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OSTEO SKILLS 3 > ORTHO TESTING > Flashcards

ORTHO TESTING Flashcards

1
Q

Sperlings

A

Testing for cervical radiculopathy (nerve root compression), local sprains/strains, facet irritation, cervical subluxation

Positive if shooting pain down arm

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2
Q

Jacksons

A

Testing for nerve root compression

Positive if shooting pain down the arm

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3
Q

Kemps

A

Testing for acute inflammatory lesion, local sprain/strain, facet irritation, spinal fracture & nerve root irrititation.

Positive for nerve root compression if radicular pain in leg & positive for sprain/strain/facet irritation/spinal fracture if localised pain

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4
Q

Slump test

A

Testing for nerve root compression

Positive if pain shooting down leg

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5
Q

SLR

A

Testing for sciatic nerve compression, disc herniation, SI joint sprain/strain, strains or sprains

Positive if radicular pain radiating down leg with 30’-70’ of flexion for disc herniation and so sciatic nerve compression
Positive if localised pain with >70’ of flexion for SI joint or lumbar sprain/strain, tight hamstrings/gluts

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6
Q

active SLR

A

Positive if symptoms go away when compressing

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7
Q

Femoral nerve traction

A

Testing for femoral nerve compression

Positive if pain radiates down anterior thigh of bent leg by practitioner

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8
Q

Gillets test

A

Testing for ipsilateral SIJ disfunction

Positive if SIJ blocked or hypomobile (PSIS doesn’t drop or move minimally) or local pain

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9
Q

Flamingo

A

Testing for ipsilateral SIJ disfunction

Positive if pain in pubic symphysis or SIJ

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10
Q

Thigh thrust

A

Testing for SIJ pathology

Positive if pain on SI joint when pushing

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11
Q

Distraction SIJ

A

Testing for sprain of anterior SI ligaments

Positive if unilateral gluteal or posterior leg pain

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12
Q

Compression SIJ

A

Testing for sprain of posterior SI ligaments and/or lesion of SI

Positive if increased feeling of pressure on SI joint

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13
Q

Sacral thrust

A

Testing for SI joint problems

Positive if pain is produced over SI joint

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14
Q

Gaenslens

A

Testing for ipsilateral SI joint lesion, hip pathology or an L4 nerve root lesion

Positive if pain on SI joint

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15
Q

Scour test

A

Testing for hip joint pathology, OA, capsulitis, acetabular impingment syndrome

Positive if pain or crepitus on hip

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16
Q

FADIR

A

Testing for anterior superior impingement syndrome, anterior labral tear and iliopsoas tendinitis

Positive if pain on hip or reproduction of symptoms

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17
Q

FABERE

A

Testing for hip joint pathology, OA, capsulitis, strain/sprain, tight hip adductors

Positive if hip pain or inability to perform test

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18
Q

Thomas test

A

Testing for hip contracture

Positive if elevation of straight leg

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19
Q

Obers

A

Testing for tensor fasciae latae contracture

Positive if extended leg cannot lower

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20
Q

Trendelenberg sign/test

A

Testing for weak abductor muscles (gluteus medius)

Positive if the iliac crest on the side with the flexed hip drops lower than the iliac crest

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21
Q

Posterior labral tear

A

Testing for posterior labral tear, anterior hip instability or posterior-inferior impingement

Positive if groin pain with or without clicking

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22
Q

Bulge/sweep test

A

Testing for internal derangement, ligament sprain/rupture or vascular damage

Positive if wave of fluid floating down medial distal knee

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23
Q

Ballottement’s

A

Testing for intra-articular swelling of knee

Positive if when pressing patella there is rapid recoil movement, floating-patella(seems like floating around when pressed) or spongy feel

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24
Q

Clarke’s

A

Testing for chondromalacia patella or degeneration of patellofemoral joint

Positive if retropatella pain

25
Q

Thessaly’s

A

Testing for meniscus tear

Positive if patient experiences medial or lateral joint line discomfort

26
Q

McMurrays

A

Testing for posterior medial or lateral meniscal lesion (anterior half not as easy to test as pressure on meniscus is not as high)

Positive if pain or crepitus (clicking or locking)

27
Q

Ege’s

A

Testing for medial & lateral meniscal lesions

Positive if pain or crepitus during motion

28
Q

Apleys compression

A

Testing for meniscal lesions

Positive if pain or decreased rotation (in comparison to normal side) while compresing & rotating

