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173 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Vertebral artery insufficiency test / quadrant test |
Tests: vertebral artery integrity + Sign: vertigo, slurred speech, tinnitus, nausea, vomiting, visual disturbance |
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Lateral flexion alar ligament stress test |
Tests: rupture of the alar ligament + Sign: excessive movement or pain |
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Atlanto-occipital articulation PR ROM |
Tests: assess movement at a/o articulation +Sign: subtle leathery end feel |
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Atlanto-axial articulation PR ROM |
Tests: assess movement at a/a articulation +Sign: subtle leathery end feel |
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Valsavas test |
Tests: intrathecal pressure increase due to possible disk protrusion, tumor or osteophytes +Sign: reproduction or increase of spinal pain or radiation into limbs |
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Spurlings test / cervical quadrants |
Tests: cervical nerve root or facet joint irritation in lower cervical spine +Sign: radiating pain or other neuro signs |
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Jackson's compression test |
Tests: 1) intervertebral foramen compromise. 2) facet joint irritation 3)capsular/ligament lesions +Sign: 1) sharp/shooting/radiating 2) full/achy/general 3) symptoms decrease |
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Maximal cervical compression test |
Tests: 1) intervertebral foramen compromise. 2) facet joint irritation 3)capsular/ligament lesions +Sign: 1) sharp/shooting/radiating 2) full/achy/general 3) symptoms decrease |
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Distraction test |
Tests: 1) intervertebral foramen compromise. 2) facet joint irritation 3)capsular/ligament lesions +Sign: 1) sharp/shooting/radiating 2) full/achy/general 3) symptoms increase |
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First rib mobility test |
Tests: assess mobility of the first rib +Sign: limited flexion = hypomobility |
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Shoulder depression test |
Tests: brachial plexus lesion, rediculopayhies, hypomobile joint capsule +Sign: pain increases Neurological pain= brachial Dull/deep/achy = joint |
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Shoulder abduction test / bakodys sign |
Tests: radicular symptoms especially C4 and C5 nerve roots +Sign: pain decreases or relief of symptoms
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Swallowing test |
Tests: assess if pain on swallowing is due to referred pain from a SCM TP + Sign: if pain diminishes while the client swallows |
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Scalene cramp test |
Tests: 1)TP in scalenes 2) plexopathy or TOS +Sign: 1) increase in pain (local) 2) radicular signs |
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Scalene relief test |
Tests: TP in anterior scalene +Sign: reduction of pain is positive for anterior scalene TP |
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Anterior neck flexors strength test AR |
Tests: assessing strength of SCM,anterior scalenes, suprahyoids, infrahyoids, Longus capitis, Longus coli, rectus capitis +Sign: unable to maintain position |
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Anterior lateral neck flexors AR |
Tests: assess strength of SCM and scalenes +Sign: unable to maintain position |
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Posterolateral neck flexors strength test AR |
Tests: assess the strength of solenoid capitus, solenoid cervicis, semispinalis and cervical erectors +Sign: unable to hold position |
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Obiculatis oculi strength test AR |
Tests: to confirm Bell's palsy Method: seated or supine, instruct client to keep eyes closed, gently try to open eyes + Sign: unable to resist your action |
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Sinus transillumination test |
Tests: infection of the frontal and maxillary sinuses +Sign: does not transilluminate (glow red) |
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Hautants test |
Tests: differentiate articular versus vascular dizziness / vertigo
+ Sign: A) arms move/waver = non vascular B) arms move/waver = vascular impingement to the brain |
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Jaw reflex |
Tests: integrity of trigeminal nerve CN 5 + Sign: mouth does not close |
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TMJ, AF ROM |
Tests: assess TMJ motion + Sign: clicking, crepitus, asymmetry of motion or pain |
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Chvostek test |
Tests: integrity of the facial nerve CN 7 + Sign: twitching of the facial muacle during tapping (burning pain) |
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Functional opening / 3 knuckle test |
Tests: functional opening / TMJ hypomobility + Sign: can't fit 3 knuckles |
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C curve |
Tests: hypomobility of TMJ +Sign: deviation to one side |
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S curve |
