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Clinical Skills II
Question | Answer |
---|---|
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 |