Assessment Tests

Question 1

Trendelenburg Test: type and how

Answer 1

PELVIC STABILITY, Active WB or Gait

Standing on one leg, lift one leg back

Question 2

Craig’s Test: type and how

Answer 2

FEMORAL ANTEVERSION, Passive NWB
Lying prone, knee 90°, palpate greater trochanter, move leg through medial (ankle out) and lateral (ankle in) hip rotation

Question 3

Ober’s Test: type and how

Answer 3

TENSOR FASCIAE LATAE / IT band CONTRACTURE, Passive NWB

Lying on side, bottom leg slightly flexed, top leg passively extended, keep pelvis fixed, lower top leg to table

Question 4

Trendelenburg Test: results and meaning

Answer 4

Normal: the hip bone of the lifted leg is higher
Positive: the hip bone of the standing leg is higher
Meaning: the gluteus medius weakness in standing leg

Question 5

Craig’s Test: results and meaning

Answer 5

Normal: greater trochanter most prominent 8-15° medial rotation
Positive: greater trochanter most prominent after more than 15° medial rotation
Meaning: excessive INTERNAL ROTATION of the hip present; toes are probably adducted (pigeon toes)

Question 6

Ober’s Test: results and meaning

Answer 6

Normal: top foot rests on table with full relaxion
Positive: top leg remains floating off table with full relaxion
Meaning: IT band is tight; lateral knee pain may be present; hip OA or subluxation are possible contributors

Question 7

Babinski sign: type and how

Answer 7

NEUROLOGICAL PLANTAR REFLEX, passive NWB

lying supine; rub a sharp instrument from the heel to the ball of the foot

Question 8

Babinski sign: results and meaning

Answer 8

Normal: toes flex (point downwards)
Positive: great toe extends (points upwards) while remaining toes adduct
Meaning: damage to an upper motor neuron

Question 9

Semmes-Weinstein: type and how

Answer 9

SENSORY NERVE FUNCTION, varied

Position varies, place monofilament wire on skin, press until wire bends

Question 10

Semmes-Weinstein: results and meaning

Answer 10

Normal: patient reports feeling wire
Positive: patient reports not feeling wire
Meaning: damage to sensory nerves; peripheral sensory neuropathy

Question 11

Biothesiometer: type and how

Answer 11

SENSORY NERVE FUNCTION, varied

Position varies, place instrument against skin, instrument applies repetitive indentation of skin

Question 12

Biothesiometer: results and meaning

Answer 12

Normal: patients report feeling most amplitudes
Positive: patients report no sensation or weak sensation, even at strong amplitudes
Meaning: damage to sensory nerves; peripheral sensory neuropathy