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CATS 200 > Special Tests - Station A > Flashcards

Special Tests - Station A Flashcards

1
Q

Naffziger’s Test

A
  • Client supine
  • Gently compress jugular veins (beside carotid arteries) for 30 seconds; client’s face will flush - then ask client to cough
    • Sign: Cough causing pain in lower back
  • Indication: Space-occupying Lesion
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2
Q

Well Leg Straight Leg Raise

A
  • Client supine
  • Affected leg Adducted and Internally Rotated; Raise leg from Calcaneus and Flexing the Hip; the Knee must remain Extended. Flex until pain is felt, usually 70-80degrees
    • Sign: Pain down opposite leg
  • Indication: Space-occupying lesion or Herniated Disc
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3
Q

Occlusive Disharmony Test

A
  • Therapist palpate the mandibular condyle while client clenches and relaxes jaw. Then place a tongue depressor/stick between client’s molars as they bite down
    • Sign: Pain just biting down could be muscular, or d/t joint. Once stick is added, if pain remains it is muscular because the stick distracts the joint
  • Indication: TMJ pain; Articular joint or extra-articular, muscle
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4
Q

Three-Knuckle Test

A
  • Client seated
  • Client opens jaw and inserts as many flexed Proximal Interphalangeal Joint’s of the non-dominant hand between the teeth as possible
    • Sign: Client can get only one or no knuckles between incisors
  • Indication: TMJ Hypomobility
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5
Q

Chvostek Test

A
  • Client seated
  • Tap parotid gland overlying Masseter muscle
    • Sign: Facial muscles twitch
  • Indication: CN VII Dysfunction (facial nerve)
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6
Q

Speed’s Test

A
  • Client standing
  • Have client completely extend elbow while Supination the forearm; resist Flexion of the arm by placing one hand on the shoulder and the other hand distal to the client’s elbow, repeat with forearm Pronated
    • Sign: Pain at Tendon (bicipital groove)
  • Indication: L.H Bicep’s Tendinosis
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7
Q

Yergason’s Test

A
  • Client seated
  • Elbow of affected arm Flexed 90degrees and Pronated; stabilize clients elbow against client’s thorax with one hand, with the other hand, apply resistance while the client actively supinates the forearm, extends the elbow and externally rotates the humerus at the same time
    • Sign: Pain at Bicipital Groove and sensation of tendon “popping out” of the groove
  • Indication: L.H Bicep’s Tendinosis; Instability of Transverse Humeral Ligament
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8
Q

Painful Arc Test

A
  • Client standing
  • Have client abduct humerus through full range
    • Sign: Pain starting at about 60degrees of Abduction which then eases off after about 120degrees
  • Indication: Subacromial Impingement of Supraspinatus Tendon and Subacromial Bursa

Note: Pain at 170-180 is indicative of Acromioclavicular pathology or Impingement

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9
Q

Supraspinatus Test (Empty Can Test)

A
  • Client standing
  • Have client Abduct Humerus to 90degrees then Adduct Humerus Horizontally to 30degrees; have client Internally Rotate Humerus; apply pressure to Humerus in direction of Adduction, instructing client not to let arm be Adducted
    • Sign: Pain or Weakness
  • Indication: Supraspinatus Tendinosis; Strain or Weakness
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10
Q

Neer Impingement Test

A
  • Client seated
  • Passively elevate client’s shoulder and Medially Rotate client’s Humerus
    • Sign: Pain
  • Indication: Overuse injury of Supraspinatus Tendon
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11
Q

Hawkins-Kennedy Test

A
  • Client seated or standing
  • Flex client’s arm forward to 90degrees then Internally Rotate Humerus; can be performed in various degrees of Flexion or Horizontal Adduction of the shoulder
    • Sign: Pain
  • Indication: Injury of Supraspinatus tendon
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12
Q

