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Orthopedic Tests

Cervical, Thoracic, Lumbar, & Shoulder orthopedic tests

QuestionAnswer
Rust's Sign Severe muscular strain, ligmentous instability, posterior disc defect, upper cervical fracture, dislocation
Valsalva Sign SOL in cervical canal/foramen
Foraminal Compression Test Local: Foraminal encroachment w/ nerve root compresion Radicular: Foraminal encroachment w/ nerve root compression
Flexion Compression Test Inc. Radicular: Disc problem Dec. Local: apophyseal capsulitis
Extension Compression Test Dec. Radicular: Disc problem Inc. Radicular: Foraminal encroachment Inc. Local: apophyseal capsulitis
Jackson's Compression Test Local: Foraminal encroachment w/ nerve root compresion Radicular: Foraminal encroachment w/ nerve root compression
Cervical Distraction Test Inc. Local: Muscular spasm, strain, sprain, apophyseal capsulitis Dec. Radicular: Disc problem, foraminal encroachment
Shoulder Depression Test Inc Local same side: Muscle spasm/strain/sprain, adhesion, ligament injury Inc. Opposite side: Disc defect, foraminal encroachment, Inc Radicular: TOS, neurovascular bundle compression Inc.
Brudzinski's (Lindner's) Test Meningitis -nerve root involvement
Soto Hall Inc. Local: Ligament, Muscular, Osseous, cervical cord problem +Radicular: Disc problem
Hallpike's Test +Dizziness, Vertigo, Faintness, Blurry vision, Nystagmus, Nausea
Adam's Position +Dec. angle: Functional Scoliosis +No change: Anatomical/structural scoliosis
Schepelman's Test +Same side: Intercostal neuritis +Opposite side: Pleuritis or intercostal sprain
Chest Expansion Test +<2in or <1in: Ankylosing spondylitis
Sternal Compression Test Rib Fracture
Beevor's Sign +Cephalad movement: Lower muscular weakness T10-T12 +Caudad movement: Upper muscular weakness T7-T10
Minor's Sign Sciatica (Sciatic radiculopathy)
Bechterew's Test +Compression of sciatic nerve, lumbar nerve roots, or disc protrusion
Slump Test Disc problem
Kemp's Test Local pain: apophyseal capsulitis Radicular same side: lateral disc protrusion Radicular opposite side: medial disc protrusion
Turyn's Test +Gluteal region pain: Sciatic radiculopathy
Well Leg Raise Inc. radicular pain: Medial disc protrusion Dec. radicular pain: Lateral disc protrusion
Lasegue's Test +Dec. pain w/ knee flexion: sciatic radiculopathy
Straight Leg Raise +0-35: SI joint, Piriformis syndrome +35-70: Disc defect +70-90: Lumbar joint problem +dull posterior thigh pain: tight hamstrings
Kernig's Sign +Inc. pain with leg straightening: Meningitis, Sciatic radiculopathy
Bragard's Test +0-35: SI joint, Piriformis syndrome +35-70: Disc defect +70-90: Lumbar joint problem +dull posterior thigh pain: tight hamstrings
Bonnet's Test +Radicular pain, paresthesia
Milgram's Test +Low back pain: SOL
Hoover's Sign +no posterior pressure on unaffected leg: malingering
Burn's Bench Test +Unable to perform test b/c LBP complaints: malingering
Prone Lumbar Hyperextension Test +Pain: Lumbar sprain/strain
Subacromial Push BUtton Sign +Pain: Subacromial bursitis
Dawbarn's Test +Pain: Bursitis Abduction decreases pain:subacromial bursitis
Dugas Test +Inability to tough the shoulder, pain: anterior instability/dislocation of humeral head
Apley's Scratch Test +Pain: rotator cuff tendinitis
Drop Arm (Codman's) Test +Not able to lower arm slowly or arm drops suddenly: rotator cuff tear
Neer Impingement Sign +Pain: supraspinatus, biceps tendinitis (overuse)
Empty Can Test +Pain over greater tubercle of humerus: tear or tenditis of supraspinatus +deltoid pain: strained deltoid +Weakness: suprascapular neuropathy
Speed's Test +bicipital groove pain: bicipital tendinitis
Lippman's Test +Pain: Bicipital tendinitis, ruptured transverse humeral ligament
Yergason's Test +Local pain: bicipital tendinitis +Displacement of bicipital tendon: ruptured transverse humeral ligament
Anterior Apprehension Test +Local Pain:
Posterior Apprehension Test +Local Pain:
Wright's Hyperabduction test +Dec. pulse: TOS (pec minor compression of axillary artery)
Adson's Test +Dec. pulse: TOS (scalenus anterior compression of subclavian artery) +Presthesia/Radiculopthy of UE: Compression of brachial plexus
Reverse Adson's Test +Dec Pulse: TOS Scalenus Medius compression of subclavian artery
Eden's (Costoclavicular) Test +Dec. Pulse: TOS (hypertonic subclavius muscle, dislocation of medical clavicle, fracture of 1st rib/clavicle
Roo's Test (EAST) +Arm weakness, discoloration: TOS
Created by: phdinh33