Ortho tests Axial Skeleton Flashcards
CPS SpurlingS
Compress head + E, R, SB = Jacksons compression
Sprain / strain
Facet irritation
Radiculopathy - Nerve root pressure increase - disc
P+ = radicular pain
NOT local pain
CPS & TSP Distraction
CSP - hand under chin
TSP - crossed arms, holding elbows pull back and up
Facet irritation
Radiculopathy - Nerve root pressure increase - disc
Muscle/lig/capsule
pain decreased = root nerve positive
pain increased = muscle/lig strain/sprain, disc herniation
TSP & LSP Slump
Slide down, 1 leg raised, dori flex foot and E big toe
Radiculopathy - Nerve root pressure increase - disc
Sciatic nerve
+=reproduction of pain, shooting
TSP & LSP KempS
standing = slide hand down opposite posterior leg
sitting = compress on shoulder and then E and R back
Sprain/strain
Facet irritation
+=local pain / numbness
LSP Femoral nerve traction
Patient prone, F knee, then E hip and F knee
*prone, heels to bum
Nerve root pressure increase - disc
Radiculopathy
+= pain - with the hip E = femoral nerve impingement
LSP SLR
raise leg 30/60 degrees, dorsi f and E big toe
strain / sprain
Nerve root pressure increase - disc
Radiculopathy
Piriformis entrapment
+=local and radicular pain
SIJ Marching
Patient standing lifting 1 leg
Fracture
Strain
SIJ dysfunction
Hyper-mobility
+=pain, increased or decreased ROM
SIJ Flamingo
Strain
+=local pain
SIJ Gaenslens
Patient Holding knee dropping other leg off bed
Instability
Sprain
SIJ thigh thrust
Scoop bum
Instability
SIJ compression
Fracture
Instability
SIJ Distraction
Fracture
Sprain
+= A. Local pain
Leslet cluster
In this order
Distraction
Thigh thrust
FADER
Gaenslens
Compression
2 or more positive tests likely to be SIJ pain
SIJ
sacral thrust
sacroiliac pain