PRELIMS Special test

Question 1

Special Test for cervical muscle (deep neck flexors) strength:

Answer 1

1. Craniocervical flexion test
2. Deep neck flexor endurance test

Question 2

Special Test For cervical spine mobility:

Answer 2

1. Cervical flexion rotation test

Question 2

Special Test for neurologic symptoms (cervical)

Answer 2

1. Brachial plexus tension / compression test
2. Brachial plexus provocation test
3. Distraction test (if symptoms are severe)
4. Doorbell sign
5. Foraminal compression (Spurling) test (three stages) (if symptoms are absent or mild)
6. Jackson Compression Test
7. Shoulder Abduction (Relief) Test
8. Upper limb neurodynamic (tension) tests (specific to particular nerve/nerve root symptoms)

Question 2

Special Test for myelopathy:

Answer 2

1. Romberg test

Question 2

Special Test for cervical instability:

Answer 2

1. Lateral shear test
2. Posterior atlanto-occipital membrane test
3. Sharp-Purser Test
4. Transverse ligament stress test

Question 2

Special Test for first rib mobility:

Answer 2

1. First rib mobility

Question 2

Special Test for vascular signs:

Answer 2

1. Hold planned mobilization/manipulation position for at least 30 seconds watching for vertebral-basilar artery signs

Question 3

Special Test for anterior shoulder (glenohumeral) instability:

Answer 3

1. Apprehension (crank) release (“surprise”) test and Jobe relocation tests and modifications
2. Load and shift test

Question 3

Special Test for posterior shoulder (glenohumeral) instability:

Answer 3

1. Jerk (Jahnke) test
2. Norwood test

Question 4

Special Test for inferior and multidirectional shoulder (glenohumeral) instability:

Answer 4

5. Sulcus sign
6. Feagin test (abduction inferior stability test)

Question 4

Special Test for anterior impingement:

Answer 4

7. Hawkins-Kennedy
8. Neer test and modification
9. Yokum test

Question 4

Special Test for scapular dyskinesia:

Answer 4

13. Scapular dyskinesia test
14. Scapular load test

Question 5

Special Test for posterior impingement:

Answer 5

10. Posterior internal impingement test

Question 5

Special Test for labral lesions:

Answer 5

11. Active compression test of O’Brien
12. Kim test I (biceps load test II)

Question 5

Special Test for ligament and capsule pathology:

Answer 5

17. Crank test

Question 6

Special Test for acromioclavicular joint pathology

Answer 6

15. Horizontal adduction (cross-body adduction) test
16. Paxinos sign

Question 7

Special Test for Biceps tendon

Answer 7

Speed’s test
Yergason’s test

Question 7

Special Test for Infraspinatus

Answer 7

Infraspinatus test

Question 7

Special Test for Supra spinatus

Answer 7

21. Lateral Jobe test
22. Whipple test
23. Champagne toast position
24. “Empty can” test (Jobe or supraspinatus test)
25. External rotation lag sign (ERLS)

Question 7

Special Test for Subscapula

Answer 7

26. Lift-off sign (Gerber’s test)

Question 7

Special Test for Teres minor

Answer 7

28. Hornblower’s sign (Patte’s test)

Question 8

Special Test for Trapezius

Answer 8

Trapezius test

Question 9

Special Test for Thoracic outlet syndrome

Answer 9

Roos test

Question 9

What could be the possible rule in rule out test?
Cervical Radiculopathy

Answer 9

IN
Spurling Compression Test
Jackson Compression Test

OUT
Distraction Test
Bakody’s Sign

Question 10

Special Test for Serratus anterior

Answer 10

Punch out test

Question 11

ST for post. axillary nerve

Answer 11

20. Deltoid extension lag (swallow-tail) sign

Question 11

What could be the possible rule in rule out test? Cervical Myelopathy (upper motor lesions) : Problem w the spinal cord itself, possible presentation to pt. Weakness of hands, balance problems - gripping, standing straight

Answer 11

IN Romberg Test OUT compression? Neuro

Question 11

What could be the possible rule in rule out test? Cervical Herniation

Answer 11

IN Spurling test OUT Brachial Compression test

Question 12

What could be the possible rule in rule out test? Winging

Answer 12

IN Scapular dyskinesia Scapular Load OUT O’Brien Kim Test I

Question 13

What could be the possible rule in rule out test? Atraumatic (Multidirectional)

Answer 13

IN Feagin test Sulcus OUT Apprehension Test

Question 14

What could be the possible rule in rule out test? Traumatic (Anterior instability)

Answer 14

IN Load and Shift OUT Yergasons

Question 15

What could be the possible rule in rule out test? Traumatic (posterior)

Answer 15

IN Jerk test Norwood OUT Sulcus Feagin

Question 15

What could be the possible rule in rule out test? Whiplash injury

Answer 15

IN Brachial plexus provocation OUT Roos Adson Distraction

Question 15

What could be the possible rule in rule out test?

Question 16

Radiating pain in Arm

Answer 16

IN Jackson OUT shoulder abd

Question 16

Subscapularis lesion

Answer 16

IN Lift-off sign OUT?