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NPTE Prep > Special Tests > Flashcards

Special Tests Flashcards

1
Q

Apprehension test ant dislocation

A

pt. Supine should abducted to 90 deg elbow flexed to 90deg, PT lat rotates shoulder, positive = look of apprehension

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2
Q

Apprehension test post dislocation

A

Pt supine shoulder flexed to 90 w/ medial rotation, PT applies post force through long axis, positive = look of apprehension

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3
Q

Sulcus sign

A

pt. Standing PT pulls arm inferiority at elbow, positive = depression between acromion and humeral head

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4
Q

Ludigntons test

A

Sitting hands interlocked behind their head, pt contracts and relaxs bicep muscle, positive = absence of bicep tendon indicating rupture of long head

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5
Q

Speeds test

A

Pt elbow extended and shoulder flexed to 90 w/ SUPINATION, PT resists active shoulder flex while palpating bicipital groove, positive = pain or tenderness in bicipital groove indicating bicipital tendinitis

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6
Q

Yergasons test

A

Pt elbow flexed to 90 w/ fore arm pronated, PT resists active forearm supination and shoulder ER, while palpating bicipital groove, p! Or tenderness indicates bicipital tendinitis

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7
Q

Drop arm

A

Pt arm abducted to 90degrees, pt asked to slowly lower arm to side, presence of pain or instability to lower arm slow = RTC tear

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8
Q

Hawkins-Kennedy

A

PT moves shoulder into 90 degrees of flexion w/ elbow flexed to 90 and medially rotates shoulder, positive = pain indicating shoulder impingement of supraspinatus

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9
Q

Infraspinatus test

A

Pt standing elbow flexed to 90 shoulder IR to 45, pt. Resists PT medially directed force, positive = pain or weak indicated Infraspinatus tear

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10
Q

Lateral rotation lag sign

A

Elbow flexed to 90, PT move shoulder into 20 deg of caption and near end range ER PT asks pt. To hold here, inability to hold position or arm moves into more IR indicates Infraspinatus and/or supraspinatus pathology

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11
Q

Lift off sign (medial rotation lag sign)

A

Pt. Stand w. Dorsal of hand on low back, asked to move hand away form back, if unable PT moves hand away and sees if they can hold it, inability = positive indicating Subscapularis lesion

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12
Q

Neer Impignment test

A

Stabilizing posterior aspect of scap, PT moves shoulder through full elevation in scapular plane w/ medially rotated arm, positive = pain or facial grimace indicating shoulder impingement involving supraspinatus

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13
Q

Supine impingement test

A

Pt. Supine PT moves shoulder into full flexion and ER, adducts and IR shoulder, positive = increase in p! W/ IR, indicating impingement of RTC tenons

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14
Q

Supraspinatus test

A

pt. Standing shoulder abduction 90 then horizontally adducts 30, thumb down. Pt resists should abduction, p! Or weak indicates supraspinatus tear or impignment of suprascapular nerve

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15
Q

Adsons maneuver

A

PT monitoring radial pulse, pt. Rotates head toward test side extending neck while PT extends and ER shoulder, absent or diminished pulse indicates TOS

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16
Q

Allen’s TOS test

A

pt. 90deg abduction and ER and elbow 90deg flex, pt. Rotates head away from test while PT monitors radial pulse, absent or diminished pulse positive TOS

17
Q

Costoclavicular test

A

Pt. Sitting, pt. Assumes military posture PT monitoring radial pulse, absent or diminished pulse indicates TOS from compression of subclavian artery between first rib and clavicle

18
Q

Roos test

A

Pt. Both shoulder abducted and ER to 90 w/ elbows flexed to 90, pt. Opens and closes hands for 3 mins, weakness, sensory loss, ischemic pain or inability to hold test position indicates TOS

19
Q

Wrights test TOS

A

PT moves pt.s arm overhead in frontal plan monitoring radial pulse, absent or diminished pulse indicates compression in costoclacviular space TOS

20
Q

Acromioclavicular crossover test

A

PT moves shoulder into 90deg flex, then full horizontally adducts shoulder, p! Over acromioclavicular joint indicates AC injury

21
Q

Active compression test o’brians test

A

Pt. Standing shoulder flexed 90, horizontally adducts 10-15, and IR thumb pointed down. Pt. Resists PT applied downward force on arm shoulder ER and same downward force applied, positive = p! With shoulder IR that decreased with ER, indicating superior lateral tear

22
Q

Glenoid labrum tear test

A

Pt. Supine, PT places hand on posterior aspect of humeral head, other hand stabilizes humerus proximal to elbow. PT abducts and ER arm over pt’s head and plies anteriorly directed force to humeral head, positive = clunk or grinding indicating glenoid labrum tear.

