Ortho Tests

Question 1

pt complains of headache and neck stiffness and fever.

Answer 1

Kernig

Question 2

pt complains hand is going numb and cold when held above head. Ortho test to evaluate funnel between pec minor and corocoid process

Answer 2

Wright

• pain/paresthesia, decreased or absent pulse, pallor
• compression of axillary artery by pec minor or coracoid. TOS

Question 3

pt complains of severe posterior thigh pain. Ortho test to evaluate SEVERE posterior thigh pain

Answer 3

Turyn (dorsiflex big toe)

• pain in gluteal region or radiating sciatic pain
• sciatic radiculopathy

Question 4

pt complains of weakness in thumb opposition with tingling in the first 3 fingers. Ortho test

Answer 4

Prayers

Question 5

pt complains of radiating pain into left arm when he turns to look right. Ortho test.

Answer 5

foraminal compression

• local cervical pain indicates foraminal encroachment without nerve root compression
• local cervical pain that radiates indicates foraminal encroachment with nerve root compression

Question 6

pt complains of lateral chest pain when laterally flexing

Answer 6

Schepllmanns

• pain on concave side= intercostal neuritis
• pain on convex side= inflammation of pleura

Question 7

pt complains of radiating pain down the posterior thigh and leg.

Answer 7

SLR

Question 8

complains of radiating pain when coughs, sneezes, or strains.

Answer 8

Valsalva

Question 9

complains of forefoot pain when wearing tight fitting shoes

Answer 9

Mortons

Question 10

complains of tingling in the hands while working overhead

Answer 10

Roos

• ischemic pain, heaviness of arms, numbness/tingling of hand
• TOS on side involved

Question 11

complains of weak abdominal muscles during chrunches

Answer 11

Milgrams

Question 12

complains of pain at medial malleolus going into the medial foot

Answer 12

Tinel foot

• paresthesia radiating into foot
• tarsal tunnel syndrome

Question 13

complains of posterior thigh pain. Ortho test to diff bt sciatic radiculopathy and tight hamstrings

Answer 13

SLR

Question 14

complains of local cervical pain

Answer 14

foraminal compression

• local cervical pain indicates foraminal encroachment without nerve root compression
• local cerivcal pain that radiates indcates cervical compression with nerve root compression

Question 15

radiating pain from straining. Ortho test to diff bt medial from lateral disc lesion

Answer 15

Kemps

• pain leaning toward involved side is lateral cord lesion
• pain when leaning away from involved side is medial disc lesion

Question 16

muscle weakness on finger adduction.

Answer 16

Fromet paper sign

• unable to grip paper
• ulnar paralysis

Question 17

weakness in hands while working overhead. Ortho test to diff bt clavicle and 1st rib

Answer 17

Eden

• pain/parathesia, decreased/absent pulse, pallor
• compression of neurovascular bundle between clavicle and 1st rib

Question 18

low back pain. Ortho test to diff bt a lumbar and SI issue

Answer 18

Belt test

• low back pain
• pain while both supported and unsupported = lumbar issue
• pain while unsupported but absent while supported = pelvic pain

Question 19

posterior thigh pain. Ortho test to evaluate piriformis syndrome

Answer 19

Bonnet sign (SLR toward opposite shoulder)

• pain in posterior thigh
• immediate pain is sciatic neuropathy from piriformis syndrome

Question 20

pt has LBP and foot weakness.. ortho test to confirm L4 disc lesion

Answer 20

Heel walk

• inability to perform
• L5-L5 disc lesion

Question 21

shocklike sensations with neck flexion

Answer 21

L’Hermitte

• electric shock sensations down the spine or extremities
• dural irritation, severe spinal cord injury