Special Tests

Question 1

Babinksi Reflex-
how, what

Answer 1

-if +ve, issue with CNS (MS, CP, etc.)
- refer to doctor, do not continue w/ rx

Question 2

Bakodys sign
- for, how, +ve
- alternative to which test

Answer 2

for- cervical radiculopathy
how- pt abducts shoulder
+ve= reduction in symptoms
- alternative to sperlings, less painful

Question 3

ULTT 2 B
- bias for which nerve
- indications
- how
-+ve

Answer 3

RADIAL NERVE bias
- indications : cx radiculopathy, de quervains syndrome, radiating pain in post. UL
- +ve: reproduction in symptoms down the arm

HOW
- Shoulder girdle depression
- Shoulder abduction 20-30
- Shoulder internal rotation
- Forearm pronation
- Wrist, finger and thumb flexion
- Elbow extension

Question 4

ULTT 3
- bias for which nerve
- indications
- how
-+ve

Answer 4

ULNAR NERVE BIAS
indications=
- cx radiculopathy
- pain in 4-5 digits
- TOS (th. outlet synd.)
+ve= reproduction of symptoms down arm

HOW TO
- Shoulder girdle depression
- Shoulder abduction
- Shoulder external rotation
- Forearm pronation
- Wrist and Finger extension
- Elbow flexion

Question 5

Weiners cluster
- what tests
- what for
- accuracy

Answer 5

ULTT 1
Rotation test
Spurlings
traction/distraction test
3/4= 63% sensitivity
4/4= 90% sensitivity

FOR: radiculopathy

Question 6

ULTT1
- bias for which nerve
- indications
- how
-+ve

Answer 6

MEDIAN NEVRE

stresses C5-7
+ve= reproduction of symptoms down arm

How:
- Shoulder depression
- Shoulder abduction 1100
- Shoulder external rotation with elbow at 900
- Forearm supination
- Wrist and finger extension
- Elbow extension

Question 7

Cx rotation test
- how
- for what
- +ve

Answer 7

turn head from left to right
- cervical radiculopathy

+ve= rotation lower than 60 degrees (80 is expected)

Question 8

Traction/Distraction test
- for
- indication
- how
+ve

Answer 8

for- cx radiculopathy
indication:
- radiating burning pain/ P&N

how: bodyweight
+ve= symptoms reduced

Question 9

UL reflexes (6)
- what
- how

Answer 9

Biceps jerk
- tap on thumb over bicep tenson

Triceps reflex
- abduction, hanging forearm
- tap near olecranon on tendon

Question 10

Sperlings- for, how, +ve

Answer 10

For: entrapment of peripheral nerve

How:
Pt is sitting, flex head to affected side, apply GENTLE downwards pressure to head

+ve: reproduction of Pts pain/symptoms in spine/UL

Question 11

Strength test- how many fingers

Answer 11

3 max (cant hurt you)

Question 12

Vertebra artery test- for, how, +ve

Answer 12

For: insufficient blood flow from V. Artery (would not mobilise)

How:
Pt passive- extension, side flexion, rotation
hold for 10 seconds
1min rest, repeat on other side

+ve= dizziness, visual disturbances, dropping of arms

Question 13

What grade mobilisations used for what

Answer 13

Grade 1-2= acute injury, pain > stiffness
- also those with allodynia

Grade 3-4= stiffness > pain