LE Special Tests Flashcards
Anterior drawer test position/procedure
Pt in knee flexion to 90 deg, hip flex to 45 deg
Pull forward on femur
(+) for anterior drawer test
excessive translation of tibia on femur compared to other side
(+) = ACL injury
Test procedure/position for Lachman test
knee flexed to 20-30 deg
(+) Lachman test
excessive anterior translation of tibia on femur
Lateral Pivot shift test position/procedure
Pt supine with hip flexed and abducted to 30 deg with slight IR
PT applies valgus force and IR tibia while knee is flexed
(+) Lateral pivot shift test
palpable shift or clunk b/t 20-30 deg flexion
(+) lateral pivot shit test interpretation
anterior lateral rotary instability
Posterior drawer position/procedure
Pt in supine with knee flexed to 0- deg and hip flexed to 45 deg
(+) Posterior drawer test
excessive posterior translaton of tibia on femur compared to other side
Slocum Test position/procedure
knee flexed to 90 deg and hip to 45 deg
PT IR foot to 30 deg, stabilizes lower leg and applies anterior force to proximal tibia
(+) slocum test
- sign
- interpretation
- excess movement of tibia on lateral side
- may = anterolateral instability
Hughston’s plica test position
Pt supine
PT flexes and medially rotates tibia with 1 hand while other hand moves patella medially and palpates medial condyle
(+) Hughston’s Plica Test
popping sound over the medial plica while knee is passively flexed and extended
(+) HUghston’s PLica test interpretation
may = abnormal or irritated plica
Anterior drawer test position
Ankle in 20 deg PF
Kleiger Test position/procedure
Pt seated with knee in 90 deg flex
holds foot in neutral with other hand, applies a lateral rotation force to foot
(+) Kleiger test sign/interpretation
- pain over anterior/posterior tibiofibular ligaments and interosseous membrane –> high ankle sprain
- deltoid ligament sprain can feel talus shift away from medial malleolus
Talar Test test pt position
Pt in sidelying with knee flexed to 90 deg
What is the SIJ pain CPR?
SIJ Compression
SIJ distraction
Thigh Thrust test
Right Gaenslen’s Test
Left Gaenslen’s Test
Barlow’s Test position/proceduree
pt in supine with hip flexed to 90 deg and knees flexed
PT stabilizes femur and pelvis with one hadn while other hand moves test leg into ABD
Barlow’s Test (+) sign/interpretation
- clunk
may = hip dislocation
Ortolani’s Test position/procedure
pt in supine with hip flexed to 90 deg
Therapist grasps the legs so their thumbs are placed along pt’s medial thigh and fingers are on lateral thighs
PT abducts the pt’s hip s and gentle pressure appled to greater trochanter @ ~30 deg
Ortolani’s Test (+) sign/interpretation
sign: clunk or click
interpretation: may = dislocation being reduced
