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25 Cards in this Set
- Front
- Back
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FABER Test |
Purpose: Dysfunction of hip, such as mobility restriction Steps: 1) Passively flex, abduct, and ER LE 2) Slowly lower testing leg down to table surface Positive Test: Pain or knee is unable to relax |
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Scour's Test |
Purpose: DJD of hip Steps: 1) Hip in 90 degrees flexion and knee maximally flexed. 2) Place compressive load into femur via knee joint. Positive Test: Pain in hip joint or referred pain to the knee elsewhere |
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Trendelenburg Sign |
Purpose: Weakness of gluteus medius or unstable hip Steps: 1) Pt stands on one leg (flex opposite knee) 2) Observe pelvis and stance leg Positive Test: Ipsilateral pelvis drops when lower limb support is remove |
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Thomas's Test |
Purpose: Identify tightness of hip flexors Steps: 1) 1 hip and knee maximally flexed to chest and held there. 2) Opposite limb is kept straight on table. 3) Observe hip flexion on straight leg Positive Test: Straight limb's hip flexes and/or pt is unable to remain flat on table when opposite limb is flexed |
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Ober's Test |
Purpose: Tightness of TFL and/or ITBand Steps: 1) Lying on side, lower limb flexed at hip and knee. 2) Passively extend and abduct testing hip and knee flexed to 90 degrees Positive Test: Cannot rest uppermost limb on table |
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Ely's Test |
Purpose: Tightness of Rectus Femoris Steps: 1) Pt prone, knee of testing limb is flexed at knee 2) Observe the hip Positive Test: Hip of testing limb flexes |
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90-90 HS Test |
Purpose: Tightness of HS Steps: 1) Pt supine with hip and knee at 90 degrees flexion. 2) Passively extend the knee of testing limb until barrier is encountered Positive Test: Knee unable to reach 10 degrees from neutral position |
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Piriformis Test |
Purpose: Identifies piriformis syndrome Steps: 1) Pt supine with foot of test leg passively placed lateral to opposite limb's knee. 2) Testing hip is adducted 3) Observe position testing knee relative to opposite knee Positive Test: Knee is unable to pass over resting knee, reproduction of pain in buttock, and/or along sciatic nerve distribution |
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Craig's Test |
Purpose: Abnormal femoral antetorsion angle Steps: 1) Prone with knee flexed to 90 degrees 2) Palpate greater trochanter and slowly move hip through IR and ER Positive Test: Normal angle= btwn 8-15 degrees IR, less=retroverted hip, more=anteverted hip |
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Collateral Ligament Instability Tests (Knee) |
Purpose: Ligament laxity or restriction Steps: 1) Knee in 20-30 degrees flexion Positive Test: Valgus stress=Medial CL; Varus force=Lateral CL |
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Lachman's Stress Test |
Purpose: ACL Steps: 1) Knee in 20-30 degrees flexion. 2) Stabilize the femur and passively try to glide tibia anterior Positive Test: Excessive anterior glide of tibia |
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Pivot Shift |
Purpose: ACL integrity Steps: 1) Pt supine, testing knee in extension, hip flexed and abducted 30 degrees with slight IR. 2) Hold the knee with one hand and foot with other and place a valgus force through the knee and flex the knee Positive Test: Tibia relocation during test |
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Posterior Sag Test |
Purpose: Integrity of PCL Steps: 1) Supine with hip flexed to 45 and knee flexed to 90 2) Observe tibia for possible "sagging" posteriorly Positive Test: Sag of tibia relative to femur |
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Posterior Drawer Test |
Purpose: Integrity of PCL Steps: 1) Pt supine and hip flexed to 45 and knee flexed to 90 degrees. 2) Passively glide tibia posteriorly following the joint plane Positive Test: Excessive posterior glide |
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Reverse Lachman |
Purpose: Integrity of PCL Steps: 1) Pt prone with knee flexed to 30 2) Stabilize femur and passively try to glide tibia posteriorly Positive Test: Ligament laxity |
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McMurray's Test |
Purpose: Meniscal tears Steps: 1) Pt supine with knee in max flexion. 2) Passively IR and Extend the knee Positive Test: Lateral Meniscus; Test medial meniscus with ER the knee |
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Apley's Test |
Purpose: Differentiate's between meniscal tears and ligamentous lesions Steps: 1) Pt prone with knee flexed to 90. 2) Stabilize thigh with your knee. 3) Passively distract the knee joint then slowly rotate tibia IR and ER Positive Test: Pain=Meniscus |
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Hughston's Plica Test |
Purpose: Dysfunction of the plica Steps: 1) Pt supine and knee flexed with tibia IR. 2) Passively glide patella medially while palpating the medial femoral condyle. 3) Feel for popping as you passively flex and extend the knee Positive Test: Pain and/or "popping" noted |
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Patellar Apprehension Test |
Purpose: Past history or patellar dislocation Steps: 1) Pt supine while patella is passively glided laterally Positive Test: Pt does not allow and/or does not like patella to move in lateral direction |
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Clarke's Sign |
Purpose: Patellofemoral dysfunction Steps: 1) Supine with knee in extension on the table. 2) Push posterior on superior pole of patella. 3) Next, have pt perform an active contraction of the quadriceps muscle Positive Test: Pain in the knee |
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Ballotable Patella |
Purpose: Indicated infrapatellar effusion Steps: 1) Pt supine, knee in extension on table. 2) Apply a soft tap over the central patella Positive Test: Patella is floating |
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Fluctuation Test |
Purpose: Knee joint effusion Steps: 1) Pt supine, with knee in extension on table. 2) One hand over suprapatellar pouch and other over anterior aspect of the knee joint. 3) Alternating pushing down with one hand at a time Positive Test: Positive finding is fluctuation |
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Q-Angle Measurement |
Purpose: Measure angle between quadriceps and patellar tendon Steps: 1) Normal is 13 deg for men and 18 for women Positive Test: Angle less than or grater than normal may indicate knee dysfunction and/or biomechanical dynsfunctions within lower limb |
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Noble Compression Test |
Purpose: ITband friction syndrome Steps: 1) Pt supine with hip flexed to 90 degrees 2) Apply pressure to lateral femoral epicondyle then extend knee Positive Test: Reproduces same pain over lateral femoral condyle |
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Tinel's Sign |
Purpose: Dysfunction of common fibular nerve posterior to fibular head following fibular nerve distribution Steps: 1) Tap region where common fibular nerve passes through posterior to fibular head Positive Test: Reproduces tingling and/or paresthesia into leg |
