Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NPTE -- MSK > MSK UE Special Tests > Flashcards

MSK UE Special Tests Flashcards

1
Q

Special Tests for Shoulder Dislocation (2)

A
  1. Apprehension Test, Anterior
  2. Apprehension Test, Posterior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Special Tests for Biceps Tendon Pathology (3)

A
  1. Ludington’s Test
  2. Speed’s Test
  3. Yergason’s Test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Special Tests for RTC Pathology/Impingement (4)

A
  1. Drop Arm Test
  2. Hawkins-Kennedy Impingement Test
  3. Neer Imingement Test
  4. Supraspinatus Test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Special Tests for Thoracic Outlet Syndrome (5)

A
  1. Adson maneuver
  2. Allen test
  3. Costoclavicular syndrome test
  4. Roos test
  5. Wright test (hyperabduction test)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Special Tests for Elbow Instability (2)

A
  1. Varus stress test
  2. Valgus stress test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Special Tests for Epicondylitis (4)

A
  1. Cozen’s test
  2. Lateral epicondylitis test
  3. Medial epicondylitis test
  4. Mill’s test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Special Tests for Wrist/Hand Instability

A
  1. Ulnar collateral ligament instability test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Special Tests for Vascular Insufficiency (2)

A
  1. Allen test
  2. Capillary refill test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Special Tests for Wrist/Hand Contracture/Tightness (2)

A
  1. Bunnel-Littler test
  2. Tight retinacular ligament test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Special Tests for Wrist/Hand Neurological Dysfunction (3)

A
  1. Froment’s sign
  2. Phalen’s test
  3. Tinel’s sign
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Special Tests for C-Spine (2)

A
  1. Foraminal compression test
  2. Vertebral artery test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Apprehension Test for Anterior Shoulder Dislocation

A

Pt. supine, shoulder ABD 90, elbow 90

Rotate shoulder into ER

+ = look of apprehension or facial grimace prior to end range

Indicates: anterior shoulder dislocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Apprehension Test for Posterior Shoulder Dislocation

A

Pt. supine, shoulder flex 90, elbow 90 (across chest)

Apply AP pressure through humeral shaft

+ = look of apprehension or facial grimace prior to end range

Indicates: posterior shoulder dislocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ludington’s Test

A

Pt. seated, hands interlocked behind their head

Ask pt. to contract and relax biceps

+ = absence of movement in the biceps tendon OR increased pain

Indicates: rupture of long head of biceps OR tendinitis of long head of biceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Speed’s Test

A

Pt. seated, shoulder flexed 90, elbow straight, forearm supinated

Palpate at biciptal groove, ask pt. to resist shoulder flexion

+ = pain/tenderness in biciptal groove region

Indicates: biceps tendonitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Yergason’s Test

A

Pt. seated with elbow flexed 90, forearm pronated, humerus against thorax

Palpate at biciptal groove, have pt. resist supination and ER

+ = pain/tenderness in biciptal groove

Indicates: bicep tendonitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Drop Arm Test

A

Pt. seated with shoulder passively ABD to 90

Ask patient to hold arm in place OR slowly lower arm

+ = arm drops or fails to slowly lower

Indicates: RTC tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Hawkins Kennedy Test

A

Pt. seated, shoulder passively flexed to 90, elbow bent, and shoulder IR

+ = pain

Indicates: supraspinatus impingement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Neer Test

A

Pt. seated, shoulder IR and passively flexed

+ = pain

Indicates: supraspinatus impingement

20
Q

Supraspinatus (Empty Can) Test

A

Pt. seated shoulder ABD 90, horizontally ADD 30 and IR

Have pt. resist ABD

+ = weakness or pain

Indicates: tear of supraspinatus tendon, impingement, or suprascapular nerve involvement

21
Q

Adson Maneuver

A

Pt. seated, located radial pulse

Ask pt. to rotate head toward testing side, then extend head while therapist ER and extends the shoulder

+ = absent or diminished radial pulse

Indicates: thoracic outlet syndrome

22
Q

Allen Test

A

Pt. seated with shoulder ABD 90, ER, and elbow flexed

Pt. asked to rotate head away from test shoulder while therapist monitors readial pulse

+ = absent or diminished pulse

Indicates: thoracic outlet syndrome

23
Q

Costoclavicular Syndrome Test

A

Pt. standing, located radial pulse.

Have pt. retract and depress shoulders, then move arm into 30 deg of extension and abduction, ask pt. to hyperextend neck

+ = absent or diminished pulse

Indicates: thoracic outlet syndrome caused by compression of subclavian artery between clavicle and 1st rib

24
Q

Wright (Hyperabduction) Test

A

Pt. seated, shoulder ABD 90 and ER, elbow bent, located radial pulse

Move pt. shoulder into full ABD

+ = absent or diminished pulse

Indicates: thoracic outlet syndrome, compression of costoclavicular space

25
Q

Roos Test

A

Pt. seated with both shoulder ABD 90, ER, and elbows bent

ask pt. to open and clsoe their hands for 3 minutes

+ = inability to maintain test position, weakness of arms, sensory loss, ischemia

Indicates: thoracic outlet syndrome

26
Q

O’Brien’s Test

A

Pt. seated, shoulder ABD 90, horizontally ADD 30, and IR

Ask pt. to resist flexion, repeat with shoulder ER

+ = Pain with resistance in IR, no pain with resistance in ER

Indicates: glenoid tear, SLAP lesion

27
Q

Clunk Test

A

Pt. supine, shoulder ABD and ER over head.

