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NPTE -- MSK > MSK UE Special Tests > Flashcards

MSK UE Special Tests Flashcards

1
Q

Special Tests for Shoulder Dislocation (2)

A
  1. Apprehension Test, Anterior
  2. Apprehension Test, Posterior
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2
Q

Special Tests for Biceps Tendon Pathology (3)

A
  1. Ludington’s Test
  2. Speed’s Test
  3. Yergason’s Test
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3
Q

Special Tests for RTC Pathology/Impingement (4)

A
  1. Drop Arm Test
  2. Hawkins-Kennedy Impingement Test
  3. Neer Imingement Test
  4. Supraspinatus Test
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4
Q

Special Tests for Thoracic Outlet Syndrome (5)

A
  1. Adson maneuver
  2. Allen test
  3. Costoclavicular syndrome test
  4. Roos test
  5. Wright test (hyperabduction test)
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5
Q

Special Tests for Elbow Instability (2)

A
  1. Varus stress test
  2. Valgus stress test
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6
Q

Special Tests for Epicondylitis (4)

A
  1. Cozen’s test
  2. Lateral epicondylitis test
  3. Medial epicondylitis test
  4. Mill’s test
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7
Q

Special Tests for Wrist/Hand Instability

A
  1. Ulnar collateral ligament instability test
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8
Q

Special Tests for Vascular Insufficiency (2)

A
  1. Allen test
  2. Capillary refill test
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9
Q

Special Tests for Wrist/Hand Contracture/Tightness (2)

A
  1. Bunnel-Littler test
  2. Tight retinacular ligament test
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10
Q

Special Tests for Wrist/Hand Neurological Dysfunction (3)

A
  1. Froment’s sign
  2. Phalen’s test
  3. Tinel’s sign
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11
Q

Special Tests for C-Spine (2)

A
  1. Foraminal compression test
  2. Vertebral artery test
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12
Q

Apprehension Test for Anterior Shoulder Dislocation

A

Pt. supine, shoulder ABD 90, elbow 90

Rotate shoulder into ER

+ = look of apprehension or facial grimace prior to end range

Indicates: anterior shoulder dislocation

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13
Q

Apprehension Test for Posterior Shoulder Dislocation

A

Pt. supine, shoulder flex 90, elbow 90 (across chest)

Apply AP pressure through humeral shaft

+ = look of apprehension or facial grimace prior to end range

Indicates: posterior shoulder dislocation

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14
Q

Ludington’s Test

A

Pt. seated, hands interlocked behind their head

Ask pt. to contract and relax biceps

+ = absence of movement in the biceps tendon OR increased pain

Indicates: rupture of long head of biceps OR tendinitis of long head of biceps

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15
Q

Speed’s Test

A

Pt. seated, shoulder flexed 90, elbow straight, forearm supinated

Palpate at biciptal groove, ask pt. to resist shoulder flexion

+ = pain/tenderness in biciptal groove region

Indicates: biceps tendonitis

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16
Q

Yergason’s Test

A

Pt. seated with elbow flexed 90, forearm pronated, humerus against thorax

Palpate at biciptal groove, have pt. resist supination and ER

+ = pain/tenderness in biciptal groove

Indicates: bicep tendonitis

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17
Q

Drop Arm Test

A

Pt. seated with shoulder passively ABD to 90

Ask patient to hold arm in place OR slowly lower arm

+ = arm drops or fails to slowly lower

Indicates: RTC tear

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18
Q

Hawkins Kennedy Test

A

Pt. seated, shoulder passively flexed to 90, elbow bent, and shoulder IR

+ = pain

Indicates: supraspinatus impingement

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19
Q

Neer Test

A

Pt. seated, shoulder IR and passively flexed

+ = pain

Indicates: supraspinatus impingement

20
Q

Supraspinatus (Empty Can) Test

A

Pt. seated shoulder ABD 90, horizontally ADD 30 and IR

Have pt. resist ABD

+ = weakness or pain

Indicates: tear of supraspinatus tendon, impingement, or suprascapular nerve involvement

21
Q

Adson Maneuver

A

Pt. seated, located radial pulse

Ask pt. to rotate head toward testing side, then extend head while therapist ER and extends the shoulder

+ = absent or diminished radial pulse

Indicates: thoracic outlet syndrome

22
Q

Allen Test

A

Pt. seated with shoulder ABD 90, ER, and elbow flexed

Pt. asked to rotate head away from test shoulder while therapist monitors readial pulse

+ = absent or diminished pulse

Indicates: thoracic outlet syndrome

23
Q

Costoclavicular Syndrome Test

A

Pt. standing, located radial pulse.

