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