Drop-Arm Test

A
  • Client standing
  • Abduct arm to 90degrees and have client hold arm in this position; have client slowly Adduct arm back to starting position
    • Sign: Client unable to return arm smoothly and slowly to their side or if there is pain when attempting to do so
  • Indication: Supraspinatus MM/Tendon Injury or Rotator Cuff Injury
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13
Q

Allen Maneuver

A
  • Client seated
  • Flex client’s elbow 90degrees with shoulder Abducted, Rotated Laterally; Have client rotate head to unaffected side; monitor Radial pulse on affected side
    • Sign: Diminishment of pulse
  • Indication: Pec Minor TOS
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14
Q

Adson’s Maneuver

A
  • Client seated
  • Stand behind client and Extend and slightly Externally Rotate client’s affected arm; monitor radial pulse of arm; have client rotate head toward affected side slightly elevate the chin and take a deep breath and hold it for 15 to 20 seconds
    • Sign: Diminished Radial Pulse or recurrence of client’s neurological symptoms
  • Indication: TOS due to anterior scalene muscle
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15
Q

Wrights Hyper-Abduction Test

A
  • Client seated
  • Stand behind client and passively fully Abduct client’s affected arm to 180degrees then slightly Extend and Laterally Rotate the arm; monitor radial pulse as arm is held in Hyperabduction; can have client take deep breath
    • Sign: Diminishment or Radial pulse or recurrence of client’s neurological symptoms
  • Indication: Costoclavicular TOS - Compression in the Costoclavicular space
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16
Q

Eden’s Test

A
  • Client standing
  • Stand behind client and monitor affected arm’s Radial pulse; have client retract and depress shoulders as far as possible
    • Sign: Diminished pulse or increase in symptoms
  • Indication: Compression of Neurovascular bundle between Clavicle and 1st Rib
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17
Q

Costoclavicular Syndrome Test

A
  • Client seated
  • Stand behind client and monitor affected arm’s Radial pulse; passively depress and retract shoulder of affected arm
    • Sign: Diminished Pulse or increase in symptoms
  • Indication: Costcoclavicular Syndrome TOS due to compression of Neurovascular bundle between Clavicle and 1st Rib
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18
Q

Scalene Cramp Test

A
  • Client seated
  • Fully rotate head to affected side then flex to same side; pull chin inferiorly into hollow just posterior to the clavicle
    • Sign: Pain referred pattern for Scalene MM, or radiating symptoms
  • Indication: Active Scalene trigger points, or Anterior Scalene TOS
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19
Q

Lateral Epicondylitis Test (Method 3)

A
  • Client seated
  • Have client Extend 3rd digit; resist the Extension pressing distal to the PIP joint
    • Sign: Pain over lateral Epicondyle of Humerus
  • Indication: Lateral Epicondylitis
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20
Q

Mill’s Test

A
  • Client seated
  • Palpate Lateral Epicondyle; passively Pronate client’s Forearm, fully Flex wrist and Extend elbow
    • Sign: Pain local to Common Extensor Tendon
  • Indication: Tendinosis of CET
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21
Q

Cozen’s Test

A
  • Client seated
  • Stabilize client’s elbow with your thumb on client’s Lateral Epicondyle; have client make a fist and Extend elbow, Pronate Forearm and slightly Extend Pronated; have client hold wrist in the position while therapist resists the motion
    • Sign: Sudden, severe pain at CET
  • Indication: Wrist Extensor Tendinosis
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22
Q

Medial Epicondylitis Test

A
  • Client seated
  • Palpate client’s Medial Epicondyle; Then Supinate the client’s Forearm and Extend the Wrist and Elbow
    • Sign: Pain in Medial Epicondyle
  • Indication: Medial Epicondylitis
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23
Q

Shoulder Abduction Relief Test

A
  • Client seated or supine
  • Passively move client’s upper limb through Abduction so hand/forearm rests on top of client’s head
    • Sign: Decrease in, or Relief of symptoms
  • Indication: Cervical Compression problem such as Herniated Disc, usually C4-C5 or C5-C6 (determined by dermatomal distribution)
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24
Q

