ortho tests
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each of the black spaces below before clicking
on it to display the answer.
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| O'Donaghue's Maneuver (seated) | show 🗑
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| Soto-Hall (supine) | show 🗑
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| Shoulder Depression Test (seated) | show 🗑
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| Cervial Distraction (seated) | show 🗑
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| show | The patient's head is rotated and an axial compressive force is applied.
*Local Pain = Foraminal Encroachment
*Radicular Pain = Nerve Root Compromise
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| Jackson Compression Test (seated) | show 🗑
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| show | The patient is instructed to rotate and hyperextend their head.
*Local Pain (concave) = Facet Involvement
*Radicular Pain (concave) = Nerve Root
*Local Pain (convex) = Tissue Involvement
*Radicular Pain (convex) = Dural Sleeve Adhesions
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| show | The head is slowly rotated and extended with gradual axial compression applied to the head.
*Inc. in local neck pain = Facet Capsulitis or Foraminal Encroachment
*Radicular Complaints = Foraminal Encroachment is compromising a nerve Root
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| show | The patient presenting with neck and arm discomfort presents with the involved arm abducted and placed on the top of their head.
*Dec. pain when in this position = Nerve Root Compromise
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| show | The patient's arm is lying on their thigh. They are instructed to open and close their fist ending with their fist closed. The radial and ulnar arteries are then occluded with one being released at a time.
*Asseses collateral circulation.
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| Adson's Test (seated) | show 🗑
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| show | The examiner palpated the radial pulse. The patient flexes their head while the examiner extends the shoulder.
*Dec in pulse strength = Neurovascular compression btwn clavicle and 1st rib
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| show | Radial pulse is palpated with the arm resting at the side and palpation continues as the arm is abducted to 180 deg.
*Reduction in pulse = neurovascular compression under the pec minor ms.
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| Roos Test (seated) | show 🗑
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| Valsalva Maneuver (seated) | show 🗑
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| show | The supine patient flexes their head. When the abdominal ms contract, the umbilicus should remain in its location.
*If umbilicus migrates = ms weakness is present suggesting a T10 cord compression
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| Schepelmann's Sign (seated) | show 🗑
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| Cervical Compression (seated) | show 🗑
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| show | The patient reports that coughing, sneezing, or straining at the stool causes an inc. in nerve root or cord compression signs. *SOL
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| show | The neck is passively flexed. *Sharp electric shock sensation= Cord myelopathy
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| Naffziger Test (seated) | show 🗑
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| Halstead Maneuver (seated) | show 🗑
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| show | The patient holds their arm in an abducted position with the elbow flexed. They are instructed to extend the arm. *Radicular Pain= Brachial plexus neuritis.
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| Swallowing Test (seated) | show 🗑
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| Rust's Sign (any position) | show 🗑
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| Brudzinski's Sign (supine) | show 🗑
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| Brachial Plexus Tension Test (seated) | show 🗑
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| show | The neck is flexed and the sp are percussed with a reflex hammer. Pain=may indicate sp fracture or underlying disease processes
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| Libman's Sign (seated) | show 🗑
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| Mannkopf's Sign (any position) | show 🗑
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| show | The patient is asked to point to the area of pain. Later in the exam the patient is agian instructed to point to the area of complaint. *Findings should be consistent *A significant change in the location of pain may be suggestive of nonorganic pain
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| Adam's Position | show 🗑
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| Amo's Sign | show 🗑
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Created by:
vfaulkner@nwhealth.e
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