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Clinical Skills II

Spurlings Test Extend, rotate, flex head and compress Tests for nerve root impingement
Valsalva bear down Tests for space occupying lesion like disc or tumor, positive = pain
Straight Leg Raising Tests L4,5, and S1 radiculopathy. Positive sign is pain extending below knee Confirmed with Bragard stretch test
Femoral Stretch Test Tests L1,2,3 radiculopathy Positive is pain below knee Patient is on stomach, raise knee
Thomas Test Raise knee to nose if contralateral leg raises then positive Tests for tight iliospoas muscle
Patrick/FABER Flex, Abduct, Externally Rotate Test for Ipsilateral hip pain, suggests hip pathology AND ipsilateral SI joint pain when pressing on ipsilateral knee and contralateral ASIS
Barlow-Ortolani Newborns-2yrs Tests posterior hip displacement
Osgood Schlatter Disease Adolescent Osteochondritis of epiphysis of tibial tubercle
McMurray Test Tests for meniscal injury Flex knee, lateral press knee, internally rotate ankle; Flex knee, medially press knee, externally rotate ankle and lower leg Positive = clicking
Apley Compression/Distraction Comression: tests meniscal injury; pain; patient lies prone: Compress/distract with internal and external rotation,
Ligament Stability Knee on hip, apply opposing forces on calf and thigh Tests stability of lateral and medial collateral ligaments, positive = abnormal movement
Ballottement Tests for excess fluid or an effusion in knee Positive sign is rebound of patella
Thomson-Doherty Squeeze Test Tests for Achelles tendon rupture Squeeze calf and look for foot movement
Homan's Test DVT, positive = pain dorsiflex
Apley Scratch test quickest way to evaluate range of motion, screening test for adhesive capsulitis
Created by: eboard