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UOP > fall 2023 CP practical final > Flashcards

fall 2023 CP practical final Flashcards

1
Q

apley scratch test

A

purpose: ROM (abduction, flexion, external rotation, pronation, adduction, extension, internal rotation and supination)

Pt. pos: standing

prac. pos.: behind pt.

procedure: pt. is asked to touch both hands together behind the back with one arm going over the shoulder and the other arm under the shoulder

positive: asymmetry

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2
Q

spring test (SC)

A

purpose: sterno-clavicular joint (anterior and posterior sc ligaments, costo-clavicular lig. and inter clavicle lig.)

Pt. pos: standing

prac. pos.: in front of pt. 2-3 fingers placed on proximal clavicle

procedure: prac. pushes clavicle posteriorly and inferiorly. done several repetitions and performed bilaterally

positive: excessive movement of proximal clavicle as it springs back into place

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3
Q

spring test (AC)

A

purpose: acromio-clavicular ligament (superior and inferior acromio-clavicular ligament, conoid and trapezoid portion of CC ligament)

Pt. pos: standing

prac. pos.: in front of pt. 2-3 fingers on distal clavicle

procedure: push distal clavicle inferiorly. done several repetition and performed bilaterally

positive: excessive movement of distal clavicle

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4
Q

AC/ SC compression test or crossover test

A

purpose: check sc or ac joints or clavicle fracture

Pt. pos: seated or standing, affected arm brought across the body and rests on the opposite shoulder

prac. pos.: in front of pt., hand on the pt.s affected elbow

procedure: push elbow to opposite shoulder

positive: pain in either the AC or SC joint or clavicle

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5
Q

AC shear test

A

purpose: check AC joint (superior and inferior ac lig., conoid and trapezoid portion of CC lig)

Pt. pos: standing or sitting

prac. pos.: in front of pt. interlaced fingers are placed over the spine of the scapula and mid-clavicle

procedure: prac. squeezes scapula and mid clavicle

positive: excessive movement of the distal clavicle; pain

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6
Q

traction

A

purpose: check AC joint (& associated ligaments), stability of the inferior glenohumeral joint

Pt. pos: standing with arms at the side

prac. pos.: standing in front of pt. grasping pt.’s wrists

procedure: prac. pulls uniformly down on each arm and looking for step up or sulcus sign

positive: step off of AC joint and pain AND/OR sulcus sign seen on superior, anterior shoulder and pain and instability

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7
Q

apprehension (crank) test

A

GOLD STANDARD FOR SHOULDER INSTABILITY

purpose: anterior/ inferior shoulder instability

Pt. pos: can be standing or lying supine

prac. pos.: standing: in front of Pt. with one hand on wrist and other on elbow, bring arm into external rotation. Supine: one hand can be placed on mid forearm with thumb up the forearm and one hand pushing gh joint back to push the humerus back into place

procedure: move the humerus into abduction and external rotation, look for facial expression

positive: facial expression that indicate pain, pt. feels instability or apprehension with ROM

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8
Q

relocation (fowler or Jobe or surprise) test

A

purpose: confirmation of a positive apprehension test

Pt. pos: supine, arm abducted and external rotated

prac. pos.: to the side of pt. one hand on wrist and the other on the anterior shoulder

procedure: once an uncomfortable or painful ROM in apprehension, prac. places the palm of hand over the anterior shoulder while maintaining the abducted and externally rotated position, the hand can be pushed down and releases to discern pain levels

positive: a relief of pain levels with pressure or release of pressure on anterior GH

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9
Q

adson

A

purpose: Thoracic outlet syndrome

Pt. pos: sitting

prac. pos.: standing behind pt.

procedure: prac. feels for radial pulse, externally rotate and extends the shoulders. pt. is instructed to look towards the effected Side and hold breath for 10-15 sec.

positive: reduced or diminished pulse

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10
Q

allen’s (wright’s) test

A

purpose: thoracic outlet syndrome

Pt. pos: sitting

prac. pos.: behind pt.

