Chapter 18 - Special Tests Flashcards Preview

Boards OMM > Chapter 18 - Special Tests > Flashcards

Flashcards in Chapter 18 - Special Tests Deck (17):
1

Wallenberg's Test - purpose

Describe

Test for vertebral artery insufficiency

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

2

Underberg's test - purpose

Describe

Test for vertebral artery insufficiency

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

3

Adson's test - purpose

Scalenes

4

Wright's test - purpose

Pec minor

5

Costoclavicular syndrome test - purpose

Clavicle-Rib

6

Apley scratch test - purpose

3 steps

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)

7

Speed's test - purpose

Explain

Bicipital tendon in bicipital groove

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

8

Yergason's test - purpose

Explain

Bicipital tendon in bicipital groove

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

9

Hip drop test - purpose?

What should you see? (2)

Lumbar and thoracolumbar sidebending

ConVEXITY on the dropped side
20º or more hip drop

10

Straight leg test - full test

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

11

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

Inferior notch below the PSIS

12

Pelvic side shift - purpose

Explain

Positive test?

Determine if sacrum is in midline

Stabilize shoulders, push pelvis each direction and look for asymmetry

POSITIVE = FREER translation

13

How exactly to do Ober's test?

Bend knee, fully abduct hip, and SLIGHTLY EXTEND

14

Bounce Home Test - purpose

Explain

Positive test?

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

15

Apley's Compression and Distraction - purposes

Compression - meniscal injury
Distraction - ligament injury (MCL, LCL)

16

Lachman's test - purpose

Explain

ACL (better than drawer)

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

17

McMurray's test - purpose

Explain

Posterior aspect of menisci

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