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OT Test & Descript.

Common OT ortho tests and their description

Finklestein's Fingers wrapped around thumb - move into radial deviation
Phalen's Press backs of hands together, hold 60 seconds
Reverse Phalen's Press palms together, hold 60 seconds
Tinel's Tapping over affected area to elicit shooting, pins & needles effect
Capillary Refill Test Pressure on the distal portion of the volar finger OR over the fingernail of the digit --
Modified Allen's Test apply pressure to ulnar & radial arteries of the wrist --- open and close hand and relax, release one side -- normal refill is less than 5 seconds
Froment's Sign Pinch paper with thumb & forefinger -- thumb IP flexes, pinch weak because FPL tries to compensate for weak/paralyzed ADductor pollicus
Hoffman-Tinel Sign Tapping to find most distal sign of nerve function -- use in lieu of sensory mapping & nerve conduction
Spurling's Test Cervical spine in extension -- look toward affected shoulder -- axial load placed on the spine (push head down)
Neer's Test Passive shoulder flexion -- palm down -- positive sign is pain through zone of encroachment 60-120 degrees
Hawkin's Test (Wing) Shoulder flexion to 90 -- OT supports elbow while pushing forearm down (saggital plane - front)
Scaption - thumb down test (empty can test) Rotate thumb from up to down -- this is max IR -- arm is midway between abduction 7 flexion
Supine Impingement Test PT goes through full abduction in supine
Scapular Winging Can be assessed by PT performing a standing wall push-up
Lateral Scapula Slide Test (aka Kibler) 3 Positions -- 1. Hands at sides 2. Hands on hipbones 3. 90 deg abduction w/ thumbs down -- measure from inf. scapula angle to closest vertebrae -- if there is more than 1-2cm difference could indicate scap. weakness
Drop Arm Test Hold PT's arm at 70 deg abduction, palm down -- release -- Complete tear, PT's arm drops -- Mod. tear, PT tries to lean and hold arm, it goes down slowly, Min. tear, PT can hold arm and withstand MMT test
Rent Test Dented space anterior aspect of shoulder
Lift Off Test PT can't lift arm 'off' lower back when palm is faced out (tucking pants in type of action)
Speed's Test Resist elevation of arm (elbow straight, forearm supinated) -- pain is a positive sign
Yerguson's Test Resisted supination -- handshake test, elbow at 90 -- pain is positive sign
Step-Off Sign Bump on clavicle =- type II & II AC joint sprain
AC Resisted Extension Test PT blocks (resists) horizontal AB with elbow flexed -- pain is a positive sign
Bicep Load Test Resisted bicep flexion -- Types II, IV SLAP lesions
Clunk Test Compress humerus into GH & rotate IR/ER to get head of bicep to contract labrum
Sulcus Sign Test Distract arm -- looking for space @ GH joint (slight subluxation)
Crank Test (aka apprehension test) Arm is add, shoulder & elbow at 90, move arm in passive ER -- PT doesn't want dislocation
Jerk Test Move PT arm from horizontal AB to horizontal AD
Mill's Tennis Elbow Test PT's arm is pronated -- hand in fist, examiner passively moves PT's hand into full extension and radial deviation -- pain at lat. epicondyle is positive sign
Cozen's Test Resisted wrist flexion w/ arm pronated -- hand in fist, examiner provides resistance and radial deviation as PT actively moves wrist into flexion -- pain at lat. epicondyle is positive sign
Reverse Mill's Tennis Elbow Test PT's arm is supinate -- hand in fist, examiner passively moves PT's hand into full extension and radial deviation -- pain at lat. epicondyle is positive sign
Created by: msmaus