procedure: prac. finds radial pulse and abducts and externally rotates (90 90). pt. is then instructed to look away from the affected side (for Wright’s test= take arm into hyperabduction and check for pulse)

positive: reduced or diminished radial pulse

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11
Q

speeds

A

purpose: tendinitis of long head of the biceps

Pt. pos: standing with arms at 90 degrees of forward flexion and supination

prac. pos.: facing pt. with one hand on the bicipital groove and the other hand on the distal wrist

procedure: pt instructed to hold at 90 degrees while the prac. provides resistance into flexion

positive: pain and/or inability to complete the maneuver, or crepitus at the biceps tendon

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12
Q

Yergason’s

A

purpose: bicipital tendonitis, or rupture of the transverse humeral ligament

Pt. pos: sitting, elbow straight, internally rotated and pronated

prac. pos.: next to pt. one hand on the bicipital groove and other hand on the distal wrist

procedure: pt. instructed to move from an internally rotated and pronated position to external rotation and supination against resistance. start in pronation and extension then resist against supination and elbow flexion

positive: pain in bicipital groove, long head of the biceps moving out of the bicipital groove, weakness

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13
Q

empty can

A

purpose: isolated contraction of the supraspinatus muscle

Pt. pos: standing with arms raised to 90 degrees, horizontal abducted to 45 degrees and pronated (thumb down)

prac. pos.: in front of pt. one hand stabilizing shoulder and the other on the distal wrist

procedure: pt is instructed to resist downward movement through the motion of the scaption. perform with both arms at the same time

positive: pain, inability to complete maneuver

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14
Q

impingement

A

A
purpose: impingement, pinching long head of biceps tendon, supraspinatus, and sub-acromial bursa under coracoaromial ligament

Pt. pos: standing

prac. pos.: in front of pt. one hand on distal wrist and one hand supporting arm at the elbow

procedure: arm is take into forced abduction and external rotation

positive: anterior shoulder pain

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15
Q

painful arc

A

purpose: shoulder impingement

Pt. pos: standing with arms held at sides

prac. pos.: in front of pt. slight resistance may be placed on pt. wrists as needed

procedure: the pt. is instructed to move through full ROM in abduction from the hands at the side to fully overhead

positive: only pain in ROM from 45-120 degrees.

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15
Q

clunk

A

purpose: tear of glenoid labrum

Pt. pos: supine with arm flexed fully overhead

prac. pos.: standing at head of pt. with both hands under and grasping the head of the humerus

procedure: push arm straight in towards the body and lift humerus straight up towards the ceiling.

positive: clunking, clicking, catching

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16
Q

drop arm

A

purpose: tear of the rotator cuff musculature

Pt. pos: standing with arms abducted to 90 degrees

prac. pos.: standing in font of pt., hands may be placed on pt.s wrist as necessary

procedure: pt. is instructed to slowly lower arms. prac. may add resistance pushing arms down

positive: pain, an inability to slowly lower arms, sudden dropping of one arm

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17
Q

hawkins- Kennedy impingement

A

GOLD STANDARD FOR SHOULDER IMPINGEMENT

purpose: shoulder impingement

Pt. pos: standing with shoulder flexed to 90 degrees and internally rotated

prac. pos.: standing in front of pt. one hand supporting the elbow and the other on the distal forearm

procedure: downward pressure is applied on the wrist, while other Hand remains stationary

positive: pain, facial expression, apprehension

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18
Q

neer impingement

A

A
purpose: shoulder impingement

Pt. pos: standing

prac. pos.: standing next to pt. one hand stabilizing the scapular region and the other hand placed on distal wrist

procedure: shoulder is taken into full flexion and the practitioner applies a slight overpressure. pressure to scapula forward

positive: pain

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19
Q

pectorals major contracture

A

purpose: tightness through pectorals major muscle

Pt. pos: lying on back with fingers laced behind head

prac. pos.: standing at head of pt. with hands on elbows if needed

procedure: pt. is instructed to allow the elbows to relax and try to touch the table; pressure by the prac. may be performed to check end feels

positive: inability to move elbows closer to the table

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20
Q

Military brace position (eden test)