Cervical Distraction Test

A
  • Client seated
  • Grasp client’s head at Occiput and chin areas; place head in anatomically neutral position; apply slow traction superiorly, maintaining for at least 30 seconds
    • Sign: Reduction in client’s pain
  • Indication: Irritation in Cervical Nerve Roots
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25
Q

Shoulder Depression Test

A
  • Client seated
  • Flex client’s head to one side while applying inferior pressure on opposite shoulder
    • Sign: Pain increases
  • Indication: Irritation/Compression of Nerve Roots, or Foraminal Enchroachments (e.g. osteophytes)
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26
Q

Jackson Compression Test

A
  • Client seated
  • Client Rotates head to one side; apply pressure directly Inferiorly on the head; repeat with head Rotated to the other side
    • Sign: Pain radiating into arm
  • Indication: Nerve Root Compression (dermatomal pattern indicates which nerve root)
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27
Q

Slump Test

A
  • Client seated, have client ‘Slump’ forward through full Flexion; Flex head to the Chest; Extend one Knee, then Dorsiflex that Ankle; test is positive with symptoms at any step on the test; over pressure can be applied during any of the positions
    • Sign: Pain along the spine and sometimes in a referral pattern to a limb at any point during the test, the pain is experienced at the level of the lesion
  • Indication: Nerve Root Irritation, Meningeal Irritation or Dural Irritation
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28
Q

Kernig’s Test

A
  • Client seated; have client cup hands behind the head; have client flex head to chest and indicate if pain is present; have client flex one hip with the knee extended. The movement’s may be performed passively by the therapist
    • Sign: Pain along spine and sometimes in a referral pattern to a limb; pain is experienced at the level of the lesion. The client may involuntarily flex the knee to reduce the test on the Dural tube and diminish the pain
  • Indication: Nerve Root Irritation, Meningeal Irritation or Dural Irritation
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29
Q

Lhermitte’s Sign

A
  • Client seated
  • Passively flex client’s head; can also flex one hip simultaneously with the lower limb straight
    • Sign: Sharp “Electric” pain down spine
  • Indication: Dural/Meningeal Irritation, Cervical Myelopathy; UMNL
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30
Q

Spurling’s Test

A
  • Client seated
  • Have client slowly Extend, Laterally Flex and Rotate head to affected side; therapist applies compression downward on client’s head, compressing Intervertebral Foramina, Nerve Roots and Facet Joints on that side
    • Sign: Radiation pain or other Neurological signs in upper limb on affected side
  • Indication: Compression of Cervical Nerve Root; Distribution os symptoms indicate which nerve root is involved
    • Sign: Pain local to neck or shoulder
  • Indication: Cervical facet joint irritation on side being tested
    • Sign: Pain on opposite side to which head is moved
  • Indication: Muscle spasm
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31
Q

Kemp’s Test

A
  • Client standing
  • have client slowly Extend the spine while the therapist hold’s the client’s shoulder’s to control the movement; apply overpressure in Extension while the client Laterally Flexes and Rotates to the side of symptoms
    • Sign: Radiating pain or other Neurological signs in affected leg
  • Indication: Nerve Root Compression distribution of pain indicates the level of the involved nerve root
    • Sign: Local pain in back
  • Indication: Likely Lumbar Facet Joint Irritation
32
Q

Valsalva Test

A
  • Client seated
  • Have client hold breath and bear down as if moving bowels or pretending to blow into a balloon without exhaling air
    • Sign: Pain either locally or radiating in a dermatomal pattern, the pain may be reproduced by coughing, sneezing or having a bowel movement
  • Indication: Space-occupying lesion increasing pressure in spinal cord, such as a Herniated Disc, Osteophytes or Tumor
33
Q

Sacral Apex Pressure Test

A
  • Client Prone
  • Place base of hand on Apex of Sacrum; apply Anterior to Posterior Pressure to Apex of Sacrum, causing a shear of Sacrum on Ilium
    • Sign: Pain over joint
  • Indication: SI Joint Dysfunction
34
Q

