NPTE Musculoskeletal
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| VBI test performance | extend head 30sec, ext with L/R rotation
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| Hautant’s test | differentiates vascular vs vestibular dizziness. Shoulders 90d with palms up, close eyes and maintain position + for vestibular. Same position with neck extension and rotation for 30sec + vascular
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| Cx Transverse Lig stress test | integrity of transverse lig. Supine, C1 anterior glide + soft EF, dizzy, nystagmus, nausea, etc
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| Anterior shear test | Anterior glides of C2-C7
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| Spurling’s test | Cx nerve root compression. LF with downward pressure. + pain/paresthesia in dermatomal pattern
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| Quadrant/max Cx compression | NR compression at IVF or facet
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| Distraction test | compression of NR at IVF or facet dysfunction. Passive distraction in sitting. Decreased sx in neck = facet. Decr sx in UE = neuro
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| Shoulder abduction test | Hand on head. Decrease in sx= compression of nerve in IVF
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| Lhermitte’s sign | SC or UMN lesion. Long sitting with passive Cx flexion and hip flexion with knee extension. + pain down spine &UE or LE
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| Romberg | UMN lesion. Stand feet together with eyes closed. + excessive swaying
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| Lasegue’s test | SLR test for LE neural tension with ankle DF
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| Femoral nerve traction test | same as sidelying “PKB” for femoral nerve ND testing
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| Valsalva’s maneuver | space occupying lesion. Hold deep breath and bear down. + if increased LBP or neuro sx in LEs
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| Babinski’s | UMN lesion. Glide thumb along plantar surface of foot. + if big toe EXT and splaying of toes
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| Quadrant identifies? | compression of neural structures at IVF or facet dysfxn
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| Quadrant performance | IVF- Left LF, Left ROT, EXT. Facet- Left LF, Right ROT, EXT to maximally compress facet joint on Left
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| Stork test | + spondylolithesis if pain in low back with SLS and trunk extension
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| McKenzie’s Side Glide test | differentiates between scoliosis vs neuro dysfxn causing lateral shift of trunk.
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| Performance of Side Glide | stand on side towards upper trunk shift. Shoulders into pt’s trunk and hands around pelvis. Align. + if neuro sx when realigned
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| Bicycle / Van Gelderen’s test | differentiates intermittent claudication & spinal stenosis. Ride stationary bike in erect & slumped postures. If able to do more in slumped, + for stenosis.
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| Gillet’s test | Assesses posterior ilium mvmt. Thumbs on PSIS and sacrum. Raise leg – PSIS should move posterior if WNL
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| Ipsilateral Anterior Rotation Test | Assesses anterior mvmt of ilium relative to sacrum. Thumbs on PSIS & sacrum. Extend hip – PSIS should move superior if WNL
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| Gaenslen’s test | SIJ dysfunction. Sidelying- bottom leg max flexed, upper leg passively extended. + if pain in SIJ
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| Long sitting (supine to sit) test | SIJ dysfunction causing fxnl leg length discrepancy. Supine, check medial malleoli. Long sitting, check malleoli. + if reversal in limb lengths
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| Goldthwait’s test | Lx spine vs. SIJ. Supine, PT fingers between Lx SPs. Passive SLR. + for SIJ if pain prior to mvmt in Lx spine.
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| TMJ Compression | Sitting, stabilize head and push mandible superior to compress TMJ. + if pain in TMJ.
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