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Semester 4 PM Exam 4 > Special Tests > Flashcards

Special Tests Flashcards

1
Q

Specific Manual Dexterity tests

A
  1. Jebson Taylor Hand Function Test
  2. Minnesota Rate of Manipulation Test
  3. Purdue Pegboard Test
  4. Moberg’s Pickup Test
  5. Nine-Hole Peg Test
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2
Q

Manual Dexterity Tests

A

Specific (5)

Functional (these will be the most important)

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3
Q

Jebson Taylor Hand Function Test includes what

A

Writing
Card turning
Picking up small objects
Stacking checkers
Picking up large, light objects and placing them
Picking up large, heavy objects and placing them

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4
Q

Minnesota Rate of Manipulation Test includes what

A 
Placing
Turning
Displacing
One hand turning and placing
Two hand turning and placing
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5
Q

Description of Minnesota Rate of Manipulation Test

A

Brings in gross motor too because brings in shoulder, elbow, and forearm
Given a board that specific cut outs will fit into
Different tests that can do - unilateral time test, bilateral test…

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6
Q

Purdue Pegboard Test description

A

Assembly fine motor dexterity - good for people that need to do repetitive fine motor
Is timed
Different tests can be performed - just place pins in holes, or the assembly one where they put a pin, then washer, then collar and so on

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7
Q

Mobergs Pickup test - description

A

Pick up different shaped items

Times test

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8
Q

Nine-hole peg test

A

Most common

Take pins from bowl and put them into holes and then take them out

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9
Q

Sensory - Sensation Testing

A

Two point discrimination
Light touch
Vibration
Temperature

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10
Q

Sensory testing can include

A

Sensation
Proprioception and Kinesthesia
Stereognosis

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11
Q

Proprioception

A

Knowing where you are in space

Can place thumb in flexion and ask them to mimic it on other side (eyes closed)

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12
Q

Kinesthesia

A

Sense of motion or movement

Move them and then have them describe in what direction you moved them (eyes closed)

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13
Q

Varus and Valgus Stress Testing - what are they testing

A

Dorsal collateral ligaments

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14
Q

Describe varus and valgus stress testing

A

Can do it at MCP, PIP, DIP
Pos. if excessive asymmetrical mobility
Ulnar gap = valgus
Radial gap = varus

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15
Q

TFCC load test - test for what

A

Triquetrum and/or disc integrity

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16
Q

TFCC load test - description

A

Active = patient pushes against armrest
Passive = ROM with axial loading
Have them hold hands out as if hand shake with them - palpate the disc, u. styloid, and triquetrum - have them push into your hand and can add the axial rotation

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17
Q

Thumb UCL Testing - stress placed where

A

On the UCL of the thumb MCP joint

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18
Q

Thumb UCL testing - description

A

Place a radial directed force (valgus) to the MCP

If more than 30 mvmnt = rupture

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19
Q

Murphy’s Sign - looking for what

A

Dislocation of the lunate

20
Q

Murphy’s Sign - description

A

Patient makes a fist

Positive if 3rd MC is level with the 2nd and 4th MC

21
Q

Watson’s Test - looking at what

A

Scaphoid shift

Scapholunate ligament stability

22
Q

Watson’s Test - Description

A

Palpate the scaphoid
Passively move the patients wrist from ulnar deviation and ext into radial deviation and flexion
Positive if painful and scaphoid shifts

23
Q

Finkelstein’s Test - what is it assessing

A

1st extensor compartment tenosynovitis

24
Q

Finkelstein’s Test - description

A

Patient makes fist with thumb enclosed in palm
Patient ulnar deviates thumb
Positive if pain present in snuff box

25
Q

Trigger Finger Test - testing what

A

flexor tenosynovitis

26
Q

Trigger Finger Test - how to

A

Therapist palpate volar surface of PIP
Patient flexes and extends their PIP
Positive if snapping occurs

27
Q

Tap Test - what is it assessing

A

Possible digital fracture

28
Q

Tap test - how to

A

With digit extended, therapist taps on end of the finger

Positive if painful

29
Q

Tinel’s test- for median nerve - where do you do it

A

Tap over volar aspect of carpal tunnerl

Pos if tingling under point of contact with radiatin

30
Q

Tinel’s test - for ulnar nerve- where do you do it

A

Tap over Guyon’s tunnel (pisiform hook of hamate)

Pos tingling under point of contact with radiation

31
Q

Phalen’s test - for what nerve and how to

A

Median
Patient flexes elbows to 90 and then fully flexes wrists for 60 sec (gets ulnar too though - so to take it out have them extend elbows and do it)

32
Q

Pinch test - for what nerve and how to

A

Median
Patient attempts a tip to tip pinch between thumb and 2nd digit
FDP, FPL
Pos if end up in pulp to pulp pinch

33
Q

Fromet’s test - for what nerve and how to

A

Ulnar
A piece of paper held in lateral apprehension grip
Therapist tries to pull paper away
Pos if paper easily pulled away

34
Q

Wartenberg’s Sign - for what nerve and how to

A

Ulnar
Therapist passively spreads patients fingers apart and patient tries to adduct fingers
Pos if patient can’t bring 5th finger to midline

35
Q

Allen’s test - what for

A

Circulation - radial and ulnar arterial supply

36
Q

Allen’s test - what is it

A

Patient makes a fist and relaxes repetitively and then squeeze hand tightly
Therapist compress both radial and ulnar arteries
Patient opens hand
Therapist releases pressure over one artery and watches for flush in hand and then releases the other artery
Pos if delayed flush to portion of hand

37
Q

Digital blood flow - what is it

A

Therapist compresses nail bed and then notes time for blood to return to nail (flush)
Pos if delayed (avg 3 sec)

38
Q

Joint accessory mobility testing - Radiocarpal arthrokinematics

A

Open chain - convex carpals on concave radius

Opposite

39
Q

Joint accessory mobility testing - Radiocarpal - movement with extension

A

Roll dorsal
Glide palmarly
So to inc ext glide palmarly

40
Q

Joint accessory mobility testing - Radiocarpal - movement with flexion

A

Roll palmarly
Glide dorsal
So to inc flex glide dorsally

41
Q

Joint accessory mobility testing - Radiocarpal - to increase ulnar deviation you can do

A

a radial glide
Ulna rolls, radius glides
Stabilize radius and move carpals in radial direction and distally too (rotary component)

42
Q

Joint accessory mobility testing - radiocarpal - to increase radial deviation you can do

A

an ulnar glide
Radius rolls, ulna glides
Stabilize radius and move carpals in ulnar direction and distally too (rotary component)

43
Q

Joint accessory mobility testing - midcarpal - arthrokinematics

A

Convex distal row on concave proximal row - Opp

But not that clear in every person so you will want to mobilize volarly and dorsaly

44
Q

Joint accessory mobility testing - midcarpal - what happens with extension arthrokinematically

A

Roll - dorsal

Glide - palmar

45
Q

What percents happen from radiocarpal and midcarpal joints with flex/ext

A

60% radiocarpal

30-40% midcarpal

Semester 4 PM Exam 4 (10 decks)

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