Tests: muscle imbalance Method: cl opens Louth slowly +Sign: deviation to one side then the other |
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Slump test |
Tests: dural restrictions +Sign: reproduction of symptims, symptoms will progressively increase with each stage |
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First thoracic nerve root stretch |
Tests: T1 nerve root +Sign: 1) no pain 2) pain in scapular region or into the arm |
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Passive scapular approximation |
Tests: T1 or T2 nerve root Method: cl is prone, therapist lifts shoulders up and back +Sign: pain in the scapular region |
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Vocal fremitus test (99) |
Tests: assesses for areas of bronchial congestion due to emphysema or chronic bronchitis +Sign: decrease in vibrations over lungs is a positive test for congestion due to infected mucus, serum or lymph |
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Mediate percussion test |
Tests: assess lung density, mucus congestion + Sign: hearing a duller sound over areas of congestion and more resonant over hyper-inflated lungs |
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Functional or structural scoliosis test |
Tests: functional vs structural scoliosis + Sign: lateral bending is positive for functional scoliosis if the curve corrects or reverses as the client bends towards the convex side, if the curve does not correct the test is positive for structural scoliosis |
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Forward bending test |
Tests: functional vs. Structural scoliosis+ Sign: if curve or rib humping corrects = functional scoliosis |
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Scoliosis small hemipelvis test |
Tests: small hemipelvis that may contribute to a functional scoliosis +Sign: if curved neutralizes the test is positive for functional scoliosis due to small hemipelvis |
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Scoliosis short leg test |
Tests: short leg causing a functional scoliosis +Sign: if the curve corrects |
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Motion palpation of the spine |
Tests: assess the ROM of the spine +Sign: if segments move as one unit = hypomobile If segment moves more than those above or below = hypermobile |
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Static palpation of the spine |
Tests: asses for rotation, extension or flexion of the vertebrae +Sign: if the spinus processes are not symmetrical |
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Anterior spinus challenge |
Tests: determine the location of minor vertebral derangement +Sign: mild local pain, hypo or hyper mobility |
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Lateral spinous challenge |
Tests: determine the location of a minor intervertebral derangement +Sign: mild or local pain, hyper or hypo mobility |
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Rib motion test |
Tests: asses motion of the ribs +Sign: asymmetry on inhalation of rib that stops moving relative to the other ribs is a depressed rib, on exhalation a rib that does not move relative to the other is described as an elevated rib |
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Rib palpation test |
Tests: assess the position of individual ribs +Sign: Prone: a rib that is subluxed or fixed in a posterior direction has more prominent rib angle contour then the other ribs anterior subluxation has less contour (hypomobility) Supine: backwards. so posterior subluxation less pronounce anterior subluxation is more pronounced |
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Levatores costarum fixation |
Tests: assess length of individual levatores costarum muscles +Sign: leathery end feel and tenderness |
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Kernigs test |
Tests: stretch Dural tube and spinal cord to reproduce pain caused by nerve root involvement, meningeal irritation or Dural restrictions +Sign: pain along spine (sometimes with referral into limb) pain is experienced at the level of the lesion |
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Rebound tenderness test |
Tests: assess for possibility of appendicitis
+Sign: severe pain when the pressure is released |
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Straight leg raise |
Tests: A) neurological test for lower limb: disc herniation, dural restriction, nerve root pathology B) non neurological pain: Lumbar facets, sij pain, hamstrings +Sign: 1) A) neurological symptoms in the back of the leg = sciatic nerve distribution between 35-70° of hip flexion 2-3) A) neurological symptoms as above B) no neurological pain pre 70° = possible hamstring 70°+ joint pain = lumbar facet or sij |
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Nachlas test |
Tests: 1) femoral nerve 2) L2 -L4 nerve roots +Sign: 1) neurological pain radiates down the anterior thigh 2) unilateral neurological pain in the lumbar area, buttocks and or posterior thigh |
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Kemps / quadrants (over pressure) test |
Tests: 1) intervertebral foramen compromise 2) facet joint irritation +Sign: 1) sharp, shooting, radiating pain 2) dull, achy, general pain |
