ORTHO TESTING Flashcards

(59 cards)

1
Q

Sperlings

A

Testing for cervical radiculopathy (nerve root compression), local sprains/strains, facet irritation, cervical subluxation

Positive if shooting pain down arm

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2
Q

Jacksons

A

Testing for nerve root compression

Positive if shooting pain down the arm

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3
Q

Kemps

A

Testing for acute inflammatory lesion, local sprain/strain, facet irritation, spinal fracture & nerve root irrititation.

Positive for nerve root compression if radicular pain in leg & positive for sprain/strain/facet irritation/spinal fracture if localised pain

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4
Q

Slump test

A

Testing for nerve root compression

Positive if pain shooting down leg

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5
Q

SLR

A

Testing for sciatic nerve compression, disc herniation, SI joint sprain/strain, strains or sprains

Positive if radicular pain radiating down leg with 30’-70’ of flexion for disc herniation and so sciatic nerve compression
Positive if localised pain with >70’ of flexion for SI joint or lumbar sprain/strain, tight hamstrings/gluts

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6
Q

active SLR

A

Positive if symptoms go away when compressing

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7
Q

Femoral nerve traction

A

Testing for femoral nerve compression

Positive if pain radiates down anterior thigh of bent leg by practitioner

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8
Q

Gillets test

A

Testing for ipsilateral SIJ disfunction

Positive if SIJ blocked or hypomobile (PSIS doesn’t drop or move minimally) or local pain

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9
Q

Flamingo

A

Testing for ipsilateral SIJ disfunction

Positive if pain in pubic symphysis or SIJ

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10
Q

Thigh thrust

A

Testing for SIJ pathology

Positive if pain on SI joint when pushing

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11
Q

Distraction SIJ

A

Testing for sprain of anterior SI ligaments

Positive if unilateral gluteal or posterior leg pain

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12
Q

Compression SIJ

A

Testing for sprain of posterior SI ligaments and/or lesion of SI

Positive if increased feeling of pressure on SI joint

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13
Q

Sacral thrust

A

Testing for SI joint problems

Positive if pain is produced over SI joint

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14
Q

Gaenslens

A

Testing for ipsilateral SI joint lesion, hip pathology or an L4 nerve root lesion

Positive if pain on SI joint

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15
Q

Scour test

A

Testing for hip joint pathology, OA, capsulitis, acetabular impingment syndrome

Positive if pain or crepitus on hip

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16
Q

FADIR

A

Testing for anterior superior impingement syndrome, anterior labral tear and iliopsoas tendinitis

Positive if pain on hip or reproduction of symptoms

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17
Q

FABERE

A

Testing for hip joint pathology, OA, capsulitis, strain/sprain, tight hip adductors

Positive if hip pain or inability to perform test

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18
Q

Thomas test

A

Testing for hip contracture

Positive if elevation of straight leg

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19
Q

Obers

A

Testing for tensor fasciae latae contracture

Positive if extended leg cannot lower

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20
Q

Trendelenberg sign/test

A

Testing for weak abductor muscles (gluteus medius)

Positive if the iliac crest on the side with the flexed hip drops lower than the iliac crest

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21
Q

Posterior labral tear

A

Testing for posterior labral tear, anterior hip instability or posterior-inferior impingement

Positive if groin pain with or without clicking

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22
Q

Bulge/sweep test

A

Testing for internal derangement, ligament sprain/rupture or vascular damage

Positive if wave of fluid floating down medial distal knee

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23
Q

Ballottement’s

A

Testing for intra-articular swelling of knee

Positive if when pressing patella there is rapid recoil movement, floating-patella(seems like floating around when pressed) or spongy feel

