Special tests (ALL PASSIVE) Flashcards

1
Q

Painful arc test

A
  • Have patient standing up with arms out and palms facing towards u
  • Get patient to pull both arms up to the top like an arc and check for pain on way up
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2
Q

Speed’s test

A
  • Patient standing with elbow supinated and in extension by his side
  • Ask patient to bring elbow up to 90 degrees and try and lift while you resist his movements
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3
Q

Crank test

A
  • Have patient in supine
  • Bring shoulder out diagonally and flex the elbow to 90 degrees
  • Put into internal and external rotation repeatedly
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4
Q

Empty can test

A
  • Patient standing with arms out and up at 90 degrees then face palms away from yourself with thumbs pointing to floor as if emptying a can
  • Then they must resist downwards pressure from you
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5
Q

Full can test

A
  • Patient standing with arms out and up at 90 degrees with palms facing towards you and thumbs pointing up if holding a full can
  • Then they must resist downwards pressure from you
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6
Q

Hawkins Kennedy test

A
  • Have patient sitting with elbow flexed to 90 and arm inwards towards your body
  • Then fixate the scapula with one hand and hold onto the patients elbow with the other hand
  • Push elbow down
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7
Q

Sulcus sign test

A
  • Patient standing and you stand behind them
  • Grab just below patients elbow and pull down while stabilising on other shoulder
  • You are looking for a little dip under the acromion or subluxation feeling
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8
Q

Load and shift test

A
  • Patient in sitting position with straight posture and arms resting on thighs
  • With one hand stabilise clavicle and with other hand grab humeral head
  • push the humeral head back and forth
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9
Q

Apprehension relocation test

A
  • Patient in supine
  • Put patients arm into external rotation asking for any uncomfort of subluxation
  • Positive test patient should report fear of subluxation at greater ranges of external rotation
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10
Q

Scarf test

A
  • Patient in standing
  • Bring patients arm up to 90 degrees flexion and bring elbow inside towards body
  • One hand on Scapula to stabilise and other hand on their elbow pushing it into adduction
  • Positive test will be pain at ACJ
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11
Q

ULNTT – upper limb neural tension test

A
  • Patient in supine
  • Depress shoulder slightly and flex arm to 90
  • Extend wrist and elbow until symptoms appear
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12
Q

Medial collateral ligament - valgus stress test

A
  • Patient sitting on bed with arm out supinated
  • Grab just above their elbow with one hand and forearm with other
  • Sort of move arm into eversion while stabilising elbow
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13
Q

Lateral collateral ligament – varus stress

A
  • Patient sitting on bed with arm out supinated
  • Grab just above their elbow with one hand and forearm with other
  • Sort of move arm into inversion while stabilising elbow
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14
Q

Annular ligament palpation

A
  • Patient in sitting on bed
  • Palpate just below the elbow line with arm supinated
  • Look for pain and move arm into supination and pronation to feel roll
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15
Q

Mills test

A
  • Patient sitting on bed with arm forward
  • Bring wrist into flexion and flex their third finger
  • Or put wrist in flexion and get them to push up against ur resistance
  • Looking for pain by elbow to look for tennis elbow
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16
Q

Grip test

A

Power grip test - Get them to squeeze your forearm with both their hands and compare power

Pincer grip test - Get them to make a pincer with all their fingers. Can add resistance by trying to seperate their grip

Tap test - Just get them to radial and ulnar deviate as if they are turning a tap

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17
Q

TFCC load test (triangular fibrocartilage
complex)

A
  • Patient in sitting with wrist forward in supination
  • Passively put their wrist into ulnar deviation and move it back and forth looking for clicking or pain
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18
Q

Phalens test

A
  • Looking for carpal tunnel or any tingling or numbness
  • Get them to pray in reverse and bring elbows down whilst keeping hands in the same place and hold for 30 seconds
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19
Q

Tinels test

A
  • Patient sitting with their wrist forwards in supine
  • Just tap heir wrist for a while looking for tingling
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20
Q

Finkelsteins test

A
  • Patient sitting with their hand forward sideways and ball a fist with thumb tucked in
  • Get them to ulnar deviate actively and passively and looking for pain over thumb line
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21
Q

Scaphoid palpation test

A
  • Get them to extend their thumb towards themself
  • Look for little triangle hole and palpate downwards and don’t go too high
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22
Q

Quadrant test

A
  • Patient supine and put them into hip flexion
  • Hands should be both in the pit behind the knee
  • Flex knee and then scoop left right and then back
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23
Q

FADDIR test

A
  • Hip flexion
  • Then hip Adduction to the left
  • Then hip internal rotation
24
Q

FADER test

A
  • Hip flexion
  • Then hip adduction to the left
  • Then external hip rotation
25
Q

FABER test

A
  • Hip flexion
  • Hip abduction
  • Hip external rotation
  • Can just put leg in a meditation pose
26
Q

Adductor Squeeze test

A

Adductor longus - Patient supine put hands between their knees and get them to push

Adductor brevis - Patient brings knees up and feet together then put your hand in between knees and get them to push

Adductor magnus - Put forearm in between patients knees when they are up and get them to squeeze

