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MSK Tests Flashcards

1
Q

Functional opening “knuckle” test

A

Jaw test for functional opening
Positive- inability to fit 2 knuckles in

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2
Q

Clonus

A

UMN reflex
quick forceful dorsiflexion of ankle and HOLD. If rythmic contractions continue for 5 beats or more than positive

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3
Q

Babinski

A

UMN reflex
J stroke at the bottom of foot. Toes splay if positive

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4
Q

Tests for Cx Radiopathy

A

Cervical Distraction
Spurling’s
ULTTs

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5
Q

Cervical distraction test

A

for radicular symptoms. Lift the head and if symptoms decrease than positive

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6
Q

Spurlings

A

Axial loading to close foramina. Positive if symptoms are aggravated

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7
Q

ULTT1

A

Median nerve, anterior interosseous nerve C5-7

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8
Q

UTT2

A

Median nerve, musculotcutaneous nerve, axillary nerve

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9
Q

UTT3

A

Radial nerve

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10
Q

UTT4

A

Ulnar nerve. C8 and T1 nerve roots

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11
Q

Test for VBI)

A

Vertebral artery (cervical quadrant) test

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12
Q

Vertebral Artery (cervical quadrant) test

A

passive neck extension and side flexion with a hold Hold for 10-30 secs. Ipsilateral neck rotation then added. Hold for 10-30 secs. Positive if dizziness or nystagmus

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13
Q

Anterior shear or sagittal stress test

A

Tests anterior lig and capsular tissue
stabilize vertebra and anterior shift.
+ if excessive motion

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14
Q

Lateral flexion alar ligament stress test

A

Test for: integrity of contralatral alar lig
Procedure: head in neutral, stabilize C2, side flex C1 and head
+ if: excessive side flexion

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15
Q

Lateral Shear test

A

Test for: integrity of lateral ligs and capsualr tissue
Procedure: stabilize vertebral above and below and shear
+ if: excessive motion or symptoms of instability

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16
Q

Sharp- Purser Test

A

Test for: determine subluxation of C1 and C2
Procedure: head support forehead and back of C2. Perform slow flexion
+ if: if head slides backwards or there is a clunk

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17
Q

Cervical-Flexion Rotation test

A

Test for: C1-C2 dysfunction. cervicogenic headaches
Procedure: fully flex C spine and rotate side to side
+ if: increased or decreased ROM with 45 degree flexion

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18
Q

What are the 4 special tests for cervical instability

A

Cervical-Flexion Rotation test
Sharp- Purser Test
Lateral Shear test
Lateral flexion alar ligament stress test
Anterior shear or sagittal stress test

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19
Q

Craniocervical flexion test (pressure biofeedback test)

A

Test for: deep neck flexor muscle function
Procedure: place pressure cuff @ 20 mmHg under neck and activate deep neck flexor. Push to 22, then up by 2s to 30
+ if: unable to do it.

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20
Q

What are the tests for Lx Radiculopathy (6)

A

Myo/derma/reflexes
SLUMP
SLR
Crossover
Bowstring
Sign of Buttock

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21
Q

SLUMP

A

Test for:
Procedure:
+ if:

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22
Q

SLR

A
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23
Q

Crossover sign

A

if perform SLR on the unaffected side, pain is ilicit on the bad side then indicates a large disc bulge

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24
Q

Sign of the buttock

A

Test for: pathology behind hip
Procedure: SLR with knee flexion at maxed hip flexion
+ if: pain illicit
Complete list – remember RONFISS
R: Rheumatic bursitis
O: Osteomyelitis of the upper femur
N: Neoplasm of the upper femur and ilium
F: Fractured sacrum
I: Ischiorectal abscess
S: Septic sacroilitis
S: Septic gluteal bursitis

