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Ortho 2009
Test Upper Extremity
| Question | Answer |
|---|---|
| Speeds test | biceps tendon instability or tendonitis |
| apley's test | meniscus tear/lesion |
| Neer's test | subacromial impingment (Long head bicep or supraspinatus) |
| Hawkin's test - passive shoulder flex to 90, shoulder IR | supraspinatus tendon impingement |
| Yergason test | biceps tendon instability or tendonitis |
| "clunk" sign | labral tear, capsule integrity (probably anterior tear) |
| O'Brien test | pain or popping suggest labrum anterior-posterior lesion |
| empty can | supraspinatus |
| full can | supraspinatus inflamed or torn |
| drop arm test | unable to actively descend, it just drops, probable tear in RC |
| Painful arc | pain while actively abducting betw 60-120, + sign impingement |
| pain at wrist extensor origin w/resisted wrist extension or radial deviation | lateral epicondylitis (tennis elbow), extensor carpi radialis |
| pain with resistance to wrist & elbow flexion while elbow flex & supination | medial epicondylitis, flexor carpi radialis, palmaris longus, pronator teres |
| pain or laxity w/varus or valgus stress (especially if one more than the other) | indicates sprain or tear of the collateral ligaments of elbow |
| Varus stress test, 10-30 degree of elbow flex, adduction or varus force | lateral collateral lig. |
| Valgus stress test, 10-30 deg of elbow flex, abduction or valgus force | medial collateral ligament |
| elbow flexion test | parasthesias on the ulnar nerve distribution upon maintaining full elbow flexion 1-3 min indicate CUBITAL TUNNEL SYNDROME |
| Tinel's sign | INDICATE INJURY, DEGENERATION, NEURITIS: tingling or pain w/tapping betw olecranon & medial epicondyle (ulnar nerve, funny bone, & betw olecranon & lateral epicondyle (superficial radial nerve) |
| Tinel's sign | median nerve compromised, injury or degeneration |
| Phalen's test | parasthesias felt w/wrist fully flexted for 1 min indicates CARPAL TUNNEL SYNDROME ( median nerve compromise) |
| foraminal compression test | HERNIATED DISC. downward force applied to pt's head while sitting, head held in side bend, + if pain radiates down arm on cervical sindbending side |
| compression test | same position as above but w/o side bend, + is more of a disc herniation if pain w/o sidebend |
| ULTT | upper limb tension test, stretching thru the movement of the nerve, it pain is produced, + for neural tension |
| Allen's Test | TOS - thoracic outlet syndrome, compression of subclavian artery, may show false positive, + if pt's pulse is diminished or absent when arm is in throwing position, |
| Adson's test | TOS - + if pt's pulse dec w/extended neck rotated to same side of the extended & abducted arm, while holding breath. |
| Roos Test | TOS + if arms in "hands up" position, pt opens & closes for 3 min, numbness, pain, tingling, marked heaviness(RED FLAG) - TOS & vascular insufficiency |
| Thompson test | squeeze calf, + if no PF, ruptured achilles tendon |
| SLR spine test - if pain after 70 deg | lumbar spine or SIJ joint |
| SLR spine test if pain before 70 deg | indicates nerve root compression & possible disc herniation |
| SLR -if pain occurs on opposite side | diagnostic of space occupying lesion/large disc protrusion medial to root |
| Slump test | if pt's sx are reproduced down back &/or leg, indicates inc tension via disc lesion or dural stretching |
| Spring test | + for ligament sprain......apply posterior/anterior pressure to ea vertebral segment at spinous process in short, quick pushes while pt is prone & compare segments to ea other, pain or resistance to SPRING indicates level of lesion |
| Waddell's test | determine if pt is malingering (exaggerating) |
| Valsalva Manuva test | deep breath & hold, + if pain due to intrathecal pressure, space occupying lesion, herniated disc, tumor, osteophyte |
| Standing forward flexion test | to determine hypomobility of the ilia on the sacrum, + if one PSIS moves upward w/your thumb during sitting forward flexion, indicates restricted mobility on that side |
| supine to sit | + for SIJ if one malleoli appears to lengthen or shorten as pt does a long sit....SHORT to long leg indicates posterior ilium rotation, LONG to short leg indicates anterior ilium rotation, side that chgs length usually corrolates w/involved side |
| which test are for bicep tendonitis? | Speed's, Yergason's |
| which test for RC pathology/impingement? | Hawkins, Neer, Supraspinatus, drop arm |
| which test for TOS? | Adson maneuver, Allen, Roos, Wright, Costoclavicular syndrome test |
| which test for elbow ligamentous instability? | Varus & Valgus stress test |
| knee hyperextension w/foot planted causes? | ACL/PCL tear |
| test for ulnar nerve compression at the level of elbow, symptoms gradually decrease with elbow extension | Elbow Flexion test, indicates cubital tunnel syndrome |
| wrist hand test for ligamentous instability, Gamekeeper's or skier's thumb injury | ulnar collateral ligament instability |
| wrist/hand test for vascular insufficiency - occlusion in the radial or ulnar artery | Allen test, capillary refill test |
| tightness in full extension, posterior drawer test | PCL injury |
| wrist/hand, to test for carpal tunnel syndrome due to medial nerve compression | Phalen's test, Tinel's sign |
| Hip flexion contracture test | Thomas |
| misc wrist/hand test for tenosynovitis in the thumb, (de Quervain's syndrome | Finkelstein test |
| Hip test | Patrick, Faber Test |
| no firm end feel, knee flexed 20-30 deg | lachman test for ACL tear |
| to test for meniscal pathology (pain or lesion? | Apley's compression test, bounce home test |
| test for patella dislocation | Patellar apprehension test |
| what test used for DVT? | Homan's |
| test for ankle ligamentouts instability | Anterior drawer test, talar tilt |
| test ankle for possible DVT? | Homan's |
| test for ruptured Achilles tendon | Thompson test |
| test for calcaniofibular ligament sprain | talar tilt |
| this test indicates problem area is in iliopsoas, SIJ or hip jt? | Faber (Patrick) test |
| test for posterior meniscal lesion | Apley's compression test |
| test for ACL instability? | Anterior drawer |
| test for weakness of the glut medius? | Trendelenburg |
| test for ACL injury | Lachman test |
| test for tear in RC | drop arm test |
| hand/wrist, test for DJD in the carpometacarpal jt | Grind Test |
| test for discolated lunate in hand/wrist | Murphy sign |
| test for TFL contracture | ober's test |
| test for hamstring tightness | 90-90 straight leg raise |
| hoover | tells whether Pt is malingering....ask patient to do a SLR, see if downward pressure under calcaneous of opp foot, if not then + |
| apprehension test - anteriorly | test for anterior shoulder instability |
| apprehension test - posterior | test for posterior shoulder instability |
| tingling, pain w/tapping betw olecranon & medial epicondyle | Tinel's sign - ulnar nerve compression |
| tingling &/or pain with tapping betw olecranon & lateral epicondyle | Tinel's sign - superficial radial nerve involvement |
| pain & tingling indicate? | Tinel's sign - injury & degeneration |
| tingling &/or pain w/tapping over the volar aspect of the wrist | carpal tunnel syndrome, tingling = regeneration, pain/tingling = injury & degeneration |
| NCV test | nerve conduction test for ulnar nerve, carpal tunnel |
| mc murray's click test | meniscal injury |
| knee cannot fully extend when support by therapist's hand | bounce home test for meniscus tear |
Created by:
djbari
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