Clinical tests Flashcards
Balance and Trendelenburg Sign
To assess for any hip dysfunction, identify weakness of the hip abductors. gluteal weakness!
Flex one knee while keeping hips in extension, if pelvis drops on the contralateral side the test is positive.
Leg length measurement
True: Measure length from ASIS to medial malleuolis
Apparent: Belly button to medial malleuolis
Leg length discrepancy or anisomelia, is defined as a condition in which the paired lower extremity limbs have a noticeably unequal length
Anterior and posterior draw
Anterior Crucial L and P Crucial L test.
The test is considered positive if there is a lack of end feel or excessive anterior translation relative to the contralateral side
Knee varus and valgus stress test
check lateral and medial crucial ligament
Scapula symmetry assessment
look at spine of scapula and shoulder height, if one is higher/lower than the other test is positive.
Gleno-humeral rhythm and control
Locate inferior angle of scapula, ask to raise arm laterally there should be a small lateral rotation of scapula. 60%
Locate C7, T12 and L5 posterior vertebral spines
C7 most prominent spinous process in cervical area
T12 adjacent to final ribs
L5 count 5 down from 12
Tibial torsion
Sit on edge of table, relax legs, dorsi flex. check straightness of angle.
Posture
ear, shoulder, mid trunk, pelvic, knee mid foot in line.
Against wall, head, thoracic, bum and ankles a couple inches off wall.
Obers test
identify tightness of the iliotibial band.
Thomas and Kendal test
Kendal = full bed, Thomas = end of bed.
Hip flex tightness. if lowered leg is off the table test is positive.