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24
Q

Clarke’s

A

Testing for chondromalacia patella or degeneration of patellofemoral joint

Positive if retropatella pain

25
Thessaly's
Testing for meniscus tear Positive if patient experiences medial or lateral joint line discomfort
26
McMurrays
Testing for posterior medial or lateral meniscal lesion (anterior half not as easy to test as pressure on meniscus is not as high) Positive if pain or crepitus (clicking or locking)
27
Ege's
Testing for medial & lateral meniscal lesions Positive if pain or crepitus during motion
28
Apleys compression
Testing for meniscal lesions Positive if pain or decreased rotation (in comparison to normal side) while compresing & rotating
29
Apleys distraction
Testing for ligament sprain (MCL/LCL) Positive if pain on distraction & rotation or shows increased rotation relative to normal side
30
Lachman
Testing for ACL/PCL lesion Positive if pain or excessive motion (pain with normal motion suggests sprain & pain with excesive motion suggests rupture)
31
Simmonds-Thompson
Testing for achilles tendon rupture Positive if no plantar flexion of foot when squezzing calves
32
Talar tilt
Testing for medial (deltoid)/lateral (ATFL/PTFL/CFL) ligaments of ankle Positive if pain on lateral side during inversion & pain on medial side during eversion
33
Anterior drawer test
Testing for ATFL tear or rupture Positive if pain or excessive motion (pain with normal motion suggests sprain & pain with excesive motion suggests rupture)
34
Posterior drawer test
Testing for PTFL tear or rupture Positive if pain or excessive motion (pain with normal motion suggests sprain & pain with excesive motion suggests rupture)
35
Tinel's sign
Testing for tarsal tunnel syndrome Positive if tingling or paraesthesia on distal foot
36
Morton's neuroma
Testing for Morton's Neuroma Positive if pain on metatarsal region
37
Plantar fascitis
Testing for plantar fasciitis Positive if pain on plantar surface of foot
38
Speeds
Testing for bicipital Tendinitis, Impingement Syndrome, or labral Lesion or bursitis Positive if pain on bicipital grove
39
Yergasons
Testing for biceps tendinopathy or transverse humeral ligament pathology (tendon slipping out groove) if pain in bicipital grove or glenoid labrum pathology if pain in shoulder Positive if pain in bicipital grove or in shoulde
40
Hawkins kennedy
Testing for supraspinatus impingement Positive if increased local pain in GH
41
Neers test
Testing for supraspinatus impingement or subacromial bursitis with internal rotation of shoulder or for bicipes long head impingement with external rotation of shoulder Positive if local pain
42
Empty can test
Testing for supraspinatus muscle injury Positive if pain or weakness
43
O'Briens
Testing for Labral /SLAP lesion, A/C pathology with internal rotation & biceps long head tendinopathy with external rotation Positive if pain
44
Cranks
Testing for glenoid labral lesions Positive if shoulder pain or crepitus
45
Clunk
Testing for glenoid labral lesion Positive if pain or clunk or grinding sound
46
Kim
Testing for posteroinferior labral lesion Positive if posterior shoulder pain and click
47
Painful arc
Testing for subacromial impingement Positive if pain between 60-120o (if pain above 170o shows AC joint pathology
48
Appleys scratch
Testing for frozen shoulder & mobility Positive if pain or incapability to perform test
49
Cozens
Testing for lateral epicondylitis Positive if local pain or weakness
50
Reverse cozens
Testing for medial epicondylitis Positive if local pain or weakness
51
Mills
Testing for lateral epicondylitis Positive if local pain or weaknes
52
Reverse mills
Testing for medial epicondylitis Positive if local pain or weaknes
53
Varus / Valgus Stress Test
Testing for medial and lateral colateral ligaments of elbow Positive if pain
54
Tinels sign on wrist and elbow
Testing for median & ulnar nerve compression Positive if tingling across dermatome
55
Finklesteins Test
Testing for De Quervain's Tenosynovitis Positive if pain on lateral wrist (near thumb)
56
Phalens
Testing for carpal tunnel syndrome Positive if pain or numbness or tingling with 2 minutes
57
Reverse phalens
Testing for carpal tunnel syndrome Positive if pain or numbness or tingling with 2 minutes
58
Ulnomeniscotriquetral Dorsal Glide
Testing for TFCC sprain or rupture Positive if pain or laxity
59
Allens
Testing for artery stenosis or occlusion Positive if skin remains pale for longer than 5 seconds