Ortho Physical Exam Tests Flashcards
Cervical Spine tests? 5
- Spurling’s
- Reverse Spurling’s
- L’Hermitte’s Sign
- Adson Test
- Babinski
- Spurling’s/Reverse Spurling’s Test: Do it.
- What is it for?
- What does this test do?
- What is the difference between spurlings test and reverse spurlings?
- Cervical compression test
- Increasing tension on exiting nerve
- Spurlings: ipsilateral lateral bending + extension
- Reverse: contralateral bending
- What is L’Hermitte’s Sign?
- What is a positive test?
- What may it indicate? 2
- Do the Adson’s test?
- What is a positive test?
- What does it indicate?
Outlet syndrome
- Do the Babinski test
- What is a positive test?
- What does a positive test indicate?
- Picture
- Fanning of the toes
- Loss of normal adult descending pyramidal control of the reflex arc to suppress extensor withdrawal results in the upgoing toes in the plantar reflex known as Babinski’s sign. Example: MS
- Do Hoffman’s Test?
- What is it used for?
- Procedure? 2
- Whats a positive test?
- What does this indicate?
Shoulder tests
- Impingement tests? 2
- Internal Rotation/subscapularis? 3
- Supraspinatus? 2
- Instability/Dislocation? 3
- Labral Lesions? 2
- AC joint separation? 1
- Impingement
- Neer’s
- Hawkin’s - Internal rotation (subscapularis)
- Bear Hug
- Belly Press
- Lift Off - Supraspinatus
- Drop Sign
- Empty can - Instability/Dislocation
- Apprehension
- Sulcus
- Jobe’s Relocation - Labral Lesions
- Speed’s
- Yergason’s - AC Joint Separation
- Cross arm test
Neer’s Test
- Do it
- Tests for?
- Procedure? 2
- Positive test?
- Thumb must be?
- See picture
- Thumb must be pointed down and externally rotated
Hawkin’s Test
- Do it
- Procedure? 3
- Pain suggests what?
Hawkin’s test you are driving what under what?
Testing for impingement-driving greater tuberosity under acromion
What is the bear hug test for?
Do it?
- Belly Press test for?
- Do it?
- What motion are you doing?
- Isolates what?
- What is a positive test?
- Subscapularis
- See pic
- Internal rotation
- Isolates subscapularis
- If subscapularis pathology, pt will compensate with deltoid
What is the lift off test for?
Procedure? 3
What motion?
What is the drop sign for?
Do it.
Indicates what?
Do the empty can test
What is it for?
Do the apprehension test
- What does it test?
- Common in who?
- Indicates what? 2
- Positive test?
- Check for anterior instability-
- tennis players common
3.
- Dead arm syndrome,
- subluxation
4. Pt will move forward bc they feel their shoulder will slide out
What is the sulcus sign?
What does it indicate?
Do Jobe’s relocation
What is it testing?
How do we check posterior instability?
Do the Speed’s test
- What is the speeds test for?
- What is the toggle test?
Yaergason’s test used for?
Do it
Done how?
Positive sign?
Positive if pt feels pain up in biceps tendon or bicipital groove
What is Obrien’s test used for?
Pain when thumb down at 30 degrees with resistance
What is the Cross arm test for?
How do we do it?
AC Separation
Elbow test
- Instability? 2
- Peripheral nerve compression? 5
Distal Biceps? 1
- Instability
- Varus
- Valgus - Peripheral nerve Compression
- Tinels
- Modified Phalens
- Bent Elbow
- Wartenberg
- Froment’s - Distal Biceps
- Hook Test
What are varus and Valgus tests used for?
How do you do them?
Tinel’s Sign is what?
Tap on it
What is the bent elbow test for?
Carpel Tunnel/Cubital tunnel
What is Wartenberg;s sign?
Wartenberg’s Sign refers to the slightly greater abduction of the fifth digit, due to paralysis of the abducting palmar interosseous muscle and unopposed action of the radial innervated extensor muscles
Froment’s sign
Froment’s sign is a special test of the wrist. It tests for palsy of the ulnar nerve, specifically, the action of adductor pollicis. Froment sign can also refer to cogwheel effect seen in essential tremor.
Hook test?
Finkle’s sign?
Common in who?
