LE testing Flashcards

1
Q

gillet test/kinetic pole test

A
  • SIJ
  • pt stands, examiner palpates PSIS
  • pt stands on one leg and pulls opposite to chest
  • normal: PSIS moves down or inferior
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2
Q

active SLR - SIJ

A
  • if SLR is painful, examiner stabilizes pelvis by compressing pelvis medially
  • (+) will no longer be painful
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3
Q

FABER

A
  • hip flexion, abduction, external rotation
  • pain in groin - labral tear
  • pain in black - SIJ
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4
Q

thigh thrust

A
  • posterior pelvic pain provocation
  • most sensitive
  • painful side flexed to 90, PT hand under sacrum
  • downward pressure through femur to force post translation of innominate
  • (+) concordant pain posterior to hip or near SI joint
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5
Q

SIJ distraction

A
  • pt in supine
  • PT hands in each ASIS
  • push 30s
  • (+) if reproduces pain
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6
Q

SIJ compression

A
  • pt in sidelying
  • PT behind pt, downward pressure 30 seconds
  • (+) is reproduction of pain
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7
Q

fitzgerald

A
  • anterior labral
  • pt supine
  • hip flexion, ER, abd
  • IR, add, ext
  • (+) is pain and click
  • labral tear
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8
Q

log roll test

A
  • anterior hip laxity, labral tear
  • passively roll into full IR and ER
  • painful click - labral tear
  • increased ER - iliofemoral laxity
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9
Q

hip scour

A
  • flex hip and knee
  • sweep flex-IR-add to ext-ER-abd
  • (+) is pain, click, catch, pop -> IA pathology
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10
Q

FAIR

A
  • for piriformis
  • can be resisted
  • involved leg up while pt sidelying - hip in flex-add-IR
  • (+) reproduces symptoms
  • can resist hip abduction
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11
Q

position of knee for valgus and varus stress testing

A
  • 0 degrees and 30 degrees
  • valgus - MCL
  • varus - LCL
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12
Q

anterior drawer position

A
  • pt knee flexed to 90
  • PT grasp posterior knee, palpate anterior tibia with thumbs - tibial plateau
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13
Q

lachman test

A
  • 20-30 degrees knee flexion to open tibfem joint
  • normal is 1-5 mm translation
  • ER femur relaxes HS
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14
Q

lever sign/test

(You are my lover sign, no test required)

A
  • fulcrum under calf, push down on quads
  • (+) toes do not lift
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15
Q

pivot shift

A
  • flex hip to lift leg, maintain knee ext
  • max IR on tibia, valgus stress at knee joint
  • axial load to gradually flex knee
  • (+) increased tibial translation, shift or clunk around 20 degrees flexion
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16
Q

posterior drawer

A
  • PCL
  • psoterior force
  • (+) greater anterior tibial displacement on affected side
17
Q

posterior sag sign

A
  • PCL
  • hip/knee at 90/90
  • (+) tuberosity posterior compared to opposite side
18
Q

dial test

A
  • PCL/PLC
  • pt prone, passively flex knees to 30 and laterally rotate tibias simultaneously
  • repeat at 90 degrees
  • (+) 10 or more tibial ER on involved side
  • if at 30 but not 90 - posterolateral structure (PLC)
  • at 90 but not 30 - PCL
  • at both: PCL and PLC
19
Q

thessaly test

A
  • pt rotates 5 degrees of flexion
  • repeates 20-40 degrees of flexion
20
Q

patellar tilt test

A
  • raise lateral structures
21
Q

noble compression test

A
  • ITB
  • pressure over lateral femoral condyle
  • passive ext from 60 degrees to 0
  • (+) pain around 30 degrees of flexion
22
Q

mcconnel test

A
  • PFPS
  • test isometrics/quad MMT at 30, 60, 90, 0
  • 0: patellar tendinopathy
23
Q

normal Q angles

A
  • 10 degrees for males
  • ## 15 for females
24
Q

ottawa ankle rules

A
  • bony tenderness along distal 6 cm of post fibula or lateral malleolus
  • bony tenderness along distal 6 cm of post tibia or tip of medial malleolus
  • bony tenderness at base of 5th metatarsal
  • bony tenderness at navicular
  • inability to WB immediately after injury for 4 steps during initial eval
25
Q

anterior drawer test - ankle

A
  • assess anterior talofibular ligament
  • slight PF - 10 degrees
  • anterior glide of calcaneus and talus on stabilized tibia
26
Q

talar tilt test - ankle

A
  • for calcaneofibular ligament
  • grasp ankle at malleoli - invert and palpate just off lat malleolus
  • medially tilt calcaneus
  • medial tilt assesses deltoid ligament (eversion)
27
Q

squeeze test - ankle

A
  • syndesmosis
  • palpate middle third of lower leg
  • squeze tibia and fibular together
  • (+) reproduction of symptoms near ankle
28
Q

arc sign (ankle)

A
  • achilles - assess achilles tendinopathy
  • pt prone
  • ID maximal area of swelling at achilles tendon
  • pt actively DF and PF ankle to see if area of local swelling changes
  • (+) if swelling moves proximal or distal with tendon (tendinopathy present)
29
Q

royal london test

A
  • assess for achilles tendinopathy
  • ID portion of maximally tender tendon
  • ask pt to DF ankle and re-palpate area that was most tender
  • (+) if pt reports substantial decrease or absence of pain with palpation during DF
  • active DF stretches tendon for less pain and tenderness
30
Q

dorsiflexion eversion test

A
  • tinel’s sign tibial nerve
  • assess tarsal tunnel/tibial nerve entrapment
  • tap just distal to medial malleolus
  • (+) reproduction of nerve-like symptoms
31
Q

windlass test

A
  • plantar fasciitis
  • passively extend toe at MTP
  • (+) reproduction of symptoms along plantar fascia