Chapter 18 - Special Tests

Question 1

Wallenberg’s Test - purpose

Describe

Answer 1

Test for vertebral artery insufficiency

Flex, extend, rotate, rotate + extend (hold for 10 sec)
Look for dizziness, visual changes, nystagmus, etc.

Question 2

Underberg’s test - purpose

Describe

Answer 2

Test for vertebral artery insufficiency

Fully extend and rotate head, waiting for vascular or neurologic symptoms

Question 3

Adson’s test - purpose

Answer 3

Scalenes

Question 4

Wright’s test - purpose

Answer 4

Pec minor

Question 5

Costoclavicular syndrome test - purpose

Answer 5

Clavicle-Rib

Question 6

Apley scratch test - purpose

3 steps

Answer 6

Test glenohumoral ROM

1. Reach behind head and tough shoulder (ABD, ER)
2. Reach over and touch shoulder (ADD, IR)
3. Reach behind back and touch scapula (ADD, IR)

Question 7

Speed’s test - purpose

Explain

Answer 7

Bicipital tendon in bicipital groove

Hold arms out, flexed, supinated, w/ extended elbow
Resist shoulder flexion

Question 8

Yergason’s test - purpose

Explain

Answer 8

Bicipital tendon in bicipital groove

Elbow at 90º, doc grabs elbow and wrist, doc pulls down on elbow and externally rotates shoulder. Pt resists.

Question 9

Hip drop test - purpose?

What should you see? (2)

Answer 9

Lumbar and thoracolumbar sidebending

ConVEXITY on the dropped side
20º or more hip drop

Question 10

Straight leg test - full test

Answer 10

Straighten leg until pain
Lower leg to just below pain, then DORSIFLEX foot

Pain w/ dorsiflexion = SCIATIC nerve problem
No pain w/ dorsiflexion = hamstring problem

Question 11

Where do your thumbs go in the seated/standing flexion test?

Answer 11

Inferior notch below the PSIS

Question 12

Pelvic side shift - purpose

Explain

Positive test?

Answer 12

Determine if sacrum is in midline

Stabilize shoulders, push pelvis each direction and look for asymmetry

POSITIVE = FREER translation

Question 13

How exactly to do Ober’s test?

Answer 13

Bend knee, fully abduct hip, and SLIGHTLY EXTEND

Question 14

Bounce Home Test - purpose

Explain

Positive test?

Answer 14

Test for full knee extension (meniscal tears, effusions, etc)

Fully flex knee, then allow to drop into extension. Should bounce to a sharp end-point

POSITIVE = incomplete extension or “rubbery” end

Question 15

Apley’s Compression and Distraction - purposes

Answer 15

Compression - meniscal injury

Distraction - ligament injury (MCL, LCL)

Question 16

Lachman’s test - purpose

Explain

Answer 16

ACL (better than drawer)

Flex knee to 30º, hold leg in armpit, pull anteriorly on proximal tibia while stabilizing distal femur

Question 17

McMurray’s test - purpose

Explain

Answer 17

Posterior aspect of menisci

Medial meniscus - ER tibia + valgus force –> extend knee
Lateral meniscus - IR tibia + varus force –> extend knee