Flashcards in Chapter 18 Special Tests Deck (53)
Spurling's test (compression test) procedure?
Pt seated, doc extends and SB C-spine toward side being tested
Pain radiating into ipsilateral arm due to nerve root compression
Test for vertebral artery insufficiency
Positive Wallenberg's test?
Pt complains of dizziness, visual changes, lightheadedness, or nystagmus
Pt supine, doc flexes neck, holding for 10 sec, then extends holding for 10 secs, rotation right and left, rotation during flexion, and rotation during extension
Thoracic outlet tests?
3) Costoclavicular syndrome test (military posture test)
What is being tested in Adson's?
Adson's test procedure?
Monitor pt's pule, extend shoulder, externally rotated and slightly abducted; pt then takes deep rbeath and turn head TOWARD ipsilateral arm
What is being tested in Wright's?
Pectoralis minor muscle at coracoid process
Hyperabduct arm above head with some extension while monitoring pulse
What is being tested in military posture test?
Clavicle and 1st rib
Military posture procedure?
Monitor radial pulse while depressing and extending shoulder
Positive test for Adson's, Wright's, and military posture tests?
Severely decreased or absent radial pulse
Drop arm test procedure?
Abduct shoulder to 90, then slowly lower arm
Positive drop arm test procedure?
Unable to lower arm smoothly, or if arm drops indicating rotator cuff tear
Assess biceps tendon in bicipital groove
Speeds test procedure?
Fully extend elbow, flex shoulder and supinate while doc resists shoulder flexion
Positive speeds test?
Tenderness in bicipital groove
Tests stability of biceps tendon in bicipital groove
Yergason's test procedure?
Doc supinates as the pt resists
Biceps tendon pops out of bicipital groove
Assesses adequacy of blood supply to hand by radial and ulnar arteries
Test for tenosynovitis in abductor pollicis longus and extensor pollicis brevis tendons at the wrist (De Quervain's dz)
Reverse Phalen's test (prayer test)?
For dx carpal tunnel--extend wrist while gripping doc's hand
Hip drop test?
Evaluate sidebending (lateral flexion) of lumbar spine
Normal hip drop?
Lumbar spine SBs to side opposite bent knee, ipsilateral iliac crest drops more than 20-25 degrees
Positive hip drop test?
Anything less than a smooth convexity of lumbar spine, or drop of iliac crest
Straight leg test (Lasegue's test)?
Evaluation of sciatic nerve compression
To differentiate bt tight hamstring and sciatic nerve compression, doc dorsiflexes foot