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Savarese > Chapter 18 Special Tests > Flashcards

Chapter 18 Special Tests Flashcards

1
Q

Spurling’s test (compression test) procedure?

A

Pt seated, doc extends and SB C-spine toward side being tested

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2
Q

Positive Spurling’s?

A

Pain radiating into ipsilateral arm due to nerve root compression

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3
Q

Wallenberg’s test?

A

Test for vertebral artery insufficiency

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4
Q

Positive Wallenberg’s test?

A

Pt complains of dizziness, visual changes, lightheadedness, or nystagmus

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5
Q

Wallenberg’s procedure?

A

Pt supine, doc flexes neck, holding for 10 sec, then extends holding for 10 secs, rotation right and left, rotation during flexion, and rotation during extension

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6
Q

Thoracic outlet tests?

A

1) Adson’s
2) Wright’s
3) Costoclavicular syndrome test (military posture test)

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7
Q

What is being tested in Adson’s?

A

Tight scalenes

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8
Q

Adson’s test procedure?

A

Monitor pt’s pule, extend shoulder, externally rotated and slightly abducted; pt then takes deep rbeath and turn head TOWARD ipsilateral arm

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9
Q

What is being tested in Wright’s?

A

Pectoralis minor muscle at coracoid process

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10
Q

Wright’s procedure?

A

Hyperabduct arm above head with some extension while monitoring pulse

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11
Q

What is being tested in military posture test?

A

Clavicle and 1st rib

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12
Q

Military posture procedure?

A

Monitor radial pulse while depressing and extending shoulder

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13
Q

Positive test for Adson’s, Wright’s, and military posture tests?

A

Severely decreased or absent radial pulse

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14
Q

Drop arm test procedure?

A

Abduct shoulder to 90, then slowly lower arm

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15
Q

Positive drop arm test procedure?

A

Unable to lower arm smoothly, or if arm drops indicating rotator cuff tear

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16
Q

Speeds test?

A

Assess biceps tendon in bicipital groove

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17
Q

Speeds test procedure?

A

Fully extend elbow, flex shoulder and supinate while doc resists shoulder flexion

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18
Q

Positive speeds test?

A

Tenderness in bicipital groove

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19
Q

Yergason’s test?

A

Tests stability of biceps tendon in bicipital groove

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20
Q

Yergason’s test procedure?

A

Doc supinates as the pt resists

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21
Q

Positive Yergason’s?

A

Biceps tendon pops out of bicipital groove

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22
Q

Allen’s test?

A

Assesses adequacy of blood supply to hand by radial and ulnar arteries

23
Q

Finkelstein test?

A

Test for tenosynovitis in abductor pollicis longus and extensor pollicis brevis tendons at the wrist (De Quervain’s dz)

24
Q

Reverse Phalen’s test (prayer test)?

A

For dx carpal tunnel–extend wrist while gripping doc’s hand

25
Q

Hip drop test?

A

Evaluate sidebending (lateral flexion) of lumbar spine

26
Q

Normal hip drop?

A

Lumbar spine SBs to side opposite bent knee, ipsilateral iliac crest drops more than 20-25 degrees

27
Q

Positive hip drop test?

A

Anything less than a smooth convexity of lumbar spine, or drop of iliac crest

28
Q

Straight leg test (Lasegue’s test)?

A

Evaluation of sciatic nerve compression

29
Q

Braggard’s test?

A

To differentiate bt tight hamstring and sciatic nerve compression, doc dorsiflexes foot

30
Q

Positive Braggard’s?

A

Pain is elicited by dorsiflexion indicating sciatic nerve compression

31
Q

Seated flexion test?

A

Assess SI motion (sacrum)

32
Q

Standing flexion test?

A

Assess iliosacral motion (innominates)

33
Q

ASIS compression test?

A

Determine side of SI dysfunction (esp when standing/seated flexion tests are equivocal)

34
Q

Pelvic side shift test?

A

Determines if sacrum is in the midline

35
Q

Pelvic side shift test procedure?

A

With pt standing, doc stabilizes the shoulders with one hand and pushes the pelvis to the opposite side, the hands are then switched to check the other pelvis

36
Q

Positive pelvic side shift test?

A

Positive on side of freer translation (this indicates that the pelvis is shifted to that side)

37
Q

What does a positive pelvic side shift test usually indicate?

A

Flexion contracture of psoas (psoas syndrome)–if contracture on right, there will be positive test to the left

38
Q

Trendelenburg test?

A

Assesses gluteus medius muscle strength

39
Q

Positive Trendelenburg?

A

Side that drops indicates the opposite gluteus medius is weak

40
Q

Lumbosacral spring test?

A

Assesses whether or not the sacral base is tilted posterior

41
Q

Backward bending test (the sphinx test)?

A

Determines if sacral base moved posterior or anterior

42
Q

Ober’s test?

A

Detects tight tensor fascia lata and IT band

43
Q

Patrick’s test?

A

FABER–assess SI and hip joint pathology (esp osteoarthritis)

44
Q

Thomas test?

A

Assess flexion contracture of hip, usually iliopsoas

45
Q

Bounce home test?

A

Tests problem with full knee extension, usually due to meniscal tears or joint effusions

46
Q

Apley’s compression?

A

Assess meniscus injury

47
Q

Apley’s distraction?

A

Assess collateral ligament injury

48
Q

McMurray’s test?

A

Detects tears in posterior aspect of menisci

49
Q

McMurray’s for medial meniscus?

A

Flex hip/knee, palpate medial joint line, tibia is then externally rotated and a valgus stress is applied while slowly extending knee

50
Q

McMurray’s for lateral meniscus?

A

Flex hip/knee, internally rotate tibia and a varus stress is applied while slowly extending knee

51
Q

How to test for chondromalacia patellae?

A

Patellar grind test

52
Q

Anterior drawer test of ankle?

A

Assess medial and lateral ligaments of ankle, mainly the ATF ligament

53
Q

Positive seated or standing flexion tests?

A

Positive on side of superior PSIS

Savarese (32 decks)

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