A

purpose: costo-clavicular syndrome

pt. pos: standing with arms to the side and supinated

prac. pos: standing behind pt. with fingers on radial pulse and the other hand on the clavicle

procedure: redial pulse is palpated and the shoulder is drawn down and back with slight traction. hand over from scapula to clavicle squeezes while other hand is palpating radial pulse

positive: decreased or diminished pulse

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21
Q

anterior/ posterior drawer test

A

purpose: posterior shoulder instability

pt. pos: sitting relaxed with forearm RESTING on thigh

prac. pos: next to pt. one hand stabilizing hand on spine of scapula and clavicle and the other hand over the head of the humerus

procedure: head of humerus is moved anterior and posteriorly while other hand stabilizes

positive: excessive movement at GH joint and or pain

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22
Q

Load and Shift

A

purpose: Labral tears

pt. pos: sitting, relaxed, forearm relaxed on thigh

prac. pos: next to pt. one hand stabilizing of scapula and clavicle and other hand over the head of the humerus

procedure: same procedure as anterior/ posterior drawer + pressure applied on humerus towards the joint

positive: pain, clicking, and/or catching

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23
Q

Rowe test

A

purpose: GH instability (ligaments structures)

pt. pos: supine with hands behind the head

prac. pos: balled fist under posterior head of humerus and other hand on top of bent elbow

procedure: downward pressure is applied at the elbow towards the table

positive: pain, anterior instability

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24
Q

posterior apprehension (humeral shear or posterior glide)

A

purpose: posterior shoulder instability

pt. pos: supine, forward flexion to 90 degrees elbow bent to 90 degrees

prac. pos: standing next to pt., one hand on pt. elbow

procedure: humerus is pushed posteriorly straight back

positive: pain, excessive glide of humerus, apprehension

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25
Q

Liu Crank

A

purpose: Labral tear

pt. pos: supine arm abducted to 160 degrees with 30 degrees of horz. adduction

prac. pos: standing next to pt. hand on pt. elbow

procedure: humerus is pushed back posteriorly and the arm is taken into internal and external rotation

positive: pain, clicking, apprehension, especially with external rotation

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26
Q

bear hug

A

purpose: subscapularis weakness or neuro deficit

pt. pos: standing, arm resting of opposite shoulder with the shoulder flexed to 90 degrees

prac. pos: put hand under pt. hand that is one opposite shoulder. standing in front of pt.

procedure: pt is instructed to maintain the position and push down on the opposite shoulder

positive: pain and/or inability to push down

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27
Q

lift off sign (belly lift off)

A

A
purpose: subscapularis weakness or neruo deficit

pt. pos: standing arm internally rotated and resting on low back

prac. pos: behind pt. with one hand on the mid humerus and other hand on the distal wrist

procedure: slight resistance may be applied by the prac. as the pt. attempts to lift the hand off the low back

positive: pain and/or inability to raise hand

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28
Q

feagin (inferior drawer)

A

purpose: shoulder instability (inferior middle and superior gh ligaments)

pt. pos: standing with arm abducted to 90 degrees or flexion to 90 degrees

prac. pos: shoulder abduction: standing next to pt. with both hands on top of head of humerus OR shoulder flexion: standing in front of pt. with both hands on top of humerus

procedure: with both hands on top of humerus head, a downward force is applied

positive: instability of the GH joint and/or anterior sulcus and/or pain

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29
Q

Roos

A

purpose: thoracic outlet syndrome

pt. pos: abducted and externally rotated arms (90 90 field goal position) with hands open

prac. pos: next to pt.

procedure: pt is instructed to open and close hands for 3 minutes

positive: decrease in motor function of the hand, loss of sensation, inability to maintain test position

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30
Q

O’brien’s

A

purpose: SLAP lesion

pt. pos: sitting or standing, shoulder flexion to 90 degrees, full horz. adduction and full internal rotation

prac. pos: in front of pt. one hand on the elbow and other on the distal wrist

procedure: pt is instructed to resist against the downward force of the prac. The test is repeated wit external rotation. have pt go from opposite asis to opposite shoulder

positive: pain and/or popping that is alleviated with the external rotation component

