Orthopedic tests Flashcards
1
Q
Bakody sign
A
Hand on head alleviates symptoms. Nerve root syndrome
2
Q
Barre Lieou sing
A
Patient sits and moves head from side to side faster and faster. + blurred vision, nausea, nystagmus. Vertebral artery syndrome.
3
Q
Bikele’s sign
A
Patient Seated, Shoulder at 90 degrees externally rotates and reaches back behind body. + produces radicular pain. Radiculopathy
4
Q
Brachial Plexus Tension Test
A
Patient seated with hands behind head. doc supports elbows, Patient flexes head forward. + reproduction of radicular symptoms. Nerve root syndrome, probably c5
5
Q
Distraction test
A
patient seated, Doctor lifts head. + relief of radicular symptoms. nerve root compression
6
Q
Foraminal compression test
A
Patient seated, head neutral. Doc puts downward pressure on top of head. Turn head toward side of complaint and repeat. + localized pain. Foraminal encroachment
7
Q
Hautant’s test
A
Patient Seated, arms extended out front and supinated for a few seconds. Then patient closes eyes and rotates head and hyperextends. + significant drifting of hands. Vertebral basial vascular compromise
8
Q
Maximum cervical compression test
A
Patient seated and rotates head and then extends neck toward side of radicular complaint. + radicular symptoms reproduced. Foraminal Encroachment
9
Q
O’Donaghue Maneuver
A
Patient seated, doctor holds patient’s head and asks patient to try and rotate head against isometric resistance. +pain. Muscle strain. (if there is no pain but there is with passive turning of patient’s head, then it’s ligament injury)
10
Q
Rust sign
A
Patient presents supporting wt of head in hands because cannot tolerate wt of head. Gross instability of upper C spine due to fracture or severe sprain.
11
Q
Shoulder depression test
A
Patient seated and doc presses head into lateral flexion while also pressing shoulder down. + increase in symptoms. Brachial plexus or dural sleeve adhesions.
12
Q
Soto Hall
A
Patient supine, doctor supports head with one hand and chest with other. Head is passively flexed, chin to chest. + Pain in the cervical or thoracic spine. General instability of c and or t spine. (if knees reflexively bend could be meningitis.)
13
Q
Spurling’s test
A
Patient seated, turns head side to side to localize pain. Doc supports neck and head is laterally flexed to side of pain. Doc applies downward pressure to head and neck. if reproduction of symptoms or collapse sign then stop. Otherwise extend head as far as patient can tolerate, and reapply downward pressure. + radicular pain, nerve root compression. + localized pain, facet involvement.
14
Q
Swallow test
A
Doc has patient drink a glass of water. + Pain. Esophageal irritation due to direct retroesophageal space occupying mass. (Like D.I.S.H. )
15
Q
Valsalva’s
A
Patient asked to take in deep breath, seal nose and mouth and blow out against that seal as hard as they can. + pain. Nerve root compression by space taking lesion.
16
Q
ROM of shoulder
A
Flexion 180 (less than 160 impaired) Extension (less than 40 impaired) Abduction, 180 (less than 160 impaired) Adduction (less than 30 impaired) internal and external rotation, 90, (less than 60 impaired)
17
Q
Nerve roots for Shoulder.
A
Flexion c5-c6 Nerve, Axillary nerve. Extension c6-c8, Abduction c5-c6. Adduction c5-c6. External rotation, c5-c6. Internal rotation c5-t1.
18
Q
Abbott Sounders test
A
Patient seated. Doc places hand over Patient shoulder to be able to palpate bicep tendon. Then abducts patient’s arm, then externally rotates arm and lowers arm. + audible or palpable click . Bicep tendon subluxation or dislocation.
19
Q
Adson’s test
A
Patient seated. Doc stands behind patient finds radial pulse on affected side. Doc slightly extends arm while feeling pulse. Patient is instructed to turn head to affected side and extend head take in a deep breath and hold it. + pulse disappears. Thoracic Outlet Syndrome.
20
Q
Allen Maneuver (shoulder)
A
Patient seated. Doc abducts the affected shoulder to 90 degrees and flexes elbow 90 degrees and externally rotates elbow while taking radial pulse. Patient instructed to turn head away from affected side. + pulse disappears. Thoracic Outlet Syndrome.
21
Q
Appley’s test
A
Patient seated, instructed to place hand of affected arm behind head and touch opposite scapula. Then to repeat with hand behind back. + pain reproduced. tendonitis of supraspinatus.
