Other tests Flashcards
Arm squeeze test
Cervical radiculopathy
Patient seated. Squeeze middle third of arm with thumb on back of patients tricep. Then apply distal pressure on acromioclavicular area and subacromial area. Moderate compression. If patient reports 3 on VAS scale and noitcicble increased pain in middle arm compared to AC region, then test is positive.
Brudzinski sign
Meningitis
Patient lying prone. Place hand on back of patients head and flex towards Neck. If patient involuntarily flexes hips, then this is a sign of meningitis.
Cervical distraction test
Cervical radiculopathy
Patient lying on back with head hanging off bed. Distract the neck by cradling head. The test is positive if symptoms ease after distraction.
Cervical flexion rotation test
Limited cervical rotation.
Patient lying supine. Head off the end of the bed. Passively flex lower c spine, then upper c spine. Rotate head to both sides, and look for imitation in rotation.
Painful arc syndrome
SA impingement
Patient standing, slowly begin abducting the arm. IF patient experiences pain between 60 and 120 degrees of abduction, then the test is deemed positve. The normal symptoms should be no pain in first portion, pain in mid portion and then a reduction of pain at the end.
Crank test
Labral tear
Patient lying supine. Arm abducted with elbow in full flexion. Place pressure on top of shoulder whilst internally and externally rotating shoulder. Reproduction of symptoms is a positive test. https://www.physio-pedia.com/Crank_Test
Bulge sign test
Effusion in the knee
Patient lying supine. Sweep fluid proximally on medial aspect of knee, and then distally on lateral aspect. IF a bulge appears on medial side of knee, then this test is positive.
Elbow extension test
Test for effusion or fracture at elbow joint.
Patient seated, passively extend elbow. If patient cannot fully extend elbow, this is indicative of swelling at the elbow.
Ely’s test
Rec fem tightness
Patient lies prone in with pillow under stomach. Flex knee passively and try and touch buttocks. If you can not, then test is deemed positive.
Prone knee bend test
L2-L4 Nerve compression.
Same position as ELys test, but hold for 45 seconds. Use the effected leg. Reproduction of neurological symptoms or numbness is a positive test.
Hip Quadrant test
Hip pathology
Patient in supine. Flex the knee and hip. Place limb in adduction, and apply compression force to kip. Repeat with abduction.
Infraspinatus test
infra tear or impingement
Patient stands with arm by side and elbow at 90 degrees. Ask patient to externally rotate. Pain or weakness indicates infra tear.
Jerk test
Glenohumeral instability (Posterorinferior)
Patient seated. Arm abducted 90 degrees, elbow flexed 90 degrees. Internally rotated. Horizontally adduct arm across chest while placing proximal force through elbow into shoulder. If a clunk is observed, the test is positive.
KEMP test
Assess Lumbar facet joints. Patient standing. Extend, side flex, and rotate to side of pain. Local pain indicates facet joint problems, whereas radiating pain down the leg could be indicative of nerve roote compression.
KIM test
Labrel tear/lesion (Posteroinferior) PAtiet seated, arm in 90 degrees abduction and elbow in 90 degrees of flexion. One hand on mid arm, the other behind elbow. Hand on arm should apply downward pressure, and hand on elbow should apply compressive force towards shoulder. Adduct the arm towards head, and back. Sudden onset of pain is indicative of posteroinferior lesion.