Have pt. retract and depress shoulders, then move arm into 30 deg of extension and abduction, ask pt. to hyperextend neck

+ = absent or diminished pulse

Indicates: thoracic outlet syndrome caused by compression of subclavian artery between clavicle and 1st rib

24
Q

Wright (Hyperabduction) Test

A

Pt. seated, shoulder ABD 90 and ER, elbow bent, located radial pulse

Move pt. shoulder into full ABD

+ = absent or diminished pulse

Indicates: thoracic outlet syndrome, compression of costoclavicular space

25
Roos Test
Pt. seated with both shoulder ABD 90, ER, and elbows bent ask pt. to open and clsoe their hands for 3 minutes + = inability to maintain test position, weakness of arms, sensory loss, ischemia Indicates: thoracic outlet syndrome
26
O'Brien's Test
Pt. seated, shoulder ABD 90, horizontally ADD 30, and IR Ask pt. to resist flexion, repeat with shoulder ER + = Pain with resistance in IR, no pain with resistance in ER Indicates: glenoid tear, SLAP lesion
27
Clunk Test
Pt. supine, shoulder ABD and ER over head. Place one hand behind humeral head, use other hand to place force through humeral shaft while moving through IR/ER + = clunk or grinding sound Indicates: glenoid labrum tear
28
Median Nerve Tension Test
1: depress shoulder, ABD 110 deg, extend elbow, supinate forearm, extend wrist, extend fingers/thumb 2: depress shoulder, ABD 10 deg, extend elbow, supinate forearm, extend wrist, extend fingers/thumb, shoulder ER Above with and without contralateral cervical side bend
29
Radial Nerve Tension Test
Depress shoulder, ABD 10 deg, extend elbow, pronate forearm, flex and UD wrist, flex fingers and thumb, IR shoulder Above with and without contralateral cervical side bend
30
Ulnar Nerve Tension Test
Depress shoulder, ABD 10-90 deg, flex elbow, supinate forearm, extend and RD wrist, extend fingers and thumb, ER shoulder Above with and without contralateral cervical side bend
31
Varus Stress Test
Pt. seated with 20-30 deg of elbow flexion Place one hand at lateral wrist and other at medial elbow and apply varus force + = increased laxity while compaired bilaterally Indicates: LCL sprain/tear
32
Valgus Stress Test
Pt. seated with 20-30 deg of elbow flexion Place one hand at medial wrist and other at lateral elbow and apply valgus force + = increased laxity while compaired bilaterally Indicates: MCL sprain/tear
33
Cozen's Test
Pt. seated with elbow slightly flexed with therapist palpating at lateral epicondyle Ask pt. to make a fist, pronate, flex, and RD the wrist and then resist wrist extension + = pain or muscle weakness Indicates: lateral epicondylitis
34
Lateral Epicondylitis test
Pt. seated with elbow bent and forearm pronated Ask pt. to resist 3rd finger extension + = pain at lateral epicondyle or muscle weakness Indicates: lateral epicondylitis
35
Medial Epicondylitis Test
Pt. seated, therapists palpates medial epicondyle then passively supinates forearm, extends wrist and elbow + = pain at medial epicondyle Indicates: medial epicondylitis
36
Mill's Test
Pt. setaed, therapists palpates lateral epicondyle then passively pronates, flexes wrist and extends elbow + = pain at lateral epicondyle Indicates: lateral epicondylitis
37
Ulnar Collateral Ligament Instability Test
Pt. seated, ask to extend thumb and resist force placed at MCP joint of thumb + = excessive valgus movement Indicates: tear of ulnar collateral and accessory collateral ligaments
38
Allen Test (Vascular)
Pt. seated, asked to open and close hand several times than maintain a closed fist. Palpate radial and ulnar pulse, ask pt. to release fist, release one artery and observe return of color to the hand, repeat with other artery + = absent of delayed flushing indicates arterial occlusion
39
Bunnel Littler Test
Pt. seated with MCP joint in slight extension Attempt to flex PIP, if unable to slightly flex MCP and attempt again Results: unable to flex in slight extension = tight intrinsic muscle or capsular tightness; able to fully flex in slight flexion = intrinsic muscle tightness without capsular tightness
40
Tight Retinacular Ligament Test
PIP neutral attempt to flex DIP, if unable flex PIP and attempt again Results: unable to flex DIP in neutral = retinacular ligament and/or capsular tightness, able to fully flex DIP in slight flexion = retinacular tightness without capsular tightness
41
Froment's Sign
Pt. asked to hold a piece of paper between finger and thumb, attempt to pull paper away. + = pt. flexing thumb DIP Indicates: adductor pollicis muscle paralysis, ulnar nerve compromise If pt. hyperextends MCP when paper pulled = Jeanne's sign; indicates ulnar nerve compromise
42
Phalen's Test
Pt. flexes wrists and presses back of hands into one another, holding for 60 seconds + = N/T in thumb, index, middle, and lateral half of ring finger. Indicates: carpal tunnel/median nerve compression
43
Finkelstein Test
Pt. makes fist with thumb tucked inside fingers, therapists UD wrist + = pain over abductor pollicis longus and extensor pollicis brevis Indicates: tenosynovitis of the thumb or DeQuervain's Disease
44
Grind Test
Therapist grasps pt's thumb MC, applies compression and rotates + = pain Indicates: DJD in the CMC joint
45
Murphy Sign
Pt. asked to make fist + = 3rd MC remains level with 2nd and 4th MC Indicates: dislocated lunate
46
Foraminal Compression Test (C-Spine)
Compress through top of head with pt's neck side bent + = pain radiating into arms on the flexed side Indicates: nerve root compression
47
Vertebral Artery Test
Pt. in supine, place pt's head into extension, side bends, and rotation + = dizziness, nystagmus, slurred speech, or loss of consciousness Indicates: compressed vertebral artery

NPTE -- MSK (12 decks)

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