22
Q
Apprehension test
A
Patient seated, Doc slowly abducts and externally rotates patients affected arm. + look or feeling of alarm. Anterior shoulder dislocation.
23
Q
Bryant’s sign
A
Doc observes both axial folds. + one is lower than the other. Glenohumeral dislocation.
24
Q
Codman’s sign
A
Patient seated. Doc abducts affected arm slightly above 90 degrees and drops arm. + pain and hunching of shoulder. Rotator cuff tear.
25
Costoclavicular maneuver
Patient seated. Doc palpates both radial pulses, extends patient shoulders and has patient flex head downward. + disappearing pulse. Thoracic outlet syndrome.
26
Dawburn's sign
Patient seated. Doc palpates tender spot over subacromial bursa. Doc abducts arm. + pain goes away. Subacromial bursitis.
27
Dugas test
Patient seated. Instructed to place hand on opposite shoulder and then lift elbow. + pain. Shoulder subluxation/dislocation.
28
Impingement sign
Patient seated. Doc slightly abducts arm and moves it through flexion. + pain. Overuse injury to supraspinatus/bicep tendon.
29
Ludington's test
Patient seated, clasps hands behind head. Doc palpates both biceps tendons and asks patient to flex and relax biceps. + cannot feel tendon. Rupture of long head of the bicep tendon.
30
Reverse Bakody maneuver
If placing affect arm on head increases pain,. Interscalene compression of the lower branches of the brachial plexus.
31
Roo's test
Patient seated, holds hands up arms and elbows flexed to 90 degrees. Asked to open and close hands for 3 minutes. + significant increase in symptoms. Thoracic outlet syndrome.
32
Shoulder compression test
Patient seated. Doc exerts downward pressure on coracoid process. + neurovascular compression symptoms. Hyper abduction thoracic outlet syndrome.
33
Speed's test
Patient seated and flexes arm while doc provides resistance. Patient then supinates arm and completely extends elbow. + pain. Biceps tendonitis.
34
Subacromial push button sign
Patient seated. Doc presses down with finger or thumb into supraspinatus. +pain. Supraspinatus tear.
35
Supraspinatus press test
Patient seated, arms and elbow flexed 90 degrees, palms down. presses up against doc resistance. then patient rotates thumbs down and internally rotates shoulder and repeats pressing up against resistance. + pain. Supraspinatus tear.
36
Transverse humeral ligament test
Patient seated. Doc palpates the the bicipital groove then abducts arm to 90 degrees and internally and externally rotates shoulder. + palpable snap of the tendon. Transverse humeral ligament tear.
37
Wright's test
Patient seated. Doc palpates radial pulse and slowly abducts arm. +pulse disappears. Hyperabduction thoracic outlet syndrome.
38
Yerganson's test
Patient seated (or standing really) Doc palpates the biceps tendon and patient fights against flexion and external rotation. + pain. Tenosynovitis or involvement of the transverse ligament.
39
Cozen's test
Patient seated, elbow slightly flexed, hand pronated. then makes fist and dorsiflexes the wrist. Doc trys to flex the hand. +pain at the lateral epicondyle. Lateral epicondylitis.
40
Elbow flexion test
Patient seated with elbow fully flexed for as long as possible. ( 5 minutes) + ulnar nerve paresthesia. Cubital tunnel syndrome.
41
Golfers elbow test
Patient seated, arm slightly flexed, hand supinated and flexed as doc tries to force hand into extension. + Pain over medial epicondyle. Medial epicondylitis.
42
Ligamentous Instability test
Patient seated, arm slightly flexed hand supinated. Doc supports elbow while putting valgus/varus pressure on distal forearm. + pain. Elbow sprain of collateral ligaments.
43
Mills test
Patient seated. Doc passively flexes elbow then flexes patient wrist. Patient flexes fingers. Maintaining wrist and finger flexion, the doc then extends the elbow and at full extension pronates the forearm. +pain over lateral epicondyle. Lateral epicondylitis.
44
Tinel's sign at elbow
Patient is seated arm flexed at elbow. Doc percusses over nerve at lateral epicondylar groove and medial epicondylar groove. + tingling (nerve palsy) + pain (nerve degeneration)
45
Allen's test (wrist)
Patient is asked to open and close hand until all the blood is pumped out of it then hold a closed fist and the doc puts pressure on both arteries, then releases one of them. + takes longer than 5 seconds for blood to return. vascular compromise.
