MSK Special Tests Spine, Pelvis, TMJ Flashcards

1
Q

What is the vertebral artery test?

A

integrity of vertebrobasilar vascular system

patient supine
extend head 30 seconds
extend and rotate
extend and rotate cradled off table

+dizziness, visual disturbance, diorientation, blurrred speech, nausea/vomiting

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2
Q

What is Hautant’s test?

A

differentiates vascular vs vestibular

sitting, shoulders at 90 with palms up
sitting, shoulders at 90 with palms up and neck ext, rotate each direction, hold for 30 seconds

+arms lose position with neck ext/rotation = vascular

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3
Q

What is transverse ligament stress test?

A

integrity of transverse lig

supine, glide C1 ant

+dysfunction is soft end feel, dizziness, nystagmus, lump sensation in throat, nasuea

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4
Q

What is anterior shear test?

A

supine, glide C2-7 ant.

+dysfunction laxity of ligaments
dizziness, nystagmus…

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5
Q

What is Spurling’s test?

A

dysfunction/compression of cervical nerve root

laterall flex to each side, compress straight down

+pain/paresthesia in dermatomal pattern

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6
Q

What is maximal compression test?

A

compression of neural structures at intervertebral foramen and/or facet joint

sitting, passively sidebend and rotate toward nonpainful side, followed by extension. Repeat on painful side.

+pain/paresthesia in dermatomal pattern fo involved nerve root
+local pain in neck at facet joint

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7
Q

What is the distraction test of the cervical spine?

A

indicates compression of nerual structures at the intervertebral foramen or facet joint dysfunction

sitting, distract head passively

+decrease in symptoms in neck (facet)
+decrease UL pain (neuro condition)

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8
Q

What is the shoulder abduction test?

A

indicates compression of neural structures within intervertebral foramen

sitting, patient places hand on top of head

+decrease symptoms in UL

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9
Q

What is Lhermitte’s sign?

A

identifies dysfunction of spinal cord and/or UMN lesion

Long sitting, passively flex head and one hip while keeping knee extended.
Repeat other side

+pain down spine and into UL and LL

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10
Q

What is the Romberg test?

A

identifies UMN lesion, balance

standing, EC 30 seconds

+excessive sway

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11
Q

What is rib springing?

A

rib mobility

prone, begin at upper rips, apply post/ant force at each rib.
repeat in sidelying

+pain, excessive motion, or restriction

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12
Q

What is thoracic springing?

A

AP glides to transverse processes

+pain, excessive motion, restriction

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13
Q

What is the Slump test?

A

dysfunction of neuro structures supplying lower limb

sitting on edge of table
patient slumps, passively flex neck, extend one knee, DF ankle, repeat other side

+reproduction of pathological neuro symptoms

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14
Q

What is the Lasegue’s SLR test?

A

dysfunction of neuro structures that supply LE

SLR until pain, slowly lower, passively DF ankle

+reproduction of pathological neuro symptoms when foot is DF

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15
Q

What is the Babinski test?

A

UMN lesion

glide reflex hammer along plantar surface of patients foot

+extension of big toe and splaying of other toes

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16
Q

What is the Quadrant test?

A

identifies compression of neural structures at intervertebral foramen and facet dysfunction

standing.
foramen - side bend, rotate same direction, extend
facet - side bend, rotate opposite, extend to compress facet joint
repeat on both sides

+pain/paresthesia in dermatomal pattern for involved nerve root
+localised pain in facet dysfunction

17
Q

What is the Stork test?

A

Spondylolisthesis

SLS, trunk extension, repeat on other leg

+pain in LB when ipsilateral leg on ground

18
Q

What is the McKenzie side glide test?

A

differentiates between scoliotic curve vs neuro dysfunction causing abnormal curve

performed when lateral shift of trunk is noted.
PT pulls pelvis to bring pelvis and trunk into proper alignment

+reproduction of neuro symptoms when trunk realigned

19
Q

What is the Bicycle / van Gelderen’s test?

A

differentiates between intermittent claudication vs spinal stenosis

ride bike slumped and erect until onset of pain

+stenosis when patient can ride longer slumped

20
Q

What is Gillet’s test?

A

assess posterior movement of ilium on sacrum

thumb on PSIS while standing, other thumb on center of sacrum
march or forward flex

+no movement of PSIS as compared to sacrum

21
Q

What is the Ipsilateral anterior rotation test?

A

assess anterior movement of ilium to sacrum

thumb under PSIS, other thumb on center of sacrum level with first thumb.
patient extends leg

+no movement of PSIS compared to sacrum

22
Q

What is Gaenslen’s test?

A

SIJ dysfunction

sidelying, bottom leg in max hip and knee flex
PT passively extends hip of upper leg

+pain in SIJ

23
Q

What is Goldthwait’s test?

A

differs lumbar spine vs SIJ dysfunction

supine, fingers between spinal process of lumbar spine. other hand passively performs SLR

+pain present prior to palpation of movement in lumbar segments = SIJ dysfunction

24
Q

What is TMJ compression test?

A

stabilise head with one hand. other hand pushes mandible superior, causing compressive load to TMJ

+pain in TMJ