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Slump test #1 |
Tests: spinal cord, cervical and lumbar nerve roots, sciatic nerve +Sign: reproduction of symptoms |
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Slump test #2 |
Tests: obturator nerve +Sign: reproduction of symptoms |
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Slump test #3 (sidelying) |
Tests: femoral nerve +Sign: reproduction of symptoms |
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Slump test #4 (sitting) |
Tests: spinal cord, cervical and lumbar nerve roots, sciatic nerve +Sign: reproduction of symptoms |
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Straight leg raise #1 |
Tests: sciatic nerve and tibial nerve + Sign: reproduction of symptoms, back pain, neurological pain in the area of the nerve |
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Straight leg raise #2 |
Tests: tibial nerve +Sign: reproduction of symptoms, back pain, neurological pain in the area of the nerve |
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Straight leg raise #3 |
Tests: sural nerve +Sign: reproduction of symptoms, back pain, neurological pain in the area of the nerve |
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Straight leg raise #4 |
Tests: common peroneal / common fibular nerve +Sign: reproduction of symptoms, back pain, neurological pain in the area of the nerve |
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Straight leg raise #5 |
Tests: nerve root / disc prolapse +Sign: reproduction of symptoms, back pain, neurological pain in the area of the nerve |
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Prone knee bending #1 |
Tests: 1) femoral nerve 2) L2-L4 nerve roots +Sign: reproduction of symptoms 1) neurological pain radiates down the anterior thigh 2) unilateral neurological pain in the lumbar area, buttocks or posterior thigh |
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Prone knee bending #2 |
Tests: lateral femoral cutaneous nerve +Sign: reproduction of symptoms 1) neurological pain radiates down the anterior thigh2) unilateral neurological pain in the lumbar area, buttocks or posterior thigh |
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Prone knee bending #3 |
Tests: saphenous nerve +Sign: reproduction of symptoms 1) neurological pain radiates down the anterior thigh2) unilateral neurological pain in the lumbar area, buttocks or posterior thigh |
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Femoral nerve traction |
Tests: femoral nerve +Sign: reproduction of symptoms, neurological pain radiates down the anterior thigh |
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Supine to sit tests |
Tests: functional leg length discrepancy +Sign: Affected limb appears longer when supine but shorter when sitting = anterior innominate rotation Affected limb appear short when supine and longer when sitting = posterior innominate rotation |
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Gillet tests / SIJ motion |
Tests: fixation of SIJ +Sign: minimal or superior movement of the PSIS |
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Standing fixation test |
Tests: fixation of SIJ +Sign: A) PSIS move unequally B) sacral base moves Unequally |
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Seated flexion test |
Tests: SIJ fixation +Sign: A) PSIS moves Unequally B) sacral base moves Unequally |
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Passive extension and medial rotation of ilium on sacrum |
Tests: fixation of SIJ +Sign: if affected side moves less its indicated hypomobility and posterior rotated ilium or outflare |
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Passive flexion and lateral rotation of ilium on sacrum |
Tests: fixation of SIJ +Sign: if affected side moves less its indicated hypomobility and anterior rotated ilium or inflare If both passive flexion and extension tests are positive the ilium has up slipped on the sacrum |
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Gaenslins test / passive hip extension |
Tests: SIJ lesion, hip pathology, L4 never root lesion +Sign: pain in the SIJ |
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SIJ gapping test / transverse anterior stress test |
Tests: anterior SI ligament sprain +Sign: pain is reproduced localized to the SI joint, unilateral glute pain or posterior leg pain |
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SI joint squish/ transverse posterior stress test |
Tests: posterior SI ligament sprain +Sign: pain local to SI joint |
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Yeomans test |
Tests: anterior SI ligaments +Sign: pain in the area of the SIJ |
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Prone gapping test |
Tests: posterior SI ligament sprain +Sign: pain at SI joint on full medial rotation and or differences in the degrees of SI joint opening or quality in the movement |
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Sacroiliac rocking test |
Tests: sacrotuberous ligament irritation +Sign: pain in the SIJ |
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Hip quadrant / scouring test |
Tests: joint capsule tightness or other pathology at the hip +Sign: leathery end feel, bumpiness, crepitus, pain or apprehension |
