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Special Tests

NPTE

QuestionAnswer
Which muscles elevate the scapula? (2) UT, levator
Which muscles depress the scapula? (4) SA, Pec major & minor, LT (lower fibers)
Which muscle protract the scapula? (3) SA, pec major & minor
Which muscles retract the scapula? (2) Mid trap and Rhomboids
Which muscles upwardly rotate the scapula? UT, LT, SA
Which muscles downwardly rotate the scapula? Rhomboids, levator and pec major
What are the special tests for Biceps Tendonitis (3) Speeds, Ludington's, Yeargason's
What are the special tests for impingement? (2) Hawkins-Kennedy, Neers
What is the empty can test used for? Supraspinatus
What is the Adson Test? For TOS (scalene). Palpate radial pulse and passively ABD, ER and extend UE while having patient LOOK TOWARDS
What is Allen's test for the UE? TOS (pec). Palpate radial pulse, position pt in 90 ABD with ER and elbow flexion and TURN AWAY.
How do you perform costoclavicular assessment for TOS? Compression between 1st rib and clavical (subclavian artery). While monitoring radial pulse have pt assume exagerrated military posture (shoulders back).
What is Roos test? Indicates TOS, hold BUE at 90 ABD and 90 Elbow Flexion for 3' while opening and closing hands. Positive if unable to maintain position, weakness in UEs, sensory loss or pain.
What is Wrights test and what is it also called? Hyperabduction test for TOS (1st rib and pec minor). Passively bring pt's UE overhead and monitor radial pulse.
Cozen's Test Lateral Epicondylitis - Strength Position in pronation & radial deviation. Resist wrist extension
Lateral Epicondylitis Test Resist 3rd PIP extension
Medial Epicondylitis Test Passively extend wrist with elbow extended and supination
Mills Test Lateral Epicondylitis - Stretch Passively pronate, flex wrist and extend elbow
Allen's test for vascular insufficiency Which arteries & how to perform Radial and Ulnar. Apply pressure at distal wrist, have patient open & close their hand and remove pressure from one side at a time.
Fromets Test ADD pollicis weakness (ulnar nerve) Pull a piece of paper from thumb and index finger (+) = Thumb DIP flexion and hyperextion of MCP
Phalen's Test Median Nerve/Carpal Tunnel Flex both wrists and hold 60' (+) = numbness/tingling in thumb, index, middle and lateral 1/2 ring
Finkelstein Test Dequerivians Tuck thumb under fist
90-90 SLR test What is a + finding >20 degrees of knee flexion = HS tightness
Barlow's Test Pediatrics posterior hip dislocation Performed by ADD the hip. Followed by Ortolanis test to confirm.
Craig's Test: normal value 8-15 degrees anteversion
Lateral Pivot Shift Test Structure tested How to perform Positive test ACL Position: hip V & ABD 30 degrees with slight IR Maneuver: apply IR with Valgus force as V knee (+): shift or clunk at 20-40 degrees knee V
Anterior Drawer ACL hip flexed 45 and knee flexed 90 HS protect - false negative
Lachman's ACL 30 degrees knee flexion better sensitivity/specificity than anterior drawer
Bunnel-Littler Test MCP joint stabilized in slight extension while PIP joint is flexed. If PIP does not flex when MCP is in extension = intrinsic mm tight or capsule IF PIP fully flexed when MCP is FLEXED = intrinsic tightness only
Bruzinkie's Sign Meningitis Passive flexion of neck in supine causes hip flexion
Kernigs Sign Meningitis Inability to straighten leg when hip is in 90 flexion
Meningitis Sx and how to diagnos h/a, fever, vomiting, nuchal rigidity, posterior thigh pain, LBP Lumbar puncture for diagnosis
Varus Stress test 0 degrees and 20-30 degrees knee flexion Tests LCL @ 20-30degrees Tests LCL plus capsule with full extension
Valgus Stress test 0 degrees and 20-30 degrees knee flexion Tests MCL @ 20-30degrees Tests MCL plus capsule with full extension
Murphy's Sign - Hand Pt makes a fist. If 3rd MCP is level with 2nd or 4th = lunate dislocation
Tripod Sign Pt is sitting with knees flexed 90 over table. PT passively extends knee (+) = HS tightness or pt extends trunk
Slocum Test: 1. Pt position 2. Maneuver 3. Positive test Position: supine with knee V 90 & hip V 45 Maneuver: Rotate foot 30 deg medially and apply anterior force to tibia (+) medial rotation = anterolateral instability lateral rotation = rotated 15 laterally
Patellar Tap Test knee flex or ext to point of discomfort and tap patella (+) = patella appears to be floating - joint effusion
Noble Compression Test supine with knee flexed 90 slight hip V, place thumb of lateral epicondyle of femur and have pt extend knee (+) = pain at 30 degrees = ITB
Patellar apprehension Test Place thumbs on medial border or patella tendon and apply lateral force (+) = pt apprehension or attempt to contract quads indicates sublux patella
Anterior Drawer Test ATFL - anterior talofibular ligament stabilize distal tibia, place foot in 20 PF. Drawer Talus anterior on ankle mortise
Talar Tilt Test Calcaneofibular - excessive ADD pt side-lying with knee flexed 90 degrees stabilize distal tibia and tilt talus into ADD and ABD (foot neutral)
Tibial Torsion - normal ranges 12-18 degrees
VBI testing supine with cervical extension, lateral flexion and rotation to ipsilateral side. hold 30sec (+) dizzy, nystagmus, slurred speech, LOC
Sharp Purser Test Transverse Ligament - A-A joint Pt sitting, Pressure of C2 SP and pt's forehead Pt slowly flex (cervical nod, at the same time the examiner presses posteriorly on the patient's forehead (+) = Audible clunk or pt reports
Alar ligament test pt supine, grasp C2 SP and passively laterally flex. Opposite SP should pop into your hand
Transverse ligament stress test pt supine, glide C1 anteriorly - should be firm end-feel (+) = soft end-feel, dizzy, nystagmus, nausea, lump in throat
Q angle measurements Normal: 13 men, 18 women ASIS - central patella - tibial tuberosity
Created by: leaderjenna