Physical Orthopedic Exams Flashcards
If pain is relieved or decreased during distraction for eh cervial spine, this indicates foraminal occlusion of spinal nerve root or facet irritation.
Distraction test
Radiating pain during compression indicates foraminal occlusion of facet irritation.
Foraminal compression test(AKA spurling’s test)
Pain during this test can indicate fracture or sprain. If knees bend while performing test, this could indicate meningitis
Soto Hall
Pain during this test may indicate disc herniation or mass(in all area of the spine) at the area of discomfort
Valsalva test
A decrease or relief of symptoms when this test is performed indicates herniated disc or nerve root compression(often of C3/C5 or C5/C6 area)
Shoulder abduction(relief)test(aka Bakody’s sign)
Upon inhalation, if pulse disappears, this indicates thoracic outlet syndromes usually due to a cerival rib.
Adson’s test
Pain in lumbar spine or pain radiating into leg indicates disc herniation or L4, L5,S1 nerve root injury
Straight leg raise (SLR)
Pain on Doris flex ion of the foot tests for sciatica and disc herniation.
Bragard’s sign
Pain in the low back or radiating into the legs indicate sciatica and or disc herniation .
Becterew’s sitting(sitting knee extension)
If pain is triggered on the symptomatic side(while moving the uninvolved leg) this test indicates disc herniation and nerve root irritation
Farersztajn’s test (well leg raiser tests)
If painful or if the patient is unable to do the movement, this indicates a rotator cuff tear(often supra-spinatus muscle)
Codman’s test(Drop arm)
Pain or weakness indicates possible Supra-spinatus tendonopathy or tear
Empty can test(aka Jobe’s test)
Apprehension on the face of the patient during this test indicates anterior shoulder instability
Apprehension test
A positive sulcus sign(a gap greater than 1 cm appearing btw the numeral head and the undersurface of the acromion) indicates inferior instability of the shoulder.
Sulcus sign.
Decreased movement on Aplyey’s scratch test can indicate mobility restrictions of the shoulder. Muscle that perform internal rotation or external rotational movement should be addressed for spams or hypertonicities.
Apley’s scratch test