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31
Q

shoulder scouring

A

purpose: instability of the GH joint, labral tears

pt. pos: sidling, arm abducted to 90 degrees

prac. pos: standing behind pt., pt arm is resting on prac. elbow/ forearm. one hand on lateral joint line on the proximal humerus, the other hand stabilizing the scapula posteriorly

procedure: anterior and inferior and posterior and superior forces are placed on the humerus, feeling for instability or clicking or popping

positive: clicking or popping (labrum); instability or apprehension (ligamentous instability)

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32
Q

SLAP series

A

purpose: slap lesion, particularly from the bicipital pull on the superior labrum

pt. pos: supine with arm hanging off the table. pt. abducts arm to 120 degrees, shoulder rotation neutral, pronated and elbow flexed to 65-70 degrees

prac. pos: standing next to pt. one hand is stabilizing the upper arm mid humerus while the other grasps the pt. wrist

procedure: the pt is instructed to spinate the hand against maximal resistance while the pt. moves the shoulder into full abduction and external rotation (1). the elbow is then flexed against maximal resistance (2)

positive: clicking or popping, pain deep in the GH joint with resisted actions of supination (1) or elbow flexion (2)

predictability/ percentage: 81-96%

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33
Q

valgus stress

A

purpose: test integrity of ulnar collateral ligament

pt. pos.: seated with arms in anatomical position

prac. pos.: standing in front of pt. supporting arm, one hand at lateral elbow and other is placed on medial distal arm near wrist

procedure: valus stress is applied to elbow at 0 and at 30 degrees of flexion

positive: increased valgus movement with a diminished or absent end point

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34
Q

varus stress

A

purpose: test integrity of radial collateral ligament

pt. pos.: seated with arms in anatomical position

prac. pos.: standing in front of pt. supporting arm, one hand at lateral elbow and other is placed on medial distal arm near wrist

procedure: varus stress is applied to elbow at 0 and at 30 degrees of flexion

positive: increased varus movement with a diminished or absent end point

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35
Q

cozen’s test

A

purpose: lateral epicondylitis

pt. pos.: seated next to table, wrist and hand hanging off the edge. hand in a fist, pronated and radial deviated

prac. pos.: seated opposite pt. one hand stabilizing arm, other on dorsal hand resisting movement

procedure: pt moves into extension, supination, and ulnar deviation against resistance

positive: pain along lateral epicondyle of humerus; general muscular weakness and discomfort in the lateral elbow

36
Q

Mill’s test

A

purpose: lateral epicondylitis

pt. pos.: standing or sitting

prac. pos.: standing next to pt., one hand on the elbow and the other on the posterior hand

procedure: forearm is passively pronated, radially deviated and wrist flexed and the elbow is taken into extension

positive: pain over the lateral epicondyle

37
Q

Maudley’s test

A

purpose: lateral epicondylitis

pt. pos.: seated with hand flat on table

prac. pos.: seated next to pt. wit one finger over the pt.’s middle finger

procedure: instruct pt to extend middle finger against resistance

positive: pain over lateral epicondyle

38
Q

Kaplan’s sign

A

purpose: lateral epicondylitis

pt. pos.: standing or sitting, elbow slightly flexed, forearm neutral and wrist slightly extended

prac. pos.: standing in front of pt. two fingers in the pt. hand

procedure: have the pt. grasp your two fingers or a dynamometer, put a strap or have someone constrict the forearm 1-2 inches distal to the elbow and recheck grip

positive: a decreased in pain and/ or an increase in grip strength following the strap

39
Q

milking sign

A

purpose: test the integrity of the ulnar collateral ligament

pt. pos.: shoulder and elbow flexion with thumb pointing down. (as if reaching behind the head)

prac. pos.: standing behind pt. holding pt. thumb

procedure: apply a downward force to pt.’s thumb

positive: pain on the medial joint line

40
Q

Andrew’s UCL test

A

purpose: determine integrity and laxity of the ulnar collateral ligament

pt. pos.: seated, facing away from the prac. shoulder is abducted and externally rotated, elbow fully flexed

prac. pos.: standing behind pt. one hand on the elbow (thumb on UCL) and other on the wrist

procedure: PT. is instructed to extend the elbow while the prac. provides a valgus force at the elbow

positive: pain and/or laxity at any point in the ROM

41
Q

Table top Test

A

purpose: determine integrity and laxity of the ulnar and radial collateral ligament

pt. pos.: standing facing away from the table. forearm is supinated and shoulder externally rotated. arm is placed flat against the table

prac. pos.: stading to the side of the table. both hands placed around the elbow

procedure: prac. takes elbow into both valgus and varus forces

positive:

