All Flashcards
Babinski Weils
Walk forward and backward
Same side lean both times = Cerebellar lesion
Different side leans = CN VIII lesion
Clasp Knife
UMNL
Cog wheel/ Lead pipe rigidity
Basal Ganglia
Gordon’s (Hands)
Squeeze pisiform
Fingers go into extension
UMNL
Chaddock’s (Hands)
Squeeze Anterior wrist
Fingers go into extension
UMNL
Rossolimo’s (Hands)
Tap 3rd Metacarpal (4-8x)
Fingers go into flexion
UMNL
Tromner’s
Strike 4th and 5th metacarpal
Finger goes into flexion
UMNL
Hoffman’s
Strike dorsal aspect of 3rd digit
Makes OK sign
UMNL
Jordan’s (Feet)
Squeeze calf
Up-going Toe Sign (UTS)
UMNL
Chaddock’s (Feet)
Make C around the lateral malleolus
UTS
UMNL
Oppenheim’s
Stroke tibia distal-proximal
UTS
UMNL
Schaeffer’s
Squeeze Achillies
UTS
UMNL
Rossolimo’s (Feet)
Strike 3rd metatarsal
Toe flexion
UMNL
Abadie’s
Differentiate pressure at the Achillies tendon
Inability to detect
Dorsal Column Lesion
Biernacki’s
Differentiate pressure at the Triceps tendon
Inability to detect
Dorsal Column Lesion
Visual Fields
CNII
Superior, Inferior, Lateral and Medial fields
Direct/Indirect Light reflex
CNII and III
Mittlemeyer
Pt marches in place, then with eyes closed for 10sec
Pt will lean/rotate to side of CNVIII lesion
C5 MRS
M - Deltoids
R - Biceps tendon
S - Lateral arm ( 3 swipes)
C6 MRS
M - Wrist Extensors
R - Brachioradialis
S - Lateral forearm and 1st and 2nd digit
C7 MRS
M - Wrist Flexors
R - Triceps
S - 3rd digit
C8 MRS
M - Finger Flexors
R - 2ndary Brachioradialis
S - Medial forearm and 4th and 5th digits
T1 MRS
M - Finger AB/AD-ductors
R - None
S - Medial arm
Axillary MRS
M - Deltoid and Teres Minor
R - None
S - Upper Arm
Musculocutaneous MRS
M - Biceps and Coracobrachialis
R - Biceps tendon
S - Lateral forearm
Radial MRS
M - Finger extensors, Flexor Carpi Radialis, brachioradialis and triceps
R - Triceps tendon
S - Dorsal Web of hand
Median MRS
M - FCB, FDP (2nd and 3rd digits), Flexor carpi radialis
R - None
S - Lateral 2nd digit
Ulnar MRS
M - Adductor polices, FDP (4th and 5th digits), Flexor carpi ulnarisand interossei
R - None
S - Medial 5th digit
Bakody Maneuver
Hand on Pt. head
Relief of cervical or UE pain
Cervical Distraction
Distract Pts. Head
Relief = nerve root issue (osteophytes) Pain = Capsular inflammation
Shoulder depression
Push shoulder down with Pt leaning head away
Increase pain = radicular/nerve root
O’donaghue’s
Patient goes Via ROM and then with resistance applied
Pain without resistance = ligamentous, capsular or articular injury
Pain with resistance = muscle, musclotendinous injury
Libman’s
Apply mastoid pressure
pain = Low threshold/Emotional compnent
Triad of dejerine
Increase in Sx with sneezing, coughing, and pooping
S.O.L –> Disc herniation
Valsalva’s
Pt blows on thumb
S.O.L –> Disc herniation
Milgram’s Test
Pt is supine.