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Superonferior symphysis pubis stress test |
Tests: pubic symphysis +Sign: pain at the pubic symphysis |
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Trendelenburgs |
Tests: gluteus medius weakness or unstable hip during unilateral weight-bearing +Sign: pelvis drops inferiorly in the unsupported side (tests glut med on weight bearing side) |
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True leg length discrepancy |
Tests: leg length +Sign: difference between limbs greater then 1-1.5cm 1) ASIS to greater trochanter 2) greater trochanter to lateral joint line of the knee (femur length) 3) medial joint line of the knee to the medial malleolus |
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Patrick's test / Faber's test |
Tests: 1) hip pathology, iliopsoas spasm or SIJ 2) assess SIJ +Sign: 1) knee remains above the opposite straight leg 2) pain local to SI joint |
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Craig's test |
Tests: femoral anteversion or forward torsion of the femoral neck +Sign: anteversion of greater then the normal 8-15° |
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Thomas test |
Tests: hip flexor contracture +Sign: contralateral knee lift 1) if straight leg abducts = IT band 2) knee extends = Rec fem shortness or contracture |
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Kendall's |
Tests: rectus femoris contracture +Sign: movement of contralateral knee into extension |
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Ely's test |
Tests: rectus femoris contracture +Sign: ipsilateral knee flexes during hip flexion |
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Piriformis test |
Tests: piriformis contracture or piriformis syndrome +Sign: 1) painful piriformis = tight piriformis 2) piriformis syndrome = sciatic nerve pain (pain in the buttocks sciatica pain down the back of the leg to the big toe) |
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Pace abduction test |
Tests: strength of piriformis muscle
+Sign: weakness is positive for decreased strength, pain indicated piriformis trigger points |
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Obers test |
Tests: TFL and IT band contracture +Sign: test leg remains above the edge of the table = short TFL |
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Modified Ober test |
Tests: TFL and IT band contracture +Sign: test leg remains above the edge of the table = short ITB |
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Nobles compression |
Tests: ITB friction syndrome +Sign: pain over the area of the lateral femoral condyle at 30 degrees of knee flexion client confirms is the same pain they get from activity |
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90 90 straight leg raise |
Tests: hamstring contracture +Sign: straight leg not within 20 degrees of full knee extension |
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True tibia and femur length test |
Tests: tibia and femur length +Sign: shorter tibia or femur observed |
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Valgus stress test (knee) |
Tests: medial stability of the joint +Sign: excessive medial gapping or pain |
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Varus stress test (knee) |
Tests: lateral stability of the joint +Sign: excessive laterally gapping or pain |
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Halfets |
Tests: asses dynamic rotary function of the tibia +Sign: the absence of the slight lateral tibial motion = torn meniscus or injured cruciate ligament |
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Modified halfets |
Tests: 1) meniscus 2) cruciate ligaments 3) weak quads +Sign: the second mark on the tibial tuberosity is not in line with the lateral edge of the patella |
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Bragards sign |
Tests: meniscal tearing +Sign: 1) pain or tenderness along the medial joint line = medial meniscus 2) lateral meniscus pain with internal rotation and knee extension |
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McMurray test |
Tests: meniscus +Sign: clicking or snapping in the joint often with pain Opposite side Medial rotate = lateral meniscus Lateral rotate = medial meniscus |
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Apleys test |
Tests: meniscus or ligament +Sign: A) distraction test - pain on distract and rotate = ligaments injury B) compression test - decreased pain or rotation same side lateral rotation = lateral meniscus Medial rotation = medial meniscus |
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Posterior sag sign / gravity drawer test |
Tests: one plane posterior instability 1) PCL 2) arcuate popliteus complex 3) posterior oblique ligament 4) ACL +Sign: tibia lies more posterior to the femur than normal |
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Lachmans test |
Tests: anterior cruciate ligament especially posterolateral band +Sign: lack of firm end feel, a mushy or soft end feel or excessive motion when compared to the other leg |
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Drawer sign |