23
Q

Jerk test

A

Pt. Sitting shoulder elevated 90 and IR with elbow flexed to 90. PT provides axial compression force through elbow and horizontally adducting shoulder. Positive = sudden clunk jerk or pain as humeral head subluxes posterior. Indicating shoulder instability or posterior lateral lesion

24
Q

Elbow cozens test

A

Pt. Sitting with elbow slight flexion PT places thumb on lateral epicondyle and stabilizes elbow joint. Pt. Makes a fist with pronated arm radially deviated and extended wrist against resistance. Positive = pain or weakness near lateral epicondyle, indicating lateral epicondyle

25
Q

Maudsleys test

A

Pt. Sitting forearm pronated, PT stabilizes elbow one hand and resists active third digit extension distal to PIP joint. Positive = weakness or pain near lateral epicondyle

26
Q

Medial epicodylitis test

A

PT supinates pt. Forearm extends wrist and extends elbow while palpating medial epicondyle, positive = pain near medial epi.

27
Q

Mills test

A

PT pronates pt.s forearm flexes wrist and extends elbow palpating lateral epicondyle, pain near lateral epicondyle

28
Q

Elbow flexion test

A

Pt. Fully flexes both elbows and extends both wrists, holding for 3-5mins. Presence of tingling or parenthesis in ulnar nerve distribution indicating curtail tunnel syndrome.

29
Q

Pinch grip test

A

Pt. Asked to pinch tips of index finger and thumb together, positive = inability to pinch tip-to-tip instead pressing pads together, indicative of anterior interosseous nerve pathology

30
Q

Elbow tinels sign

A

Pt. Elbow slightly flexed PT taps between medial epicondyle and olecranon process, tingling sensation in ulnar nerve distribution indicating ulnar nerve compression

31
Q

Ulnar collateral ligament instability

A

PT holds pt.’s thumb in extension applying vagus force to MCP joint, positive = excesssive vagus movement indicating a tread of ulnar collateral and accessory collateral ligament

32
Q

Gunnel-Littler test

A

pt. MCP in slight extension, PT attempts to move PIP into flexion,
If PIP doesn’t flex with MCP extended indicates tight intrinsic muscle or capsular tightness.
If PIP flexes fully with MCP in slight flexion indicates muscle tightness without capsule tightness

33
Q

Tight retinacular ligament test

A

PIP neutral, PT flexes DIP, positive = inability to flex DIP indicates retinacular ligament or capsule tight, if able to feel DIP with PIP flexed indicates retinacular tightness normal capsule

34
Q

Capsular compression test (median nerve compression test)

A

PT hold patients wrist with both hands applying pressure over median nerve in carpal tunnel for 30 seconds, positive = presence of pain or paresthesia in median nerve distribution

35
Q

Froments sign

A

Pt. Holds piece of paper between thumb and index finger while PT attempts to pull paper
Positive = pt. Flexing DIP thumb to hold onto paper indicating adductor pollicis muscle paralysis, possibly from secondary to ulnar nerve compression, if pt. Also Hyperextends MCP of thumb termed Jeanne’s sign

36
Q

Phalens test

A

Pt. Presses dorsal aspect of both hands against another wrists maximally flexed for 30sec, positive = tingling in thumb, index , middle or lateral half of ringer finger. Inducted carpal tunnel syndrome

37
Q

Tinels sign wrist/hand

A

PT taps volar aspect of wrist, tingling in median nerve distribution into hand indicates carpal tunnel syndrome

NPTE Prep (6 decks)

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