Special Tests Flashcards by Alex Stein

Specific Manual Dexterity tests

Jebson Taylor Hand Function Test
Minnesota Rate of Manipulation Test
Purdue Pegboard Test
Moberg’s Pickup Test
Nine-Hole Peg Test

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Manual Dexterity Tests

Specific (5)

Functional (these will be the most important)

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Jebson Taylor Hand Function Test includes what

Writing
Card turning
Picking up small objects
Stacking checkers
Picking up large, light objects and placing them
Picking up large, heavy objects and placing them

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Minnesota Rate of Manipulation Test includes what

Placing
Turning
Displacing
One hand turning and placing
Two hand turning and placing

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Description of Minnesota Rate of Manipulation Test

Brings in gross motor too because brings in shoulder, elbow, and forearm
Given a board that specific cut outs will fit into
Different tests that can do - unilateral time test, bilateral test…

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Purdue Pegboard Test description

Assembly fine motor dexterity - good for people that need to do repetitive fine motor
Is timed
Different tests can be performed - just place pins in holes, or the assembly one where they put a pin, then washer, then collar and so on

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Mobergs Pickup test - description

Pick up different shaped items

Times test

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Nine-hole peg test

Most common

Take pins from bowl and put them into holes and then take them out

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Sensory - Sensation Testing

Two point discrimination
Light touch
Vibration
Temperature

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Sensory testing can include

Sensation
Proprioception and Kinesthesia
Stereognosis

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Proprioception

Knowing where you are in space

Can place thumb in flexion and ask them to mimic it on other side (eyes closed)

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Kinesthesia

Sense of motion or movement

Move them and then have them describe in what direction you moved them (eyes closed)

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Varus and Valgus Stress Testing - what are they testing

Dorsal collateral ligaments

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Describe varus and valgus stress testing

Can do it at MCP, PIP, DIP
Pos. if excessive asymmetrical mobility
Ulnar gap = valgus
Radial gap = varus

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TFCC load test - test for what

Triquetrum and/or disc integrity

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TFCC load test - description

Active = patient pushes against armrest
Passive = ROM with axial loading
Have them hold hands out as if hand shake with them - palpate the disc, u. styloid, and triquetrum - have them push into your hand and can add the axial rotation

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Thumb UCL Testing - stress placed where

On the UCL of the thumb MCP joint

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Thumb UCL testing - description

Place a radial directed force (valgus) to the MCP

If more than 30 mvmnt = rupture

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Murphy’s Sign - looking for what

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Dislocation of the lunate

Murphy’s Sign - description

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Patient makes a fist

Positive if 3rd MC is level with the 2nd and 4th MC

Watson’s Test - looking at what

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Scaphoid shift

Scapholunate ligament stability

Watson’s Test - Description

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Palpate the scaphoid
Passively move the patients wrist from ulnar deviation and ext into radial deviation and flexion
Positive if painful and scaphoid shifts

Finkelstein’s Test - what is it assessing

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1st extensor compartment tenosynovitis

Finkelstein’s Test - description

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Patient makes fist with thumb enclosed in palm
Patient ulnar deviates thumb
Positive if pain present in snuff box

Trigger Finger Test - testing what

flexor tenosynovitis

Trigger Finger Test - how to

Therapist palpate volar surface of PIP Patient flexes and extends their PIP Positive if snapping occurs

Tap Test - what is it assessing

Possible digital fracture

Tap test - how to

With digit extended, therapist taps on end of the finger | Positive if painful

Tinel's test- for median nerve - where do you do it

Tap over volar aspect of carpal tunnerl | Pos if tingling under point of contact with radiatin

Tinel's test - for ulnar nerve- where do you do it

Tap over Guyon's tunnel (pisiform hook of hamate) | Pos tingling under point of contact with radiation

Phalen's test - for what nerve and how to

Median Patient flexes elbows to 90 and then fully flexes wrists for 60 sec (gets ulnar too though - so to take it out have them extend elbows and do it)

Pinch test - for what nerve and how to

Median Patient attempts a tip to tip pinch between thumb and 2nd digit FDP, FPL Pos if end up in pulp to pulp pinch

Fromet's test - for what nerve and how to

Ulnar A piece of paper held in lateral apprehension grip Therapist tries to pull paper away Pos if paper easily pulled away

Wartenberg's Sign - for what nerve and how to

Ulnar Therapist passively spreads patients fingers apart and patient tries to adduct fingers Pos if patient can't bring 5th finger to midline

Allen's test - what for

Circulation - radial and ulnar arterial supply

Allen's test - what is it

Patient makes a fist and relaxes repetitively and then squeeze hand tightly Therapist compress both radial and ulnar arteries Patient opens hand Therapist releases pressure over one artery and watches for flush in hand and then releases the other artery Pos if delayed flush to portion of hand

Digital blood flow - what is it

Therapist compresses nail bed and then notes time for blood to return to nail (flush) Pos if delayed (avg 3 sec)

Joint accessory mobility testing - Radiocarpal arthrokinematics

Open chain - convex carpals on concave radius | Opposite

Joint accessory mobility testing - Radiocarpal - movement with extension

Roll dorsal Glide palmarly So to inc ext glide palmarly

Joint accessory mobility testing - Radiocarpal - movement with flexion

Roll palmarly Glide dorsal So to inc flex glide dorsally

Joint accessory mobility testing - Radiocarpal - to increase ulnar deviation you can do

a radial glide Ulna rolls, radius glides Stabilize radius and move carpals in radial direction and distally too (rotary component)

Joint accessory mobility testing - radiocarpal - to increase radial deviation you can do

an ulnar glide Radius rolls, ulna glides Stabilize radius and move carpals in ulnar direction and distally too (rotary component)

Joint accessory mobility testing - midcarpal - arthrokinematics

Convex distal row on concave proximal row - Opp | But not that clear in every person so you will want to mobilize volarly and dorsaly

Joint accessory mobility testing - midcarpal - what happens with extension arthrokinematically

Roll - dorsal | Glide - palmar

What percents happen from radiocarpal and midcarpal joints with flex/ext

60% radiocarpal | 30-40% midcarpal

Special Tests Flashcards

(45 cards)