MSK testing Flashcards
Description:
- pain and stiffness upon rising
- improves during the day
- increases with bending
- constant discomfort with exacerbation
- “sore and nagging”
DJD/osteoarthritis
Description:
- stiff upon rising w/ pain improving within 60 minutes
- loss of motion + pain
- sharp pain with certain movements
- movement in pain-free ranges reduce symptoms
- stationary positions increase symptoms
Facet joint dysfunction
What increases pain caused by facet joint dysfunction?
stationary positions
What increases pain caused by DJD?
- repetitive bending activities
- morning pain
What position decreases pain caused by spinal stenosis?
FLX and rest
What is the ROM for shoulder ER?
0-90
What is the ROM for shoulder IR?
0-70
What is the ROM for shoulder EXT?
60
What is ROM for elbow FLX?
0-150
What is ROM for PRON?
0-80
What is ROM for SUP?
0-80
What is ROM for wrist FLX?
0-80
What is ROM for wrist EXT?
0-70
What is ROM for RD?
0-20
–> hard end feel
What is ROM for UD?
0-30
–> firm end feel
What is ROM for 1st CMC ABD?
0-70
What is ROM for 1st CMC FLX?
0-15
What is ROM for 1st CMC EXT?
0-20
What is ROM for 1st MCP FLX?
0-50
What is ROM for thumb IP FLX ?
0-80
What is ROM for MCP 2-5 FLX?
0-50
What is ROM for DIP 2-5 FLX?
0-100
What is ROM for DIP 2-5 Hyperextension?
0-10
What is ROM for hip FLX?
0-120
What is ROM for hip EXT?
0-30
What is ROM for hip ABD?
0-45
What is ROM for hip ADD?
0-30
What is ROM for hip IR?
0-45
What is ROM for hip ER?
0-45
What is ROM for knee FLX?
0-135
What is ROM for DF?
0-20
What is ROM for PF?
0-50
What is ROM for midtarsal INV/SUP?
0-35
What is ROM for midtarsal EV/PRON?
0-15
What is ROM for subtalar INV?
0-5
What is ROM for subtalar EV?
0-5
What is ROM for Cx FLX?
0-90
What is ROM for Cx EXT?
0-70
What is ROM for Cx SB?
0-45
What is ROM for Cx ROT?
0-90
What is ROM for thoracic FLX?
0 to 20-45
What is ROM for thoracic EXT?
0 to 25-45
What is ROM for thoracic SB?
0 to 20-40
What is ROM for thoracic ROT?
0 to 35-50
What is ROM for lumbar FLX?
0 to 40-60
What is ROM for lumbar EXT?
0 to 20-35
What is ROM for lumbar SB?
0 to 15-20
What is ROM for lumbar ROT?
0 to 3-18
What are the 2 tests used for detection of GH joint ANTERIOR instability?
- Apprehension test
- Relocation test
What are the 2 tests used for detection of GH joint POSTERIOR and INFERIOR instability?
- Jerk Test
- Sulcus Sign
Explain the apprehension test for GH joint. What is a (+) test?
Detection: GH joint ANTERIOR instability
- supine with ABD: 90
- take shoulder into ER
(+) pain
Explain the relocation test for the GH joint. When is it indicated? What is a (+) test?
Detection: GH joint ANTERIOR instability
Indication: (+) apprehension test
- supine with ABD: 90 and ER
- posteriorly translate humeral head
(+) decreases pain from apprehension test
Explain the Jerk test for the GH joint. What is a (+) test?
Detection: Posterior and inferior instability
- Seated w/ 90 ABD and IR
- Load humerus and horizontally ADD arm
(+) sudden jerk or clunk as the humeral head subluxes off of the glenoid.
What is a (+) test for the sulcus sign?
Presence of a sulcus inferior to the acromion combined with increased symptoms
Detects: posterior and inferior GH instability
What are the 4 tests used to detect subacromial impingement?
- Hawkins-Kennedy
- Neer
- Painful Arc
- Empty can
Describe Hawkins-test. What is a (+) test?
- Seated or standing
- Passive FLX to 90 and then IR
(+) pain in shoulder region
Describe Neer test. What is a (+) test?
- Seated
- Passive IR followed by full ABD
(+) pain in shoulder region
At what degree is a painful arc test indicative of impingement?
between 60-120 degrees of ABD
Describe the empty-can test. What is a (+) test?
- seated
- 90 ABD
- provide downward Resistance
- Assume empty-can position (30 degrees horizontal ADD and full IR)
- provide downward resistance
(+) pain in supraspinatus tendon and/or weakness while in the position
What are the 5 tests used to detect RTC pathology?
- drop arm
- External ROT lag sign
- Internal ROT lag sign
- hornblower’s sign
- infraspinatus muscle test
Explain the external ROT lag sign
90 ABD with full ER while sitting or standing
(+) unable to hold ER
Explain the internal ROT lag sign.
Seated with hand behind back in full IR
(+) if patient is unable to hold arm in position
Describe Hornblower’s sign.
- Passive FLX of arm in scapular plane to 90 degrees + 90 degrees elbow FLX
- pt ER arm while resisting PT
(+) unable to perform ER
What are the 2 tests used to detect AC joint dysfunction?
- Passive Horiz. ADD test
- Paxinos sign
Describe Paxinos sign.
- patient seated with arm at side
- place thumb under posterolateral acromion with index finger under the middle portion of clavicle
- apply pressure
(+) pain at AC joint