Clearing ROM + special tests

Question 1

Lumbar spine

Answer 1

Flexion
Extension
Side flexion
Rotation

Question 2

Knee

Answer 2

Flexion
Extension

Question 3

Toes

Answer 3

Flexion
Extension

Question 4

If toes are affected, perform which 2 ROM

Answer 4

Abduction
Adduction

Question 5

Name the 2 tests for neurological + explain

Answer 5

1. Slump test (seated, rounded back, on leg up, + if extending of head decreases sx)
2. Straight leg raise

Question 6

Name the 4 tests for vascular supply

Answer 6

Color of skin
Cap refill
Dorsal pedal pulse
Tibialis posterior pulse

Question 7

Name the special test for fracture + explain

Answer 7

Ottawa ankle rules (palpation + tap test)
1. lateral malleolus above 6 cm
2. medial malleolus above 6 cm
3. Navicular tubercle/bone

Question 8

Name the special test for swelling

Answer 8

Figure 8

Question 9

Name the joint stability special tests (3)

Answer 9

1. Anterior drawer - 0/20 with inv. and ever.
2. Talar tilt - 0/20
3. Kleiger - for HAS (dorsiflexion and tibial ext. rot.)

Question 10

Name the tests for fracture and/or splaying of ankle motrice (2)

Answer 10

1. Squeeze test (from proximal to distal of tibia)
2. Bump test (firm bump on calcaneus + if pain)

Question 11

Name the test for fracture and/or peripheral nerve entrapment

Answer 11

Tinel test
1. lat. to tib ant. tendon = anterior tibial nerve
2. post. to medial malleolus = tib post. nerve
+ if numbness, tingling, etc.

Question 12

Name the test for deep vein thrombosis

Answer 12

Homan’s sign
- skin check and palpation in dorsiflexion
+ if increase pain on palpation

Question 13

Name the tests for achilles tendon disruption (2)

Answer 13

1. Thompson test - squeeze gastroc = does it sollicitate plantarflexion?
2. Knee flexion test - prone, knee flexion 90 = + for dorsiflexion foot

Question 14

Name the tests for functional testing (3)

Answer 14

1. Tibial torsion - angle between knee and ankle imaginary line (more than 12 is +)
2. Sit up test/leg length
3. Neutral position of talus WB and NWB (is the forefoot ADD or ABD?)

Question 15

J.A.M - explain the long axis extension or distraction test

Answer 15

Cup calcaneaus + hand dome of talus
Create a distraction

Question 16

J.A.M - explain the AP glide of talocrural joint test

Answer 16

Stabilize distal tib/fib + hand on dome of talus

Question 17

J.A.M - explain the side tilt test

Answer 17

Joint between calcaneus and talus
Tilt calcaneus medially and laterally with slight traction

Question 18

J.A.M - explain the side glide

Answer 18

For MP and IP joint
Stabilize proximal bone, grab distal, traction and glide sideways

Question 19

J.A.M - explain the tib-fib joint play

Answer 19

Distal TF joint
If good mobility, facilitates dorsiflexion
Play with ant. post. glide of fib on tib

Question 20

Sacroiliac ROMs to clear

Answer 20

Separation test, compression test, sacral pressure

Question 21

Hip joint ROMs to clear

Answer 21

Flexion, abduction and internal rotation

Question 22

Ankle/foot ROMs to clear

Answer 22

Plantar flexion, Dorsiflexion, pronation, supination

Question 23

Shoulder ROMs to clear

Answer 23

Flexion, abduction, external rotation

Question 24

Elbow ROMs to clear

Answer 24

Flexion, extension, supination, pronation

Question 25

Wrist ROMs to clear

Answer 25

Flexion, extension, radial deviation, ulnar deviation

Question 26

Fingers and thumb ROMs to clear

Answer 26

Flexion, extension, adduction, abduction