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
