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Flashcards in OPP Special Test Deck (30)
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1

Apley Scratch Test

external rotation and abduction

 

patient reaches behind his head to touch the superior medial angle of the opposite scapula

2

Apley Scratch Test

internal rotation and adduction

 

patient reaches behind his back to touch the inferior angle of the opposite scapula

3

AC Joint Dysfunction

 

PT adduct the arm

place hand on contralateral shoulder

Flex Elbow to 90
 

pt actively resist downward force from physician

4

Drop Arm Test

screen for possible rotator cuff tear (supraspinatus tear)

 

the patient fully ABduct the arm (160-180)

slowly lower the arm to the side

 

+ test = not be able to lower the arm slowly and smoothly

 

5

Empty Can/JOBE Test

test for supraspinatus weakness

 

90° Abduction

30° horizontal flexion anterior of coronal plane

internal rotation (Thumbs DOWN)

6

Infraspinatus/Teres Minor Test

marked external rotation against resistance

 

Elbow flexed to 90 and @ sides

Patient Attempts to Externally Rotate Against the physician's counterforce

 

7

Subscapularis Lift Off Test

 

internally rotate arm w/ dorsum of hand on lumbar spine 

patient pushes away from back w/ resistance from physician

 

8

Subscapularis Internal Rotation Test

 

Pt attempts to internally rotate arm against physicians resistance  

9

Hawkin’s Test

Impingement of supraspinatus

 

Pronated Arm is Passively Flexed to 90 

then Internally Rotated while stabilizing the scapula

 

Impingement btw greater tuberosity of the humerus against the coraco-humeral ligament

10

Neer’s Test

Impingement of supraspinatus

 

Pronated + internally rotate arm

Passively Flexed while stabilizing scapula

 

Impingement occurs @ > 90 Flexion

(near ear)

11

Apprehension Tests

evaluates stability of shoulder joint

ligamentous laxity/injury or dislocated/subluxed

 

pt supine w/ arm off table

ABduction and External Rotation shoulder

(position of shoulder vulnerability) 

 

12

Relocation Tests

evaluates stability of shoulder joint w. pressure

 

pt supine w/ arm off table

ABduction and External Rotation shoulder w. pressure on GH joint

 

looking for relief of pain

13

Yergason’s Test

test stability of long head of biceps tendon

in the bicipital groove

test transverse humeral ligament integrity

 

pt flexes elbow to 90 + pronates forearm

pt actively flexes + supinate arm against physician resistance + external rotation

 

+ test = biceps tendon pops out or pain

 

Pain w.o. subluxation = bicipital tendonitis/tendonosis

14

Speed’s Test

Testing for Bicipital tendonitis

 

pt flexes arm to 90 + supinates

physician applies downward force/resistance

 

+ test = pain in anterior shoulders (site of biceps tendon)

15

O’ BRIEN’S TEST

maximally load and compress the ACJ

 

Flex arm to 90° w. elbow fully extended

Adduct arm 40° medial to sagittal plane

arm maximally internally rotated

 

pt resists physician's downward/medial force

 

16

Roos Test

Shoulder Abduction + External Rotation

Elbows flexed to 90

hands perform repetitive opening/closing for 3 minutes

 

+ test = Paresthesias/Numbness/Tingling

17

Adsons Test

Scalene Entrapment

 

Arm in Slight Extension and Abduction

head turned toward affected side

 

+ test =  weakened radial pulse or paresthesias

 

18

Wrights Test

Pectoralis Minor Entrapment

 

Hyperabduct arm above head

patient turning head away

palpate radial pulse

 

+ test = weakened radial pulse or Paresthesias

   

19

Cubital Tunnel Syndrome

Ulnar Nerve (C8-T1) entrapment at elbow

 

Numbness + Tingling in medial portion of hand

 

caused by repetitive elbow extension/flexion

 

 

20

Tinel’s Test at Elbow

reproduced s/s of numbness/tingling felt in medial hand

 

tap where ulnar nerve runs in cubital tunnel

21

Lateral Epicondylitis

 

tennis elbow

Pain at the lateral epicondyle at point of forearm extensor

 

MOI: extensor carpi radialis brevis

 

caused by repetitive supination motion

 

Pain with Resisted Supination

22

Lateral Epicondylitis

Maudsley's test

pain at lateral epicondyle w. resisted middle finger extension

 

Mills test

pain at lateral epicondyle w. resisted wrist extension

23

Medial Epicondylitis

 

golfers elbow

Pain at the medial epicondyle at point of forearm flexor complex attachment

 

MOI: flexor carpi radialis

 

Pain with resisted pronation

24

Medial Epicondylitis

 

Pain noted with resisted pronation and/or wrist flexion

25

Carpal Tunnel Syndrome (CTS)

Median Nerve (C5-T1) entrapment beneath Flexor Retinaculum

 

Numbness, Weakness, Tingling in Median Nerve distribution of hand

 

caused by repetitive motion of wrist

26

Tinel’s Test for Carpal Tunnel

 

Percuss w/ index/middle finger tips on Flexor Retinaculum

 

+ test = numbness/tingling sensation in Median nerve distribution

 

27

Phalen’s Test

 

Hyperflexion of wrists and hold for 30-60 seconds

 

+ test = reproduced numbness/tingling in Median nerve distribution

28

Reverse Phalen’s Test

 

Hyperextension of wrists and hold for 30-60 seconds

 

 + test = reproduced numbness/tingling in Median nerve distribution

29

Finkelstein’s Test

test for De Quervain’s Tenosynovitis

 

MOI: extensor pollicis brevis and the abductor pollicis longus

 

place thumb inside fist while applying ulnar deviation to the wrist

 

+ test = pain in region of snuff box

30

Allen’s Test

test collateral blood supply to the hand

 

Fist is held for 20-30 seconds

Pressure is applied to Radial/Ulnar arteries

blanching occurs

release pressure from radial or ulnar artery

color should return w.i. 5-7 seconds