42
Q

golfer’s elbow (medial epicondylitis Test #1

A

A
purpose: medial epicondylitis

pt. pos.: forearm supinated with wrist and elbow in extension and hand hanging off the end of the table

prac. pos.: standing next to pt.

procedure: pt. is instructed to pronate and flex wrist against resistance. opposite of Mill’s test

positive: pain in medial epicondyle region of humerus

43
Q

Golfer’s elbow (medial epicondylitis) Test #2

A

purpose: medial epicondylitis

pt. pos.: forearm supinated with wrist in extension

prac. pos.: standing next to pt. hand on maintaining supination and wrist flexion

procedure: pt. is instructed to extend the elbow with arm in supination and wrist flexion

positive: pain in medial epicondyle region of humerus

44
Q

bicep squeeze test

A

purpose: potential bicep rupture

pt. pos.: seated with arm resting in lap at approx. 60-80 degrees of flexion and arm in pronation

prac. pos.: standing or seated next to pt. with one hand over the musculotendinous juncture of the bicep and the other on the belly of the muscle

procedure: squeezing with both hands along the bicep

positive: if the arm does not supinate= indicative of a bicep rupture

45
Q

tinel’s sign

A

purpose: determine abnormal pathology of a nerve, particularly the ulnar nerve

pt. pos.: seated or standing with elbow in slight flexion

prac. pos.: standing next to pt. supporting distal arm

procedure: while supporting distal arm, tap the ulnar nerve on the ulnar notch with index finger

positive: tinging along ulnar nerve distribution in forearm, hand, or fingers

46
Q

wartenberg sign

A

A
purpose: test for ulnar nerve problem

pt. pos.: sitting with hands on table

prac. pos.: sitting across from pt.

procedure: instruct pt. to abduct fingers then bring them back together

positive: inability to adduct little finger is indicative of a ulnar nerve pathology

47
Q

elbow flexion

A

purpose: cubital tunnel syndrome

pt. pos.: standin or sitting, with elbows in flexion and wrists extended

prac. pos.: sitting across from pt.

procedure: instruct pt. to hold position of full elbow flexion and wrist extension for 3-5 minutes

positive: numbness, tingling indicative of cubital tunnel syndrome (typically last finger and 1/2)

48
Q

ulnar nerve compression

A

A
purpose: test for involvement of ulnar nerve or cubital tunnel syndrome

pt. pos.: standing with arm in supination

prac. pos.: standing next to pt. with one finger just proximal to the cubital tunnel on the medial elbow

procedure: apply a force for 30 seconds and note any changes in sensation through the ulnar nerve distribution

positive: numbness and tingling or shooting pain through the ulnar nerve distribution

49
Q

pinch grip

A

purpose: nerve entrapment

pt. pos.: may be seated or standing

prac. pos.: standing or sitting next to pt.

procedure: instruct pt. to pinch the tips of fingers between thumb and fingers

positive: inability to touch tips of fingers and thumb together, touching pad to pad

50
Q

capillary refill

A

purpose: determine vascularity of upper extremity

pt. pos.: standing or sitting, fingers extended

prac. pos.: standing next to pt.

procedure: apply pressure to fingernail (nail should turn white)

positive: should return to pink color. whiteness or a slow return to pink are abnormal

51
Q

brachial pulse

A

purpose: determine vascularity of the upper extremity

pt. pos.: standing or sitting

prac. pos.: standing next to pt. fingers along medial humerus

procedure: pressure is applied to the brachial area, medially on the humerus, and a pulse is determined

positive: diminished or weak pulse as compared bilaterally

52
Q

isosceles triangle

A

purpose: fracture of the medial or lateral epicondyle or the olecranon process

pt. pos.: seated or standing

prac. pos.:standing across from pt .