46
Bracelet test
Patient is seated doc wraps fingers around wrist applying lateral compression to distal radius and ulna. + acute pain. Rheumatoid arthritis.
47
Carpal lift sign
Patient seated hand, palm down on table. Doc fixes other digits down and has patient try to lift affected digit against resistance. + pain on dorsum of wrist. Carpal fracture or sprain.
48
Cascade sign
Patient closes hand so fingers rest on thenar eminence. should be a nice flowing line across finger tips. + not a nice line of fingers. internal derangement of metacarpals or carpals or both.
49
Finkelstein's test
patient wraps fingers around thumb of affected hand. then ulnar deviates the wrist. + pain in anatomical snuff box. Stenosing tenosynovitis.
50
Finstern's sign.
Doc percusses just proximal of the proximal head of the 3rd metacarpal. + pian distal to center wrist. Kienbocks disease (aseptic necrosis of the lunate)
51
Froment's paper sign
Patient abducts fingers, doc places paper between them. patient adducts fingers and is asked to try and hold paper while doc tries to pull it out. + can't hold paper. Ulnar nerve paralysis.
52
Interphalangeal neuroma test
Doc probes metacarpophalangeal interdigital tissues with blunt end of reflex hammer. +severe pain. Neuroma.
53
Maisonneuve's sign
patient seated arm pronated extends wrist. + marked hyperextension. Collies fracture.
54
Phalen's sign
Patient seated and presses backs of hands together for 60 seconds. + median nerve paresthesia. Carpal tunnel syndrome.
55
Pinch grip test
Patient makes an "OK" sign. finger and thumb should be tip to tip. + pulp to tip. anterior interosseous never involvement.
56
Tinel's sign
Doc percusses over carpal tunnel. + tingling/pain. Carpal tunnel syndrome.
57
Wartenberg's sign
Patient asked to grip dynamometer. + 5th digit remains abducted and doesn't contribute to grip. Ulnar nerve palsy
58
Wringing test
Patient asked to wring towel with maximum effect. + pain in wrist (carpal arthropathy) +pain in elbow (epicondylitis) + tingling in hand ( carpal tunnel syndrome)
59
Thoracic spine ROM
Flexion, 20 to 45 degrees. (less than 30 impaired) Extension 25 to 30 degrees (less than 20 impaired) Lateral flexion 20 to 40 degrees, Rotation 35 to 50 degrees. (less than 20 impaired.)
60
Adam's positions
Have patient bend forward and observe T spine for humps/deformity. (scoliosis screening)
61
Amos's sign
Patient lies on side on table and attempts to move to a seated position. + localized T spine and T-L spine pain. Ankylosing Spondylitis, severe sprain or disc issues.
62
Anghelescu's sign
Patient is supine. Doc has patient arch up to lift T spine off table and rest weight on shoulders. + inability to do this. Tuberculosis spondylitis.
63
Beevor's sign
Patient supine, doc obsever umbilicus and holds legs down. Has patient do a partial sit up. + drifts up, lower T spine involvement, drifts down, upper T spine involvement, but not above T7.
64
Chest expansion test
Have Patient exhale, and take measurement around ribs, then have patient take deep inhale and measure agian. Normal is 5.75 to 7.62cm (1.5 to 3 inches)
65
First Thoracic never root test
have patient place hand behind head. +pain in scapular area. T1 nerve root involvement.
66
Forestier's bow string sign
as patient tries to laterally flex t spine, + tightening or contracture of musculature on the same side as flexion. Ankylosing spondylitis
67
Passive scapular approximation test
doc approximates the scapulae by pulling the shoulder tips backwards. + pain in the scapular area. t1 or t2 nerve root involvement.
68
Schepelmann's sign
Patient puts both arms in the air palms facing each other and laterally flexes torso. + pain on flexed side (intercostal neuritis) +pain on convex side (intercostal myofascitis.
69
Lumbar ROM
Flexion 80 degrees (less than 60 impaired) Extension 35 degrees (less than 20 impaired) lateral flexion 25 degrees (less than 20 impaired)
70
Antalgia sign
If disc is protruding lateral to nerve, patient leans toward affected side. If disc is protruding medial to nerve, patient leans away from affected side. and if central patient flexes forward.
71
Bechterew's sitting test
Patient sits and extends one leg. Doc presses on thigh. + increase in back pain or sciatic pain. + pain if extending both legs at once. Sciatica, disc lesion, exostosis, adhesions, spasms or subluxations.
