MSK THEORY Flashcards
What special test would you use to test for HIP MUSCLES ?
MODIFIED THOMAS TEST
- Test for tightness in hip flexors
- +ve = opposite leg lifts up
What special test would you use to test for tightness in the ITB (lateral structure of the hip) ?
OBERS TEST
- Side lying, leg is in flexed position
- ABD upper leg and extend the hips
- +ve upper leg stays up when lowering it
What special test would you use to test for a MENISCAL TEAR ?
(Associated with ACL + MCL)
THESSALY TEST
- Stand on one leg and turn them side to side.
JOINT LINE TENDERNESS
ANTERIOR DRAW TEST + VALGUS
What special test would you use to test for LATERAL ANKLE SPRAINS ?
TALAR TILT TEST
- Inversion w/DF = PTFL
- W/PF = ATFL
- w/ Plantagrade = CFL
What special test would you use to test for SHOULDER INSTABILITY ?
APPREHENSION TEST
(relocation)
- Look for sign/fear.
SULCUS TEST
- Patient sitting with arm by their side and inferior distraction is applied from the elbow.
+ve = sulcus appears inferior to the acromion
What special test would you use to test for ROTATOR CUFF TENDINOPATHY/TEAR ?
HAWKINS KENNEDY TEST
- Arm 90* w/shoulder and elbow flexion.
- Add passive Internal rotation on the shoulder .
DROP ARM TEST
- +ve arms drop.
LIFT OFF SIGN (subscap)
- Hands on back and slide it up
- +ve abnormal mvt of the scapula.
EMPTY CAN TEST
BELLY PRESS TEST
What special test would you use to test for LATERAL EPICONDYLALGIA ?
MILLS TEST
- Provokes ECRL+B
- Passively pronate forearm, extend elbow, and flex wrist.
- +ve pain
COZENS TEST (use a table)
- Stabilise elbow, palpate lateral epicondyle
- Make a fist, pronate forearm and, radially deviate
- Ask the patient to do wrist extension while you resist this movement.
= pain +ve
What special test would you use to test for MEDIAL EPICONDYLALGIA ?
ACTIVE TEST
- Wrist Flexion and resist the hands.
PASSIVE TEST
- Passive wrist extension and supination.
+ve = PAIN
What special test would you use to test for DE QUERVAINS ?
FINKELSTEINS TEST
- places tension on APL and EPB.
- Hands are hanging off the table (ulna side)
- +ve pain
What special test would you use to test for ACHILLES TENDINOPATHY ?
THOMPSON TEST
- Squeeze the Gastroc
- +ve = not plantar flexing
What special test would you use to test for PATELLOFEMORAL PAIN / DYSFUNCTION ?
CLARKE’S SIGN
- Put the web space of your thumb at the top of patella
- Apply downward pressure.
- Ask the patient to contract their QUADS
+VE = Pain / Inability to complete the task.
What special test would you use to test for CARPAL TUNNEL SYNDROME ?
PHALENS TEST
- Upside down praying hands
+ve = Paraesthesia / Tingling in the thumb
TINELS TEST
- Physio gently tap the carpal tunnel region
- +ve = Paraesthesia / Numbness on the median nerve
What special test would you use to test for THORACIC OUTLET SYNDROME ?
ADSONS TEST
- Locate the Radial pulse (wrist)
- EXT elbow
- ABD + EXT Rotate shoulder
- Rotate the head towards the affected side and ask them to extend their neck.
- +ve if the pulse is lost / reduced.
ROOS TEST
- Shoulder at 90 ABD / ELBOW 90 FLEX
- Fingers Flex + Ext for 3 minutes
- +ve in that time symptom is reproduce
Unable to finish the 3min
What special test would you use to test for BALANCE IMPAIRMENT ?
BALANCE ERROR TESTING
- Stand still eye close + feet together
- One leg balance
- Leg one behind each other
Count errors (20s)
What are the special test for SIJ Pain ?
CLUSTER OF LASLETT
1.) DISTRACTION (stand on the affected side// asis 6x graded exposure)
2.) THIGH THRUST (stand on asymptomatic side// leg flexed 90* push down)
3.) COMPRESSION (side lye on asymptomatic side// vertical thrust anterior rim of ilium)
4.) SACRAL THRUST (prone position// S2 thrust)
