What is another name for the FABERE test?
Patrick’s test
Describe the setup for the Patrick’s test?
pt. lies supine and places the ipsilateral foot on top of the CL thigh
this induces F-AB-ER-E
What is the difference b/t the Iliac compression & distraction tests?
compression: lateral force applied at the ASIS
distraction: medial force applied at the ASIS
Both Patrick’s test & the Iliac comp/distrac test can be used to test for what?
pathology of the SI joints
Which test can be used for suspected spondylolysis or spondylolisthesis?
backward bending test/single leg stance test
what is the set up for the backward bending test?
BL Test:
pt. standing lifts one leg to extend the waist and then repeats on opposite side
Which special test can be used to diagnose a lumbar radiculopathy?
straight leg raise test
bragard test - addition of passive dorsiflexion applied to the ankle after maximum leg extension
pt. lies supine for both tests
physician extend the leg for both tests
What does the Thomas test assess?
tight rectus femoris if the knee of the tested leg cannot flex to 90 degrees
tight iliopsoas - if the leg being tested raises off the table as the knee of the CL leg is drawn into the pt.’s chest
What does a positive trendelenburg test indicate?
the non-affected leg drops below the level of the iliac crest of the affected leg when lifted
indicates weakness of the gluteus medius of the standing leg
Describe the setup for the ober test.
pt. lies w/ affected side facing up w/ both knees flexed to 90 degrees
physician then passively abducts the top leg to extend the hip
pt. then adducts the hip back down
what does a + ober test indicate?
an ITB dysfunction
What is the correct setup for the Spurling Compression Test?
neck is extended & sidebent towards the affected side
a downward force is this applied from the top of the pt.’s head
Describe the sep up for the Drop-arm test.
affected arm is passively abducted to the horizontal followed by active adduction
+ test: pt. unable to hold arm in abduction or reduced control of adduction
Describe the setup for the Yergason Test.
Elbow is passively flexed to 90 degrees then passively pronated
pt. is then instructed to supinate against resistance
physician is monitoring the bicipital groove
A + yergason test is indicative of what?
Assesses Bicipital groove stability
popping and/or snapping at the bicipital groove: laxity of the transverse humeral ligament
pain w/o popping or snapping: bicipital tendonitis
The apprehension test assesses what?
anterior instability for GH dislocation
Describe the setup for the apprehension test.
Elbow is passively flexed to 90 degrees followed by passive external rotation of the forearm
physician then adds a caudad force directed at the GH joint
Describe the setup for the Neer test?
GH joint is passively brought into full forward flexion to the vertical w/ elbow extended and GH joint internally rotated
what does a + Neer test indicate?
impingement of the rotator cuff tendons
(usually the supraspinatus)
The Hawkin’s test is used for rotator cuff impingement. Describe the setup for this special test.
Pt.’s shoulder & elbow are both passively flexed w/ palm facing down
Physical then applies passive internal rot. about the elbow
+ if pain is reproduced during passive int. rot.
the empty can test is more sensitive for a tear of which rotator cuff muscle?
supraspinatus
What is the setup for the empty can test?
Arm is abducted to the horizontal w/ internal rot. (thumbs faced down)
physician then applied an inferior force BL to the distal forearms
a decrease in the radial pulse during application of the Adson test indicates what?
Thoracic Outlet Syndrome
how is the Adson test performed?
BL exam:
pt. instructed to rotate & extend head away & then towards the side of the complaint
Physican is monitoring the radial pulse as the pt. carries out the movements