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27 Cards in this Set
- Front
- Back
Femoral Nerve Tension Test
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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 |
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Spring Test
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Prone
Apply PA force from T7-L5- hold 20 seconds each rep. +: pain reproduction Indicates: intervertebral mobility |
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Prone Instability Test
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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 |
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SI Distraction
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Supine
PT crosses arms and applies pressure to both ASIS +: production or increase symptoms Indicates: Involvement of SIJ |
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Thigh Thrust (Posterior Shear Test)
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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 |
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SI Compression
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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 |
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Sacral Thrust (Spring test)
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Prone
PT places hands on sacrum and applies downward force +: Production or increase symptoms Indicates: SIJ involvement and mobility |
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90/90 SL Test (Hamstring)
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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 |
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Ober Test
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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 |
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Thomas Test
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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 |
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Ely's Test
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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 |
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Adductor Flexibility Test
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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 |
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Test for Piriformis Magee
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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 |
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Quadrant (Scour) Test
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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.) |
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Fulcrum Test
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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 |
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Patrick or FABER test
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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 |
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Trendelenberg Sign
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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 |
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FAIR Test
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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 |
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Leg Length
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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 |
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Functional Limb Length
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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 |
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Craigs Test
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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 |
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Ortolani's Sign
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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 |
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Barlow's Sign
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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 |
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Passive Supine SLR
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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 |
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Crossed Leg SLR
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Same as supine SLR except with unaffected extremity
+: causes symptoms in involved extremity |
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Seated SLR (slump test)
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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 |
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Bowstring Test
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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 |