Sacral Fixation Test

A
  • Client standing
  • Client’s hands outstretched against wall, therapist palpates PSIS with thumb and other thumb on Sacrum; have client stand on unaffected leg and raise knee slowly as high as possible toward the chest,
    • Sign: Thumb on affected side moving Superiorly as knee lifts
  • Indication: SI Joint Hypomobility
35
Q

Hibb’s Test

A
  • Client prone
  • Stabilize Pelvis with your chest; flex client’s Knee to at least 90degrees, Medially Rotate Hip as far as possible; push the Hip into very end of Medial Rotation; Palpate Ipsilateral SI Joint; observe amount of opening and quality of movement of SI Joints
    • Sign: Hyper-mobility or Hypo-mobility
  • Indication: Posterior SI Joint Dysfunction
36
Q

Gaenslen’s Test

A
  • Client sidelying on unaffected hip
  • Have client Flex unaffected Hip and Knee to Chest. Holding them there; stand behind client and stabilize pelvis with one hand; with other hand Hyperextend affected Hip
    • Sign: Pain in SI Joint or Hip Joint, or along L4 Nerve Pathway
  • Indication: Dysfunction in Joint where Pain is felt; possible L4 Nerve Root Lesion
37
Q

Patrick Test

A
  • Client supine
  • Place client’s foot on knee of other leg, slowly lower knee towards table
    • Sign: Affected knee remains above unaffected knee
  • Indication: Hip Joint Pathology or shortened/spasmed Psoas muscle
  • To assess SI Joint stabilize unaffected ASIS with one hand and gently push affected knee in posterior direction
    • Sign: Pain in SI Joint
  • Indication: SI Joint Dysfunction
38
Q

SI Joint Gapping Test

A
  • Client supine
  • Carefully apply cross-arm pressure to Medial aspects of ASIS’s pushing them Laterally and Posteriorly
    • Sign: Unilateral Gluteal or Posterior Lower Limb Pain
  • Indication: Anterior SI Ligament Sprain
39
Q

Yeoman’s Test

A
  • Client Prone
  • Stabilize Pelvis; Extend client’s Hip with Knee Extended; then Extend clients Hip with Knee Flexed
    • Sign: Pain in L/S during both parts of the test
  • Indication: L/S Dysfunction
    • Sign: Pain at SIJ; pain in L/S
  • Indication: Anterior SIJ Ligament Dysfunction, L/S Dysfunction
    • Sign: Paresthesia in Anterior Thigh
  • Indication: Femoral Nerve Stretch
40
Q

Pelvic Rock

A
  • Client Supine
  • Push Medially on both ASIS’s, then rock Anterior to Posterior one side at a time
    • Sign: Harder end feel on one side
  • Indication: Restriction of movement on that side
41
Q

Piriformis Test

A
  • Client sidelying
  • Top leg is test leg; client flexes test hip 60degrees with Knee Flexed; stabilize Hip with one hand and apply downward pressure to knee
    • Sign: Pain in Piriformis Muscle
  • Indication: Hypertonicity in the Muscle
    • Sign: Pain in Buttock and along Sciatic Nerve
  • Indication: Piriformis Syndrome (compression of sciatic nerve)
42
Q

Freiburg Sign

A
  • Client Supine
  • Passively Internally Rotate client’s lower limb
    • Sign: Pain in Buttock and potentially radiating down leg an limited ROM with Internal Rotation of Extended Thigh
  • Indication: Short Piriformis Muscle
43
Q

Ober’s Test

A
  • Client sidelying with affected leg on top
  • Slightly Flex unaffected leg at Hip and Knee; stand behind client and stabilize client’s pelvis at Iliac Crest; Hyperabduction and Extend affected Hip being sure to prevent Internal Rotation of Hip; Flex Knee to 90degrees; have client fully relax leg
    • Sign: Leg remains strongly Abducted
  • Indication: Shortened ITB/TFL
44
Q