72
Bilateral leg lowering test
Patient is supine, doc flexes both legs to 90 degrees and asks patient to lower them to 45 and hold them. + inability to do so. Lumbosacral involvement.
73
Bowstring sign (L spine)
Patient supine, doc places affected leg ankle on shoulder and buts firm pressure near insertion of hamstring muscles. if painful then puts pressure in popliteal fossa. + pain in lumbar region or radicular pain. Nerve root compression.
74
Braggard's sign
After pain reached with SLR, lower leg until pain is gone and then dorsiflex foot. + Pain returns. Disc bulge, sciatica, cord tumors.
75
Cox sign
When performing a SLR, +pelvis rises off table rather than flexing at hip. Nucleus prolapse into IVF
76
Double leg raiser
after pain from SLR doc makes note of angle. Then raises both legs at once. + pain at lower angle than SLR. Lumbosacral joint involvement.
77
Ely's sign
Patient prone and doc flexes knee of affected leg 90 degrees and then takes heal to opposite buttock. after flexion the thigh can be hyper extended. + anterior thigh pain. Inflammation of lumbar nerve roots.
78
Fajersztajn's test
Braggards on unaffected leg +pain in affected leg sciatica with disc involvement.
79
Femoral nerve traction test
Patient lying on unaffected side. Doc supports pelvis with one hand and takes affected leg and wraps it around his hips stretching then anterior thigh. + anterior thigh pain. Radiculopathy L2,3,4.
80
Heel/Toe walk test
+ If cannot walk on toes, tibial nerve, L5 S1 disc, S1 dermatome. + if cannot walk on heels, Common peroneal nerve, L4 L5 disc, L5 dermatome
81
Hyperextension test
Patient prone, Doc supports lumbosacral area and lifts affected leg at knee. + ant thigh radiating pain. L3-4 nerve root involvement.
82
Kemp's test
Patient seated. Instructed to fold arms and lean forward at waist and away from affected side. Doc is on affected side and reaches infront of patient with one hand and palpates lower back with other as he rotates the patient toward the affected side and puts patient into posterolateral extension. radicular thigh pain or leg pain, nerve root involvement, + local pain. take note.
83
Brudzinski sign
Patient supine, doc passively flexes head. + both knees flex, Meningitis
84
Kernig sign
Patient supine, Doc flexes hip and knee to 90 degrees. then tries to extend leg. + Pain prevents lef form extending often accompanied by involuntary flexion of opposite knee and hip. Meningitis.
85
Lasegue differential sign
Doc performs an SLR to pain, then flexes leg. +pain goes away, nerve pain not hip.
86
Lasegue rebound test
Doc does SLR to pain and drops patient leg without warning. + increase in pain and spasm. Disc involvement
87
Lasegue sitting test
Patient seated, doc lifts leg up under the guise of checking feet or pulses. + pain over sciatic distribution. Radiculopathy.
88
Lasegue test
Patient supine, doc flexes hip and 90 degrees and then extends knee, +pain. Sciatica from L5 S1
89
Lewin's snuff test
Patient is asked to smell sneeze inducing substance. +Local or radicular pain with sneeze. Disc rupture
90
Minor sign
+Patient has to support weight from sitting to standing, Lower back instability
91
Nachlas test
Patient prone, doc flexes affected leg and presses heel to ipsilateral buttock. + pain in LS or SI or radiating pain. Sacroiliac or LS disorder.
92
Belt Test
Patient standing and leans forward. Doc behind patient and makes note of where pain begins. Then patient stands back up and doc immobilizes pelvis and has patient flex forward again. + no pain, Pelvic involvement, +pain spinal involvement.
93
Erichsen's sign
Patient prone, doc places both hands over dorsum of ilia and gives forceful thrust toward midline. + pain over SI, SI disease.
94
Gaenslens's test
Patient supine, affected side to side of table. Doc flexes unaffected leg toward abdomen and extends affected leg. + pain in SI of affected leg. SI disease.
95
Goldthwaite sign
Patient supine, doc places hand under Lower back to palpate L5 S1 spinous processes. Then doc performs a SLR on affect leg. + Pain before L5 S1 spinous processes separate. SI involvement. + Pain after L5 S1 spinous processes separate. Spinal involvement.
