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27 Cards in this Set

  • Front
  • Back
Femoral Nerve Tension Test
Position: Prone
Stabilize ischium, flex pt. knee as far as possible and then extend the hip, ask pt. to flex neck to increase tension
+: reproduction of unilateral pain in lumbar, butt, ant. thigh
Indicates: neural tension, tight iliopsoas or rectus femoris, hip, SIJ, or Lspine pathology
Spring Test
Prone
Apply PA force from T7-L5- hold 20 seconds each rep.
+: pain reproduction
Indicates: intervertebral mobility
Prone Instability Test
Prone, arms over head, legs completely off the table
- Apply PA force until you find area that provokes symptoms, release the spot and have pt. lift their legs while holding the plinth- apply another PA force and note any symptoms
+: if symptoms relieved when with feet off the floor its due to transversus abdominis muscle and multifidus
Indicates: lumbar instability
SI Distraction
Supine
PT crosses arms and applies pressure to both ASIS
+: production or increase symptoms
Indicates: Involvement of SIJ
Thigh Thrust (Posterior Shear Test)
Supine, hip flexed to 90, adducted
PT places hands on pts. knee and applies posterior force through femur
+: production or increase symptoms
Indicates: SIJ involvement
SI Compression
Side-lying, affected side up, hips flexed to 45, knees flexed to 90
- PT places downward force through both ASIS
+: reproduction or increase symptoms
Indicates: SIJ involvement
Sacral Thrust (Spring test)
Prone
PT places hands on sacrum and applies downward force
+: Production or increase symptoms
Indicates: SIJ involvement and mobility
90/90 SL Test (Hamstring)
Supine, legs together & extended
- Bring test leg to 90 at hip and knee joints, pt. is asked to extend knee, measurement is taken when resistance is felt
Indicates: Hamstring flexibility
Ober Test
Side-lying, involved hip up
Ober: Stabilize pelvis, guide top hip to extension, slight abduction and 90 knee flexion- allow gravity to adduct hip
Modified Ober: Stablize pelvis, guide hip to extension, keep knee extended, allow gravity to drop hip to adduction
+: leg fails to adduct to horizontal
Indicates: ITB tightness
Thomas Test
Supine, both hips flexed
-pt. holds opposite knee to keep hip flexed and allows other hip to extend
+: Posterior thigh doesnt touch table
Indicates: tightness of rectus femoris or iliopsoas
Ely's Test
Sidelying or prone, hip extended
-Flex pts. knee
+: limited knee flexion with hip extension, or anterior pelvic tilt in early range
Indicates: tightness of rectus femoris
Adductor Flexibility Test
Supine, leg tested close to edge of mat, leg not tested abducted 15-20 degrees
- PT passively abducts leg with knee extended then flexes knee and abducts further observing change in ROM
+: increase ROM with knee flexed indicates tight 2 joint muscles, no change indicates tight 1 joint muscles
Test for Piriformis Magee
Sidelying with 60 hip flexion and knee flexed
- PT stabilizes the pelvis and pushes hip into adduction by pushing knee toward table
+: pain in buttock indicates tight piriformis, pain in buttock with sciatica symptoms indicates impingement within piriformis
Quadrant (Scour) Test
Supine, hip flexed to 90
- Pt. hip is ER and adducted then posterior force is made through femur- if symptoms are unprovoked slowly bring hip into IR and abduction
+: pain, clicking, grinding, restriction, provoked symptoms
Indicates: pelvis or hip intra-articular pathology
(could be OA, avascular necrosis, labrum tear, adhesion, capsular tightness, etc.)
Fulcrum Test
Sitting on edge of table w/ towel roll under thigh
- PT applies AP pressure on thigh a few times moving the towel each time
+: sharp pain or apprehension
Indicates: femoral stress fracture
Patrick or FABER test
Supine
- PT flexes, abducts and ER hip to lateral ankle is resting above opposite knee- stabilizes ASIS and lowers leg into table
+: symptoms reproduced and pt. points out pain
Indicates: screen for hip, lumbar, SI dysfunction, or iliopsoas spasm
Trendelenberg Sign
Standing
- Pt. raises one foot off ground and stands on one leg for 30 seconds- PT examines from back
+: pelvis drops on non-stance side or trunk shifts to stance side
Indicates: Weak glut med. on stance side
FAIR Test
Side-lying, involved side up
- PT stands behind and holds pts. knee while bringing involved leg into flexion, adduction, and internal roation
+: pain around piriformis and sciatic symptoms brought on
Indicates: Compression of sciatic nerve in piriformis
Leg Length
Supine or standing
True Leg Length- measure from depression below ASIS to medial malleolus
-Apparent leg Length- measure from umbilicus to medial malleolus
(if assymetrical muscle measure to lateral malleolus)
+: leg length discrepancy > 1.5cm
Functional Limb Length
Standing, knees extended, subtalar neutral, toes facing forward
- Palpate ASIS and PSIS and correct assymetries
+: if it can be corrected, pt. has functional leg length difference
Craigs Test
Prone, knees flexed to 90
- PT palpates greater trochanter while moving hip through internal and external rotation to locate lateral most point- then record measurement
+: IR > 15 = femoral anteversion
IR < 8= femoral retroversion
Ortolani's Sign
Infant is supine
- PT positions thumbs on medial thighs and fingers on lateral thighs- flexes knees and hips to 90- gentle traction is applied while abducting legs
+: audible sound
Indicates: Congenital hip dislocation
Barlow's Sign
Infant is supine, 90/90
- PT puts thumbs on medial thigh and fingers on lateral thigh palpating the greater trochanter- PT applies posterior force through femur while thigh is adducted slightly
+: palpable femoral head slip over acetabulum the decreases when pressure is released
Indicates: Congenital hip dislocation
Passive Supine SLR
Supine, knee/ankle neutral
- Check ankle, knee and hip motion first, then passively flex hip until tightness or symptoms
-Degree of hip flexion is noted
- Can dorsiflex ankle or flex cervical to increase symptoms
+: reproduction of sciatic pain, pain with ankle or neck flexed
Indicates: adverse neural tension, herniated lumbar, hamstring irritability, hip, SIJ
Crossed Leg SLR
Same as supine SLR except with unaffected extremity
+: causes symptoms in involved extremity
Seated SLR (slump test)
Seated
- Assess ROM at each joint first then have pt. maximally slouch while keeping head up, next do cervical flexion- PT maintains cervical flexion while adding unilateral dorsiflexion and passively extending the knee
+: reproduction of radicular symptoms
Indicates: adverse neural tension of sciatic nerve
Bowstring Test
Supine, hips adducted and medially rotated
- PT places hand on thigh and heel and passively flexes hip with knee extension and neutral dorsiflexion until symptoms- at that point flex knee 20 degrees and palpate in popliteal fossa- have pt. dorsiflex to find nerve then push on it
+: sensitivity/ reproduction of sciatic pain, neural tension of sciatic nerve