Noble’s Test

A
  • Client Supine
  • Affected Hip and Knee Flexed to 90degrees; compress ITB 2cm Proximal to Lateral Femoral Condyle; have client Extend Knee and Hip slowly while maintaining pressure
    • Sign: Pain over Lateral Femoral Condyle at about 30degrees of Extension
  • Indication: ITB Friction Syndrome
45
Q

Ely’s Test

A
  • Client Prone
  • Flex affected Knee, bring heel to Buttocks
    • Sign: Hip on affected side Flexes as Knee is Flexed
  • Indication: Shortened Rectus Femoris
46
Q

Rectus Femoris Contracture Test

A
  • Client Supine
  • Leg’s Flexed at Knee over end of table; Flex unaffected Hip and Knee so thigh is brought toward chest and have client hold it; Ankle of test knee should remain at 90degrees when the opposite Knee is held to the chest; Therapist can passively flex the Knee to see if it will remain at 90degrees
    • Sign: Test Knee Extends
  • Indication: Rectus Femoris Contracture
47
Q

Thomas Test

A
  • Client Supine
  • Check for excessive Lumbar Lordosis; Flex one Hip bring Knee to the chest to flatten Lumbar Spine and Stabilize Pelvis; Have client hold Flexed Lower Limb against chest
    • Sign: Straight leg rises off table; muscle stretch end feel; increase in Lordosis when straight leg is pushed down to table
  • Indication: Hip Flexor Contracture
48
Q

Apleys Compression Test of the Knee

A
  • Client Prone
  • Flex affected Knee to 90degrees; compress Flexed Knee by pushing client’s foot and Tibia down into table; Internally and Externally Rotate Tibia
    • Sign: Pain on Medial or Lateral aspect of Knee
  • Indication: Damage to Medial or Lateral Meniscus
49
Q

McMurray’s Test

A
  • Client supine with Hip and Knee in Flexion
  • Cup one hand over client’s Knee with palm over patella and fingers and thumb over joint line; with other hand, grasp client’s heel; slowly Extend client’s knee while applying stresses to the Knee: 1) Valgus stress with External Rotation of Tibia, 2) Varus stress with Internal Rotation of Tibia
    • Sign: Click or Catch during Knee Extension
  • Indication: Meniscal Injury, 1) Medial Meniscus; 2) Lateral Meniscus
50
Q

Bragard’s Sign

A
  • Client supine
  • Hip and Knee Flexed; stabilize proximal to Knee; 1) Externally rotate Tibia while Extending client’s Knee; 2) Internally Rotate Tibia while Extending client’s Knee
    • Sign: 1) Pain or tenderness along Medial aspect of joint line; Internal Roation should decrease pain; 2) Lateral joint line pain; External Rotation should decrease pain
  • Indication: 1) Medial Meniscus Injury; 2) Lateral Meniscus Injury
51
Q

Ballottable Patella Test

A
  • Client Supine
  • Affected Knee as Extended as possible; gently but firmly Extend Knee; compress or tap Patella down on Condyles then release it
    • Sign: Patella clicks onto Femur then rebounds to floating position
  • Indication: Major Swelling
52
Q

Brush Test

A
  • Client Supine
  • Knee as Extended as possible; starting just below the joint line on the Medial side, slowly Brush/Sweep Effusion proximally toward the client’s Hip as far as the Suprapatellar pouch 2 or 3 times; with opposite hand, stroke down Lateral side of Patella
    • Sign: Bulge Inferior to Patella, swelling that does not move is a negative test
  • Indication: Cruciate or Meniscal Damage
53
Q

Lachman’s Test

A
  • Client Supine
  • Affected Knee in 30degrees of Flexion; Stabilize Distal Femur with one hand and Grasp Proximal Tibia in other hand, apply Anterior pressure on the tibia
    • Sign: Pain with Acute injury; or Excessive Anterior Movement; Soft end feel
  • Indication: Anterior Cruciate Ligament Damage
54
Q