Feet elevated off table (3-6 inches) for 15 seconds
S.O.L –> Disc herniation
Weak musculature
Allen’s test
Pump hand above head, close the radial and ulnar arteries
Both have delayed flushing = atherosclerosis, TOS, stenosis
One vessel = fibrosis, local callus formation
Adson’s/ Reverse adsons
Patient looks up and towards the side tested
Decrease pulse patency
Entrapment of subclavian artery/brachial plexus in scalene triangle, cervical rib
Edens / Solder’s position
Shoulders are brought back and down and hold breath ||| Soldier’s (passive)
Decrease pulse patency
Entrapment of subclavian artery/brachial plexus in scalene triangle
ROOS
Arms at 90 and shoulder at 90
Traction pec minor
Pain, pallor, cramping, UE pain –> TOS
Hostage position
Radial pulse at side, the arm at 90 and shoulder at 90
Traction pec minor
Pain, pallor, cramping, UE pain –> TOS
Wright’s test
Radial pulse at side, the arm raised until pulse diminishes
Mid-axillary line and atleast 120
Traction pec minor
Pain, pallor, cramping, UE pain –> TOS
Alleys scratch test
ROM
General screen
Yergason’s test
Elbow at 90, hand supinated, palpate bicipital groove. Extend and pronate arm at various degrees of Ext/Int rotation
Stress bicipital tendon
+ : slip, pain, crepitus
Meaning instability or tenosynovitis
Speeds test
Shoulder at 90, in thumb up, doctor Extends and pronate arm
Stress bicipital tendon
+ : slip, pain, crepitus
Meaning instability or tenosynovitis
Abbot-Saunter’s test
Palpate transverse ligament of bicipital tendon and passively abduct to 120-180 and then supinate arm down
+ : tendon pain, slippage, click
Meaning instability to transverse humeral ligament, tenosynovitis or tendonitis
Impingement sign
Abduct 10 degrees, and into shoulder flexion, while depressing the AC joint
Increase shoulder pain between 30-90, Meaning supraspinatus tendon impingement
Supraspinatus press test
Ab 90, 30 anterior, 10 inferior
Thumb up first and then down
Pain/weakness of supraspinatus
meaning strain
Corman’s drop arm
Ab 90, the drop
Loads RTC mm
+: inability to maintain ab, pain, hunching
Meaning RTC tear (SS)
Apprehension
90 shoulder Ab with elbow flexion 90. Externally rotate shoulder
Apprehension, pain, withdrawal
GHJ dislocation tendency
Dawburn’s Pushbutton Test
Push the subacromial bursa to induce pain, hold position, Ab to 90 and repeat
Pain dissipates with the Ab, its positive meaning subacromial bursitis
Cozens
Wrist extension with flexed elbow
Lateral epicondylitis
Mills
fist flexed, pronated, extended arm
Lateral epicondylitis
Golfer’s Elbow Test
Extended elbow, extended wrist
Medial epicondylitis
English Test/Sphyg/Tourniquet test
15-30 sec pressure at anterior wrist
Median nerve paresthesia
Finkelstein’s test
thumb in fist and Adduct at wrist
pain at radial styloid
Stenosing tenosynovitis
Front’s Paper Test
Hold paper with thumb
Ulnar neuropathy
L1 MRS
M- Iliopsoas
R - None
S - thigh
L2 MRS
M- Iliopsoas
R - 2ndary - Patellar
S - thigh
L3 MRS
M- Adductors
R - 2ndary - Patellar
S - thigh
L4 MRS
M - Tib Anterior, Quads
R - Patellar
S - Down to the floor
L5 MRS
M - Extensor Hal, Extensor Digitorum, Abductors
R - Medial Hams
S - Off to the side
S1 MRS
M - peroneus L/B, Gastroc/Soleus, Glut Max
R - Achillies tendon
S - Lateral foot
Femoral MRS
M - Sartorius, Quads, Illiopsoas
R - Patellar
S - thigh
Obturator MRS
M- Abductors
R - None
S- Vastus Medialis
Superficial Peroneal MRS
M - Peroneus L/B
R - None
S - Lateral lower leg
Deep Peroneal MRS
M - Ext Hal, Digitorum, tib anterior
R - None
S - Dorsum between 1st and 2nd
Tibial MRS
M - Tib Post, Gastroc/soleus
R - Achillies Tendon
S - Heel of the foot
Superficial Gluteal MRS
M - TFL, Hip abductors, glut med
