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Ortho 2009

Test Upper Extremity

QuestionAnswer
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