Chapter 18 Special Tests Flashcards by Ryan Bray

Spurling’s test (compression test) procedure?

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

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Positive Spurling’s?

Pain radiating into ipsilateral arm due to nerve root compression

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Wallenberg’s test?

Test for vertebral artery insufficiency

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Positive Wallenberg’s test?

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

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Wallenberg’s procedure?

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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Thoracic outlet tests?

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

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What is being tested in Adson’s?

Tight scalenes

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Adson’s test procedure?

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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What is being tested in Wright’s?

Pectoralis minor muscle at coracoid process

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Wright’s procedure?

Hyperabduct arm above head with some extension while monitoring pulse

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What is being tested in military posture test?

Clavicle and 1st rib

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Military posture procedure?

Monitor radial pulse while depressing and extending shoulder

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

Severely decreased or absent radial pulse

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Drop arm test procedure?

Abduct shoulder to 90, then slowly lower arm

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Positive drop arm test procedure?

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

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Speeds test?

Assess biceps tendon in bicipital groove

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Speeds test procedure?

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

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Positive speeds test?

Tenderness in bicipital groove

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Yergason’s test?

Tests stability of biceps tendon in bicipital groove

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Yergason’s test procedure?

Doc supinates as the pt resists

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Positive Yergason’s?

Biceps tendon pops out of bicipital groove

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Allen’s test?

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

Finkelstein test?

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

Reverse Phalen’s test (prayer test)?

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

Hip drop test?

Evaluate sidebending (lateral flexion) of lumbar spine

Normal hip drop?

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

Positive hip drop test?

Anything less than a smooth convexity of lumbar spine, or drop of iliac crest <20-25 degrees

Straight leg test (Lasegue's test)?

Evaluation of sciatic nerve compression

Braggard's test?

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

Positive Braggard's?

Pain is elicited by dorsiflexion indicating sciatic nerve compression

Seated flexion test?

Assess SI motion (sacrum)

Standing flexion test?

Assess iliosacral motion (innominates)

ASIS compression test?

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

Pelvic side shift test?

Determines if sacrum is in the midline

Pelvic side shift test procedure?

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

Positive pelvic side shift test?

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

What does a positive pelvic side shift test usually indicate?

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

Trendelenburg test?

Assesses gluteus medius muscle strength

Positive Trendelenburg?

Side that drops indicates the opposite gluteus medius is weak

Lumbosacral spring test?

Assesses whether or not the sacral base is tilted posterior

Backward bending test (the sphinx test)?

Determines if sacral base moved posterior or anterior

Ober's test?

Detects tight tensor fascia lata and IT band

Patrick's test?

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

Thomas test?

Assess flexion contracture of hip, usually iliopsoas

Bounce home test?

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

Apley's compression?

Assess meniscus injury

Apley's distraction?

Assess collateral ligament injury

McMurray's test?

Detects tears in posterior aspect of menisci

McMurray's for medial meniscus?

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

McMurray's for lateral meniscus?

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

How to test for chondromalacia patellae?

Patellar grind test

Anterior drawer test of ankle?

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

Positive seated or standing flexion tests?

Positive on side of superior PSIS