MSK Tests Flashcards
Functional opening “knuckle” test
Jaw test for functional opening
Positive- inability to fit 2 knuckles in
Clonus
UMN reflex
quick forceful dorsiflexion of ankle and HOLD. If rythmic contractions continue for 5 beats or more than positive
Babinski
UMN reflex
J stroke at the bottom of foot. Toes splay if positive
Tests for Cx Radiopathy
Cervical Distraction
Spurling’s
ULTTs
Cervical distraction test
for radicular symptoms. Lift the head and if symptoms decrease than positive
Spurlings
Axial loading to close foramina. Positive if symptoms are aggravated
ULTT1
Median nerve, anterior interosseous nerve C5-7
UTT2
Median nerve, musculotcutaneous nerve, axillary nerve
UTT3
Radial nerve
UTT4
Ulnar nerve. C8 and T1 nerve roots
Test for VBI)
Vertebral artery (cervical quadrant) test
Vertebral Artery (cervical quadrant) test
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
Anterior shear or sagittal stress test
Tests anterior lig and capsular tissue
stabilize vertebra and anterior shift.
+ if excessive motion
Lateral flexion alar ligament stress test
Test for: integrity of contralatral alar lig
Procedure: head in neutral, stabilize C2, side flex C1 and head
+ if: excessive side flexion
Lateral Shear test
Test for: integrity of lateral ligs and capsualr tissue
Procedure: stabilize vertebral above and below and shear
+ if: excessive motion or symptoms of instability
Sharp- Purser Test
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
Cervical-Flexion Rotation test
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
What are the 4 special tests for cervical instability
Cervical-Flexion Rotation test
Sharp- Purser Test
Lateral Shear test
Lateral flexion alar ligament stress test
Anterior shear or sagittal stress test
Craniocervical flexion test (pressure biofeedback test)
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.
What are the tests for Lx Radiculopathy (6)
Myo/derma/reflexes
SLUMP
SLR
Crossover
Bowstring
Sign of Buttock
SLUMP
Test for:
Procedure:
+ if:
SLR
Crossover sign
if perform SLR on the unaffected side, pain is ilicit on the bad side then indicates a large disc bulge
Sign of the buttock
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
Bow-String sign
Test for: Tension on the Sciatic nerve
Procedure: SLR, pressure at the popliteal fossa
+ if: radicular symptoms are illicit
Kemps (quadrant) test
Test for: Lx facet involvement
Procedure: quadrant extension
+ if: pain illict
Lumbar Instability tests
H and I stability test
Prone Segmental Instability test
H and I stability test
Test for: muscle spasm or possible spinal instabilty
Procedure: watch video, easier to see
+ if: Hypomobility or instabilty
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)
Test for shoulder instabilty
cross body adduction test
Anterior shoulder instability (3)
crank (apprehension) and relocation
Apprehension release (surprise) test
Load and shift test
Posterior shoulder instability (3)
Jerk test
load and shift test
posterior apprehension test
