ROM at shoulder
- abduction and ER: reach behind head and touch opp shoulder
- IR and adduction: reach in front of head and touch opp shoulder
- further IR and adduction: reach behind back and touch inferior angle of opp scapula

Front 8

Drop-arm test

Back 8

-detects rotator cuff tears
- abduct shoulder to 90 degrees, slowly lower arm
(+) if pt cannot lower the arm smoothly or if drops to side from 90

Front 9

Speed's test

Back 9

- biceps tendon in bicipital groove
- pt fully extends elbow, flexes the shoulder, supinates the forearm: physician resists flexion

Front 10

Yergason's Test

Back 10

-stability of biceps tendon in bicipital groove
- flexes elbow to 90- physician externally rotates forarm while patients resists

Front 11

Finkelstein Test

Back 11

for tenosynovitis in abductor pollicis longus and extensor pollicis brevis tendons at the wrist
-DeQuervin's disease
- patient makes a fist with the thumb tucked inside and deviates wrist ulnarly

Front 12

Phalen's Test

Back 12

Dx of CTS
- maximally flexes the patients wrist and holds this position for one minute
- if tingling sensation is felt it is positive

Front 13

Prayer's Test

Back 13

reverse Phalens

Front 14

Tinel's Test

Back 14

CTS
- taps volar aspect of patients transverse carpal ligament: (+) if tingles

Front 15

Hip-drop test

Back 15

assess sidebending ability of lumbar spine and thoracolumbar junction
-normally when lifting up a leg the lumbar spine should sidebend toward the side contralateral to the bending knee, producing a smooth convexity in the lumbar spine on the ipsilateral side
- ipsilateral iliac crest should not drop more than 20-25 degrees
(+) anything less than a smooth convexity

Front 16

Ober's test

Back 16

detects a tight tensor fascia lata and IT band
- lies on side opposite the IT band being tested
- physician stands behind patient and flexes the knee on the side being tested to 90 degrees, abducts the hip as far as possible, and slightly extends the hip then lets leg fall to table
- test (+) if the thigh remains in the abducted position cause the IT is tight

Front 17

Patrick's Test (FABERE)

Back 17

assess pathology of SI and hip joint (esp osteoarthritis)
- Flexion, ABduction, ExternalRotation, Extension
- pt put in figure 4 position
-physician puts pressure on contralateral ASIS and ipsilateral knee; pressure downward on both hands

Front 18

Thomas Test

Back 18

-assesses possibility of flexion contracture of the hip, usually iliopsoas origin
- pt lies supine and physican flexes on hip so knee touches abdomen
-looks for rise of opposite leg (iliopsoas contracture)

Front 19

Apley's Compression and Distraction

Back 19

evaluate the meniscus and ligamentous structures of the knee
-pt lies prone and knee flexed to 90
- compression straight down on heel, internally and externally rotate tibia (pain= meniscal tear)
- pulls up, int and ext rotate (pain= medial and/or lateral ligaments)

Front 20

Lachman's Test

Back 20

-assesses stability of ACL (more accurate than Draw)
-pt supine; physician grasps proximal tibia and distal femur with other hand
- knee flexed to 30 degrees
- tibia fulled forward

Front 21

McMurray's Test

Back 21

-detects tears in posterior aspect of menisci
-to test medial meniscus, patient's knee is fully flexed- physicians fingers palpate medial knee joint line
- tibia is externally rotated with valgus stress on knee
- maintain this then slowly extend knee

Front 22

Patellar Grind Test

Back 22

-assesses posterior articular surfaces of the patella and possibility of chondromalacia, seen with patello-femoral syndrome
- pt lies supine with knees fully extended and relaxed
-pushes patella distally, then instructs pt to tighten quads

Front 23

valgus and varus stress test

Back 23

-assess stability of collateral ligaments
- pt supine or sitting, knee flexed just enough to unlock it from full extension
-pushing knee medial (with a Lateral force) is the vaLgus stress test

Front 24

Anterior draw test of the ankle

Back 24

***** medial and lateral ligaments of angle--> mostly anterior talofibular ligament (also superficial and deep deltoid ligaments)

Front 25

Allen's Test

Back 25

Test Adequacy of blood supply to hand by radial and Ulnar arteries
- open and close the hand several times then make a fist
- Physician occludes radial and ulnar arteries, then pt opens hand and each artery is assessed

Front 26

Straight Leg Raising Test (Lasegue's Test)

Back 26

Sciatic nerve compression where pt lies supine, and physician grasps heel of leg to be testedand used the other hand to keep the knee in extention. Leg is lifted upward with hip flexion until pain is felt (normal 70-80); Leg is then dropped slightly and foot is dorsiflexed; if pain is felt that radiates down leg this indicates sciatic origin

Front 27

Seated Flexion Test

Back 27

Sacroiliac motion test: must have both feet on the floor; test is positive with PSIS that travels the furthest.

Front 28

Standing Flexion Test

Back 28

Iliosacral motion test: Helps to evaluate the innominate; test is positive with PSIS that travels the furthest

Front 29

ASIS compression Test

Back 29

Determines side of SI dysfxn; Used when Standing and seated flexion tests are equvical. Stabilize one and compress the other and if resistance present indicates dysfxn on sacrum innominate or pubic bone.

Front 30

Pelvic side shift

Back 30

Test if sacrum is midline: pts standing physician stabilizes shoulders with righ thand and pushes the pelvis to the right with the left hand; reversed and repeated. Test is positive on side of freer translation; seen in flexion contracture of the iliopsoas

Front 31

Trendelenberg

Back 31

Test gluteus medius muscle strength; pt standing and is instructed to pick one of the legs up; Normally strong medius will pull up the unsupported pelvis to keep it level.

Front 32

Lumbosacral spring test

Back 32

Assesses if sacral base is tilted posterior; pt is prone and physician places heel of hand on lumbosacral jxn and gently and rapidely springs the jxn. Positive test is limited springing of the jxn;

Front 33

Backward bending test (sphinx)

Back 33

tests if sacral base has moved psterior or anterior; pt prone physicians thumbs on Superior sulcus and asymetry is assesed. Pt props up on elbos causeing lumbar extention and sacral base nutation; If ant rotation the SS will equivilate; if post they will get worse.

Front 34

Bounce home test

Back 34

tests full knee extension in the prescense of meniscal tears or joint effusions; Pt supine and knee is flexed and then allowed to drop into full extension. Test is positive if extions is imcomplete or has a rubbery feel.