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Treatments 5 (H's version) > Special Tests > Flashcards

Special Tests Flashcards

1
Q

How do you perform the Mediate percussion test

A

Client is prone first, then supine
place middle finger of one hand on thrashings along intercostal space
tips of 1st/2nd finger on other hand, tap firmly on finge over the thorax

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2
Q

What does Mediate percussion test test for and what is the positive reaction

A

Testing for: assess the lung density, for presence of mucus congestion in specific lobes, hyperinflation

Postive sign:
Sound duller: congestion
Sound resonant: hyper inflated lung

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3
Q

How do you perform the Vocal (tactile) fremitus test

A

prone position
Place other hands symmetrically on thorax and move over various aspects
Have client repeat ‘99” while doing so
Switch to supine

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4
Q

What does Vocal Fremitus Test test for and it’s positive reactions?

A

Testing for: areas of bronchial congestion

Positive sign: if vibrations decreased

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5
Q

How do you perform the Rib motion palpating test

A

Client is prone/supine

hands symmetrically over various aspects of thorax, moving sup to inf

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6
Q

For the Rib motion test, what ways does the ribs move on inspiration/expiration?

A

Ribs 2-5: Move ant and sup on inspiration, post and inf on expiration
Ribs 7-10: move lat and sup on inspiration, mid and if on expiration
11-12: restricted movement

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7
Q

What does Rib Motion Test test for and it’s positive reaction?

A

Tests: assesses motion of ribs

Postive signs:
Inhalation: Rib that stops moving is depressed
Exhalation: Rib that stops moving is elevated

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8
Q

How do you perform the Anterior Spinous challenge?

A

Prone
Place thumbs/hypothenar eminences over individual SP’s, applying slow pressure in ant direction
Do for each vertebra from T1-L5

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9
Q

What does Ant Spinous challenge Test test for and it’s positive reactions?

A

Tests: for hypo/hypermobility of vertebral segment

Postive sign: local pain
Hypomobile: blocked/decrease movement
Hypermobile: increased mobility

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10
Q

How do you perform the Lateral Spinous Challenge Test?

A

Prone
Place thumbs on lat border of spine and apply slow pressure to SP’s.
Directed towards opposite side (push away from you)

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11
Q

What does Lat Spinous Challenge Test test for and positive reactions?

A

Tests: hypo/hypermobility of vertebral segment

Postive signs: local mild pain
Hypomobile: decrease movement
Hypermobile: increase movement

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12
Q

How do you perform Levatores Costarum Fixation

A

Prone
Rotate head to unaffected side
SP;s immediately sup to affected rib with pressure ant and towards opposite side
With other palm, apply pressure inferolaterally to post angle of rib

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13
Q

What does Levatores Costarum Fixation Test test for and it’s positive reactions?

A

Tests: length of lavatories rostrum mm, which can be affected, restricting rib motion

Postive Signs: end feel is leathery and client reports tenderness

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14
Q

How do you perform First Rib Mobility Test?

A

There are several ways to do this; I’m writing the easiest one cause idgaf

Spuine
index or second finger in hollow just post to clavicle, palpating first rib
client inhale/exhale while motion of ribs

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15
Q

What does the First Rib Mobility Test test for and its positive reactions?

A

Tests: see if there’s restricted mobility of first rib

Positive sign: no movement of first rib

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16
Q

How do you perform the Length Test for Pec Major?

A

Client Supine

Abduct arms and extend elbows so they are off table

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17
Q

What does the Length Test for Pec Major test for and its positive reactions?

A

Tests: Shorten Pec Major

Positive signs: Arm does not lean off table in downward position (It stays straighten and elevated)

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18
Q

How do you perform the Length Test for Pec Minor?

A

Client Supine
Client Ex rotates arm, Abducts, and slightly elevates arms so they are pointing above head.
elbows extended so the arms are off the table

19
Q

What does the Length Test for Pec Minor test for and it’s positive reactions?

A

Tests: Shorten/taut Pec Minor

Positive sign: Arms does not lean off table in downward position (stays straight and taut)

20
Q

How do you perform the Rib recoil technique test?

A

Client is
One thumb is on angle of post fixed rib
other thumb slides med to nearest SP
Spi is callenged lat to elastic end feel, placing stretch of elevator cot arum
thumbs maintain end feel between rib and SP while client inhales
Exhaltion, relates SP and Rib, allowing elastic recoil

21
Q

What does Rib Recoil Techniques test for and positive reactions?

A

Tests: treating taut elevator costume mm

Postive signs: no elastic recoil?

22
Q

How do you perform Kemp’s Test?

