OMM Extremity Tests Flashcards
(17 cards)
Spurling’s Sign?
Testing for nerve root compression of C-spine
passively sidebend and extend head then compress; pain and tingling in area of impingement is positive sign
Adson’s test
Testing for state of subclavian a (thoracic outlet syndrome)
palpate radial pulse, abduct, extend, internal rotation of arm, pt deep breath and turn head toward arm.
diminished radial pulse is positive sign
Speed’s Test
irritation of long head of biceps brachii
supinated and extended elbow, resist downward force
positive is pain and tenderness
Neer’s Test
test for supraspinatus impingement
internally rotate arm & horizontally flex shoulder to 180
positive is pain in area of impingement (greater tuberosity)
Apley scratch test
testing for shoulder range of motion
touch opposite shoulder, top of T-spine, hand behind back
positive is decreased range of motion found
(internal rotation, flexion, horiz adduction
external rotation, flexion, abduction
internal rotation, extension, adduction
Jobe’s test
test for supraspinatus tear
horizontal abduction + little forward flexion + internal rotation, resist downward pressure
positive sign is pain or weakness
Anterior Drawer of knee
test for ACL integrity
supine, knee @ 90, stabilize foot, pull on tibia forward
positive is increased translation, laxity, no solid end feel for torn ACL
Patellar Grind
Test for chondromalacia
supine w extended leg, caudad force above knee cap and contract quads
positive is pain or grinding
Lachman’s Test
Test for ACL integrity
supine, leg @ 30, pull forward on tibia
positive is laxity, increased forward translation = torn acl
THomas Test
Testing for psoas and IT band tightness
sit on edge of table, hug knee to chest & lay back
positive for tight psoas if leg not grabbed goes up, positive for tight IT if goes lateral
Anterior Drawer of ankle
Test for anterior talofibular ligament
supine w foot over edge of table, stabilize leg, grasp foot, plantar flex and try to pull forward
positive with increased translation
posterior drawer test of knee
test for pcl integrity
supine, leg @ 90, stabilize foot, and push tibia forward
positive is increased laxity, posterior displacement, or no distinct end feel = torn PCL
Patric/FABER test
test for sartorious or hip pathology
“figure 4” should be symmetrical
PSS & standing flexion
Tinel’s Test of ankle
Test for irritation of tibial n
percuss tarsal tunnel on medial ankle with pt supine & foot off the table
positive is pain or tingling
Thomson Test
Test for achilles integrity
pt prone w feet of table & squeeze calf, foot should plantar flex
positive = no plantar flexion of foot = torn achilles
Squeeze Test
test for interosseous integrity
pt supine w leg over table, one hand on leg one on foot and compress
positive is pain or increased motion - compression fracture or compartment syndrome
Apley’s Compression/Distraction Test
Testing for ligament or meniscus integrity
prone w knee flexed, compress and distract and then internally and externally rotate
pain with compression releived by distraction = meniscus
pain with both = ligament