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25
Bow-String sign
Test for: Tension on the Sciatic nerve Procedure: SLR, pressure at the popliteal fossa + if: radicular symptoms are illicit
26
Kemps (quadrant) test
Test for: Lx facet involvement Procedure: quadrant extension + if: pain illict
27
Lumbar Instability tests
H and I stability test Prone Segmental Instability test
28
H and I stability test
Test for: muscle spasm or possible spinal instabilty Procedure: watch video, easier to see + if: Hypomobility or instabilty
29
Tests for TOS
Adson Manueovr Costoclavicular syndrome (military brace) Halstead Maneouver Wright test Allen Test Roos Test (Elevated arm stress test) Shoulder girdle passive elevation (Cyriax Release test)
30
Test for shoulder instabilty
cross body adduction test
31
Anterior shoulder instability (3)
crank (apprehension) and relocation Apprehension release (surprise) test Load and shift test
32
Posterior shoulder instability (3)
Jerk test load and shift test posterior apprehension test
33
Inferior and multidirectional instability
sulcus sign Feagin test
34
Labral tests (3)
Clunk test Actice Compression test of O'Brien Biceps Load Test (Kim Test II)
35
Tests for Subacromial impingement
Hawkin's Kennedy Impingment Test Neer's Impingement test Scapular assist test
36
Bicep tendon tests
Speed's Yergason's
37
Supraspinatus
Drop arm Empty can
38
Subscapularis
belly press lift off
39
infraspinatus
infraspinatus lateral rotation lag sign
40
Teres minor
hornblowers sign
41
Scapular dyskinesia test
wall or floor push up test scapular load test punch out (serratus anterior weakness)
42
Lateral Epicondylosis (Tennis elbow)
Cozen test (active resisted) Mills test (passive) Maudsleys test (resisted D3)
43
Medial Epicondylitis (golfers elbow)
Medial epicondylitis test resisted wrist flexion resisted pronation
44
Finkelstein test
Test for: De Quervains tensosynovitis
45
Cubital tunnel syndrom
cubital tunnel compression test tinnels test at elbow elbow flexion test
46
TFCC tear
TFCC load test (Sharpeys test) Press test
47
Carpal tunnel syndrome
Tinels Phalens Reverse Phalen Carpal Compression Resisted APB ULTT median nerve bias Nerve conduction velocity EMG
48
Unlnar tunnel syndrome
Forments sign Guyon canal compression TInels test of Guyon Canal ULTT ulnar nerve bias Nerve conduction velocity test
49
Gameskeeper thumb
UCL laxity instability test
50
Thumb CMC OA
Grind test
51
Hip OA test
Scour Patrick (FABER) test Flexion-adduction (hip quadrant) test
52
Developmental dysplasia of baby hips
Barlow manoeuvre Ortolani manoeuvre
53
Meniscus tests
McMurrays Apleys Thessaly Bounce Home
54
ACL test
Anterior drawer Lachmans pivot shift
55
PCL tests
Posterior drawer test Posterior sag sign Godfrey (gravity) test
56
Patellar femoral syndrome
Clarkes sign (patellar grind) McConnel test Step-up test Eccentric step test
57
Swelling tests
brush test patellar tap test
58
Fat pad test
hoffas
59
Plica syndrome
hughstons plica mediopatellar plica patellar bowstring
60
Patellar dyslocation
Fairbanks apprehension
61
ITB syndrome
noble compression obers test thomas
62
Ankle tests
anterior drawer test talar tilt ankle lunge test (knee-to- wall) proprioception test strength test External rotation stress test (Kleiger test) Squeeze
63
Achilles rupture
thompson
64
Plantar flascia
windlass test
65
Hoffman test
For UMN reflex flick DIP relfex flexion of thumb and index or middle
66
Functional balance
romberg test functional reach berg balance Performance-oriented mobility assessment get up and go test timed up and go test
67
Jendrassik's Maeuver
Positions required for upper limb and lower limb DTR (Deep tendon reflexes) testing
68
Clinical Test for Sensory Interaction in Balance (CTSIB) Also called Sensory Organization Test (SOT)
The patient stands with hands by their side and hold for 30 secs. 6 different conditions (firm or foam, eyes open or closed, dome)
69
Glasgow Coma Scale
70
Bunnel-Littler test
Intrinsic hand muscle tightness. Passive PIP flexion with MCP in flexion and extension. Positive if PIP limited flexion when MCP is in extension but not in flexion.
71
Knee ballottement test
Pressing on patella and feeling for bogginess
72
Bulge/ Brush test
stroke up medially and then down laterally and looking for wave of effusion
73
Beighton Score
hypermobiltity
74
Oswestry disability index
Intended population: acute or chronic low back pain. Most effective for persistent severe disability while the Roland-Morris is better for mild to moderate disability.
75
Roland Morris Disability Questionnaire
Intended population: patients with mild to moderate disability due to acute, sub-acute or chronic low back pain.
76
Modified New York Criteria
For AxSpa
77
The ACR 1990
For fibromylasia
78
BASMI (5)
schobers tragus to wall cervical rotation finger to floor intermalleoulr distance
79
Gaenslen
SI Jt- looks like a FABER Test almost
80
gillet test
SI mvmt- hands on PSIS and if there is upward mvmt then positive
81
modified Schober’s test
measure 5 cm below PSIS dimples and 10 cm above. Have them flex and see if it increases or decreases (+ for AS)

Canadian Exam (55 decks)

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