Inferior Gluteal MRS
M - Glut max
Bowstring sign
SLR to postive, maintain angle and flex knee, compress hamstring, popliteal fossa to create sciatic like pain
Piriformis stretch test
Stabilize contra SI
Bonnet’s test
SLR, and then turn foot into EXT/INT rotation
Goldthwaite test
Pt supine, SLR while palpating the LS junction
F/U with Smith-Peterson
Smith-Peterson
PT is supine, WLR noting the height
Double leg raise
Raise both legs, LS involvement will have lower leg elevation
Bechterews test
Seat, SLR, WLR, Both legs–> Tripod position
Adams test
Look for scoliosis, Pt flexes at hip and notes any changes
Belt Test
Doctor anchors Pts ASIS with hip flexion. Decrease in pain is positive.. Meaning SI Dysfunction
Nerds sign (bowing sign)
Pt flexes at hip and has to bend one of their knees (affected side)
Advancement test
Pt advances the affected leg and hip flexes to elicit pain
Nachlas
Pt is prone, hit ankle to butt.. Area of pain indicated injury
Ely’s sign
Hip hunching during Nachlas test… tight Rec fem and TFL
Ely’s to buttock test
Nachlas, but to other butt. Pain indicates area of issue
Gaenslens
Supine bring hip to chest
Lewins-gaenslens
Pt is on side same move as gaenslens
Hibbs
Piriformis stretch test without stabilization…
Hip or SI joint dysfxn
Magnusons
Malingering test.. Its complaint changes over the course of Tx
Thomas test
Similar to Gaenslens, but checks for tight ITB or Rec Fem
Lachman’s Test
Pt supine, knee at 30 , perform anterior drawer test to check ACL
Alpleys Compression
Pt prone, knee 90, Compress at neutral, INT/EXT rotation for pain or clicking
EXT- Damage to posterior medial horn
INT - Damage to posterior lateral horn
Grinding test
Pt prone, knee 90, Compress at neutral, INT/EXT rotation for pain or clicking
EXT- Damage to posterior medial horn
INT - Damage to posterior lateral horn
McMurray’s test
Pt is supine, doc flexes hip and knee and the adds a virus/valgus force. for pain or clicking
EXT- Damage to posterior medial horn
INT - Damage to posterior lateral horn
Patellar scrape test
Light pressure on patella looking for grinding or deep pain
Chrondromalacia patella or retropatellar arthritis
Clarke’s sign
Light pressure on patella looking for grinding or deep pain
Chrondromalacia patella or retropatellar arthritis
Grinding test
Light pressure on patella looking for grinding or deep pain
Chrondromalacia patella or retropatellar arthritis
Fouchet’s sign
Apply compression or transverse friction to patella to elicit pain
Chrondromalacia patella or retropatellar arthritis
Dreyers sign
Supine, compress quads, ability to hip flex indicates patellar Fx
Buerger’s test
ROOS for the feet
Simmonds
Pt prone, squeeze belly of gastroc/soleus
Absence of PF = achilleas tendon rupture
Thompson’s
Pt prone, squeeze belly of gastroc/soleus
Absence of PF = achilleas tendon rupture
Achille’s Integrity test
Pt prone, squeeze belly of gastroc/soleus
Absence of PF = achilleas tendon rupture
Duchennes
Press foot into DF, PT tries to PF, Lateral side stays in DF
Paralysis/paresis of peroneus L/B
Soto-Hall
Pt supine, stabilize at sternum and flex pt neck
Pain at CT region = Fx, herniation, sprain/strain
Brudzinski’s sign
Pt supine flex head without stabilization
Knee flexion and Lumbar extension = Meningitis
Kernig’s test
Flex hip and then extend knee.
Pain at the CT region or Flexion and extension of the head
Meningitis
L’Hermitte’s sign
shock like dysphasia down spine/extremity during sotohall, brudzinski
indicates cord compression or demylination
Shepelmann’s sign
Leaning into pain = intercostal neuritis
Leaning away from pain pleural inflammation
Beevor’s test
Umbilical migration for T-spine MRS
