Special Test (HNBS) Flashcards
Position: sitting
Action: pt head is laterally flex then PT applies compression force
(+) sign: I/L pain (in dermatomal distribution)
Indication: cervical radiculitis
(+) sign: pain on c/l side
indication: tension myalgia
spurling’s test
(CERVICAL REGION: PROVOCATIVE TEST)
Position: sitting
Action: pt rotates to the affected side and PT applies compression force
(+) sign: pain on I/L side
Indication: cervical radiculitis
Jackson compression test
(CERVICAL REGION: PROVOCATIVE TESTS)
Position: sitting
Action: lat flex and rotate on testing limb and add compression
(+) sign: radiating pain
Indication: cervical radiculitis
Maximum cervical compression test
(CERVICAL REGION: PROVOCATIVE TEST)
Position: sitting
Action: one hand under the chin and the other hand on the occiput; PT applies distraction
(+) sign: relief of pain
Indication: cervical radiculopathy
Distraction test
(CERVICAL REGION: Relief Test)
Position: sitting
Action: elevate the arm until arm rest on top of the head
(+) sign: relief of pain
Indication: cervical radiculopathy
Shoulder abduction test
(CERVICAL REGION: Relief Test)
Position: sitting
Action: one hand on forehead and the other directed to spinous process of axis
(+) sign: excessive motion
Indication: laxity of transverse ligament, AA instability
Sharp purser test
(CERVICAL REGION: Other Test)
Hyperabd sh
Palpate radial pulse
Diminished pulse = (+)
Indic: TOS
Wright’s test
(Thoracic Region: TOS)
Head straight extend
Extend UE
Palpate radial pulse
Diminished = +
Indic: TOS
costoclavicular /military brace test
(Thoracic Region: TOS)
- The arm of the standing (or seated) patient is abducted 30 degrees at the shoulder and maximally extended.
- The radial pulse is palpated and the examiner grasps the patient’s wrist.
- The patient then extends the neck and turns the head toward the symptomatic shoulder and is asked to take a deep breath and hold it.
- The quality of the radial pulse is evaluated in comparison to the pulse taken while the arm is resting at the patient’s side.
Adson maneuver
The patient is sitting or standing. The therapist continuously palpates the radial pulse on the side being tested. While still palpating the radial pulse, the therapist abducts the arm to 45 degrees, extends the shoulder to 45 degrees, and externally rotates the upper extremity while applying a downward distraction to the arm. The patient is then asked to fully turn her head away from the side being tested and extend the cervical spine.
Halstead maneuver
arms abducted et elbow flexed 90 deg
open close hands
3 mins
+ = pain et weakness; fatigue is normal but ask what type of pain
Roos test
Position: standing
Action: one leg stance + lumbar extension
(+) sign: pain
Indication: pars interarticularis Fx
Stork standing test
(LUMBAR REGION)
Position: standing
Action: one leg stance + hop
(+) sign: pain
Indication: SI joint pathology
Flamingo test
Position: prone
Action: I/L knee is flexed to 90 and hips hyperextend
(+) sign: pain
Indication: SI joint pathology
yeoman’s test
Position: sitting
Action: examiner palpates PSIS, while pt do trunk flexion
(+) sign: if one PSIS is higher than the other
Indication: SI joint pathology
Piedallu’s test
Position: supine
Action: partial sit up or ask pt to cough
(+) sign: umbilicus deviates to one side
Indication: Rectus abdominis weakness
beevor’s sign
(LUMBAR REGION: muscular dysfunction)
Position: prone
Action: ask the patient to squeeze their butt
(+) sign: no observable movement or asymmetry of buttocks
Indication: G max weakness
Gluteal skyline test