procedure: fingers are placed on medial epicondyle, lateral epicondyle and olecranon process in full extension and then the elbow is flexed

positive: the three landmarks should form a straight line in extension and for an isosceles triangle in full flexion

53
Q

Finkelstein

A

A
purpose: DeQuervain’s syndrome (inflammation of the extensor polices brevis and abductor pollicus)

pt. pos: sitting or standing

prac. pos.: standing next to pt.

procedure: have the pt. make a fist holding the thumb and passively move into ulnar deviation

positive: pain over the dorsal surface of the thumb

54
Q

tinel’s

A

purpose: median nerve pathology (carpal tunnel syndrome)

pt. pos: standing or sitting

prac. pos.: facing pt.

procedure: nerve is tapped with the tip of one finger, in this instance, on the medial nerve distribution on the anterior wrist at the retinaculum

positive: shooting pain along the distribution of the median nerve

55
Q

phalan’s

A

purpose: carpal tunnel syndrome presence

pt. pos: sitting or standing

prac. pos.: standing next to pt.

procedure: pt is instructed to push the dorsal aspects of both hands together, with the fingers pointing downward and hold the position for 1 minute

positive: numbness or tingling along the median nerve distribution; the solar aspect of the thumb and 2 1/2 fingers

56
Q

carpal compression

A

purpose: carpal tunnel syndrome presence

pt. pos: sitting or standing

prac. pos.: standing in front of pt.

procedure: entire length of a finger or the thumb is placed on the volar aspect of the wrist, at the retinaculum and compressed

positive: tingling, pain or numbness along the median nerve distribution

57
Q

allen’s test for the wrist

A

purpose: to determine vascularity of the hand

pt. pos: sitting or standing, palm supinated

prac. pos: standing in front of pt. one thumb on the radial artery and one on the ulnar artery on the volar aspect of the wrist

procedure: thumbs are compressed over both arteries and the pt. is instructed to compress and relax the hand several times until the hand turns white. one finger (done twice) is released and the hand should return to it’s normal pink color

positive: slow return of blood flow or the hand staying white

58
Q

varus/ valgus

A

purpose: ligamentous instability, particularly collateral ligaments

pt. pos: standing or sitting

prac. pos: standing in front of pt.

procedure: distal finger is stabilized and the valgus or varus force is applied through the joint line and an anterior r and posterior glide is applied

positive: instability with any movements

59
Q

gamekeeper’s test

A

purpose: ulnar collateral ligament of the thumb

pt. pos: standing or sitting

prac. pos: standing in front of pt.. one hand stabilizing the metacarpal of the thumb, the other hand grasping the distal thumb

procedure: valgus force is applied

positive: excessive moment of the joint or pain

60
Q

tap

A

purpose: determine presence of a fracture of a phalanx or metacarpal

pt. pos: standing or sitting

prac. pos: standing in front of pt.

procedure: light tap with the pad of one finger is applied through the long axis of the phalanx or metacarpal. the finger can be flexed at the PIP or MP joints and tapped there for proximal segments

positive: pain long the shaft of the bone

61
Q

Murphy’s sign

A

purpose: dislocation of the lunate carpal bone

pt. pos: standin or sitting with hand in fist.

prac. pos: standing in front of pt.

procedure: pt is instructed to make a fist. observe 3rd MCP joint (knuckle)

positive: 3rd MCP joint will be lower or equal level to all the other joints (knuckles)

62
Q

march test

A

purpose: si joint dysfunction

pt. pos: standing

Prac. pos: standing or sitting behind pt. with both thumbs over the SI joint

procedure: pt is instructed to alternately raise one knee to the chest and prac. will note the movement of SI joint

positive: no movement or unilateral asymmetry in movement

63
Q

Trendelenburg test

A

purpose: weakness in glute medius or involvement of superior gluteal nerve

pt. pos: standing

Prac. pos: sitting behind pt.

procedure: pt is instructed to alternately lift one knee to their test while prac. observes hip jolting out

positive: hip jutting laterally or pt is leaning to involved side

64
Q

heel and toe walking

A

purpose: neurological involvement/ motor function of lower extremity

pt. pos: standing

Prac. pos: standing next to pt.