27
Q

Thomas test

A
  • Get patient to sit at the end of the bed and hug in one knee
  • Then guide them to lie back and check their other leg to see if their thigh hasnt gone up really high
28
Q

Prone extension test (muscle activation
pattern)

A
  • Put patient laying flat in prone
  • Get them to lift one leg up
  • Check if Hamstring then glutes then lower back activate in that order
29
Q

Trendelenburg test

A
  • Have patient stand facing you and get them on one leg
  • Get them to bend their knee slightly and check if hip comes out loads
30
Q

Straight leg raise test (SLR)

A
  • Get patient to lie in supine
  • Grab just above knee and ankle and raise leg try and get to 90 degrees
  • Get them to also bring their chin to their chest
  • Looking for hamstring flexibility
31
Q

Slump test

A
  • Sit on bed and get them to put their hands behind their back
  • Get them to bring their chin to their chest and slump down without moving back
  • Get them to straighten one knee and passively bring it into dorsiflexion
  • Then do the same on other leg while keeping them slumped ask for pain
32
Q

Anterior drawer test

A
  • Patient lying in supine with feet hanging off the end of the bed
  • With one hand stabilise the lower ankle and with the other hand grab the calcaneus and let the sole onto your arm
  • Pull calcaneus up like an AP glide
  • Looking for laxity compared to other side
33
Q

Talar tilt test

A
  • Patient lying in supine with feet hanging off the end of the bed
  • With one hand stabilise the lower ankle and with the other hand grab the calcaneus and let the sole onto your arm
  • Slightly lift up their foot and switch between inversion and eversion
  • Looking for laxity compared to other side
34
Q

ATFL stress test

A
  • Perform plantarflexion and inversion on patients foot
  • Looking for laxity at end of range and pain compared to other side
35
Q

CFL stress test

A
  • With one hand stabilise the lower ankle and with the other hand grab the calcaneus and let the sole onto your arm
  • Move their foot into inversion
  • Feel for laxity and pain compared to other side
36
Q

PTFL stress test

A
  • With one hand stabilise the lower ankle and with the other hand grab the calcaneus and let the sole onto your arm
  • Try and go past 90 degrees of dorsiflexion and then move into inversion
  • Feel for laxity and pain compared to other side
37
Q

Deltoid stress test

A
  • Grab the middle of the foot and put into eversion
  • Look for laxity and pain compared to other side
38
Q

Syndesmosis squeeze test

A
  • Go up to the patients calf on their front and squeeze their tibia and fibula together
  • Positive test is pain over ATFL
39
Q

Excessive ER & DF test

A
  • Patient lying in prone with knee bent
  • Push their Sole down into dorsiflexion and then out away from their body into external rotation
40
Q

Thompson’s test

A
  • Patient lying in prone
  • Squeeze their calf
  • Look for plantarflexion of their foot
41
Q

Windlass test

A
  • Use your finger and thumb like a gun and stretch the sole part of the big toe to feel what range is like
  • Then using your thumb push the part just below the big toe and get them to extend their toe
  • Negative test if there is restricted movement
42
Q

ACL Anterior drawer test

A
  • Patient in supine and with knee flexed and sit on their foot like knee glide
  • Grab their back of thigh and pull towards you
43
Q

Lachman’s test

A
  • Patient in supine with knee slightly flexed
  • Put one hand on the superior part of their knee and put your thumb on the inferior part
  • Pull knee up and down with ur thumb
44
Q

PCL posterior drawer test

A
  • Patient in supine with knee flexed like knee glide
  • Push towards patient with thumbs
45
Q

Posterior sag test

A
  • Patient in supine with both knees flexed
  • Look for any sagging around the tibia below the knee
  • You can also lift both legs up to look
46
Q

MCL valgus test

A
  • Patient in supine
  • Lift their knee up into your body and extend it
  • Move it into more flexion and move it left to right
47
Q

LCL varus test

A
  • Patient in supine
  • Stand between one of their legs and the bed
  • Try to let the rotate out by pushing from the inside part of knee
48
Q

McMurray’s test

A
  • Patient in supine
  • Grab their knee with one hand and their foot with the other
  • Push it up and out and then out and in
49
Q

Thessaly’s test

A
  • Patient standing sideways to the table with one hand on the table
  • Get them to rotate a bent knee left and right while facing u
50
Q

Joint line palpation test

A
  • Patient in supine with their knee flexed
  • Feel the top of their knee around joint line asking for pain
51
Q

Patella apprehension test

A
  • Patient lying in supine
  • Ask if they’ve dislocated their patella before
  • Glide their patella medially and laterally asking if they have any issues
52
Q

Dial test

A
  • Patient lying in prone with bent knees together and heels together
  • Move both their feet outwards and see if it happens equally
53
Q

SLR (Straight leg raise) test

A
  • Patient lying in supine
  • Raise one of their legs and compare to other side
  • Get them to bring their chin to chest
54
Q

MHFAKE test

A
  • Patient in supine and get them to hug their knee into hip flexion
  • Then ask them to try and straighten their knee
  • Then compare with otherside
55
Q

Sweep test

A
  • Patient in supine with legs straight
  • Sweep around their knee like a massage and go from the inside of their leg first then outside