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Musculoskeletal Pt. Mgmt. I - Special Tests > Practical 1 - Lumbar/Pelvis > Flashcards

Practical 1 - Lumbar/Pelvis Flashcards

1
Q

Sacroiliac Dysfunction

A
  • Stork or Gillet Tets
  • Thigh Thrust
    (Ostagaard Test, 4p Test, Sacrotuberous Stress Test, POSH Test)
  • Gapping Test
    (Distraction Provocation Test)
  • Sacral Thrust Test
  • Approx. Test (Compression Provocation Test)
  • Gaenslen’s Test
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2
Q

Piriformis Syndrome

A
  • FAIR Test (flexion, adduction, IR)
  • Pace Test
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3
Q

Lumbar Instability

A
  • Instability Catch Sign
  • Pain Provocation w/ Post-Ant Mobility
  • Prone Instability Test
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4
Q

L1 Radiculopathy

A

Observation - None
Dermatome - None
Myotome - Hip Flexion
Reflex - None

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5
Q

L2 Radiculopathy

A

Observation - None
Dermatome - Prox. Med. Thigh
Myotome - Hip Flex.
Reflex - Patella Tendon

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6
Q

L3 Radiculopathy

A

Observation - Unilat squat while supported & heel walking
Dermatome - Ant Thigh
Myotome - Knee Ext.
Reflex - Patella Tendon

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7
Q

L4 Radiculopathy

A

Observation - Unilat squat while supported & heel walking
Dermatome - Med Tib
Myotome - Knee Ext. / Ankle DF/IV
Reflex - Patella Tendon

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8
Q

L5 Radiculopathy

A

Observation - None
Dermatome - Med. Dorsum Foot
Myotome - Ankle DF/IV & Great toe extension
Reflex - Med. Hammies & Post Tib.

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9
Q

S1 Radiculopathy

A

Observation - Stand up on toes
Dermatome - Lat Foot
Myotome - Ankle EV, Ankle PF
Reflex - Lat Hammies, Med Hammies, Achilles Tendon

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10
Q

S2 Radiculopathy

A

Observation - Stand up on toes
Dermatome - Post. Calf
Myotome - Ankle PF
Reflex - Lat. Hammies and/or Achilles tendon

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11
Q

Active Movement Assessment

A

flexion, extension, side bending, rotation

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12
Q

Extension Quadrant Testing

A
  1. stand w/ equal weight
  2. instruct pt to lean back, rotate, and side-flex toward one side
  3. combined motion of ext., rotation, side flexion

**positive test is when pt’s pain is reproduced

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13
Q

Flexion Quadrant Testing

A
  1. stand w/ equal weight
  2. instruct pt to lean forward and touch toes
  3. combined motion of ext., rotation, side flexion

**positive test is when pt’s pain is reproduced

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14
Q

What are the three Neural Tension Tests

A

Slump Test
Straight Leg Raise
Femoral Nerve Tension Test

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15
Q

Slump Test

A
  1. pt slumps forward as far as possible
  2. PT applies firm over pressure into flexion
  3. pt extends knee or PT passively extends knee
  4. PT moves foot into DF/PF
  5. slow neck flexion
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16
Q

Straight Leg Raise

A
  1. pt does SLR
  2. clinician raises leg to point of symptom reproduction
  3. slightly lower leg and foot into DF
17
Q

Femoral Nerve Tension Test

A
  1. pt prone w/ PT one hand on PSIS
  2. move knee into flexion until onset of symptoms
  3. move foot into DF/PF or tell pt to move head
  4. can implement hip ext.
18
Q

FAIR Test

A
  1. pt sidelying
  2. 90° hip flexion, max. adduction, knee flex. to 90°
  3. keep hips stacked
  4. internally rotate
19
Q

Pace Test

A
  1. pt sitting at EOT
  2. PT places hands on lateral aspects of knees and asks pt to push hands apart
20
Q

Instability Catch Sign

A
  1. pt standing
  2. bend body forward as much as possible then return to standing
21
Q

Pain Provocation w/ PA Mobility

A
  1. pt prone
  2. thumb pad to thumb grip, put pressure perpendicular to spinous process of lumbar spine.
  3. proximal to distal
  4. positive when get to painful joint
22
Q

Prone Instability Test

A
  1. pt bent over on table
  2. PT performs PA spring on low back to elicit pain using pisiform grip
  3. pt lifts legs off table
  4. positive test if symptoms go away
23
Q

Stork or Gillet Test

A

PT places fingers/thumb/hands on pt PSIS and tells them to march. marching leg/thumb should dip down. positive if thumb doesn’t slip down

24
Q

Thigh Thrust (Ostagaard Test, 4p Test, Sacrotuberous Stress Test, POSH Test)

A
  1. pt supine
  2. PT stands opposite of painful side (i.e. if painful side is R then PT stands L)
  3. painful hip flexed to 90
  4. PT places hand under butt
  5. press down on femur
  6. positive test is if pain arrives during test
25
Q

Gapping Test

A
  1. pt supine
  2. cross arms and put pressure on ASIS
  3. hold pressure for 30sec, then vigorous force
  4. positive is obvi when patient has pain
26
Q

Sacral Thrust Test

A
  1. pt prone
  2. palpate 2nd or 3rd spinous process of sacrum
  3. use pisiform to put pressure on S3
  4. 6 thrusts of strong downward force
27
Q

Approximation Test

A
  1. pt sidelying w/ painful side facing up (not lying on it)
  2. PT cups iliac crest on painful side and apply downward pressure
  3. hold force for 30sec then vigorous force
28
Q

Gaenslen’s Test

A

think modified thomas stretch

  1. 6 thrusts of force on knee while pushing non painful leg into flexion

Musculoskeletal Pt. Mgmt. I - Special Tests (4 decks)

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