procedure: have pt. walk on their toes and then walk on their heels

positive: inability to perform the procedure

65
Q

stork standing

A

purpose: check for proprioception

pt. pos: standing

Prac. pos: standing next to pt.

procedure: have the pt. lift one leg and check for balance

positive: inability to perform the test, unable to balance

66
Q

hip distraction test

A

purpose: apprehension due to an unstable hip or osteoarthritis or ligamentous issue

pt. pos: supine with test hip flexed to 30 degrees, slightly abducted and slightly externally rotated

Prac. pos: at foot of pt.; holding ankle with both hands

procedure: a distraction force is applied just to the point of the pt. beginning to move

positive: apprehension with distraction= unstable hip or ligamentous
relief of pain= osteoarthritis or leg calf perthes or OCD

67
Q

hoover test

A

purpose: malingering or lying pt.

pt. pos: lying on table

Prac. pos: at foot of pt. both heels of pt. cupped in prac. hands

procedure: pt is instructed to raise one leg

positive: failure of the opposite leg to push down on the prac. hand indicated a sub maximal effort

68
Q

SLR test

A

purpose: neurological involvement in lower extremity

pt. pos: supine with hip flexed

Prac. pos: standing next to pt. one hand maintaining knee extension and the other on the distal leg

procedure: hip is passively extended to the end of the range of motion. combination movements may be added such as the chin to the chest and/or dorsiflexion

positive: shooting pain, numbness, tingling. pain in the lumbar spine = then it would be indicative of bulging disc

69
Q

well SLR test

A

purpose: neurological involvement in the lower extremity

pt. pos: supine with hip flex

Prac. pos: standing next to pt. one hand maintaining knee extension and the other on the distal leg

procedure: the hip passively extended to the end of the range of motion. combination movement may be added such as the chin to the chest and/or dorsiflexion

positive: shooting pain, numbness, tingling down the non-test leg

70
Q

bowstring test

A

purpose: neurological involvement of tibial nerve or common perineal nerve

pt. pos: supine

Prac. pos: at foot of pt.

procedure: perform a SLR to the point of pain, flex the knee until pain is relieved then apply pressure to the popliteal fossa with the practitioner’s thumb

positive: reduced to eliminated pain with knee flexion that returns with popliteal pressure

71
Q

pelvic compression

A

purpose: SI joint dysfunction

pt. pos: supine

Prac. pos: standing next to pt. arms are crossed and placed on ASIS of pt.

procedure: downward and outward pressure is applied uniformly on ASIS

positive: posterior pain along the SI joint

72
Q

pelvic distraction

A

purpose: si joint dysfunction

pt. pos: supine

Prac. pos: next to pt. hands placed on superior portion of gluteus Maximus

procedure: prac. raises both hands, spreading the SI joint

positive: pain in the SI region

73
Q

FABER/ Figure 4/ Patrick’s test

A

purpose: SI joint dysfunction or tight hip flexors

pt. pos: supine with ankle crossed above opposite knee, flexion, abduction, and external rotation (FABER)

Prac. pos: standing next to pt. one hand on crossed knee, one hand on opposite asis

procedure: pressure is applied at the knee and asis simultaneously

positive: posterior pain= SI joint dysfunction, anterior pain= tight hip flexors

74
Q

Thomas test

A

purpose: tight hip flexors

pt. pos: supine with legs hanging off the table, knees flexed to 90 degrees

Prac. pos: standing next to pt.

procedure: pt is instructed to bring knee to chest and lean back onto table

positive: opposite leg lifts from table flexing at the hip

75
Q

Pubic symphysis

A

purpose: ascertain problems in the pubic symphysis or SI joint

pt. pos: supine

Prac. pos: standing next to pt.; heel of hand is moved from the umbilicus to the pubic symphysis

procedure: downward pressure is applied to the pubic symphysis

positive: pain in the pubic symphysis or SI joint, indicating pelvis involvement

76
Q

piriformis test

A

purpose: tight piriformis or tibial/ common peroneal nerve (sciatic nerve)

pt. pos: supine

Prac. pos: standing next to pt.

procedure: pt. knee is taken to the opposite shoulder and the foot is then internally rotated

positive: increased pain in the area of the piriformis or any neurological symptoms= nerve involvement