Anterior Drawer Test - Knee

A
  • Client Supine
  • Affected Knee Flexed to 90degrees; Hip Flexed to 45degrees, foot flat on table; sit on table; anchor client’s foot under your thigh; Grasp tibia with both hands with your thumbs over Tibial plateau; Pull Tibia Anteriorly
    • Sign: Excessive movement (more than 6mm)
  • Indication: Anterior Cruciate Ligament damage; Posterior Joint Capsule damage
55
Q

Posterior Sag Sign

A
  • Client Supine
  • Hips Flexed to 45degrees and Knee’s Flexed to 90degrees, feet flat on table
    • Sign: Tibia sags Posteriorly compared to unaffected knee
  • Indication: Posterior Cruciate Ligament Injury
56
Q

Posterior Drawer Test

A
  • Client Supine
  • Affected Knee Flexed to 90degrees, Hip Flexed to 45degrees, foot flat on table; sit on table; Anchor client’s foot under your thigh; grasp Tibia with both hands with your thumbs over Tibial Plateau; push Tibia Posteriorly
    • Sign: Excessive Movement (more than 6mm)
  • Indication: Posterior Cruciate Ligament Damage
57
Q

Apley’s Distraction Test of the Knee

A
  • Client Prone
  • Flex Knee to 90degrees, Stabilize client’s leg by placing your Knee on client’s Posterior thigh; grasp leg proximal to Ankle and apply traction to Tibia; Internally and Externally Rotate Tibia
    • Sign: Pain on Medial or Lateral aspect of Knee
  • Indication: Damage to Medial Collateral Ligament or Lateral Collateral Ligament
58
Q

AC Shear

A
  • Client seated
  • Stand behind client and place hands over clients shoulder with one palm on clavicle and other on the spine of the scapula; slowly squeeze heels of your hands together
    • Sign: Pain or excessive movement of joint
  • Indication: AC joint pathology such as AC joint sprain
59
Q

Apprehension Test

A
  • Client Supine
  • Therapist Externally Rotates the client’s shoulder at 90degrees of Abduction
    • Sign: Client has look of apprehension and pull’s away from therapist to stop motion; end feel is empty
  • Indication: GH Joint Capsule Damage (often anterior dislocation)
60
Q

Pronator Teres Syndrome Test

A
  • Client seated
  • Have client Flex elbow to 90degrees; strongly resist Pronation as elbow is Extended
    • Sign: Tingling/Paresthesia in Median Nerve Distribution in Forearm/Hand
  • Indication: Median Nerve Compression
61
Q

Pinch Grip Test

A
  • Have client pinch tips of 1st and 2nd digits together
    • Sign: Pad-to-pad pinch instead of tip-to-tip pinch
  • Indication: Pathology to branch of Median Nerve (Anterior Interosseous Nerve); may be trapped between the 2 heads of the Pronator Teres
62
Q

Phalen’s

A
  • Client seated
  • Have client put backs of hands together; client’s wrists are Flexed and Elbow’s are held Horizontally; shoulder’s are not elevated; have client strongly compress the backs of the hands together for one minute
    • Sign: Tingling/pain in Lateral 3rd digit and Lateral half of 4th digit
  • Indication: Carpal Tunnel Syndrome
63
Q

Froment’s Sign

A
  • Have client hold a piece of paper between their thumb and index fingers; therapist tries to take the piece of paper away
    • Sign: Client cannot hold paper or thumb IP joint Flexes
  • Indication: Ulnar Nerve Lesion
64
Q

Tinel’s Signs

A

Median Nerve - Tap Anterior Wrist
Ulnar Nerve - Tap Between Olecranon of Ulna and Medial Epicondyle of Humerus

    • Sign: Paresthesia/Tingling along distribution of nerve distal to where nerve is pinched
  • Indicates: To determine how far a peripheral nerve has regenerated after a trauma
65
Q

