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Clinical Practice Semester 1 2018 > Tests > Flashcards

Tests Flashcards

Know which tests test what (78 cards)

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1
Q

Knee flexion supine angle

A

140-150 degrees

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2
Q

Knee flexion prone angle

A

135 degrees (rectus femoris limiting)

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3
Q

Knee extension angle

A

prone; minus 2 degrees, plus or minus 3 degrees

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4
Q

Medial/lateral knee rotation

A

legs off bed; stabilise femur and externally/internally rotate tibia

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5
Q

Testing knee extension

A

legs off bed; resist them extending; ask to “kick leg out”

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6
Q

Testing knee flexion

A

prone; stabilise femur; ask pt to flex whilst providing extension force on achilles

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7
Q

Testing knee flexion without gravity

A

Pt on side; hold upper leg abducted; stabilise femur; ask pt to flex lower leg

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8
Q

Patellar mobility test

A

Testing: passive glide of patella ROM
Detects: tightness of vastus lateralis and medialis
Performed: supine; knees 20-30 degrees flexed; quads relaxed (pillow under knees if necessary); move patella up down left right

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9
Q

Clark’s sign

A

push down and inferior on patella; ask pt to contract quads

positive: pain with movement of patella or inability to complete test

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10
Q

Patellar tracking test

A

legs off bed; actively extend knee from 90 degrees
normal = straight movement with slight lateral shift near full extension
abnormal = sudden lateral movement at full extendion; inverted J shape path

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11
Q

Apprehension test

A

determine previous history of lateral dislocation/subluxation
gently push patella laterally
positive: pt feels like patella will laterally dislocate

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12
Q

Anterior drawer test (knee)

A

testing: ACL integrity
injury: blow to hyperextended knee or twisting, non-contact injury
pt supine; hip and knee flexed; feet flat (sit on pt foot); anterior force to tibia
positive = soft end feel/excessive anterior movement of tibia

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13
Q

Slocum test

A

knee anterior drawer test

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14
Q

Lachman test

A

anterior drawer test with knee in 15 degrees flexion and external hip rotation (foot planted)

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15
Q

posterior drawer test

A

anterior drawer test but push instead of pull

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16
Q

Valgus (abduction) stress test

A

pt supine; knee slightly flexed
push knee in, pull ankle out
medial opening of joint = medial instability of ligament
pain = acute injury

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17
Q

varus (adduction) stress test

A

pt supine; knee slightly flexed
pull knee out, push ankle out
lateral opening of joint = lateral instability of ligament
uncommon injury (mostly sport related)

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18
Q

McMurry’s test

A

knee meniscal tears

1) leg externally rotated, varus (outward) stress to test MEDIAL MENISCUS
2) leg internally rotated, valgus (inward) stress to test LATERAL MENISCUS

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19
Q

Knee extension lag

A

also called quadriceps lag
often of functional relevance in knee rehab
inability to actively move joint to its passive limit
pt supine; knees hanging off bed; flex one knee up and leg other leg hang; passively extend extended knee, then ask pt to do it actively
if can’t complete, is positive

