Chapter 18 Special Tests Flashcards Preview

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Flashcards in Chapter 18 Special Tests Deck (53):
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 <20-25 degrees

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

31

Seated flexion test?

Assess SI motion (sacrum)

32

Standing flexion test?

Assess iliosacral motion (innominates)

33

ASIS compression test?

Determine side of SI dysfunction (esp when standing/seated flexion tests are equivocal)

34

Pelvic side shift test?

Determines if sacrum is in the midline

35

Pelvic side shift test procedure?

With pt standing, doc stabilizes the shoulders with one hand and pushes the pelvis to the opposite side, the hands are then switched to check the other pelvis

36

Positive pelvic side shift test?

Positive on side of freer translation (this indicates that the pelvis is shifted to that side)

37

What does a positive pelvic side shift test usually indicate?

Flexion contracture of psoas (psoas syndrome)--if contracture on right, there will be positive test to the left

38

Trendelenburg test?

Assesses gluteus medius muscle strength

39

Positive Trendelenburg?

Side that drops indicates the opposite gluteus medius is weak

40

Lumbosacral spring test?

Assesses whether or not the sacral base is tilted posterior

41

Backward bending test (the sphinx test)?

Determines if sacral base moved posterior or anterior

42

Ober's test?

Detects tight tensor fascia lata and IT band

43

Patrick's test?

FABER--assess SI and hip joint pathology (esp osteoarthritis)

44

Thomas test?

Assess flexion contracture of hip, usually iliopsoas

45

Bounce home test?

Tests problem with full knee extension, usually due to meniscal tears or joint effusions

46

Apley's compression?

Assess meniscus injury

47

Apley's distraction?

Assess collateral ligament injury

48

McMurray's test?

Detects tears in posterior aspect of menisci

49

McMurray's for medial meniscus?

Flex hip/knee, palpate medial joint line, tibia is then externally rotated and a valgus stress is applied while slowly extending knee

50

McMurray's for lateral meniscus?

Flex hip/knee, internally rotate tibia and a varus stress is applied while slowly extending knee

51

How to test for chondromalacia patellae?

Patellar grind test

52

Anterior drawer test of ankle?

Assess medial and lateral ligaments of ankle, mainly the ATF ligament

53

Positive seated or standing flexion tests?

Positive on side of superior PSIS