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
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
3
Q
Crank test
A
- Have patient in supine
- Bring their arm across their body and move into internal and external rotation
- Look for any clicking or clacking
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
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
6
Q
Hawkins Kennedy test
A
- Have patient sitting with elbow flexed to 90 and arm inwards towards your body
- Then fixate the scapula by putting your hand under their arm
- Push arm down doing internal rotation moving closer towards the body 3 times
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
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
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
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
11
Q
ULNTT – upper limb neural tension test
A
- Patient in supine
- Depress shoulder slightly and externally rotate while resting their arm on your thigh
- Then move their arm into extension outwards
- Get them to move their ear to their shoulder to look for pain
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
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
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
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
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
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
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
19
Q
Tinels test
A
- Patient sitting with their wrist forwards in supine
- Just tap heir wrist for a while looking for tingling
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
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
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
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
FABER test
- Hip flexion
- Hip abduction
- Hip external rotation
- Can just put leg in a meditation pose
26
Adductor Squeeze test
Adductor longus - Patient supine put hands between their knees and get them to push
Adductor brevis - Patient flexes knees 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 flexed and get them to squeeze
27
Thomas test
- 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
Prone extension test (muscle activation
pattern)
- 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
Trendelenburg test
- 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
Straight leg raise test (SLR)
- 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
Slump test
- 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
Anterior drawer test
- 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
Talar tilt test
- 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
ATFL stress test
- Perform plantarflexion and inversion on patients foot
- Looking for laxity at end of range and pain compared to other side
35
CFL stress test
- 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
PTFL stress test
- 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
Deltoid stress test
- Grab the middle of the foot and put into eversion
- Look for laxity and pain compared to other side
38
Syndesmosis squeeze test
- Go up to the patients calf on their front and squeeze their tibia and fibula together
- Positive test is pain over ATFL
39
Excessive ER & DF test
- Patient lying in prone with knee bent
- Push their Sole down into dorsiflexion and then out away from their body into external rotation
40
Thompson’s test
- Patient lying in prone
- Squeeze their calf
- Look for plantarflexion of their foot
41
Windlass test
- 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 just 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
ACL Anterior drawer test
- 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
Lachman's test
- Patient in supine with knee slightly flexed use your knee underneath to keep their knee flexed
- Put one hand on the superior part of their knee to stabilise and put your thumb on the inferior part
- Pull knee up and down with ur thumb and hand on the back bit
44
PCL posterior drawer test
- Patient in supine with knee flexed like knee glide
- Push towards patient with thumbs
45
Posterior sag test
- 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
MCL valgus test (knee)
- Patient in supine
- Lift their leg in between your body and extend it
- Move it left and right and then do 30 degrees flexion then left and right again
47
LCL varus test
- Patient in supine
- Stand between one of their legs and the bed
- push from the medial side of the knee to lateral without rotating their leg out and keeping it str8
48
McMurray’s test
- Patient in supine
- Grab their actual patella with one hand and their foot with the other and dont put in hip flexion just hold loosely
- Push it around in a circle starting with in and then out
49
Thessaly’s test
- Patient standing sideways to the table with one hand on the table on one leg and rotate a bent knee left to right facing me
- Pain or a sensation of locking can indicate a meniscus tear.
50
Joint line palpation test
- Patient in supine with their knee flexed
- Feel the top of their knee around joint line asking for pain
51
Patella apprehension test
- 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
Dial test
- Patient lying in prone with bent knees together and heels together
- Move both their feet outwards and see if it happens equally
53
SLR (Straight leg raise) test
- Patient lying in supine
- Raise one of their legs and compare to other side
- Get them to bring their chin to chest
54
MHFAKE test
- Patient in supine and get them to hug their knee into hip flexion
- Then ask them to try and straighten their knee upwards like leg raise
- Then compare with otherside
55
Sweep test
- Patient in supine with legs straight
- Sweep around their knee like a massage and go from the inside of their leg first with a back hand then outside with normal hand