Tests: 1 plane anterior and one plane posterior instabilities the following may be injured A) Extension anterior plane 1) ACL 2) posterolateral cap 3) posteromedial cap 4) MCL 5) ITB 6) posterior oblique ligament 7) arcuate popliteus complex B) Flexion posterior plane 1) PCL 2) arcuate popliteus complex 3) posterior oblique ligament 4) ACL +Sign: A) excessive equal anterior movement of both tibial condyles on the femoral condyle usually with pain B) excessive equal posterior movement of tibial condyles on the femoral condyles usually with pain |
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Slocum |
Tests: anterior lateral and anterior medial rotary instabilities the following may be injured: A) anterolateral 1) ACL 2) posterolateral capsule 3) arcuate popliteus complex 4) LCL 5) ITB B) anteromedial 1) MCL 2)POL 3) Posteromedial capsule 4) ACL +Sign: excessive movement as compared to the unaffected side occurs primarily on the opposite side A) lateral side of the knee B) medial side of the knee |
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Hughstons Posteromedial and posterolateral instability tests |
Tests: Posteromedial and posterolateral rotary instabilities +Sign: excessive movement or rotation on the A) same side - medial side = Posteromedial rotary instability B) same side - lateral side = posterolateral rotary instability |
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Lateral pivot shift test |
Tests: anterolateral rotary instability +Sign: client says that the "jog" backwards of the knee is what the "giving way" sensation feels like |
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Ballot table patella or major effusion test |
Tests: assess for major increase in the synovial fluid within the knee +Sign: patella clicks into the femur than rebounds to the floating position that test is positive for major swelling |
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Brush/ stroke/ bulge/ wipe test |
Tests: minimal effusion +Sign: a bulge at the medial distal border of the patella at the bulge may take up to 2 seconds to appear |
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Pateller apprehension test |
Tests: whether patella is likely to dislocate laterally +Sign: look of apprehension |
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Clarks patellofemoral grind test |
Tests: patellofemoral syndrome +Sign: apprehension, pain or crepitus |
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McConnell's test |
Tests: patellofemoral pain is suspected +Sign: diminished pain when the patella is glided medially |
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Waldrons test |
Tests: patellofemoral syndrome Method: standing, palpate patella while client perform slow deep knee bends +Sign: pain, crepitus, poor patellar tracking |
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Coronary ligament stress test |
Tests: coronary ligamentous stress test +Sign: pain |
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Neutral position of the talus |
Tests: neutral position if the talus +Sign: the talus does not bulge out to either side than the talus is in its neutral position in weight-bearing |
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Anterior drawer (ankle) |
Tests: ankle ligamentous instability 1. Anterior talofibular 2. Calcaneofibular 3. Deltoid +Sign: Lateral movement = talofibular ligament and or calcaneofibular ligament Dimpling over the ATF ligament is also a positive result Medial movement = deltoid ligament Full anterior movement = both ligaments torn |
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Talat tilt |
Tests: ankle ligamentous instability 1. Calcaneofibular 2. anterior talofibular 3. deltoid ligament +Sign: excessive movement or pain Supination test calcaneofibular mainly to a degree ATF Pronation test the deltoid ligament |
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Kleiger test |
Tests: ankle ligamentous instability - deltoid ligament +Sign : pain on medially and laterally therapist may feel the talus displace from the medial malleolus |
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Feiss line |
Tests: pes planus / flat foot or mobile foot +Sign: if the navicular tuberosity drops below the line: If it drops one third of the way to the floor is a first-degree flat foot If it drops two-thirds of the way to the floor is a second-degree flat foot If it rest on the floor it's a third degree flat foot |
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Functional or structural pes planus test |
Tests: to determine pes planus is functional or structural +Sign: Functional = Arch is restored when the CL is standing on toes or seated Structural = Arch remains flat |
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Babinskis test |
Tests: CNS lesion +Sign: any extension of the big toe and a deduction of other toes is positive for CNS lesion |
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Anterior talofibular ligamentus stress test |
Tests: integrity of ATF ligament +Sign: pain or excessive movement |
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Calcaneofibular ligament stress test |
Tests: assess calcaneofibular ligament +Sign: pain some excessive movement |
