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Flashcards in all lower limb special tests Deck (54)
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1

Stork test

PARS defect (spine)

2

description of stork

stand behind with your hands on clients shoulders
client stands on one leg
guide into lumbar extension
add forwards lumbar rotation towards standing leg
add side flexion

3

Positive stork test

unilateral pain
localised to particular section may indicate pars interarticularis stress fracture

4

Active SLR

Sacroiliac joint instability

5

Description of SLR

supine
actively raises bad leg keep knee straight
pain provoked if SIK instability
add iliac compression using both hands pressing inward
repeat leg raise

6

positive SLR

if symptoms reduced following compression = positive test

7

Fabers test

Sacroiliac joint instability

8

Description of Fabers

supine
unaffected leg extended
bad leg-hip and knee flexed
hip abducted and internally rotated
ankle rest below knee
further stress applied by downward pressure of the knee

9

positive fabers

SIJ symptoms reproduced

10

Thomas

Hip flexor highness

11

Description of Thomas test

sits on edge of bed
hold good knee to chest and roll back onto bed
place foot on my hip
keep lumbar spine flat to distinguish Iliopsoas and rec fem tightness
flex knee

12

Positive thomas

tightness in olio-psoas if leg slightly off bed
can't flex knee =rec fem

13

Obers test

TFL and ITB tightness

14

Description of Obers

Client on side
downward pressure to llium
flex knee while cradling leg and holding knee
passively extend hip until ITB passes over greater trochanter
allow leg to adduct

15

Positive obers

hip remains abducted =TFL and ITB tightness

16

Trendelenburg

Glute medium weakness

17

Description of Trendelenburg

stand behind
client raises one leg
observe hip

18

positive Trendelenburg

hip on raised leg lower than supported =positive test

19

Thompson squeeze test

chillies tendon tear

20

description of thompson

prone with feet off bed
squeeze fleshy part of calf
should see plantar flexion

21

positive thompson

no movement of foot

22

Anterior drawer

ATFL tear

23

description of Anterior drawer

supine
foot plantar flexed 20
hold ankle in one hand
stabilise leg with other
pull foot forwards

24

positive anterior drawer

pain, excessive movement =tear

25

talar tilt inversion

Calcano-fibular + ATFL

26

description of taller tilt inversion

supine
feet and ankles off bed
hold above ankle
hold heel and talus and pull inwards

27

positive talar tilt inversion

gapping or no end feel

28

talar tila eversion

deltoid ligament

29

description of taller tilt eversion

supine
feet and ankles off bed
hold above ankle
hold heel and talus and push outwards

30

positive talar tilt eversion

gapping / no end feel

31

tibia-fibular syndesmosis

high ankle sprain

32

description of tibia-fibular syndesmosis

stand on bad leg
hold malleoli between finger and thumb
client lunges
can be repeated squeezing just above the ankle acting as interosseous membrane

33

positive tibia-fibular syndesmosis

pain
palpable widening
increased ROM, and decrease pain when squeezing above the ankle

34

anterior drawer

ACL

35

Description of Anterior drawer

suing
bend knee 80
sit on foot
cup behind knee
pull forward

36

postive anterior drawer

soft / no end point = rupture of ACL

37

Posterior drawer

PCL

38

description of posterior drawer

supine
bend knee 80
sit on foot
aply backward pressure

39

positive posterior drawer

soft / no end point = rupture of PCL

40

Lachmans

ACL

41

description of lachmans

supine
knee under clients
one hand above patella
thumb and finger palpating joint lines
rip leg under knee and pull forward

42

posterior sag

PCL

43

description of posterior sag

supine
hip and knee flexed to 90
support ankles with arm
knees viewed from side

44

positive posterior sag

posterior displacement of tibial tuberosity on affected leg

45

McMurrays

meniscus

46

description of McMurrays

(twisty leg)
medial - supine, grip heel with sole of foot on palm
flex hip and knee with slight varus stress
slowly extend knee while externally rotating

lateral
flex knee with values stress
extend knee and medley rotate

47

Thessalys

meniscus

48

description of theslys

face client
stand on affected leg
slight bend in knee
rotate medley and laterally across body

49

Valgus stress

MCL

50

description of Valgus stress

supine
legs supported by knee
cradles leg between hip and arm
palpate medial joint line
stress medial aspect of knee

51

positive valgus stress

absence of end feel

52

Varus stress test

LCL

53

description of Varus stress

supine
legs supported by knee
cradles leg between hip and arm
palpate lateral joint line
stress later aspect of knee

54

positive varus test

no end feel