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Flashcards in Boards 4 orthos Deck (63):
1

Naffzinger's

Seated, digitally compress both internal jugular veins for 30 secs, finish with coughing (Doc is post) - positive = pain in peripheral distribution

2

Milgram's

Double SLR - Supine, raise & hold legs (30 secs) 3 inches off the table. - positive = LBP (disk herniation/strain) or inability to maintain = hip flexor issues / deconditioned

3

Swallowing test

seated instruct patient to swallow - pain with swallowing = SOL, Cx fx, tumor, sprain/strain

4

Jackson's test

Seated, rotation and compress = (IVF encrouchment)

5

Spurlings test

Seated, fist strike after "maximal position" = Disc and IVF encrouchment

6

O'Donoghue's

Varies, active with resistance then passive rotation of neck - positive = pain (strain/sprain)

7

Sternal Compression

Supine, pressure on sternum (doc pushes down on patient sternum) -> lateral rib pain = rib fracture, midline pain = costochondritis

8

Libman's

Seated, pressure on mastoid - assessment of patient pain threshold

9

George's (Maigne's)

Seated, cervical rotation & extension for 45 seconds - positive = nausea, dizziness, nystagmus

10

DeKleyn's

Supine George's test

11

Hallpike's (Nylan Barrany)

Supine, extend head off table, add rotation & lateral flexion then unsupported extension

12

Reverse Bakody's

Seated hand on head = positive for TOS when increase in pain

13

Allen's Maneuver

Seated, flex elbow 90, ext arm horizontal, ext, rotated arm, patient rotates head away (check pulse) = positive for TOS if decreased pulse

14

Mazion shoulder rock

Seated touch opposite shoulder & bring elbow up and down (reverse Dugas) = Pain is significant shoulder pathology

15

Calloway's

Seated, measure vertical shoulder circumferences (increased girth) = dislocation

16

Dawbarn's

Seated Press on bursa while abducting arm (decreased pain after 90 degrees) = subacromial bursitis

17

Supraspinatus arc

Standing, resist patient arm abduction throughout entire 180 degrees - positive for pain at 10-20 and 90-110 for supraspinatus issues

18

Supraspinatus press

Seated, 1) With patient at arm 90 degrees abducted, resist abduction 2) angle arms forward 30 degrees and internally rotate, resist abduction (weakness in 1 = deltoid, weakness in 2 = supraspinatus)

19

Wrinkel shrivel

Seated, place hand in tepid water for 5 minutes - positive = no pad wrinkle (denervation)

20

Bunnel - Littler's

Seated 1) with MCP extended, flex (test) PIP 2) With MCP flexed, flex (test PIP (decreased motion in 2 = PIP joint problem, increased motion in 2 = intrinsic muscle problem)

21

Retinaculum test

Same as bunnel-littler's except using the PIP to test DIP flexion

22

Finsterer's

Seated, strike base of 3rd metacarpal = Kienboch's Disease

23

Adam's positions

Adam's test in 3 positions: Standing, kneeling, sitting = scoliosis

24

Forestier's Bowstring

Standing, feel paraspinals, as patient laterally flexes = ipsilateral contraction = AS

25

Chest expansion

Seated erect or standing, tap measure at T4 level (or rib 6), patient expires, then inspires = positive less than 2 inches male or 1.5 inches in females = AS

26

Lewin Supine

Supine stabilize legs as patient attempts a sit up = positive when unable = AS

27

Amoss' sign

Supine or side-lying, patient rises to a sitting position (positive if action causes a localized thoracic pain) = AS

28

SLR (Laseque's)

SLR

29

Laseque differential sign

Supine, SLR until sciatic pain elicited , dr. then flexes knee (relieves pain - rules out hip involvement)

30

Sicard's

Supine, SLR, drop 5 degress, extend big toe = positive (sciatica)

31

Turyn's

Supine, extend big toe (sciatica)

32

Fajerstajn's

Supine, Well Leg Raise, decreased 5 degree, dorsiflex foot (sciatica on affected side = medial disc)

33

Lindner's

Supine, holding head, flex body into a "C" (positive sciatica) (lateral disc)

34

Tripod sign

Seated, observed during bechterew's - increased trunk extension (tight hamstring)

35

Beery's sign

Sitting relieves hamstring discomfort

36

Neri bowings

Standing, trunk flexion without/with knee flexion (curtsy)

37

Lewin standing

Standing, pull each knee into extension then both while stabilizing pelvis - if pain with extension followed by one or 2 legs snap back to flex

38

Mazion's pelvic maneuver (advancement)

Standing, advance uninvolved leg & flex trunk (touch toes)- bend forward till heel of back leg come off floor or with pain on affected side

39

Lewin-Gaenslen's

Side lying Gaenslen's stabilize pelvis and extend hip - pain in SI joint

40

Double leg raiser

Supine, SLR one side, then the other - note what angle pain occurs then raise both legs, also noting when pain occurs - SI or lumbosacral joint

41

Piedallu

Seated, palpate PSIS, patient flexes forward, low PSIS becomes high (affected side usually starts out low)

42

Ely's sign

Bring heel to buttock (no stabilization) + if heel doesn't touch butt, hip rises off table or pain and tingling

43

Ludloff's

Seated, raise involed thigh off table (lift knee upwards) = lesser trochanter fracture if unable

44

Gauvain's

Side-lying, extend and continually rotate hip, feeling abdominals and hip for pain and tightness (TB of the hip)

45

Fouchet's (Grind)

Supine, compress patella, if no pain, rub sideways (perkin's sign) = Chodromalacia patellae

46

Patellar tap

Supine, milk down to superior pole & press patella (+ = feel a tap) (Minor effusion)

47

Leg length functional

Supine, compare measurement from umbilicus to each medial malleolus

48

Actual structural leg length

Supine, compare measurement from ASIS to each ipsilateral medial malleolus

49

Hoover's test

Supine place hands under heels & patient attempts to raise paralyzed leg (+ no downward pressure on uninvolved side) (malingering)

50

Burn's bench

Kneeling on table, bend forward (+ = refusal) (Low back pain malingering)

51

Magnuson's

Ask patient to locate pain, distract, ask again (+ when change location) (malingering)

52

Perthes' (Tourniquet)

Standing with tourniquet around thigh, exercise (+ = varicosities) ie: kickout for 1 min

53

Claudication

Walk for 1 min at 120 steps/min check for color change/cramp (+ claudication) (arterial competency)

54

Bicycle/Stoop

Bicycling upright until claudication then stoop forward (relief of pain = neurgenic claudication, no relief = intermittent claudication)

55

Barre-Lieou's

Seated maximally rotate head side to side several times (VBI)

56

Mittlemeyer's

Standing, march in place eyes opened & then closed (positive rotation towards side of vestibular lesion)

57

Gonda's

Flick 4th or 5th toe (positive "baby" babinski response

58

Rossolimo's

Tap ball of foot (+ = curling toes) pathological response UMNL

59

Tromner's

Tap end of fingers (+ flexion of thumb and fingers) UMNL

60

Gordon's finger sign

Press pisiform (+ for extension of fingers) UMNL

61

Chaddock's wrist

Stroke medial forearm, near wrist (+ = flexion of wrist, extension and flaring of fingers) UMNL

62

Babinski pronation

Tap dorsum of hands that are supinated (+ pronation of hand) UMNL

63

Mannkopf's

Monitor pulse & press into painful site