Tests Flashcards
hip ROM
flexion: 120
extension: 30
abduction: 45
adduction: 30
external rotation: 45
internal rotation: 45
knee ROM
flexion: 130-150
extension: 0-15
ankle ROM
dorsiflexion: 20
plantarflexion: 45
eversion: 20
inversion: 30
adam’s position
have patient flex forward, check for changes in scoliosis
amoss sign
patients gets up from lying position
beevor’s
observe umbilicus as they do a crunch
chest expansion
measuring tape, measure at max exhale and max inhale
forestier bowstring
bend lateral from side to side
rib motion test
hold ribs, have them inhale and exhale, watch for equal rib expansion
shepelmann’s
patient seated, raise arms above head, laterally bend
angalgia
patient leans to one side to alleviate pain
SLR
lift symptomatic leg off table, ask when they feel pain
bragards
flex foot if positive SLR
sicard’s
flex toe is positive SLR and bragard’s
bechterew’s
patient seated, extend leg out, apply pressure if no pain
slump
patient is maximally slumped, extend knee
crossed SLR
extend unaffected leg
fajersztajn’s
flex foot if positive crossed SLR
cox
patient will lift ipsilateral hip to alleviate pain
ely’s
patient prone, flex affected leg to opposite butt cheek
femoral nerve traction
patient on unaffected side, extend upper thigh back
heel/toe
have patient walk on heel and toe
kemps
start by leaning forward on opposite side of pain, roll, them to other knee, have them extend back as far as they can go from that lateral position, press down
laseque
patient flexes hip and knee to 90 degrees, then extends leg
lindner’s
patient seated or supine, flex head to chest
milgram’s
patient supine, lifts feel 6 inches off table, hold for 30 seconds
minor’s
getting up by walking hands up thighs
nachlas’s
patient prone, lift leg to same butt cheeck
quick test
5 deep squats with a bounce at bottom
bilateral leg lowering test
lift legs all the way up, patient slowly brings them back down, have them stop halfway
anterior innominate
patient brings unaffected foot forward, flex forward until back heel is off of ground
belt
patient bends forward, note pain
doctor puts innominate on their sacrum and have them do it again, note pain
erichsen’s
make a double IN ilium
gaenslen’s
lift unaffected knee to patient’s chest, keep other leg on table
goldthwait’s
palpate L5 and S1, lift affected leg
hibb’s
knee is 90 degrees
laterally bend leg, hold sacrum
iliac compression
patient on unaffected side, compress ilium, creating a double EX ilium
lewin gaenslen
patient on unaffected side, hyper extend top leg, patient brings other leg to chest
yeoman’s
patient prone, lift affected knee off table, apply pressure to sacrum
actual leg length
ASIS to medial malleolus
apparent leg length
umbilicus to medial malleolus
allis sign
patient supine, bend legs, feet flat on table, observe femur and tibia length
anvil
lift leg up, hit calcaneus with clenched fist
gauvain’s
grab abs and just above ankle, internally and externally rotate leg
patrick’s
legs in figure 4 position, hand on ASIS and knee and push
hip telescoping
bend and grab leg and push in and pull up
ober’s
grab ankle and knee, let go of knee and let leg adduct
thomas
bring knee to chest
trendelenburg
have patient stand on one leg, observe pelvis
abduction (valgus) test
adduction (varus) test
leg in between thighs, push laterally and meidally against knee
apley compression
patient prone, bring leg up so knee is 90 degrees, push down and pull up on knee
patella ballotment
feel knee for boggyness
bounce home test
bring up leg and hip, let knee go
clarke’s
push down on patella from the top of it
mc murray
internal and valgus stress, let leg come down
external varus stress, let leg come down
lateral pivot shift
grab leg, bring up 5 degrees, externally rotate and bend knee
lachman
patient supine
pull up and down on tibia and hold down femur
drawer
bend leg, patient supine, sit on foot, move tibia anterior and posterior
Q angle
ASIS to middle of patella
middle of patella to tibial tubercle, measure angle
rhomberg
stand still with feet together eyes open and closed
(open and closed: cerebellar or vestibular mechanism deficit)
(closed only: dorsal column)
hopping on one foot
hop on one foot, eyes open and closed
open and closed: cerebellar or vestibular mechinism deficit)
closed only: dorsal column)
squatting on one foot
cerebellar or vestibular mechanism deficit
dorsal column
finger to nose
dyssynergia
dysmetria
finger to finger
dyssynergia
dysmetria
finger to nose to finger
dyssynergia
heel to shin
dyssynergia
dysmetria
holmes rebound phenomenon
resist flexed arm, let go, have them try to keep the arm there
tandem gait
walk heel to toe with eyes open and closed
joint position
hold joint up or down, ask patient where they think the joint is
sterognosis
place object in hand, identify it
barognosis
two similarly shaped objects,which one is heavier
topognosis
tap patient somehwere on skin and have them point to where it is
graphognosis
draw a letter or number on hand, have them identify it
anterior drawer sign
place hand on anterior tibia and one hand on posterior calcaneus
doctor pulls foot anterior
posterior drawer sign
place one hand on posterior tibia and other on anterior calcaneus
doctor pushes foot posterior
calf circumfrence test
measure calf at widest point (4: below patella
claudication test
patient walks for one minute while doctor observes and times until patient has pain
homan’s sign
patient lies supine and doctor raises leg to 45 degrees
squeeze calf and quickly dorsiflexes foot
moses’ test
patient prone
doctor flexes knee 90 degrees and squeezes calf quickly
thompson’s test
doctor flexes knee to 90 degrees and squeezes calf
duchenne’s
doctor applies upward force to head ot first metatarsal
helbing’s sign
paitnet stands and doctor looks at achilles’ tendon
morton’s test
doctor squeezes foot around metatarsal heads
strunsky’s sign
doctor rapidly flexes patient’s toes several times
tinel’s foot test
doctor taps posterior aspect of medial metatarsal over posterior tibial nerve with reflex hammer