29
Q

Apleys distraction

A

Testing for ligament sprain (MCL/LCL)

Positive if pain on distraction & rotation or shows increased rotation relative to normal side

30
Q

Lachman

A

Testing for ACL/PCL lesion

Positive if pain or excessive motion (pain with normal motion suggests sprain & pain with excesive motion suggests rupture)

31
Q

Simmonds-Thompson

A

Testing for achilles tendon rupture

Positive if no plantar flexion of foot when squezzing calves

32
Q

Talar tilt

A

Testing for medial (deltoid)/lateral (ATFL/PTFL/CFL) ligaments of ankle

Positive if pain on lateral side during inversion & pain on medial side during eversion

33
Q

Anterior drawer test

A

Testing for ATFL tear or rupture

Positive if pain or excessive motion (pain with normal motion suggests sprain & pain with excesive motion suggests rupture)

34
Q

Posterior drawer test

A

Testing for PTFL tear or rupture

Positive if pain or excessive motion (pain with normal motion suggests sprain & pain with excesive motion suggests rupture)

35
Q

Tinel’s sign

A

Testing for tarsal tunnel syndrome

Positive if tingling or paraesthesia on distal foot

36
Q

Morton’s neuroma

A

Testing for Morton’s Neuroma

Positive if pain on metatarsal region

37
Q

Plantar fascitis

A

Testing for plantar fasciitis

Positive if pain on plantar surface of foot

38
Q

Speeds

A

Testing for bicipital Tendinitis, Impingement Syndrome, or labral Lesion or bursitis

Positive if pain on bicipital grove

39
Q

Yergasons

A

Testing for biceps tendinopathy or transverse humeral ligament pathology (tendon slipping out groove) if pain in bicipital grove or glenoid labrum pathology if pain in shoulder

Positive if pain in bicipital grove or in shoulde

40
Q

Hawkins kennedy

A

Testing for supraspinatus impingement

Positive if increased local pain in GH

41
Q

Neers test

A

Testing for supraspinatus impingement or subacromial bursitis with internal rotation of shoulder or for bicipes long head impingement with external rotation of shoulder

Positive if local pain

42
Q

Empty can test

A

Testing for supraspinatus muscle injury

Positive if pain or weakness

43
Q

O’Briens

A

Testing for Labral /SLAP lesion, A/C pathology with internal rotation & biceps long head tendinopathy with external rotation

Positive if pain

44
Q

Cranks

A

Testing for glenoid labral lesions

Positive if shoulder pain or crepitus

45
Q

Clunk

A

Testing for glenoid labral lesion

Positive if pain or clunk or grinding sound

46
Q

Kim

A

Testing for posteroinferior labral lesion

Positive if posterior shoulder pain and click

47
Q

Painful arc

A

Testing for subacromial impingement

Positive if pain between 60-120o (if pain above 170o shows AC joint pathology

48
Q

Appleys scratch

A

Testing for frozen shoulder & mobility

Positive if pain or incapability to perform test

49
Q

Cozens

A

Testing for lateral epicondylitis

Positive if local pain or weakness

50
Q

Reverse cozens

A

Testing for medial epicondylitis

Positive if local pain or weakness

51
Q

Mills

A

Testing for lateral epicondylitis

Positive if local pain or weaknes

52
Q

Reverse mills

A

Testing for medial epicondylitis

Positive if local pain or weaknes

53
Q

Varus / Valgus Stress Test

A

Testing for medial and lateral colateral ligaments of elbow

Positive if pain

54
Q

Tinels sign on wrist and elbow

A

Testing for median & ulnar nerve compression

Positive if tingling across dermatome

55
Q

Finklesteins Test

A

Testing for De Quervain’s Tenosynovitis

Positive if pain on lateral wrist (near thumb)

56
Q

Phalens

A

Testing for carpal tunnel syndrome

Positive if pain or numbness or tingling with 2 minutes

57
Q

Reverse phalens

A

Testing for carpal tunnel syndrome

Positive if pain or numbness or tingling with 2 minutes

58
Q

Ulnomeniscotriquetral Dorsal Glide

A

Testing for TFCC sprain or rupture

Positive if pain or laxity

59
Q

Allens

A

Testing for artery stenosis or occlusion

Positive if skin remains pale for longer than 5 seconds

OSTEO SKILLS 3 (2 decks)

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