special tests Flashcards
the anterior drawer test of the knee tests for what and what’s a positive test
-ANT instability of the knee
- (+) if excessive mvt and/or P
how is the ANT drawer test of the knee performed
clt is supine w/ foot flat on table (hip flexed 45 and knee 90) and foot is stabilized by therapist sitting on foot. Therapist cups hands around POST aspect of jt line and pulls tibia anteriorly
what is Phalen’s Test checking for and what would be a positive result
-tests for carpal tunnel syndrome (pressure on median n)
-positive if tingling in digits 1,2,3 and LAT half of 4th
how to conduct Phalen’s Test
therapist flexes clts wrists maximally and holds this position for one minute by pushing wrists together
another name for a LAT epicondylitis test
Mill’s Test
Mill’s test is testing for what and what’s a positive test result
-LAT epicondylitis
- P over LAT epicondyle
how to conduct Mill’s Test
clt is seated or standing, therapist palpates LAT epicondyle and pronates clts forearm, flexes wrist fully and extends the elbow
How is Medial Epicondylitis test conducted and what’s a positive result
therapist palpates clts MED epicondyle while supinating the forearm and extending the elbow and wrist
- positive if P over MED epicondyle
MED epicondylitis is also known as
golfers elbow
the supraspinatus test is also known as (2)
empty can test or Jobe test
how is the Empty Can Test conducted and what does a positive result look like
clts BL arms abducted to 90 w/ neutral rotation and therapist applies resistance to ABD at DIST forearm. Next clts SHs are MED rotated so thumbs are pointing down and arms are angled forward 30 degrees (scaption), resist clts ABD
- (+) if weakness or pain (indicates tendon or mm tear or neuropathy or suprascapular n)
lift off sign is also known as
Gerber’s test
how to do Lift off sign test
clt standing, places dorsum of hand on L/SP (or back pant pocket), and actively lifts hand off back
what is lift off sign testing for and whats a (+) sign
(+) test: inability to lift hand off
- a positive test would indicate a subscapularis lesion
-abnormal scapular motion may indicate scapular instability
-can apply load to hand to test strength of subscapularis
how to conduct Ober’s test and what its testing for and (+) result
clt is in SL position w/ bottom leg flexed at hip and knee for stability and top leg straight. Therapist abducts and extends top leg while bracing top hip (stops it from rolling back therefore keeps hip in EXT) and then slowly lowers leg.
- if leg remains abducted and does not lower to table its (+) and the TFL and IT are under contracture
a permanent shortening and tightening of muscles, tendons, ligaments, or skin, leading to reduced range of motion and potential deformity
contracture
3 other names for figure-4 test
Patrick’s, FABER, Jansen’s
how to conduct Patrick’s test
clt supine in figure 4 position with foot crossed over opposite knee, therapist stabilizes contralateral ASIS and gently applies pressure downwards on knee
(+) result for FABER test
pain provocation and test legs knee remaining above other leg
while conducting FABER test the clt experiences P laterally at hip, what does this suggest
superolateral and LAT FAI (femoral acetabular impingement)
groin P during Patrick’s test indicates what
iliopsoas pathology or psoas impingement against femoral HD or ANT capsule involvement
posterolateral pain during Patrick’s test suggests
ishiotrochanteric impingement
carpal compression test is conducted how and what is a positive result
therapist holds clts supinated wrist in both hands and applies direct pressure over the median n in the carpal tunnel (hold for 30sec-2min)
- (+) if reproduction of clts symptoms, indicates carpal tunnel syndrome
how to conduct ANT drawer test of ankle and (+) test result
clt is supine with foot flat on table (hip flexed 45 and knee 90) and ft and talus is stabilized and pushed downwards into table while tib and fib are pushed POST on talus
- (+) if excessive POST mvmt of tib and fib (suggests tear of ANT talofibular lig and possibly other ligs)