ULTT4

A
  • Client supine
  • Affected arm close to edge of table; grasp client’s shoulder and apply a constant depressive force to it->with other hand, hold client’s wrist and Abduct Humerus to 90degrees->Laterally Rotate humerus->Flex Elbow, bringing hand toward client’s ear -> Supinate forearm -> Slowly Extend wrist and digits and deviate wrist laterally
    • Sign: Reproduction of client’s symptoms
  • Indication: C8 and T1 Nerve Roots and Ulnar Nerve can be source of pain
66
Q

Mediopatellar Plica Test

A
  • Client supine, affected Knee supported and Flexed to 30degrees, Therapist pushes Patella Medially
    • Sign: Pain, click
  • Indication: Mediopatella Plica
67
Q

Waldron’s Test

A
  • Client standing
  • Palpate affected Patella while client performs several slow deep knee bends
    • Sign: Pain, crepitus, poor Patellar tracking
  • Indication: Patellofemoral Syndrome
68
Q

Clarke’s Test

A
  • Client Supine
  • Knee’s Extended; compress Patella Posteriorly onto Femoral Condyles with web of hand; Move Patella Inferiorly; Have client contract Quadriceps
    • Sign: Apprehension, pain, crepitus
  • Indication: Patellofemoral Syndrome
69
Q

Kleiger Test

A
  • Client seated
  • Legs hanging off table with no weight on feet; grasp client’s foot and Rotate it Laterally
    • Sign: Pain Medially and Laterally; Therapist may feel Talus displace from medial Malleolus
  • Indication: Sprain/Tear of Deltoid Ligament
70
Q

Talar Tilt

A
  • Client Supine or Sidelying
  • Foot relaxed and Knee is in slight Flexion; Hold foot in Anatomical position; tilt Talus side to side in Adduction (calcaneofibular ligament), and Abduction (Deltoid ligament)
    • Sign: Hypermobility
  • Indication: Injury to tested ligaments
71
Q

Anterior Drawer Test - Ankle

A
  • Client seated or supine
  • Stabilize distal Tibia and Fibula just superior to ankle; grasp Calcaneus and distract Calcaneus Inferiorly; with foot in 20degrees Plantarflexion place anteriorly directed pressure on Calcaneus and Talus
    • Sign: Excessive Anterior movement of Talus
  • Indication: Laxity or rupture of Anterior Talofibular ligament
72
Q

Morton’s Neuroma

A
  • Client seated
  • Compress foot with Medial and Lateral pressure at Metatarsophalangeal joints
    • Sign: Sharp local pain; pain is worse with activity
  • Indication: Presence of Morton’s Neuroma or Fracture
73
Q

Adhesive Capsulitis Abduction Test

A
  • Client seated
  • Stand behind client and palpate Inferior angle of scapula and monitor it’s position throughout test; with other hand just proximal to client’s elbow, passively abduct the client’s humerus slowly, noting when the inferior angle of scapula begins to move
    • Sign: Painful, leathery endfeel before 90degrees of Abduction
  • Indication: Frozen Shoulder (Axillary fold of inferior GH joint capsule)
74
Q

Apley’s Scratch

A
  • Client seated or standing
  • Stand behind client and have client reach behind head to touch as far down spine as possible with fingertips (external rotation and abduction); at the same time have client reach up the back with the other hand to touch as far up the spine as possible (internal rotation and adduction). have client reverse
    • Sign: Pain or inability to touch fingers
  • Indication: Rotator Cuff MM Pathology or Frozen Shoulder
75
Q

Scalene Relief Test

A
  • Client seated
  • Have them place forearm on the affected side across the forehead, with the forehead as close to the elbow as possible; instruct client to elevate and protract shoulder (lifting clavicle)
    • Sign: Reduction of pain within a few minutes
  • Indication: Presence of active trigger points in Anterior Scalene; TOS due to Scalenes
76
Q

Flexor Tendinosis Test

A
  • Client seated
  • Elbow Extended and Wrist Supinated and slightly Flexed; have client hold this position then attempt to Extend the wrist
    • Sign: Pain at CFT and weakness
  • Indication: Wrist Flexor Tendinosis

CATS 200 (15 decks)

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