Lab midterm 1 Flashcards

1
Q

_______ : Inclinometer: tibial Tub
Raise leg to pt of pain or 90 degrees

(+) indications

A

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

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2
Q

_____: Inclinometer: tibial tub.

At pt of pain doc lowers leg 5 degrees & DF foot

(+ ) indications

A

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

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3
Q

______: Inclinometer: tibial tub.

At pt of pain doc lowers leg 5 degrees & DF great toe

(+) indications

A

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

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4
Q

_____: 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

A

Bowstring

Lumbar nerve root irritation/ compression

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5
Q

___: 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

A

Sciatic tension Test

Irritation of sciatic N – either intradurally or extradurally

Lumbar N root irritation/ compression

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6
Q

______: Doc passively extends leg and pt leans back

A

tripods sign

(+) Tight hamstring

Lumbar N root irritation

Stretching of Sciatic N

Meningeal irritation

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7
Q

Indications of slump test

A

Meningeal tract irritation due to disc defect

L/S N root

Sciatic N irritation/ compression

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8
Q

___: Doc instructs seated pt to stand. Stand up on healthy side and keep affected leg flexed

(+) indications

A

Minors sign

lumbar rediculopathy

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9
Q

_____: observe pt standing

(+) indications

A

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

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10
Q

___: Doc instructs pt to stand and bend forward. Pt flexes knee on affected side

(+) indication ?

A

Neri’s sign

Lower lumbar N root irritation

Disc prob

L/S or SI subluxation

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11
Q

___: Doc raises pt well leg (do not perform bilaterally) . Pain is reproduced on affected side

(+) indication ?

A

Well leg raised

Medial disc herniation :
Incr pain on affected side

Lateral disc herniation:
Decr pain on affected side

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12
Q

_____: Supine pt Raise unaffected leg to 75% / pt of pain . DF foot (not bilateral)

(+) indication

A

Fajersztan’s Test

Medial disc herniation:
Incr on affected side

Lateral disc protrusion: decr pain on affected side

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13
Q

_____ test: Stabilize PSIS and Passively bend spine obliquely backwards

(+) indication

A

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
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14
Q

N roots of femoral N

A

L2,3, and 4

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15
Q

_____: PT lies side line. Doc grasps affected leg and extends the hip 15 degrees with knee extended → flex knee

A

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

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16
Q

___: Pt prone . Doc flexes heel to butt on ipsi side

(+) indications

A

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

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17
Q

these three signs would be seeing in :___
Cough
Sneeze
Bear down

A

Dejerine’s triad

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18
Q

_____ : pt Supine . Pt raises legs 3 inches off the table & Hold30 secs

(+) indications

A

Milgrams test

Disc, mass or osteophyte in lumbar canal/ foramen

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19
Q

___ : Doctor compresses jugular veins. Doc holds compression for 1 min –> causes radicular pn

(+) indications

A

Naffziger’s test:

disc herniation or prolapse

radicular pn= N root

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20
Q

_____: pt is supine. Doc passively flexes pt neck→ stretching the dural sac

A

Linder’s sign

Reproduction of pt pn:
Disc lesion
Sharp, diffused pain

Involuntary hip flexion = meningeal irritation

21
Q

_____: Pt is supine

Doc passively flexes pt neck→ stretching the dural sac. Knees bend to decrease tension

(+) indication

A

Brudzinski’s sign

Indication
Meningeal irritation
Meningitis
Nerve root involvement

Radicular pain= radiculopathy

Bact meningitis= head pn, neck stiffness, nuchal rigidity& elevated temp

22
Q

_____: Pt is supine

Doc instructs pt to flex one hip and knee 90 degrees → instruct pt to extend knee

(+) indication

A

Kerning’s test

Meningeal irritation 
Meningitis 
Nerve root 
Disc 
Tumor 
Radiculopathy
23
Q

________malingering: PT kneels on table

PT bends at the waist to touch the floor

Doc: stabilizes pts legs

A

Burns bench

PT with lumbar pn says they cannot do it

24
Q

_____ malingering: PT is supine

Doc places hand under pt heels

Instructs pt to raise affected leg (leg w/o paralysis)

