Special Tests Flashcards

(33 cards)

1
Q

What is another name for the FABERE test?

A

Patrick’s test

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2
Q

Describe the setup for the Patrick’s test?

A

pt. lies supine and places the ipsilateral foot on top of the CL thigh
this induces F-AB-ER-E

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3
Q

What is the difference b/t the Iliac compression & distraction tests?

A

compression: lateral force applied at the ASIS
distraction: medial force applied at the ASIS

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4
Q

Both Patrick’s test & the Iliac comp/distrac test can be used to test for what?

A

pathology of the SI joints

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5
Q

Which test can be used for suspected spondylolysis or spondylolisthesis?

A

backward bending test/single leg stance test

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6
Q

what is the set up for the backward bending test?

A

BL Test:
pt. standing lifts one leg to extend the waist and then repeats on opposite side

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7
Q

Which special test can be used to diagnose a lumbar radiculopathy?

A

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

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8
Q

What does the Thomas test assess?

A

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

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9
Q

What does a positive trendelenburg test indicate?

A

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

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10
Q

Describe the setup for the ober test.

A

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

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11
Q

what does a + ober test indicate?

A

an ITB dysfunction

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12
Q

What is the correct setup for the Spurling Compression Test?

A

neck is extended & sidebent towards the affected side
a downward force is this applied from the top of the pt.’s head

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13
Q

Describe the sep up for the Drop-arm test.

A

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

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14
Q

Describe the setup for the Yergason Test.

A

Elbow is passively flexed to 90 degrees then passively pronated
pt. is then instructed to supinate against resistance
physician is monitoring the bicipital groove

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15
Q

A + yergason test is indicative of what?

A

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

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16
Q

The apprehension test assesses what?

A

anterior instability for GH dislocation

17
Q

Describe the setup for the apprehension test.

A

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

18
Q

Describe the setup for the Neer test?

A

GH joint is passively brought into full forward flexion to the vertical w/ elbow extended and GH joint internally rotated

19
Q

what does a + Neer test indicate?

A

impingement of the rotator cuff tendons
(usually the supraspinatus)

20
Q

The Hawkin’s test is used for rotator cuff impingement. Describe the setup for this special test.

A

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.

21
Q

the empty can test is more sensitive for a tear of which rotator cuff muscle?

A

supraspinatus

22
Q

What is the setup for the empty can test?

A

Arm is abducted to the horizontal w/ internal rot. (thumbs faced down)
physician then applied an inferior force BL to the distal forearms

23
Q

a decrease in the radial pulse during application of the Adson test indicates what?

A

Thoracic Outlet Syndrome

24
Q

how is the Adson test performed?

A

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

25
What test is more specific for tendonitis of the long head of the biceps brachii?
speed test
26
What is the setup for the speed test?
w/ elbow fully extended in front of the pt. & palms facing up pt. is then instructed to resist flexion of the GH joint
27
Describe the setup for Finklestein's test?
pt.'s thumb tucked inside the fingers then actively induces ulnar deviation
28
What does the standing flexion test assess?
iliosacral motion
29
T or F: for the standing flexion test, the physician is monitoring the superior aspect of the PSISs
false thumbs should be placed on the PSIS inferior notches
30
What test is specific for scoloiosis?
adam's forward bend test
31
how is the straight leg test performed?
w/ knee is fully extended, physician passively raises/flexes the hip
32
what does a + straight leg test indicate?
+ test: pain and/or parathesis radiating down leg b/t 30 & 70 degrees of hip flexion indicates a lumbar radiculopathy (sciatic nerve most common)
33
What additional test can be added at the end of the straight leg test to increase its reliability for a sciatic nerve radiculopathy?
lower the leg down to a point just below the level of pain and then add passively DF. If sciatica is the culprit, pain will radiates through the posterior thigh & below the knee