(LUMBAR REGION: muscular dysfunction)
Action: ask the patient to kneel on top of the chair and reach the floor
(+) sign: overbalance or unable to reach the floor
Indication: malingering
Burn’s test
(Malingering test )
Action: ask the patient to lift the painful extremity
(+) sign: there is no pressure felt on C/L LE
Indication: malingering
Hoover’s test
(Malingering test)
Action: squeeze jugular veins for 30 sec and ask patient to cough
(+) sign: pain
Indication: inc intrathecal pressure
Nafzigger test
(Intrathecal pressure test)
Action: sitting as if bearing down
(+) sign: pain
Indication: inc intrathecal pressure
Valsalva maneuver
(Intrathecal pressure test)
Action: in supine, PT lift B LE and ask them to hold in that position for 30 sec
(+) sign: unable to hold position and inc pain
Indication: inc intrathecal pressure
Milgram’s test
(Intrathecal pressure test)
Shoulder: Depression and abduction (110°)
Elbow: Extension
Forearm: Supination
Wrist: Extension
Fingers and thumb: Extension
Shoulder: -
Cervical Spine: c/l side flexion
Nerve Bias: median, AIN, C5, C6, C7
ULNT 1
Shoulder: Depression and abduction (10°)
Elbow: Extension
Forearm: Supination
Wrist: Extension
Fingers and thumb: Extension
Shoulder: Lat Rot
Cervical Spine: c/l side flexion
Nerve Bias: Median, musculocutaneous, axillary nn
ULNT 2
Shoulder: Depression and abduction (110°)
Elbow: Extension
Forearm: Pronation
Wrist: flexion et UD
Fingers and thumb: Flexion
Shoulder: Med rot
Cervical Spine: c/l side flexion
Nerve Bias: Radial nn
ULNT 3
Shoulder: Depression and abduction (10° to 90°), hand to ear
Elbow: Flexion
Forearm: Supination or pronation
Wrist: Extension et RD
Fingers and thumb: Extension
Shoulder: Lat rot
Cervical Spine: c/l side flexion
Nerve Bias: Ulnar nn, C8 et T1 nn roots
ULNT 4
Hip: Flexion et Adduction
Knee: Extension
Ankle: DF
Foot: -
Toes: -
Nerve bias: Sciatic et Tibial nn
SLR 1 (Basic)
Hip: Flexion
Knee: Extension
Ankle: DF
Foot: Eversion
Toes: Extension
Nerve bias: Tibial nn
SLR 2
Hip: Flexion
Knee: Extension
Ankle: DF
Foot: Inversion
Toes: -
Nerve bias: Sural nn
SLR 3
Hip: Flexion et MR
Knee: Extension
Ankle: PF
Foot: Inversion
Toes: -
Nerve bias: Common Peroneal nn
SLR 4
Hip: Flexion
Knee: Extension
Ankle: DF
Foot: -
Toes: -
Nerve bias: nn root (disc prolapse)
SLR 5 Cross (Well leg)
Cervical Spine: Rotation to test side
Thoracic et Lumbar Spine: Neutral
Hip: Neutral
Knee: Flexion
Ankle: -
Foot: -
Toes: -
Nerve bias: Femoral nn, L2-L4 nn root
PKB 1
Cervical Spine: Rotation to test side
Thoracic et Lumbar Spine: Neutral
Hip: Extension, adduction
Knee: Flexion
Ankle: -
Foot: -
Toes: -
Nerve bias: LFCN
PKB 2
Cervical Spine: -
Thoracic et Lumbar Spine: Neutral
Hip: Extension, Abduction, LR
Knee: Extended
Ankle: DF
Foot: Eversion
Toes: -
Nerve bias: Saphenous nn
Prone Knee Extension (PKE)
Cervical Spine: flexion
Thoracic et Lumbar Spine: Flexion (slump)
Hip: Flexion (90 deg +)
Knee: Extension
Ankle: DF
Foot: -
Toes: -
Nerve bias: Spinal cord, cervical et lumbar nn roots, sciatic nn
Slump Test 1
Cervical Spine: Flexion
Thoracic et Lumbar Spine: Flexion (slump)
Hip: flexion (90 deg+), abd
Knee: Extension
Ankle: DF
Foot: -
Toes: -
Nerve bias: Obturator nn
Slump Test 2
Cervical Spine: Flexion
Thoracic et Lumbar Spine: Flexion (slump)
Hip: flexion (20 deg)
Knee: flexion
Ankle: PF
Foot: -
Toes: -
Nerve bias: Femoral nn
Slump Test 3
(side lying)
Cervical Spine: Flexion, rotation
Thoracic et Lumbar Spine: flexion (slump)
Hip: Flexion (90deg +)
Knee: extension
Ankle: DF
Foot: -
Toes: -
Nerve bias: Spinal cord, cervical et lumbar nn roots, sciatic nn
Slump Test 4
(long sitting)