Place one hand behind humeral head, use other hand to place force through humeral shaft while moving through IR/ER

+ = clunk or grinding sound

Indicates: glenoid labrum tear

28
Q

Median Nerve Tension Test

A

1: depress shoulder, ABD 110 deg, extend elbow, supinate forearm, extend wrist, extend fingers/thumb
2: depress shoulder, ABD 10 deg, extend elbow, supinate forearm, extend wrist, extend fingers/thumb, shoulder ER

Above with and without contralateral cervical side bend

29
Q

Radial Nerve Tension Test

A

Depress shoulder, ABD 10 deg, extend elbow, pronate forearm, flex and UD wrist, flex fingers and thumb, IR shoulder

Above with and without contralateral cervical side bend

30
Q

Ulnar Nerve Tension Test

A

Depress shoulder, ABD 10-90 deg, flex elbow, supinate forearm, extend and RD wrist, extend fingers and thumb, ER shoulder

Above with and without contralateral cervical side bend

31
Q

Varus Stress Test

A

Pt. seated with 20-30 deg of elbow flexion

Place one hand at lateral wrist and other at medial elbow and apply varus force

+ = increased laxity while compaired bilaterally

Indicates: LCL sprain/tear

32
Q

Valgus Stress Test

A

Pt. seated with 20-30 deg of elbow flexion

Place one hand at medial wrist and other at lateral elbow and apply valgus force

+ = increased laxity while compaired bilaterally

Indicates: MCL sprain/tear

33
Q

Cozen’s Test

A

Pt. seated with elbow slightly flexed with therapist palpating at lateral epicondyle

Ask pt. to make a fist, pronate, flex, and RD the wrist and then resist wrist extension

+ = pain or muscle weakness

Indicates: lateral epicondylitis

34
Q

Lateral Epicondylitis test

A

Pt. seated with elbow bent and forearm pronated

Ask pt. to resist 3rd finger extension

+ = pain at lateral epicondyle or muscle weakness

Indicates: lateral epicondylitis

35
Q

Medial Epicondylitis Test

A

Pt. seated, therapists palpates medial epicondyle then passively supinates forearm, extends wrist and elbow

+ = pain at medial epicondyle

Indicates: medial epicondylitis

36
Q

Mill’s Test

A

Pt. setaed, therapists palpates lateral epicondyle then passively pronates, flexes wrist and extends elbow

+ = pain at lateral epicondyle

Indicates: lateral epicondylitis

37
Q

Ulnar Collateral Ligament Instability Test

A

Pt. seated, ask to extend thumb and resist force placed at MCP joint of thumb

+ = excessive valgus movement

Indicates: tear of ulnar collateral and accessory collateral ligaments

38
Q

Allen Test (Vascular)

A

Pt. seated, asked to open and close hand several times than maintain a closed fist.

Palpate radial and ulnar pulse, ask pt. to release fist, release one artery and observe return of color to the hand, repeat with other artery

+ = absent of delayed flushing indicates arterial occlusion

39
Q

Bunnel Littler Test

A

Pt. seated with MCP joint in slight extension

Attempt to flex PIP, if unable to slightly flex MCP and attempt again

Results: unable to flex in slight extension = tight intrinsic muscle or capsular tightness; able to fully flex in slight flexion = intrinsic muscle tightness without capsular tightness

40
Q

Tight Retinacular Ligament Test

A

PIP neutral attempt to flex DIP, if unable flex PIP and attempt again

Results: unable to flex DIP in neutral = retinacular ligament and/or capsular tightness, able to fully flex DIP in slight flexion = retinacular tightness without capsular tightness

41
Q

Froment’s Sign

A

Pt. asked to hold a piece of paper between finger and thumb, attempt to pull paper away.

+ = pt. flexing thumb DIP

Indicates: adductor pollicis muscle paralysis, ulnar nerve compromise

If pt. hyperextends MCP when paper pulled = Jeanne’s sign; indicates ulnar nerve compromise

42
Q

Phalen’s Test

A

Pt. flexes wrists and presses back of hands into one another, holding for 60 seconds

+ = N/T in thumb, index, middle, and lateral half of ring finger.

Indicates: carpal tunnel/median nerve compression

43
Q

Finkelstein Test

A

Pt. makes fist with thumb tucked inside fingers, therapists UD wrist

+ = pain over abductor pollicis longus and extensor pollicis brevis

Indicates: tenosynovitis of the thumb or DeQuervain’s Disease

44
Q

Grind Test

A

Therapist grasps pt’s thumb MC, applies compression and rotates

+ = pain

Indicates: DJD in the CMC joint

45
Q

Murphy Sign

A

Pt. asked to make fist

+ = 3rd MC remains level with 2nd and 4th MC

Indicates: dislocated lunate

46
Q

Foraminal Compression Test (C-Spine)

A

Compress through top of head with pt’s neck side bent

+ = pain radiating into arms on the flexed side

Indicates: nerve root compression

47
Q

Vertebral Artery Test

A

Pt. in supine, place pt’s head into extension, side bends, and rotation

+ = dizziness, nystagmus, slurred speech, or loss of consciousness

Indicates: compressed vertebral artery

NPTE -- MSK (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions