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20 Cards in this Set

  • Front
  • Back

1. Foraminal compression (cervical spine)


position

subject seated


test hands on top of head




downward pressure applied to head in lateral flexion




done on both sides

1. Foraminal compression (cervical spine) positive

pain in upper extremity toward side of that head is flexed laterally




indicates pressure on a nerve root, can be correlated by dermatomal distrobution of pain

2. Foraminal distraction


(cervical spine)



position

With the subject seated, the examiner places one hand under the subject's chin and the other hand around the occiput (Figure CS2-3).


.ActionThe examiner slowly distracts the subject's head from the trunk while the subject remains in a relaxed position.

2. Foraminal distraction (cervical spine)


positive

when existing complaints of pain decrease or disappear during distraction



indicating nerve root compression

3. Slump sit test (lumbar spine)


position

The subject sits on the end ofthe table and leans forward while the examiner holds the head and chin upright




action



examiner flexes subject neck and assesses for any symptom changes


(if no change)


passive knee extension


(if no symptomatic change)


passive dorsiflexion of foot



returned to normal position


repeat on other leg

3. Slump sit test (lumbar spine)


positive

complaint of sciatic pain or any reproduction of symptoms

4. O’Brien (shoulder)


position

subject sit or stands


test shoulder at 90° of flex


30-45° of HADD


max internal rotation


examiner stands with one hand grasping the subject's test wrist medially




action


The subject horizontally adducts and flexes the test shoulder against the examiner's manual resistance.


The test is then repeated with the subject's arm in an externally rotated position

4. O’Brien (shoulder)


positive

Pain and/or popping that is present in the internally rotated position but absent in the


externally rotated position is indicative of a SLAP lesion.


(superior labrum anterior and posterior)

5. Cozen’s (elbow)


position

subject sits


the examiner stabilizes the involved elbow while palpating along the lateral epicondyle



action



With a closed fist, the subject pronates and radially deviates the forearm and extends the wrist against the examiner's resistance

5. Cozen’s (elbow)


positive

A report of pain along the lateral epicondyle region of the humerus or objective muscle weakness as a result of complaints of discomfort may indicate lateral epicondylitis.


6. Finkelstein (wrist)


position

The subject sits or stands and forms a fist around the thumb. The examiner stands with the proximal hand grasping the subject's forearm and the distal hand grasping the subject's fist.



action


While stabilizing the subject's forearm with the proximal hand, ulnarly deviate the subject's wrist with the distal hand

6. Finkelstein (wrist)



positive

Pain over the abductor pollicis longus and extensor pollicis brevis tendons distally is indicative of tenosynovitis in these tendons (de Quervain's disease).



(painful condition affecting the tendons on the thumb side of your wrist)

7. FABER (hip)


position

The subject lies supine on the table.



Action


The subject flexes, abducts, and externally rotates the involved leg until the foot rests on the top of the knee of the noninvolved lower extremity.



The examiner then slowly abducts the involved lower extremity, bringing the knee closer toward the table.

7. FABER (hip)

A positive finding is revealed when the involved lower extremity does not abduct below the level of the noninvolved lower extremity.



This may be indicative of iliopsoas, sacroiliac, or even hip joint abnormalities.

8. Lachman’s (knee)


position

The subject lies supine with the test knee flexed to 20 to 30 degrees.



The examiner stands with the proximal hand on the subject's distal thigh (laterally) immediately proximal to the patella and the distal hand on the subject's proximal tibia (medially) immediately distal to the tibial tubercle



action


apply an anterior force to the tibia with distal hand


stabilize femur with proximal hand


8. Lachman’s (knee)


positive

Excessive anterior translation of the tibia compared to the uninvolved knee with a diminished or absent endpoint is indicative of a partial or complete tear of the anterior cruciate ligament (ACL).

9. Anterior Drawer (ankle)


position

The subject is seated at the end of a table with the knee flexed and the involved foot relaxed in slight plantar flexion.


The examiner stabilizes the tibia and fibula with one hand and grasps the calcaneus with the other



action



While ensuring stabilization of the distal tibia and fibula, the examiner applies an anterior force to the calcaneus and talus.

9. Anterior Drawer (ankle)


positive

Anterior translation of the talus away from the ankle mortise that is greater on the involved side, opposed to the noninvolved side, indicates a positive sign for a possible


anterior talofibular ligament sprain.

10. Homan’s Sign


position

The subject lies supine on a table.



Action



With the knee of the involved side fully extended, the examiner passively dorsiflexes the subject's foot

10. Homan’s Sign


positive

A production of pain in the calf that is brought on by the passive stretch of the foot into a dorsiflexed position is a positive sign for thrombophlebitis.