FINAL EXAM Flashcards
Trendelenburg Test
weight bearing leg is being tested.
If the test is positive, glute med weakness on weight being side will cause the non weight bearing side to drop
Thomas Test
Patient is supine, examiner lifts one leg to pt chest
the leg being tested is the leg not being lifted. examiner places hand under pt lumbar curve
If you have the leg lying fully on the table, a positive test will be shown by the leg on the table lifting up at the knee
-tightness of rectus femoris
If the leg is hanging off the table, a positive test will be the whole leg rises off the table
-tightness of iliopsoas
Ely’s Test
Pt is supine, leg tested is the one the examiner is flexing.
Examiner flexes the knee bringing foot to butt
Positive test will show the test hip rising up off the table
-tightness of rectus femoris
Hip Scouring
Pt is supine,
Examiner takes leg, fully flexes knee and hip, applies an axial load down the femur
The hip is internally and externally rotated as multiple angles
A positive test will reproduce pn and symptoms for pt
Articular defect, OCD, arthritis.. etc
Resisted hip abduction
with patient seated will duplicate pain caused by piriformis syndrome
Milgram
bilateral straight leg raise held for 30 sec
pt is unable to hold position, connote lift leg, or has pn with test = positive test
-disk placing pressure on a lumbar nerve root
Kernig’s Test/ Brudzinski Test
Pt is supine performs SLR till pn is felt. knee is then flexed
Knee flexion should relieve pn
If no pn is felt during SLR, examiner will flex cervical spine and repeat the test
-nerve root impingement secondary to bulging of a disk or bony entrapment, irritation of dural sheath, irritation of meninges
SLR Test
Examiner performs straight leg raise until full ROM is achieved or pn is felt by pt. leg is then lowered to where pn is relieved. examine may dorsiflex ankle or passively flex cervical spine.
- sciatic nerve irritation/compression
- pn described before hip is in 70 degrees of flexion may mean disk involvement
- pn below 30 degrees is serious
Well (Cross) SLR Test
In this SLR test the unaffected leg is lifted in order to reproduce pn
-large space occupying lesion such as a herniated intervertebral disk
Slump Test
Pt is short sitting
Pt flexes at lumbar spine and brings chin to chest
Pt actively extends the knee, ankle dorsiflexed
TEst is repeated on opposite side
when pn is produced, extend cervical spine, flex knee, have pt re-extend knee to see if pn is relieved.
-sciatic pain or reproduction of other neurologic symptoms
SI Joint Compression Distraction
Compression - pt is supine, examiner hands crossed
Distraction - pt is side lying, examiner pushes down
Distraction should relieve pn, compression should create pn.
SI pain
Fabere (Patrick’s) Test
Pt is in figure four, examiner pressed down at hip and flexed knee.
posterior pn - SI pain or symptoms
anterior pn - hip pathology
Gaenslen’s Test
Pt is supine close to edge of table, one leg pulled close to chest, the other dangles off table,
Examiner pushes leg down and the other back
-Pain in SI Region, SI joint dysfunction
Long Sit Test
Pt is supine, only ankles hang off table.
Examiner holds onto malleoli, Pt performs a bridge then relaxes.
-looking for difference in malleoli position
-if the involved side goes from shorter to longer position, posterior rotation of the ilium on the sacrum is indicated