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20
Q

femoral pulse location

A

midway between pubic tubercles and anterior superior iliac spine

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21
Q

Anterior internal rotators

A

Iliopsoas

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22
Q

Posterior internal rotators

A

g. medius
g. minimus
adductors

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23
Q

Anterior external rotators

A

sartorius

deep anterior fibres

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24
Q

posterior external rotators

A

g. maximus
piriformis
deep posterior fibres

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25
<45 degrees motion internal rotation with hip extended
Tight anterior external rotators - sartorius and deep anterior fibres
26
<45 degrees motion internal rotation with hip flexed
Tight posterior external rotators - g. maximus, piriformis and deep posterior fibres
27
<45 degrees motion external rotatation with hip extended
Tight anterior internal rotators - iliopsoas
28
<45 degrees motion external rotation with hip flexed
Tight posterior internal rotators - g. medius, g. minimus, adductors
29
Thomas test
Testing: hip flexion contracture and psoas syndrome
30
Hip flexion contracture associated with what kind of people?
runners, dancers and gymnasts
31
Thomas test - knee higher than hip
tight psoas
32
Thomas test - hip abducts
tight tensor fasciae latae
33
Thomas test - knee extension
tight rectus femoris
34
Thomas test - lateral rotation of tibia
tight biceps femoris
35
FABER test also called
Patrick test
36
FABER test
test: pathology of hip joint or sacroiliac joint | pt supine
37
FABER test - posterior pain
sacroiliac joint dysfunction
38
FABER test - ipsilateral anterior hip pain
early sign of osteoarthritis in hip joint
39
Piriformis syndrome
irritation of sciatic nerve by compression of nerve within buttock by piriformis muscle
40
Piriformis syndrome pain increased by
contraction of piriformis muscle; prolonged sitting; direct pressure to muscle
41
Piriformis syndrome causes
difficulty walking | one cause of sciatica
42
Percentage of people with sciatic nerve through piriformis
15%
43
Piriformis test also called
FAIR test
44
FAIR test also called
piriformis test
45
FAIR test
Hip passively flexed to 60 degrees Knee passively flexed to angle of 60-90 degrees stabilising hip, internally rotate and adduct hip apply downward pressure to knee positive: reproduce pain
46
Signs of piriformis tightness
relaxed supine; ipsilateral external rotation is positive sign prone, knees flexed; one leg unable to fall as far towards ground is positive sign
47
Obers test
``` test for tight ITB Pt on side abduct and flex leg 90 degrees attempt to adduct upper leg positive: leg remains abducted (won't drop) --> ITB contracture ```
48
Nobles compression test
pt supine knee flexed 90 degrees apply pressure over lateral femoral epicondyle while passively extending knee positive: pain at 30 degrees flexion indicates: ITB irritation or inflammation
49
Ely test
tight rectus femoris flex knee and try to touch butt positive: heel does not touch butt if rectus tight, will cause hip to passively flex (buttock rises)
50
LLD
ASIS to medial malleolus umbilicus to medial malleolus frontal plane: tibia longer sagittal plane: femur longer
51
Percussion test
pt supine strike heel positive: reproduce pt worst pain
52
Homan's test
detect DVT forceful abrupt ankle dorsiflexion with knee extended positive: pain in calf
53
Peroneal subluxation test
detect subluxation/dislocation of peroneus brevis and longus behind lateral malleolus pt actively dorsiflex and evert; feel for subluxation
54
Squeeze test also called
Thompson test
55
Simmond's test also called
Thompson test
56
Thompson test
detect complete rupture of achilles tendon pt prone; squeeze calf where girth widest positive: foot doesn't plantarflex (complete rupture)
57
Anterior drawer test (ankle)
detect ATFL integrity pt supine with knee flexed and foot resting off couch stabilise lower leg and pull heel/talus anteriorly positive: increased posterior movement of lateral malleolus --> laxity or rupture
58
dimple sign/suction sign produced with which test
anterior drawer test (ankle)
59
Talar tilt test
test integrity ATFL, CFL, inferior syndesmosis long sitting; rt hand, left calcaneus other hand dorsum of foot foot dorsiflexed and inverted positive: CFL/ATFL - increased excursion of talus (combined rupture) Syndesmosis - reproduction of high ankle sprain; increased talus excursion, apprehension, painful clunk
60
External rotation stress test
assess integrity of inferior tibiofibular syndesmosis forearm on medial arch, foot plantargrade, stabilise femur, externally rotate positive: high ankle sprain
61
Calcaneofibular ligament stress test
``` test CFL ligament long sitting; rt foot, left hand other hand on dorsum of foot foot plantagrade invert calcaneum positive: pain over lateral ankle/limited range of motion ```
62
medial collateral ligament stress test
``` stress deltoid ligament long sitting right hand, left ankle other hand on medial dorsum of foot valgus calcaneum then gradual eversion and dorsiflexion ```
63
Calcaneocuboid ligament stress test
``` Stress calcaneocuboid ligament long sitting right hand/right ankle calcaneus fixed neutral other hand combines adduction and inversion to forefoot ```
64
ATFL stress test
``` long sitting cup ankle (right hand, right ankle) other hand dorsum move calcaneum plantarflexed and inverted ```
65
varus/valgus stress test MTP
long sitting stabilise proximal bone left to right movement positive: increased pain/laxity (collateral ligament sprain)
66
Intermetatarsal glide test
``` long sitting grasp 2 met heads opposite directions pain or increased glide deep transverse metatarsal ligament/interosseous ligament trauma ```
67
tinel's sign
``` supine hip externally rotated and foot everted tap tarsal tunnel radiating pain in foot and toes tarsal tunnel syndrome ```
68
metatarsal squeeze test
detect morton's neuroma or intermetatarsal plantar digital nerve long sitting squeeze mets together and palpate with other hand pain or mulder's click
69
Squat
torso vertical femur horizontal knees aligned over feet (2nd ray); not valgus toes forward
70
Single leg squat
be straight up
71
hop test also called
single leg squat
72
lunge - hip flexion can't descend far enough for trailing knee to be near floor
Front leg: tight adductor magnus | Back leg: weak adductor magnus, weak gluteus maximus
73
lunge - ankle dorsiflexion front heel raises
soleus inflexibility front leg
74
lunge- hip extension - hip of trailing leg not completely extended at lowest point
rectus femoris inflexibility | dynamic instability of hip/knee/ankle?
75
lunge - hip abductors sudden drop of hip of step leg while stepping (on one leg before planting heel)
weak hip abductors: g. med g. min
76
Romberg's test
pt stands with eyes closed and tries to balance
77
trendelenburg
stand on one leg - if nwb drops is positive for weak hip abductors on stance side (glutes)
78
ankle ROM functional test
lunge test

Clinical Practice Semester 1 2018 (2 decks)

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