Lab midterm 1 Flashcards
_______ : Inclinometer: tibial Tub
Raise leg to pt of pain or 90 degrees
(+) indications
SLR
0-35 degrees:
Local pain: SI jt disorder
Piriformis M
Radiating pn below 35 degrees :
Piriformis syndrome
Severe N root irritation
35-70 degrees: (+) sign Sciatic N root irritation by IVD Osteophyte Tumor N Root Stretched: L5,S1,S2
70-90 degrees:
Local Lumbar pain: Lumbar jt disorder
Dull post. Thigh pain at any degree: tight hamstrings
_____: Inclinometer: tibial tub.
At pt of pain doc lowers leg 5 degrees & DF foot
(+ ) indications
Bragards test
0-35 degrees:
Local pain: SI jt disorder
Piriformis M
Radiating pn below 35 degrees :
Piriformis syndrome
Severe N root irritation
35-70 degrees: (+) sign Sciatic N root irritation by IVD Osteophyte Tumor N Root Stretched: L5,S1,S2
70-90 degrees:
Local Lumbar pain: Lumbar jt disorder
Dull post. Thigh pain at any degree: tight hamstrings
______: Inclinometer: tibial tub.
At pt of pain doc lowers leg 5 degrees & DF great toe
(+) indications
Sicards test
0-35 degrees:
Local pain: SI jt disorder
M dysfunction
Piriformis M
Radiating pn below 35 degrees :
Piriformis syndrome
Severe N root irritation
35-70 degrees: (+) sign Sciatic N root irritation by IVD Osteophyte Tumor N Root Stretched: L5,S1,S2
70-90 degrees:
Local Lumbar pain: Lumbar jt disorder
Dull post. Thigh pain at any degree: tight hamstrings
_____: Preform a SLR until pain and then bend the knee – place on doc shoulder
Exert pressure on hamstring- if no pain put pressure on popliteal fossa
(+) indications
Bowstring
Lumbar nerve root irritation/ compression
___: Pt is seated
Doc passively extends to pt of pain- lower away from pain
Place leg btw docs knees –
P-A pressure in popliteal space
(+) indications
Sciatic tension Test
Irritation of sciatic N – either intradurally or extradurally
Lumbar N root irritation/ compression
______: Doc passively extends leg and pt leans back
tripods sign
(+) Tight hamstring
Lumbar N root irritation
Stretching of Sciatic N
Meningeal irritation
Indications of slump test
Meningeal tract irritation due to disc defect
L/S N root
Sciatic N irritation/ compression
___: Doc instructs seated pt to stand. Stand up on healthy side and keep affected leg flexed
(+) indications
Minors sign
lumbar rediculopathy
_____: observe pt standing
(+) indications
antalgic lean sign
Lateral disc herniation:
Pt leans away from pain
Medial Disc herniation:
Pt leans toward the side
of of pain
Central disc herniation:
Pt in flexed posture
___: Doc instructs pt to stand and bend forward. Pt flexes knee on affected side
(+) indication ?
Neri’s sign
Lower lumbar N root irritation
Disc prob
L/S or SI subluxation
___: Doc raises pt well leg (do not perform bilaterally) . Pain is reproduced on affected side
(+) indication ?
Well leg raised
Medial disc herniation :
Incr pain on affected side
Lateral disc herniation:
Decr pain on affected side
_____: Supine pt Raise unaffected leg to 75% / pt of pain . DF foot (not bilateral)
(+) indication
Fajersztan’s Test
Medial disc herniation:
Incr on affected side
Lateral disc protrusion: decr pain on affected side
_____ test: Stabilize PSIS and Passively bend spine obliquely backwards
(+) indication
Radicular pain: irritation of N root
Lateral disc herniation:
Incr pain on same side bending (usually pull always from it for relief)
Medial Disc protrusion:
Radicular pain with contra bending
Local achy pain: Facet sx Capsulitis SI jt prob M spasm
N roots of femoral N
L2,3, and 4
_____: PT lies side line. Doc grasps affected leg and extends the hip 15 degrees with knee extended → flex knee
Femoral N traction (L2,3,4)
Pain into anterior medial thigh - L3 N root
Pain extending to tibia- L4
Contralateral pain: N root on opp. Side
___: Pt prone . Doc flexes heel to butt on ipsi side
(+) indications
Nachalas test
Piriformis hypertrophy
Irritation of femoral N root
Compression/ irritation of L2-L4 (disc, spur)
Pain in butt: SI jt lesion
L/S jt = jt lesion
these three signs would be seeing in :___
Cough
Sneeze
Bear down
Dejerine’s triad
_____ : pt Supine . Pt raises legs 3 inches off the table & Hold30 secs
(+) indications
Milgrams test
Disc, mass or osteophyte in lumbar canal/ foramen
___ : Doctor compresses jugular veins. Doc holds compression for 1 min –> causes radicular pn
(+) indications
Naffziger’s test:
disc herniation or prolapse
radicular pn= N root
_____: pt is supine. Doc passively flexes pt neck→ stretching the dural sac
Linder’s sign
Reproduction of pt pn:
Disc lesion
Sharp, diffused pain
Involuntary hip flexion = meningeal irritation
_____: Pt is supine
Doc passively flexes pt neck→ stretching the dural sac. Knees bend to decrease tension
(+) indication
Brudzinski’s sign
