specialized tests Flashcards
drop arm test assesses
tears of supraspinatus
drop arm test instructions
Passively abduct arm and instruct client not to drop
drop arm test positive
sudden drop
belly-press assesses
tears of the subscapularis
belly press instructions
model, press by bringing elbow forward
belly press positive
compensation with wrist or shoulder
hawkins kennedy assesses
subacromial impingement
hawkins kennedy instructions
shoulder flexion 90°, elbow flexion 90°, therapist internally rotates arm
HK positive
pain with int rotation
neers test assesses
subacromial impingement
neers test instructions
stabilize scapula, straighten arm, internally rotate and flex shoulder
neers positive
pain
phalens assesses
median nerve impingement/carpal tunnel
phalens instructions
press back of hands together and flex wrists, hold for 1 min
phalens positive
burning, numbness, tingling
finklesteins assesses
De Quervain’s Tenosynovitis-inflammation of the tendons along the radial wrist
finklesteins instructions
make a fist around thumb and ulnar deviate
finklesteins positive
radiating pain inside arm to thumb
pronator teres syndrome test assesses
compression of median nerve at elbow
pronator teres syndrome test instructions
elbow at 90° flexion, therapist stabilizes at elbow, holds hand in handshake, therapist attempts to supinate, extend elbow
pronator teres syndrome test positive
pain, sensation changes
moving valgus stress test assesses
integrity of medial collateral ligament
moving valgus stress test instructions
shoulder abducted 90°, fully flexed elbow, apply valgus force and quickly extend
moving valgus stress test positive
pain (70-120° max)
froments assesses
ulnar nerve palsy
weak adductor pollicis
froments instructions
firmly pinch notecard between thumb and lateral index, pull from hand
froments positive
pulls it away or flex IP joint
allen test assesses
arterial blood supply of the hand
allen test instructions
compress arteries, instruct to make a fist 10 times, open hand and watch for blanche, release ulnar
allen test positive
non-instantaneous refill