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OMM > Lower Extremity Special Tests > Flashcards

Lower Extremity Special Tests Flashcards

1
Q

Tibiotalar joint

A 
1. Major motions
  A. Dorsiflexion (5-40)
  B. Plantarflexion (10-55)
2. Minor motions
  A. Posterior glide
  B. Anterior glide
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2
Q

Hip special tests

A
  1. Patrick (FABERE)
  2. FADIR
  3. Thomas
  4. Ober
  5. Trenelenburg
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3
Q

Ankle special tests

A
  1. Thompson
  2. Anterior drawer of ankle
  3. Talar tilt
  4. Morton’s squeeze
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4
Q

Knee special tests

A
  1. Bulge
  2. Ballottment
  3. Patellar grind
  4. Apley’s compression and distraction
  5. McMurray
  6. Anterior drawer
  7. Lachman’s
  8. Posterior drawer
  9. Godfrey’s
  10. valgus and varus
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5
Q

Special test indications

A

Pt has complaint in test area

*evaluate joint above and below area of complaint

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6
Q

Hip flexion

A

120 (90-150)

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7
Q

Hip extension

A

10 (0-35)

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8
Q

Hip abduction

A

15-55

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9
Q

Hip adduction

A

15-45

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10
Q

External hip rotation

A

10-55

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11
Q

Hip internal rotation

A

20-50

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12
Q

Patrick (FABRE) test

A

Figure-4 test

  1. Test for: OA of hip, SI jt dysfxn
  2. Technique: FAbER of hip, pressure on knee
    * pain = +
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13
Q

FADIR test

A
  1. Test for: labral tear, early OA of hip
  2. Technique: FAdIR of hip
    * pain = +
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14
Q

Thomas test

A
  1. Test for: tight iliopsoas
  2. Technique:
    A. Pt brings knees to chest
    B. Brings one leg down to table
    *extended leg lifted off table = +
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15
Q

Ober test

A
  1. Test for: tight IT band
  2. Technique:
    A. Pt lateral recumbent
    B. Knee flexed, hip slightly extended, hip abd
    *knee doesn’t fall toward table w/o support = +
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16
Q

Trendelenburg test

A
  1. Test for: gluteus medius weakness
  2. Technique:
    A. Pt stands on one foot
    B. If hanging hip drops = + for weakness in glut medius of stance leg
17
Q

Bulge test

A
  1. Test for: knee joint effusion
  2. Technique: compress tissue above patella inferiorly toward joint
    * fluid bulge = +
18
Q

Ballottment test

A
  1. Test for: knee joint effusion
  2. Technique: ant to post pressure on patella of extended knee
    * boggy/spongy texture = +
19
Q

Patellar grind test

A
  1. Test for: chondromalacia patella, patellofemoral syndrome
  2. Technique: ant to post pressure on patella and rock patella across femoral condyles
    * pain = +
20
Q

Apley’s compression and distraction test

A
  1. Test for: compression - meniscus tear, distraction - ligamentous stability
  2. Technique: pt prone and knee flex 90
    A. Compress or distract using ankle as leverage
    *pain = +
21
Q

McMurray test

A
  1. Test for: meniscus tear
  2. Technique:
    A. Medial: tibia ER, hip abd and flex -> hip add and extended, valgus force on knee
    B. Lateral: tibial IR, hip add and flex -> hip abd and extended, varus force on knee
    *pain/clicking = +
22
Q

Anterior drawer test

A
  1. Test for: ACL tear
  2. Technique: knee flex 90, stabilize foot, pull ant on prox tibia
    * pain/laxity = +
23
Q

Lachman test

A
  1. Test for: ACL tear
  2. Technique: knee flex 20-30, stabilize post distal femur, pull ant on prox tibia
    * pain/laxity = +
24
Q

Posterior drawer test

A
  1. Test for: PCL tear
  2. Technique: knee flex 90, stabilize foot, push post on prox tibia
    * pain/laxity = +
25
Q

Valgus/varus test

A
  1. Test for: valgus - MCL tear, varus - LCL tear
  2. Technique: knee flex 15 and off table
    A. Stabilize prox tibia
    B. Stress w/ medial and lateral forces at distal tibia
    *pain/gaping of joint = +
26
Q

Anterior drawer test of the ankle

A
  1. Test for: talofibular ligament tear
  2. Technique: slight plantarflexion
    A. Stabilize distal tibia
    B. Translate foot ant from calcaneous
    *>5-8mm translation more than uninjured = +
27
Q

Talar tilt test

A
  1. Test for: ant talofibular and calcaneofibular ligaments
  2. Technique: plantarflexion, stabilize medial distal tibia
    A. Invert foot/ankle
    *talar tilt >10 degrees more than uninjured = +
28
Q

Compression/squeeze test

A
  1. Test for: tibia-fibula syndesmosis injury
  2. Technique: squeeze tibia and fibula together
    * pain = +
29
Q

External rotation foot/ ankle

A
  1. Test for: syndesmosis tibia and fibula injury
  2. Technique: externally rotate foot and ankle (plantarflexion)
    * pain = +
30
Q

Crossed ankle test

A
  1. Test for: syndesmosis of tibia and fibula injury
  2. Technique: pt cross affected ankle over opposite knee
    A. External rotation force on foot
    *pain = +
31
Q

Thompson test

A
  1. Test for: Achilles’ tendon injury
  2. Technique: pt prone, squeeze calf musculature
    * plantar flexion absent = +
32
Q

Morton’s squeeze test

A
  1. Test for: Morton’s neuroma
  2. Technique: squeeze lateral and medial aspects distal MTs
    * pain = +
33
Q

Godfrey’s test

A
  1. Test for: PCL tear
  2. Technique: hip and knee flex 90
    * tibia falls post = +

OMM (16 decks)

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