96
Hibbs test
Patient prone, Doc stabilizes unaffected side of pelvis with one hand and grasps affected side's ankle and flexes leg to ipsilateral buttock, then presses leg laterally causing internal hip rotation. + Pelvic pain. SI involvement.
97
Iliac compression test
Patient side lying. Doc places both hands over upper part of superior iliac crest and exerts downward pressure. + Increased feeling of pressure in SI. SI sprain, subluxation or fracture.
98
Lewin Gaenslen's test
Patient laying on unaffected side. Unaffected leg flexed. Doc behind patient supports pelvis with hand and extends thigh with the other. + pain in SI, SI involvement.
99
Yeoman's test
Patient prone, Doc supports affected side of pelvis with one hand while flexing affected knee and extending the thigh. + pain, SI joint involvement.
100
Hip ROM
Extension, 30 - 40 degrees. (less than 20 restricted) Flexion 90 degrees, Abduction 40 - 45 degrees (less than 30 restricted,) Adduction, 20 - 30 degrees. External rotation 45 degrees. (less than 40 restricted). Internal rotation 40 degrees. (less than 30 restricted.)
101
Muscle, nerve, nerve root levels in hip flexion.
Muscle, Iliopsoas. Nerve, Femoral nerve. Nerve roots, L1,2,3
102
Muscle, nerve, nerve root levels in hip extension.
Gluteus maximus, inferior gluteal nerve, L5-S2
Semimembranosus Semitendinosus, tibial branch sciatic nerve, L4-S2
Long head biceps femorus, tibial branch sciatic nerve, S1-S3
103
Muscle, nerve, nerve root levels in hip abduction
Gluteus Medius. Superior gluteal nerve. L4-S1
104
Muscle, nerve, nerve root levels in hip adduction.
Adductor magnus, longus, brevis and Gracilis, obturator nerve, L3-4
pectineus, femoral nerve, L2-4.
105
Muscle, nerve, nerve root levels in hip external rotation
Obturator Externus, obturator nerve, L3-4
Obturator Internus, Sacral Plexus, L4-S1
Piriformis, Sacral Plexus, S1-2
Gemellus Superior, Sacral Plexus, L5-S2
Gemellus Inferior, Sacral Plexus, L4-S1
Gluteus Maximus, Inferior gluteal nerve L5-S2
106
Muscle, nerve, nerve root levels in hip internal rotation.
Tensor Facia Latae, gluteus minimus, Superior nerve, L4-S1.
107
Actual leg length test
Patient supine. Doc measures from ASIS to medial malleolus. + short leg. Abnormality pre or post trochanter.
108
Allis sign
Patient supine, legs flexed, knees touching, feet flat on table. + one knee lower than the other. Femoral deficiency. (short leg/dislocated femur)
109
Anvil test
Patient supine. Doc grasps ankle of affected leg and uses fist to percuss calcaneus. + pain. Fracture.
110
Hip telescoping test
Patient supine. Doc flexes hip then pulls and pushes on hip. + pistoning of hip can be felt. dislocation.
111
Ober's test
patient side lying. Doc supports pelvis with one hand and abducts and extends thigh with other then lays leg down on table. + leg remains abducted. Iliotibial band contracture.
112
Patrick's test
Patient supine, Doc places ankle of affected leg over knee of unaffected leg then supports pelvis on unaffected side and presses down on affected side thigh. + pain in hip. Hip pathology.
113
Phelps test
Patient prone, legs fully abducted. Doc flexes knees to 90 degrees. + flexion allows for more abduction. Gracilis muscle contracture.
114
Thomas test
Patient supine. flexes unaffected leg to chest and holds knee with both hands. + Lordosis does not flatten and affected leg flexes. shortened iliopsoas.
115
Trendelenburg test
Patient standing and lifts unaffected leg as in marching. + hip drops on raised leg side. Hip pathology/muscle weakness.
116
117
What is the list of tests for cervical nerve root syndromes.
Bakody, Brachial plexus tension test (c5), distraction test, foraminal compression test, lehermittes, maximum cervical compression test, spurling/Jacksons, valsalvas.
118
What is the test for cervical radiculopathy?
Bikele’s sign
119
What are the test for space occupying lesion in the c spine?
Dejerine’s sign, Jackson’s test, swallow test, Valsalva’s.
120
What are the tests for vertebrobasilar artery compromise?
Barre-Lieou, Hautant’s test, George’s test. Also Deklien’s, Hallpike and Underburg’s
121
What is the test for cervical myelopathy?
