all lower limb special tests Flashcards

1
Q

Stork test

A

PARS defect (spine)

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2
Q

description of stork

A

stand behind with your hands on clients shoulders
client stands on one leg
guide into lumbar extension
add forwards lumbar rotation towards standing leg
add side flexion

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3
Q

Positive stork test

A

unilateral pain

localised to particular section may indicate pars interarticularis stress fracture

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4
Q

Active SLR

A

Sacroiliac joint instability

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5
Q

Description of SLR

A

supine
actively raises bad leg keep knee straight
pain provoked if SIK instability
add iliac compression using both hands pressing inward
repeat leg raise

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6
Q

positive SLR

A

if symptoms reduced following compression = positive test

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7
Q

Fabers test

A

Sacroiliac joint instability

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8
Q

Description of Fabers

A
supine 
unaffected leg extended 
bad leg-hip and knee flexed 
hip abducted and internally rotated 
ankle rest below knee
further stress applied by downward pressure of the knee
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9
Q

positive fabers

A

SIJ symptoms reproduced

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10
Q

Thomas

A

Hip flexor highness

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11
Q

Description of Thomas test

A

sits on edge of bed
hold good knee to chest and roll back onto bed
place foot on my hip
keep lumbar spine flat to distinguish Iliopsoas and rec fem tightness
flex knee

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12
Q

Positive thomas

A

tightness in olio-psoas if leg slightly off bed

can’t flex knee =rec fem

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13
Q

Obers test

A

TFL and ITB tightness

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14
Q

Description of Obers

A

Client on side
downward pressure to llium
flex knee while cradling leg and holding knee
passively extend hip until ITB passes over greater trochanter
allow leg to adduct

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15
Q

Positive obers

A

hip remains abducted =TFL and ITB tightness

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16
Q

Trendelenburg

A

Glute medium weakness

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17
Q

Description of Trendelenburg

A

stand behind
client raises one leg
observe hip

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18
Q

positive Trendelenburg

A

hip on raised leg lower than supported =positive test

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19
Q

Thompson squeeze test

A

chillies tendon tear

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20
Q

description of thompson

A

prone with feet off bed
squeeze fleshy part of calf
should see plantar flexion

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21
Q

positive thompson

A

no movement of foot

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22
Q

Anterior drawer

A

ATFL tear

23
Q

description of Anterior drawer

A
supine
foot plantar flexed 20 
hold ankle in one hand 
stabilise leg with other
pull foot forwards
24
Q

positive anterior drawer

A

pain, excessive movement =tear

25
Q

talar tilt inversion

A

Calcano-fibular + ATFL

26
Q

description of taller tilt inversion

A

supine
feet and ankles off bed
hold above ankle
hold heel and talus and pull inwards

27
Q

positive talar tilt inversion

A

gapping or no end feel

28
Q

talar tila eversion

A

deltoid ligament

29
Q

description of taller tilt eversion

A

supine
feet and ankles off bed
hold above ankle
hold heel and talus and push outwards

30
Q

positive talar tilt eversion

A

gapping / no end feel

31
Q

tibia-fibular syndesmosis

A

high ankle sprain

32
Q

description of tibia-fibular syndesmosis

A

stand on bad leg
hold malleoli between finger and thumb
client lunges
can be repeated squeezing just above the ankle acting as interosseous membrane

33
Q

positive tibia-fibular syndesmosis

A

pain
palpable widening
increased ROM, and decrease pain when squeezing above the ankle

34
Q

anterior drawer

A

ACL

35
Q

Description of Anterior drawer

A
suing
bend knee 80
sit on foot
cup behind knee
pull forward
36
Q

postive anterior drawer

A

soft / no end point = rupture of ACL

37
Q

Posterior drawer

A

PCL

38
Q

description of posterior drawer

A

supine
bend knee 80
sit on foot
aply backward pressure

39
Q

positive posterior drawer

A

soft / no end point = rupture of PCL

40
Q

Lachmans

A

ACL

41
Q

description of lachmans

A
supine 
knee under clients 
one hand above patella 
thumb and finger palpating joint lines
rip leg under knee and pull forward
42
Q

posterior sag

A

PCL

43
Q

description of posterior sag

A

supine
hip and knee flexed to 90
support ankles with arm
knees viewed from side

44
Q

positive posterior sag

A

posterior displacement of tibial tuberosity on affected leg

45
Q

McMurrays

A

meniscus

46
Q

description of McMurrays

A

(twisty leg)
medial - supine, grip heel with sole of foot on palm
flex hip and knee with slight varus stress
slowly extend knee while externally rotating

lateral
flex knee with values stress
extend knee and medley rotate

47
Q

Thessalys

A

meniscus

48
Q

description of theslys

A

face client
stand on affected leg
slight bend in knee
rotate medley and laterally across body

49
Q

Valgus stress

A

MCL

50
Q

description of Valgus stress

A
supine 
legs supported by knee
cradles leg between hip and arm 
palpate medial joint line
stress medial aspect of knee
51
Q

positive valgus stress

A

absence of end feel

52
Q

Varus stress test

A

LCL

53
Q

description of Varus stress

A
supine 
legs supported by knee
cradles leg between hip and arm 
palpate lateral joint line
stress later  aspect of knee
54
Q

positive varus test

A

no end feel