77
Q

FADIR

A

purpose: femoral acetabular joint impingement

pt. pos: supine

Prac. pos: standing next to pt. one hand on flexed knee and the other no the ankle of the same leg in a motorcycle grip

procedure: knee is taken into full flexion and moved by the prac. to opposite shoulder. leg is then taken into internal rotation

positive: deep pain, clicking or limited range of motion indicated the necessity of x-ray to confirm diagnosis

78
Q

babinski test

A

purpose: neurological deficit or impairment

pt. pos: supine or siting with legs extended

Prac. pos: at foot of pt.

procedure: a finger or hard object is run along the bottom of the foot from first toe to lateral foot towards heel

positive: toes should curl or do nothing. splaying or extension of the toes indicate a positive result

79
Q

Oppenheim test

A

purpose: neurological deficit or impairment

pt. pos: supine or sitting

Prac. pos: at foot of pt.

procedure: a finger or hard object is run along the rest of the tibia

positive: same as for babinski. toes should curl or do nothing. splaying or extension of the toes indicate a positive result

80
Q

milgram’s test

A

purpose: to determine muscular strain of the low back

pt. pos: supine

Prac. pos: at foot of pt.

procedure: pt is instructed to hold both legs in the air for 30 seconds

positive: inability to perform the procedure due to back pain

81
Q

Beevor’s sign

A

A
purpose: determine the presence of a neurological or muscular disorder of the abdomen/ lumbar spine

pt. pos: supine with hands behind head

Prac. pos: at foot or next to pt.

procedure: have pt perform a sit up

positive: the umbilicus should stay in a straight line. side to side movement is a positive

82
Q

springing test of back

A

purpose: check for hyper or hypo-mobility of an individual vertebrae

pt. pos: prone

Prac. pos: standing next to pt. the pisiform of the hand is placed on the spinous process of each vertebrae sequentially in the lumbar spine

procedure: anterior/ posterior movement in very small increments is initiated with differences noted in movements of each individual segment

positive: a level with extreme motion or lack of motion as compared to other levels

83
Q

active spinal extension

A

purpose: to determine muscular involvement of the low back

pt. pos: prone with hands behind the back

Prac. pos: next to pt.

procedure: have the pt. move into active spinal extension

positive: pain with movement or inability to complete maneuver

84
Q

sphinx position (done after active spinal extension)

A

purpose: to determine the possibility of a spondy (spondylosis, spondylolisis, spondylolisthesis)

pt. pos: prone with elbows on table

Prac. pos: next to pt.

procedure: have the pt. extend the spine using their arms on the able

positive: pain directly over the spine

85
Q

spondyloysthesis’s test

A

A
purpose: check for spondylolisthesis or slippage of the vertebrae

pt. pos: side lying with both knees flexed

Prac. pos: standing in front of pt. one hand under both knees the other hand on the lumbar spine

procedure: knees are taken into flexion and extension and the lumbar spine is palpated at each vertebral level

positive: vertebrae that does not line up with the others with flexion and extension

86
Q

Ober’s test

A

purpose: IT band syndrome

pt. pos: side lying on the table

Prac. pos: standing behind pt. one hand may be placed on the distal leg and the other could stabilize the pelvis

procedure: pt is instructed to let top leg hang over the back of the table

positive: inability to adduct; pain; asymmetry

87
Q

noble

A

purpose: IT band syndrome

pt. pos: side lying on table

Prac. pos: standing behind pt. one hand on the distal leg, one thumb on the IT band, 2-4 cm proximal to the knee

procedure: the knee is alternatively flexed and extended while the force is applied with the thumb proximal to the knee

positive: pain, particularly at 30 degrees of flexion

88
Q

femoral nerve traction test

A

purpose: determine involvement of the L2-L4 nerve roots or femoral nerve irritation

pt. pos: side lying

Prac. pos: standing behind pt., with top of pt’s foot on hip, one hand on the knee and the other on the PSIS for stabilization

procedure: the knee is passively flexed and the hip extended simultaneously

positive: pain, shooting pain, numbness, tingling

UOP (23 decks)

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