Chapter 18 Special Tests Flashcards Preview

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Flashcards in Chapter 18 Special Tests Deck (53)
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1

Spurling's test (compression test) procedure?

Pt seated, doc extends and SB C-spine toward side being tested

2

Positive Spurling's?

Pain radiating into ipsilateral arm due to nerve root compression

3

Wallenberg's test?

Test for vertebral artery insufficiency

4

Positive Wallenberg's test?

Pt complains of dizziness, visual changes, lightheadedness, or nystagmus

5

Wallenberg's procedure?

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

6

Thoracic outlet tests?

1) Adson's
2) Wright's
3) Costoclavicular syndrome test (military posture test)

7

What is being tested in Adson's?

Tight scalenes

8

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

9

What is being tested in Wright's?

Pectoralis minor muscle at coracoid process

10

Wright's procedure?

Hyperabduct arm above head with some extension while monitoring pulse

11

What is being tested in military posture test?

Clavicle and 1st rib

12

Military posture procedure?

Monitor radial pulse while depressing and extending shoulder

13

Positive test for Adson's, Wright's, and military posture tests?

Severely decreased or absent radial pulse

14

Drop arm test procedure?

Abduct shoulder to 90, then slowly lower arm

15

Positive drop arm test procedure?

Unable to lower arm smoothly, or if arm drops indicating rotator cuff tear

16

Speeds test?

Assess biceps tendon in bicipital groove

17

Speeds test procedure?

Fully extend elbow, flex shoulder and supinate while doc resists shoulder flexion

18

Positive speeds test?

Tenderness in bicipital groove

19

Yergason's test?

Tests stability of biceps tendon in bicipital groove

20

Yergason's test procedure?

Doc supinates as the pt resists

21

Positive Yergason's?

Biceps tendon pops out of bicipital groove

22

Allen's test?

Assesses adequacy of blood supply to hand by radial and ulnar arteries

23

Finkelstein test?

Test for tenosynovitis in abductor pollicis longus and extensor pollicis brevis tendons at the wrist (De Quervain's dz)

24

Reverse Phalen's test (prayer test)?

For dx carpal tunnel--extend wrist while gripping doc's hand

25

Hip drop test?

Evaluate sidebending (lateral flexion) of lumbar spine

26

Normal hip drop?

Lumbar spine SBs to side opposite bent knee, ipsilateral iliac crest drops more than 20-25 degrees

27

Positive hip drop test?

Anything less than a smooth convexity of lumbar spine, or drop of iliac crest

28

Straight leg test (Lasegue's test)?

Evaluation of sciatic nerve compression

29

Braggard's test?

To differentiate bt tight hamstring and sciatic nerve compression, doc dorsiflexes foot

30

Positive Braggard's?

Pain is elicited by dorsiflexion indicating sciatic nerve compression