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MSA > LE Special tests > Flashcards

LE Special tests Flashcards

1
Q

Test for nerve root compression (L4-S1) due to a lumbar intervertebral disk herniation; positive is symptoms 30-70 degrees, then should be followed by test for sign of the buttock

A

SLR

  • normal female = 80*
  • normal male = 70*
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2
Q

What does the sign of the buttock indicate?

A

possible bursitis, abscess, or neoplasm

-pain occurs on posterior side with knee flexed 90 and hip flexed

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3
Q

Test for tight hip flexors; implicates hip capsule tightness, osteoarthritis, or adductor tightness; pain on anteromedial thigh is indicative of hip joint implication

A

FABER test

  • posterior pain = SI joint, bursa, sciatic nerve or posterior capsule
  • positive test if leg doesn’t come down to life of other leg
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4
Q

Test performed with pt sitting edge of plinth and assumes a fig 4 position; positive test if pt can’t perform test and pain is present; may indicate OA, or decreased flexibility in hamstrings, glut max, or mutlifus

A

Jansen’s test

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5
Q

Pt sits on edge of plinth and examiner extends one leg at a time; positive test for tight hamstrings if pt extends trunk/ reaches back with hands

A

Tripod test

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6
Q

long sitting with one leg bent and one leg straight, reach to toes of straight leg with both hands; knee coming up = tight hamstrings; abd of flexed LE = tight TFL/ITB; add of flexed LE = tight add

A

Hamstring contracture test

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7
Q

long sitting have the pt lean forward to touch their toes; screening for low back/ erector spinae, gluts, hamstrings, gastroc/ soles couplex

A

Wells Bend and Reach test

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8
Q

Pt supine (level ASIS), adducted leg is pulled into neutral; positive test if same side ASIS rises

A

adductor contracture
- same test for abductor contracture but involved side will be abducted and pelvis will shift downward when pulled into neutral

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9
Q

What indicates a positive FADIR test?

A

pain with pressure

  • can do a passive stretch for posterior/ lateral structures
  • compression = anterior medial structures
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10
Q

pt supine, flex knee with minimal abd, take patient into IR then ER, (stop when greater trochanter is most prominent); ante version = increased IR, retroversion = increased ER

A

Craig’s test

  • female IR = 45
  • male IR = 35
  • male and female ER = 45
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11
Q

Pt supine with thighs ½ way off and contralateral leg flexed; do test in both adduction and abduction

A

Thomas test

- test for tight hip flexors

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12
Q

PT prone with passive knee bend while stabilizing the PSIS; monitor for increased lumbar lordosis

A

Ely test

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13
Q

Sidling; abd and estend upper leg and passively lower the leg, leg should touch exam table

A

Ober test
- knee flexed should result in lowering of leg, however if TFL is tight it will raise due to retinacular fibers over knee

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14
Q

pt standing; marks are made 5cm below and 10cm above PSIS; pt goes into flexion, should have 20+ cm, if not it indicates tight erector spinae

A

modified schooner test

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15
Q

What tests are done for effusion at the knee?

A
  1. milking test
  2. girth measurement
  3. Ballotment test (push down on knee cap)
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16
Q

What tests are done for PF mobility?

A
  1. med/lat/cep/caud glides
  2. med/lat tilts
  3. pf active/ passive tracking
    - looking for grinding
17
Q

What tests are done for meniscus injury?

A
  1. McMurray’s test (dynamic component as well)
  2. Apley’s compression (with DDV)
  3. Recurvatum
18
Q

What tests are done for PCL injuries?

A
  1. recurvatum
  2. Sag test (with clanky’s step up)
  3. posterior drawer
19
Q

What tests are done for ACL injury?

A
  1. anterior drawer

2. lachman’s test

20
Q

What tests are done for collateral ligaments?

A
  1. Varus stress (0* and 30*)
  2. Valgus stress (0* and 30*)
  3. Apley’s distraction (with DDV)
21
Q

How should the patella track?

A

Should have a “J” pattern 30-60 degrees in OC

22
Q

patient in long sitting, passive DF, 1st MTP in extension; palpate from calcaneal tubercle along the bands of MT 1,2,3 to elicit pain, indicating positive test

A

Plantar fascia test

23
Q

tap test over posterior tib nerve; used for tarsal tunnel syndrome [flexor retinaculum pressure may compress post tib leading to reproduction of neurological S and S]

A

Tinel sign

24
Q

What is the minimum ROM for the 1st MTP joint for normal toe off for gait? [compensate is stoppage gait or excessive pronation; abnormal extension can lead to patella-femoral pain (orthotic recommendation)]

A

50-70 degrees

-in class, 78 degrees

25
Q

Assessing for PF 1st ray: lateral 4 Mts stabilized and 1st ray is moved into PF and DF. What should the normal ratio be?

A

1:1

26
Q

What indicates morton’s foot? what can this lead to?

A

2nd ray is longer than 1st ray

- can cause hypo mobility in 2nd ray due to synovitis or capsulitis

27
Q

When assessing STJ alignment, what should the ratio of inversion be compared to eversion?

A

⅔ of movement should be inversion, ⅓ should be eversion

28
Q

If FF valgus is suspected what should you heck for?

A

a PF 1st ray

29
Q

Test for ankle that tests the ATF and uses 6.6 pounds of force; knee needs to be flexed

A

Anterior drawer test of the ankle

30
Q

What does the posterior drawer test of the ankle test?

A

PTF lig

31
Q

What does the varus stress test of the ankle test?

A

CF lig

32
Q

What test should you always include with a lateral ankle sprain?

A

tests for cuboid syndrome

  • tender upon palpation
  • 10x PF in WB
  • FF adduction
  • supinate and pronate foot passively
33
Q

Tests involvement of deltoid lig; eversion/ valgus rotation of the calcaneus only

A

Valgus stress tess

34
Q

General test for deltoid complex; evert/ valgus rotation where calcaneus is rotated with FF and mid foot passively rotated as well

A

Rotation test

35
Q

Test for deltoid lig; hand is placed over dorsal of foot, mid foot and FF laterally rotated (duck foot)

A

Kleiger test

36
Q

Test for high ankle sprain; mechanical compression to calcaneus

A

Tap test

37
Q

Test for high ankle sprain; compress tib and fib space to elicit symptoms

A

compression/distraction test

38
Q

What is the typical mechanism of injury for a high ankle sprain?

A

DF and ER at foot

- causes separation of interosseous membrane; tests performed in this stance are most indicative of high ankle sprain

MSA (13 decks)

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