Lhermitte’s sign
122
What is the test for cervical sprain/strain?
O’Donoghue (pain with active movement, strain, pain with passive movement, sprain)
123
What is the sign for gross instability of the upper c-spine?
Rust sign.
124
What is the test for biracial plexus or dual sleeve adhesion?
Shoulder depression test.
125
What is the test for generalized instability of cervical thoracic spine?
Soto hall, if knees reflexively bend, meningitis
126
What are the tests for bicepital tendon subluxations,/transverse humoral ligament tear.
Abbott sounders, impingement sign, Masion’s Speed’s test, transverse Humoral ligament tests, Yerganson’s.
127
What are the tests for TOS?
Adson’s teat, Allen maneuver, Eden’s, Costoclavicular Maneuver, Halstead Maneuver, Roo’s test, shoulder compression test, Wright’s test
128
What 2 tests determine Hyper abduction TOS?
Wright’s and Shoulder compression.
129
What are the tests for supraspinatis tendinitis?
Appley’s test, Mazion’s/Dugas test.
130
What are the tests for anterior shoulder dislocation.
Apprehension test, Mazion’s/Dugas
131
What are the tests for Gleno-humeral dislocation
Bryant’s sign, Calloways test, Hamilton’s sign, Dugas/Mazion’s
132
What are the tests for rotator cuff tear?
Conman’s,supraspinatus press test, subacromial push button sign, Mazion’s/Dugas, empty can test.
133
What is the test for subacromial bursitis?
Dawburn’s
134
What is the test for rupture of the long head of the biceps tendon?
Ludington’s test
135
What is the test for inter-scalene compression of the lower branches of the brachial plexus?
Reverse Bakody
136
What is the test for tenosynovitis or involvement of the transverse Humeral ligament
yerganson’s
137
What are the tests for lateral epicondylitis?
Cozen’s Kaplan’s sign, Mills test and wringing test.
138
What is the test for cubital tunnel syndrome?
Elbow flexion test
139
What are the test for medial epicondylitis?
Golfers elbow test and wringing test.
140
What is the test for elbow sprain?
Ligamentous instability test
141
What is the test for radial/ulnar nerve palsy at the elbow?
Tinel’s sign at the elbow
142
What is the test for vascular compromise at the wrist?
Allen’s test
143
What test is used for rheumatoid arthritis at the wrist?
Bracelet test
144
What is the test used for carpal sprain/fracture?
Carpal lift sign
145
What is the test for internal derangement of the metacarpals/carpals?
Cascade sign
146
What is the test for stenosing tenosynovitis of de quervains?
Finkelstein’s test.
147
Tests for ulnar nerve paralysis/palsy at wrist.
Froment’s paper sign, Wartenberg’s sign
148
Test for Kienbock’s disease
Finsterer’s sign.
149
What is Kienbock’s disease?
Aseptic necrosis of the lunate
150
What is the test for neuroma of the hand
Interphalangeal neuroma test
151
What is the test for collies fracture?
Maisonneve’s sign
152
What are the tests for CTS
Phalen’s test, Tinel tap, wringing test.
153
What is used to determine anterior interoseous nerve involvement?
Pinch grip test
154
What test is used to screen for scoliosis?
Adam’s positions
155
What are the thoracic signs of Ankylosing spondylitis?
Amoss’ sign and Forestier’s bowstring sign
156
What is the thoracic sign for tuberculosis spondylitis?
Anghelecu’s sign
157
How do you differentiate between upper and lower T spine involvement?
Beevor’s sign
158
What is the test used to determine first thoracic nerve root involvement.
First thoracic nerve root test
159
What test is used to determine 1st or 2nd thoracic nerve root involvement?
Passive scapular approximation test.
160
What test is used for intercostal neuritis / myofacitis
Schepelmann’s test
161
What is a good test for rib fracture
Sternal compression test
162
What are the test for sciatica?
Bechterew’s sitting test, Braggards, Fajersztajn’s, Lasegue test
163
What are the test used to determine lumbosacral involvement?
Bilateral leg lowering test, nachlaus, minor sign. Double leg raiser
164
What sign demonstrates prolapsed nucleus into IVF?
Cox sign.
165
Tests used to determine lumbar nerve root involvement.
