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Clinical Skills II

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Spurlings Test   Extend, rotate, flex head and compress Tests for nerve root impingement  
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Valsalva   bear down Tests for space occupying lesion like disc or tumor, positive = pain  
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Straight Leg Raising   Tests L4,5, and S1 radiculopathy. Positive sign is pain extending below knee Confirmed with Bragard stretch test  
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Femoral Stretch Test   Tests L1,2,3 radiculopathy Positive is pain below knee Patient is on stomach, raise knee  
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Thomas Test   Raise knee to nose if contralateral leg raises then positive Tests for tight iliospoas muscle  
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Patrick/FABER   Flex, Abduct, Externally Rotate Test for Ipsilateral hip pain, suggests hip pathology AND ipsilateral SI joint pain when pressing on ipsilateral knee and contralateral ASIS  
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Barlow-Ortolani   Newborns-2yrs Tests posterior hip displacement  
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Osgood Schlatter Disease   Adolescent Osteochondritis of epiphysis of tibial tubercle  
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McMurray Test   Tests for meniscal injury Flex knee, lateral press knee, internally rotate ankle; Flex knee, medially press knee, externally rotate ankle and lower leg Positive = clicking  
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Apley Compression/Distraction   Comression: tests meniscal injury; pain; patient lies prone: Compress/distract with internal and external rotation,  
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Ligament Stability   Knee on hip, apply opposing forces on calf and thigh Tests stability of lateral and medial collateral ligaments, positive = abnormal movement  
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Ballottement   Tests for excess fluid or an effusion in knee Positive sign is rebound of patella  
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Thomson-Doherty Squeeze Test   Tests for Achelles tendon rupture Squeeze calf and look for foot movement  
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Homan's Test   DVT, positive = pain dorsiflex  
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Apley Scratch test   quickest way to evaluate range of motion, screening test for adhesive capsulitis  
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