neuromuscular Flashcards
test for glenohumeral
test for abduction
full abduction occurs when
humerus is externally rotated
test for internal rotation shoulder
hand at back
test for external rotation shoulder
hands at side, hand behind neck
limited active range of shoulder with full passive
test for resisted movement
test for supraspinatus
“empty can”
arms flexed 30, internally rotated, resist abduction
test for teres minor and infraspinatus
resisted abduction
tests for subscapularis
resisted external and internal rotation
test bicipital tendinitis
Yergason and speed test
yergason test, for what and how
bicipital tendinitis
resisted supination of forearm
speed test, for what and how
bicipital tendinitis
resisted flexion of shoulder, arm supinated
pain on entire range of motion of shoulder
glenohumeral joint
pain occurs from 90 upward (Shoulder)
acromioclavicular joint
pain in middle of the arc with no pain on either end
subacromial
Neer and Hawkins test
subacromial
test acromioclavicular
across chest, hand behind back
Neer’s impingement test, for what and how
subacromial impingement
full flexion of arm
Hawkin’s test, for what and how
subacromial impingement
arm abducted, 90 degress, internal rotation
how to assess function of proximal and distal radioulnar or humeroradial joint
forearm supination and pronation
palpation of elbow position
examiner behind, elbow points backwards and slightly flexed
what is triangle sign
assesses bone and cartilage attrition
isosceles triangle when elbow flexed at 90
lateral epicondylitis (tennis elbow)
pain where?
tested by?
pain on common extensor origin of lateral epicondyle
test by resisted active wrist extension
medial epicondylitis (golfer’s elbow)
pain where?
tested by?
medial epicondyle at insertion site of wrist flexors/pronator group
test by resisted active wrist flexion
how to test collateral ligaments
varus force to lateral ligament
valgus for ce to medial ligament
how many carpal bones?
8
anatomic snuffbox is distal to
radial styloid process
thumb opposition
thumb touches each finger
carpal tunnel syndrome
pain?
first 3 fingers, and medial 4th
carpal tunnel syndrome tests
most sensitive?
abduction of thumb (most sensitive)
tinel’s sign
phalen’s sign
tinel’s sign
tingling with tapping carpal tunnel
phalen’s sign
numbness or tingling while pressing back of hands together for 60 seconds
vertebra prominens
spinous process of C7
5 points
- vertebra prominens
- L2
- L4-LF intervertebral space
- iliac crests
- dimples of venus/sacroiliac joints
flexion of the neck may produce paresthesia down the arms and legs
diagnosis?
what sign?
multiple sclerosis or spondylosis
Lhermitte’s sign
downwards pressure on neck may produce symptoms of what?
what manuevre?
accentuated by?
vertebral foramina narrowing
Spurling’s manuevre
pressing down during lateral flexion
increasing intrathecal pressure may induce pain
diagnosis?
what maneuvre?
tumor or disc collapse?
Valsalva maneuvre
test for thoracic outlet obstruction
what maneuvre?
how?
positive is?
Adson maneuvre
arm is raised, externally rotated, and head also rotated
pulse is felt and bruit over subclavian
lumbar range of motion
supine extension-20
rotation-45
hip flexion increase
C7-T12 increase by 1 inch
T12-S1 increase by 3 inches
Bragard test
ankle dorsiflexion
Lasegue test
popliteal pressure
2 phases of gait
swing and stance
bony landmark, both anterior and posterior
greater trochanter
flexion deformity of hip
opposite knee hoes into flexion
trendelenburg test
gluteus medius
pelvis drops on the non weight-bearing side
thomas test
hip flexors (rectus femoris, ilipsoas, iliotibial) one hip flexed, other will also flex
the two condylar tibiofemoral joints are what type of joints
condylar
insertion of patellar tendon
tibial tubercle
pes anserine bursa position
posteromedial knee
abduction or valgus stress test for
MCL
adduction or varus stress test for
LCL
anterior drawer sign, Lachman test
ACL
posterior drawer sign
PCL
McMurray test
Menisci
bending backwards of knee
recurvatum
test for small effusions in knee
bulge test
pivot shift test
for? how?
anterior cruciate tear
flex knee, valgus force
position of triangular deltoid ligament
medial
ankle flexior or?
plantar flexion
ankle extension or?
dorsiflexion
assess tibiotalar joint
plantarflex and dorsiflex
assess subtalar (talocalcaneal) joint
invert and evert the heel
assess transverse tarsal joint
invert and evert forefoot
assess metatarsophalangeal joints
flex toes
flexion of IP joints secondary to plantar subluxation of MTP joints
claw foot
test for rupture of achilles tendon
Thompson/ Simmond’s test
palpate calcaneal bursa
heel