Ely’s sign, Femoral nerve traction test (L2,3,4) heel toe walk, hyper extension test (L3,4), Kemp test,
166
Name the nerve, dermatome, and disc level of heel/toe walk
Heel walk: common peronial nerve, L5 dermatome, L4,5 disc
Toe walk: tibial nerve, S1 dermatome, L5,S1 disc.
167
Name the lumbar tests for meningitis
Kernig and Brudinski test
168
A test to differentiate neural pain from hip pain.
Lesague differential sign
169
Tests for Lumbar disc involvement.
Lesague rebound, Lewis snuff test, valsalvas, minors, bragards, Fajersztain’s
170
Test to differentiate pelvic from spinal involvement
Belt test.
171
Tests for SI disease.
Erichsen’s sign, Gaebslen’s test, Glodthwait’s sign, Hibb’s test, Lewin Geanslen’s test, sacral apex test. Yeoman’s test
172
Test to differentiate SI from Lumbar involvement.
Goldthwait’s sign
173
Test for SI sprain, subluxation or fracture
Iliac compression test
174
Test to determine actual leg length
Actual leg length test.
175
Test for femoral deficiency (dislocation/short femur)
Alli’s sign
176
Test to determine fracture throughout leg including heel
Anvil test.
177
Test to determine hip dislocation
Hip telescoping test, Patrick’s test
178
Test for iliotibial band contracture
Ober’s test
179
Test for general hip pathology
Patrick’s test, Trendelenburg’s test
180
Test for gracillus muscle contracture
Phelps test
181
Test for shortened iliopsoas muscle
Thomas test
182
Tests for collateral ligament injury of the knee
Adduction/Abduction stress test, Apley’s distraction test.
183
Test for meniscus tear in knee
Apley’s compression test, Bounce home test, McMurray’s test.
184
Test for predisposition for patellar dislocation
Apprehension test for patella.
185
Test for chondromalacia patella/patellar tracking disorders
Clarke’s sign, Fouchet’s sign
186
Test for anterior/posterior cruciate ligament tear
Anterior/posterior drawer sign. Lachman’s test
187
Test for talofibular ligament instability
Anterior drawer sign of ankle
188
Ankle test for calcaneal fracture
Hoffa’s test
189
Test for thrombophlebitis in the calf
Homan’s sign
190
Test for metatarsalgia/ Morton’s neuroma
Morton’s test, strunsky’s sign
191
Test for ruptured Achilles tendon
Thompson’s test
192
How do you perform the Eden test and what is it testing for?
Doc stands behind patient on affected side, takes pulse and tractions the shoulder back, then Compresses the clavicle. Testing t for cost clavicle syndrome TOS
193
How do you perform the Watson test and what does it test for?
Patient seated, elbow rested on table. Doc wraps hand around wrist and presses into the scathing with thumb on plamar side of wrist. Other hand grabs the metacarpals from the ulnar side of wrist and take the wrist into ulnar deviation and slight extension. Then move the wrist into radial deviation and slight glexion keeping pressure on the scaphoid. Then release and if the Scaphoid lunate ligament is ruptured the scaphoid will return to its position with a thunk.
194
What is Rovsing, Psoas, and Obturator tests? How to perform and what do they test for?
Rovsing, press down into the left lower quadrant of the abdomen. +pain in rt lower quadrant.
Psoas, patient supine lift leg to 35 degrees or so and have patient press thigh up into your hand applying resistance. + pain in rt lower quadrant.
Obturator, patient lays on left side, doc stands behind supporting hip with hand and raising leg into slight abduction and flexion, then internally rotates thigh. + pain in rt lower quadrant.
Appendicitis.
195
How do you do Neers test and what does it test for?
Patient seated, doc stands behind and to the side of patient at affected shoulder, with one hand supports the scapula, with the other pronates the arm and then takes it through flexion.
+ pain in shoulder
Shoulder impingement possible rotator cuff or long head of biceps.
196
How do you perform Hawkins test and what does it test for?
Patient standing, doc stands in front and on the side of affected shoulder. One hand grasps the elbow and other the wrist. Flex the arm to 90 degrees and then passively internally rotate the arm.
+ pain in shoulder
Impingement of rotator cuff or long head of biceps.
197
How do you perform empty can test and what does it test for?
Patient standing, doc standing later and in front of patient in affected side on hand supports shoulder while the other lifts arm into 90 degrees flexion in the scapular plane. Turn thumb down and then have patient press up against the resistance of docs hand.
+ pain in shoulder
Impingement of supraspinatis tendon, tendinitis and or tear all supraspinatus.
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