A

Standing position

Client slowly extends, sidebends and rotates to affected side

23
Q

What does Kemp’s Test test for and positive reactions?

A

Tests: nerve root compression

Positive sight: radiating pain or other neurological signs in affected leg

24
Q

How do you perform Spurling’s Test?

A

Client seated, therapist standing behind
Client slowly extends.sidebends/rotates head to affected side (done with each step)
Apply careful compression on head

25
Q

What does Spurling’s Test test for and it’s positive reactions?

A

Tests: Compression of C nerve root or FJI in lower C/S

Positive Signs:
Nerve Root: Radiating pain or neurological signs in arm on affected side.
FJI: pain local to neck/shoulder

26
Q

How do you perform the Valsalva Test?

A

Client seated

clients take a breath in while bearing down

27
Q

What does the Valsalva Test test for and it’s positive reactions?

A

Tests: assess space-occupying lesion (herniated disc, tumour,)

Positive sign: pain. can be radiating

28
Q

How do you perform the Slump Test?

A 
seated
slump into forward flexion
flex head
extend one knee, followed by ankle dorsiflexion
(do this by each step)
29
Q

What does Slump’s Test test for and its positive reactions?

A

Tests: compression of nerve root in spinal cord

Positive Sign: Any pain, radiation, or neurological signs

30
Q

How do you perform ULTT1 test? What does it test for, and what is a positive sign?

A

Test: Assess c5, c6, c7, and median nerve

Abduct humerus approx 110 degrees
extend arm to 10 degrees
external rotation 60 degrees
extend wrist, then fingers,
fully supine forearm and then slowly extend elbow.
(do these in each step asking for pain/numbess/tingling)

Postive: has symptoms

31
Q

How do you perform ULTT2 test? What does it test for, and what is a positive sign?

A

Tests: median nerve

depress shoulder and abduct humerus to 10 degrees
slowly extend wrist and fingers
supinate forearm and extend elbow
(ask client for numbness/tingling/pain)

Positive sign: symptoms

32
Q

How do you perform ULTT4 test? What does it test for, and what is a positive sign?

A

Tests: C8-T1 nerve roots radial nerve

depress shoulder and abduct 90 degrees
flex elbow, bringing hand towards client’s ear
supinate forearm
slowly extend wrist and fingers and deviate radially

postive sign: symptoms

33
Q

How do you perform ULTT3 test? What does it test for, and what is a positive sign?

A

Tests: radial nerve

depress client shoulders and abduct to 10
slowly flex wrist and fingers and deviate ulnarly
Pronate forearm and extend elbow

Positive: symptoms

34
Q

How do you perform SLR1? What does it test for, and what are the positive signs?

A

Tests: sciatic (and tibial) nerve

affected leg adducted and internal rotation
raise affected leg (grasp calcaneus and flex hip)
knee in extension
flex hip until pain stretched
dorsiflex foot

positive sign: pain/numbness/tingling

35
Q

How do you perform SLR2? What does it test for, and what are the positive signs?

A

Test: tibial nerve

flex hip
entend knee
ankle dorsiflexion
foot eversion and extend toes

postive sign: symptoms

36
Q

How do you perform SLR3? What does it test for, and what are the positive signs?

A

Tests: sural nerve

hip flexion
extension of knee
ankle dorsiflexion
foot inversion

Postive sign: symptoms

37
Q

How do you perform SLR4? What does it test for, and what are the positive signs?

A

Test: common fibular nerve

hip flexion and medial rotation
extension of knee
ankle plantar flexion
foot inversion

Postive sign: symptoms

38
Q

How do you perform the Homan’s test?

A

Client is sitting on table straight legged (knee extend)

Passively dorsiflex

39
Q

What does Homan’s Test test for and and what is it’s positive reactions

A

Tests: Deep Vein thrombosis

Postive sign: Pain. Even more pain if palpating the calf

40
Q

How do you perform the Rib Palpation Test?

A

Place client’s in prone position
palpate ribs angles bilaterally with flat hands
Have client breath

41
Q

What does the Rib palpation tests test for and its positive reactions?

A

Tests: Position of ribs

Positive signs:
Rib subluxed/fixed in post direction has more prominent ribs angle
Rib subluxed/fixed in ant direction has contour less prominent

42
Q

How do you perform the Symmetry Palpation of Ribcage with breathing?

A

Client is supine

Place hands on side of ribs and get client to breath in and out

43
Q

Bell’s palsy’s positive test

A

Cannot close eye

PR: Bell’s palsy

44
Q

Adson’s Test

A

Positive: Ant scalene compression

Treatments 5 (H's version) (6 decks)

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