Indication
Meningeal irritation
Meningitis
Nerve root involvement
Radicular pain= radiculopathy
Bact meningitis= head pn, neck stiffness, nuchal rigidity& elevated temp
_____: Pt is supine
Doc instructs pt to flex one hip and knee 90 degrees → instruct pt to extend knee
(+) indication
Kerning’s test
Meningeal irritation Meningitis Nerve root Disc Tumor Radiculopathy
________malingering: PT kneels on table
PT bends at the waist to touch the floor
Doc: stabilizes pts legs
Burns bench
PT with lumbar pn says they cannot do it
_____ malingering: PT is supine
Doc places hand under pt heels
Instructs pt to raise affected leg (leg w/o paralysis)
Hoover sign
Organic: doc will feel pressure from contra, unaffected heel
Hysterical: pt will say they cant raise it = no pressure
____ malingering: Instruct pt to point to the site of pain
Distract pt & ask them to point again
magnuson’s
pt doesnt point to the same place
____ malingering: Pt points to the side of the pn → doc irritated the area of pn
Doc asses pulse rate
Mannkopf’s maneuver
Pulse rate doesnt change
_____ malingering: Doc performs SLR
Then asks patient to sit up & perform SLR with pt seated
(+) doesn’t feel pn in both positions
flip test/ sign
____: Doc applies pressure to the mastoid → assessing for hypersensitivity
libman’s test
______: Pt is supine
Doc places hand in SP spaces
With the other hand í SLR
Goldwaith’s test
Before fan: • SI joint disorder • Piroformis M dysfunction • (0-35) During Fan: • disc • osteophyte • mass • (35-70) After Fan: • Lumbar M • Lig • Jt disorder
_____: PT supine
SLR→ restriction found flex knee (look for hip flexion)
SI Joint dysfunction: if there is no movement when knee is bent
Sign of the buttock
Patho of SI joint
- inflam
- bursitis
- mass
- Abscess
___: PT bend forward with knees straight
Repeat test: with placing support on the ilia and bracing the sacrum with their hip
supported forward bending
SI joint lesion:
• PN when the ilia is not stabilized
Lumbar lesion:
• PN in both instances
_____ test: Pt is prone
Doc flexes PTs leg to butt & moves the leg outward for IR of the hip
Hibb’s
Abscess
Sprain of the SI
Hip joint lesion
_____ test: Pt is prone
Doc puts hand under one knee and stabilize the SI with the other hand
Doc extends hip
Yeoman’s Test
SI Jt: • Inflam • Infection • Sprain of anterior lig Lumbar: • radicular involvement
____: PT is standing on one leg and hops
Flamingo
Inflammatory process on the standing leg
Following trauma:
• fx
• trocantric bursitis
____ : Pt is side lying
Doc pushes downward on the ilium
Pelvic rock
SI jt lesion
_____: PT is supine with one leg hanging off the table
Unaffected leg is flexed into chest
Doc applies pressure to each leg (axial on flexed leg)
Gaenslen’s test
SI jt inflam
Infection
Anterior SI sprain
____: Pt is side lying on unaffected side
Doc extends the superior leg and blocks the SI jt
Lewin-Gaenslen’s Test
General SI Lesion
_____: Pt is supine
Doc performs SLR
• IR hip = PN
• ER hip = Relieves PN
Freiberg’s test
Piriformis
Is there is hyperesthesia in the sacral/ glut region and in the sciatic N distribution = Piriformis sx
______: PT is side lying with hip flexed to 60 degrees & knee fully flexed
DOC: one hand on hip to stabilized. The other hand is putting downward pressure on pt’s knee
Piriformis Test
Butt pn:
• Piriformis spasm
Rad pn:
• impingement of the sciatic N by the Piriformis (Piriformis sx)
___ sign : Pt is side lying→ when they get up they reach far back
Ankylosing spondylitis
T/S or thoracolumbar sprain
Meningeal irritation
____: PT walks briskly for 1 min
When sx start, PT flexes forward
Stoop Test
Neurogenic intermitted claudication
Pt supine
- doc bends knee and presses into acetabular cavity
- ext. abd. Hip- ankle placed above the knee on the opp. Leg
Stabilize the opposite ASIS
indication?
Patrick Test
indication:
* capsulitis
* arthritis
* trauma
* Inflam
Pt is supine
Doc flexes pt hip to 90 degrees
* ext. rotate the leg medially & presses down
indications?
Laguerre’s test
- Capsulitis
- OA
- Inflam
- Fx of the acetabular rim
Pt: standing
Doc: hands on pt waist and thumbs on PSIS
• raise hip
indications?
Trendelenburg Test
- glut med weakness (hip abductor weakness)
- Superior glut N lesion
- Hip fx
PT is supine
Doc hits the calcaneous
anvil
- Hip fx
- Arthritis
- Capsulitis
Pain in calcaneal fx:
• femoral
• tibial/ fibular fracture
Pt is prone
Flex pt ankle to butt
(+) Hip on ipsi side raises butt off the table
Ely’s test
Pt is supine
PT holds knee to chest
Doc palpates the quads of the straight leg
Thomas Test
Pt is side-lying
Doc passively abd./ extends the leg with knee straight
• apply I-S stabilizing pressure on the pelvis
PT slowly lowers the thigh down
Ober’s test