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Calcanrociboid ligamentous stress test |
Tests: integrity of the calcabrociluboid ligament +Sign: pain and hypermobility |
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Deltoid ligament stress test |
Tests: assess deltoid ligament +Sign: pain and excessive movement |
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Thompson test |
Tests: Achilles tendon rupture +Sign: foot does not plantar flex |
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Homans sign |
Tests: deep vein thrombosis +Sign: sharp direct pain in the middle of the calf, tenderness on palpation, pallor and swelling in the leg, loss of dorsalis pedis pulse |
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Rameirezs test |
Tests: DVT +Sign: increase in pain or inability to tolerate cuff is positive for DVT |
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Buergers test |
Tests: arterial blood supply to the lower limb +Sign: Part1- what blanche's or prominent veins collapse Part2- if it takes 1 to 2 minutes for colour to return and beans to fill and become prominent the test is confirmed positive |
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Morton's test |
Tests: stress fracture or neuroma +Sign: pain |
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Apleys scratch |
Tests: overall shoulder function +Sign: difficulties assuming these positions |
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Speeds |
Tests: bicipital long head tendonitis +Sign: pain localized to the area of the bicipital groove, pain is greater in supination |
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Yergasens (hitchhiker) |
Tests: 1) transverse humeral ligament crossing the bicipital groove 2) bicipital long head tendonitis +Sign: 1) tendon May displace indicating a tear in the transverse humeral ligament 2) pain in the area of the bicipital groove |
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Drop arm |
Tests: rotator cuff strain +Sign: lowering the arm causes pain or the arm drops to the side |
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Supraspinatus (empty can) |
Tests: supraspinatus muscle or tendon tear, supracapular nerve neuropathy +Sign: pain or weakness during #2 |
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Painful arc |
Tests: impingement of supraspinatus or subacromial Bursa between acromial Arch and coracoacromial ligament +Sign: No pain = 0-60 Pain = 60-120 (gh) No pain = 130-170 Pain = 170-180 (AC) |
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Hawkins Kennedy (chicken wing) |
Tests: impingement of supraspinatus muscle or subacromial bursa +Sign: pain |
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Neer test |
Tests: impingement of supraspinatus and sometimes long head bicep tendonitis +Sign: scapular pain |
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Anterior apprehension / crank test |
Tests: anterior shoulder instability, subluxation or dislocation +Sign: apprehensive facial expression |
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Anterior drawer (shoulder) |
Tests: 1) anterior instability 2) labral tear or slippage over the glenoid rim +Sign: apprehension or movement accompanied by a "click" |
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Adhesive capsulitis abduction test (frozen shoulder) |
Tests: test for restricted motion at shoulder from fibrosing and adhesion of auxiliary fold +Sign: painful or leathery and feel anywhere before 90 degrees of abduction |
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Posterior drawer (Norwood stress test) |
Tests: posterior instability +Sign: apprehension, greater then 50% translation, test is usually pain free |
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Push pull test |
Tests: posterior instability +Sign: apprehension, greater than 50% translation, pain is felt |
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Ac shea |
Tests: acromioclavicular joint pathology +Sign: pain and or abnormal movement at the AC joint |
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Upper limb tension test #1 |
Tests: median nerve, anterior interosseous nerve, C5, C6, C7 nerve roots +Sign: reproduction of symptoms or a neurological pain |
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Upper limb tension test #2 |
Tests: median nerve, musculocutaneous nerve and auxiliary nerve +Sign: reproduction of symptoms or neurological pain |
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Upper limb tension test#3 |
Tests: radial nerve +Sign: reproduction of symptoms or neurological pain |
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Upper limb tension test#4 |
Tests: ulnar nerve, C8 and T1 nerve roots +Sign: reproduction of symptoms or neurological pain |
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Adson maneuver |
Tests: anterior and middle scalenes and first rib TOS +Sign: radial pulse disappears |
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Halstead |
Tests: scalenes TOS +Sign: radial pulse disappears |
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Costoclavicular |
Tests: First rib and clavicle TOS +Sign: radial pulse disappears |
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Eden's test |
