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)
What special test could you use for Lateral Hip pain? GLUTEAL TENDINOPATHY
FADER-r
What special test could you do for Intra-articular Hip pain ?
(FAI / LABRUM TEAR / OA)
FADDIR
FABER
What is Thoracic Outlet Sydrome
Thoracic outlet syndrome (TOS) is a group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed.
How would you do the Balance error test ?
There are :
3 stances // 2 surfaces // 20s
- you would count the error made by the model.
- normative value can be used to compare results.
