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Flashcards in Special Tests Deck (35):

Upper Quarter Screen

Vertebral artery test
Spurling's test (quadrant test)
Distraction test


Vertebral artery test

Position: pt in supine or sitting.
Test: passively and fully extend and rotate cervical spine to one side.
(+): Pt reports tinnitus, dizziness, nausea, throbbing, confusion, or unusual sensation. Observe for pupillary dilation or constriction
Suggests: vertebral artery is compromised


Spurling's Test

Position: pt in sitting
Test: Pt positioned in cervical extension, rotation, and ipsilateral side bending with overpressure
(+): reproduction of pt's symptoms
Suggests: further examination for cervical radiculopathy, cervical disc prolapse, and neck pain


Distraction Test

Position: Pt lying in supine
Test: Pt's neck flexed and about 14lbs distracted
(+): decrease in pt's symptoms
Suggests: cervical radiculopathy


Lower quarter screen

Standing flexion test
Gillet's test
Long-sitting test
Sitting flexion test
Prone knee bend (femoral nerve stretch)
Slump test
Centralization Phenomenon


Standing flexion test

Position: pt standing or sitting
Test: palpate B PSIS and ask pt to bend forward
(+): PSIS with non symmetrical movement.
Suggests: PSIS that moves cranially first or farthest is consisdered the involved side


Gillet's test

Position: pt standing
Test: Palapate B PSIS. Pt stands on one leg and pulls the other toward the chest.
(+): the dysfunctioning joint will not move while the normal joint will move inferiorly
Suggests: Sacroiliac joint dysfunction


Long sitting test

Position: long sitting
Test: pt's leg lengths observed lying supine, pt's leg lengths observed long sitting.
(+): If the limb is longer than the other in supine but shorter when sitting, there is an anterior innominate rotation is on that side. If the limb is shorter in supine but longer while sitting, then a posterior innominate rotation is on that side.
Suggests: a rotated innominate based on the apparent leg length


Sitting flexion test

Position: pt seated with feet flat on the floor
Test: Palpate PSIS, pt bends forward with arms across chest
(+): blocked joint moves first or farther cranially
Suggests: sacroiliac dysfunction



Position: pt lying supine
Test: Passively raise 1 LE with knee extended
(+): pain extends from back down leg
Suggests: LBP and unilateral dysfunction of the SI joint


Prone knee bend test

Position: pt lying prone
Test: Pt flexes knee while clinical extends the hip
(+): pain to the lateral aspect of the hip into the upper lumbar spine or anterior thigh
Suggests: L1-3 nerve root lesion or femoral nerve neural tension


Slump test

Position: pt seated
Test: pt slumps into lumbar and thoracic flexion. Neck is flexed. One knee is extended. Same side foot is dorsiflexed.
(+): Reproduction of radicular pain
Suggests: lumbar spine disc herniation, neural tension, impaired neurodynamics


Centralization phenomenon

Symptoms centralize during single or repeated motions


Sacroiliac region screen

Distraction test
Thigh thrust
Gaenslen's test
Sacral thrust
Compression test

At least 3/5 (+) findings on these tests is indicative of SI joint pain


Distraction test

Position: pt lying supine
Test: examiner applies cross-arm pressure to both ASIS
(+): symptoms increase or are reproduced
Suggests: SI joint dysfunction


Thigh thrust

Position: pt lying supine hip flexed to 90
Test: examiner applies posteriorly directed force through the femur
(+): symptoms increase or are reproduced
Suggests: SI joint dysfunction


Gaenslen's test

Position: pt lying supine near the edge of the table with one leg hanging over the edge
Test: contralateral leg flexed toward the chest. Examiner applies a firm pressure to both the hanging and flexed leg.
(+): symptoms increase or are reproduced
Suggests: SI joint dysfunction


Sacral thrust

Position: pt lying prone
Test: examiner applies a force vertically downward to the center of the sacrum
(+): symptoms increase or are reproduced
Suggests: SI joint dysfunction


Compression test

Position: pt in sidelying with affected side up
Test: hips are flexed to 45 and knees flexed to 90. Examiner applies force vertically downward on the ASIS
(+): symptoms increase or are reproduced
Suggests: SI joint dysfunction


Shoulder impingement tests

Neer's test
Hawkins-Kennedy test
Painful arc


Rotator cuff tests

Supraspinatus muscle test
Infraspinatus muscle test
Drop arm test
External rotation lag sign
Internal rotation lag sign
Lift off test
Belly press test


Instability tests

Sulcus sign
Anterior apprehension test
Relocation test
Anterior drawer test
Jerk test for posterior instability


AC joint tests

Horizontal adduction test
Resisted horizontal extension test
O'Brien's sign
Paxinos sign
Palpation of AC joint


Labrum tests

Crank test
Biceps load I test
Biceps load II test
Pain provocation test
Compression rotation test
O'Brien's active compression test
Resisted supination external rotation test


Cubital tunnel syndrome tests

Pressure provocative test
Flexion test
Tinel's sign


MCL tear of the elbow tests

Valgus stress test at 30,60,70,90
Moving values stress test


Lateral epicondylitis tests

Tennis elbow test
Mill's test


Ligamentous instability of wrist and hand tests

Thumb ulnar collateral ligament test
Test for tight retinacular ligaments
Lunatetriquetral ballottement test


Muscle length tests for the hip

Ober's test
Thomas test
Ely's test
Piriformis test


Hip Pathology tests

Patrick's (FABER) test
FADIR impingement test
Scour test
Trendelenburg sign


Ligamentous tests of the knee

Lachman's test
Anterior drawer
Pivot-shift test
Valgus stress test
Varus stress test
Posterior drawer test


Meniscus tests

McMurray's test
Apley's test
Thessaly test
Bounce home test
Joint line tenderness


Patellar instability test

Patellar apprehension test


PFPS tests

McConnell test
Passive patellar tilt test
Clarke's sign (patellar compression test)


IT band syndrome test

Noble's compression test