A

Hoover sign

Organic: doc will feel pressure from contra, unaffected heel

Hysterical: pt will say they cant raise it = no pressure

25
Q

____ malingering: Instruct pt to point to the site of pain

Distract pt & ask them to point again

A

magnuson’s

pt doesnt point to the same place

26
Q

____ malingering: Pt points to the side of the pn → doc irritated the area of pn

Doc asses pulse rate

A

Mannkopf’s maneuver

Pulse rate doesnt change

27
Q

_____ malingering: Doc performs SLR

Then asks patient to sit up & perform SLR with pt seated

(+) doesn’t feel pn in both positions

A

flip test/ sign

28
Q

____: Doc applies pressure to the mastoid → assessing for hypersensitivity

A

libman’s test

29
Q

______: Pt is supine

Doc places hand in SP spaces

With the other hand í SLR

A

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
30
Q

_____: PT supine

SLR→ restriction found flex knee (look for hip flexion)
SI Joint dysfunction: if there is no movement when knee is bent

A

Sign of the buttock

Patho of SI joint

  • inflam
  • bursitis
  • mass
  • Abscess
31
Q

___: PT bend forward with knees straight

Repeat test: with placing support on the ilia and bracing the sacrum with their hip

A

supported forward bending

SI joint lesion:
• PN when the ilia is not stabilized

Lumbar lesion:
• PN in both instances

32
Q

_____ test: Pt is prone

Doc flexes PTs leg to butt & moves the leg outward for IR of the hip

A

Hibb’s

Abscess
Sprain of the SI
Hip joint lesion

33
Q

_____ test: Pt is prone

Doc puts hand under one knee and stabilize the SI with the other hand

Doc extends hip

A

Yeoman’s Test

SI Jt:
•	Inflam 
•	Infection 
•	Sprain of anterior lig
Lumbar: 
•	radicular involvement
34
Q

____: PT is standing on one leg and hops

A

Flamingo

Inflammatory process on the standing leg

Following trauma:
• fx
• trocantric bursitis

35
Q

____ : Pt is side lying

Doc pushes downward on the ilium

A

Pelvic rock

SI jt lesion

36
Q

_____: 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)

A

Gaenslen’s test

SI jt inflam
Infection
Anterior SI sprain

37
Q

____: Pt is side lying on unaffected side

Doc extends the superior leg and blocks the SI jt

A

Lewin-Gaenslen’s Test

General SI Lesion

38
Q

_____: Pt is supine

Doc performs SLR
• IR hip = PN
• ER hip = Relieves PN

A

Freiberg’s test

Piriformis

Is there is hyperesthesia in the sacral/ glut region and in the sciatic N distribution = Piriformis sx

39
Q

______: 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

A

Piriformis Test

Butt pn:
• Piriformis spasm
Rad pn:
• impingement of the sciatic N by the Piriformis (Piriformis sx)

40
Q

___ sign : Pt is side lying→ when they get up they reach far back

A

Ankylosing spondylitis

T/S or thoracolumbar sprain

Meningeal irritation

41
Q

____: PT walks briskly for 1 min

When sx start, PT flexes forward

A

Stoop Test

Neurogenic intermitted claudication

42
Q

Pt supine

  1. doc bends knee and presses into acetabular cavity
  2. ext. abd. Hip- ankle placed above the knee on the opp. Leg
    Stabilize the opposite ASIS

indication?

A

Patrick Test

indication:
* capsulitis
* arthritis
* trauma
* Inflam

43
Q

Pt is supine

Doc flexes pt hip to 90 degrees
* ext. rotate the leg medially & presses down

indications?

A

Laguerre’s test

  • Capsulitis
  • OA
  • Inflam
  • Fx of the acetabular rim
44
Q

Pt: standing

Doc: hands on pt waist and thumbs on PSIS

• raise hip

indications?

A

Trendelenburg Test

  • glut med weakness (hip abductor weakness)
  • Superior glut N lesion
  • Hip fx
45
Q

PT is supine

Doc hits the calcaneous

A

anvil

  • Hip fx
  • Arthritis
  • Capsulitis

Pain in calcaneal fx:
• femoral
• tibial/ fibular fracture

46
Q

Pt is prone

Flex pt ankle to butt

(+) Hip on ipsi side raises butt off the table

A

Ely’s test

47
Q

Pt is supine

PT holds knee to chest

Doc palpates the quads of the straight leg

A

Thomas Test

48
Q

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

A

Ober’s test