Tests: fist rib and clavicle TOS +Sign: radial pulse disappears |
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Wright's |
Tests: PEC minor TOS +Sign: radial pulse decreases, clients symptoms reappear |
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Valgus stress test |
Tests: medial collateral ligament +Sign: pain, laxity or gapping seen or felt along the medial aspect of the elbow soft end feel |
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Varus stress test |
Tests: lateral collateral ligament +Sign: Pain, laxity or gapping seen or felt along the lateral aspect of the elbow soft end feel |
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Cozens |
Tests: lateral epicondylitis +Sign: pain in the region of the lateral epicondyle |
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Mills |
Tests: tendonitis of the common extensor tendon +Sign: pain local to common extensor tendon |
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Modsleys |
Tests: lateral epicondylitis +Sign: pain in the region of the lateral epicondyle |
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Reverse Mills test |
Tests: tendinosis of the common flexor tendon +Sign: Pain local to the common flexor tendon |
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Medial epicondylitis |
Tests: medial epicondylitis or golfer's elbow +Sign: pain in the region of the medial epicondyle |
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Tinel's sign |
Tests: ulnar neuroma or neuritis +Sign: tingling or paresthesias in the ulnar nerve distribution of the forearm and hand |
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Pronator teres syndrome |
Tests: Entrapment of the median nerve +Sign: tingling or paracesis in the median nerve distribution of the forearm and hand |
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Pinch grip test |
Tests: Pathology of the anterior interosseous nerve a branch of the median nerve +Sign: pulp to pulp pinch |
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Allen's test |
Tests: Ulnar and radial arteries +Sign: hand remains whitish absence or diminish return of blood flow to the hands |
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Finkelsteins test |
Tests: De quervain's tenosynovitis +Sign: pain laterally over the wrist that is greater than the unaffected hand |
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Murphy's sign |
Tests: dislocation of the lunate +Sign: third metacarpal phalangeal is depressed or at level with 2nd and 4th |
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Phalens test |
Tests: carpal tunnel syndrome +Sign: tingling in the palmar surface of the thumb, index, middle and lateral half of the ring finger |
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Reverse phalens |
Tests: carpal tunnel syndrome +Sign: Tingling in the palmar surface of the thumb, index, middle and lateral half of ring finger |
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Finger flexion test |
Tests: assess for presence of active trigger points in a scalene muscle group +Sign: if all four fingertips cannot touch the metacarpal phalangeal joints positive for active scalene trigger points |
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Tinel's test at the wrist |
Tests: carpal tunnel syndrome +Sign: tingling in the palmar surface of the thumb, index, middle and lateral half of ring finger |
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Fromets test |
Tests: paralysis of adductor pollicis +Sign: Distal phalanx of thumb flexes |
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Thumb grind test |
Tests: Degenerative joint disease in metacarpal phalangeal or carpal metacarpal +Sign: pain in the metacarpal phalangeal or carpal metacarpal joint |
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Wrist extension ligamentous stress test |
Tests: Sprain of the palmar wrist ligaments or strain +Sign: Pain and hypermobility at the joint |
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Wrist flexion ligamentous stress test |
Tests: Sprain of the dorsal wrist ligaments or strain of the wrist extensors +Sign: pain and hypermobility are positive for sprain of the dorsal radiocarpal ligament Pain local to extensor muscle or tendon is positive for strain |
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Radial ligamentous stress test |
Tests: Sprain of radial collateral ligament of the wrist +Sign: Pain or hypermobility at the lateral joint line |
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Ulnar ligamentous stress test |
Tests: Sprain of the ulnar collateral ligament of the wrist +Sign: Pain or hypermobility at the medial joint line |
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Degree of Dupuytrens contracture |
Tests: To record the flexion contractures found in a person's with Dupurtrens contracture +Sign: stage zero - no flexion deformity stage 1- total deformity from 0 to 45° stage 2- 45 to 90° stage 392 35° stage 4 -greater than 135 terminal phalanges becomes hyper-extended what other joints are flexed |
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Flexor teninosis |
Tests: assess for teninosis +Sign: pain at common flexor tendon or weakness |
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