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Tissue Diff Testing Flashcards

1
Q

Roos test

A

thoracic outlet syndrome; pt: arms in 90/90, open/close hands for 3 mins; +: = inability to maintain the test position, weakness of arms, sensory loss of ischemic pain

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2
Q

Adson’s test

A

thoracic outlet; p: arm by side, pt asked to rotate head away from arm; +: absence of radial pulse after 1 min

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3
Q

Allen’s test (shoulder)

A

thoracic outlet; p: positioned with arm in 90deg abduction, ER, elbow flexion & asked to rotate head away from arm; +: diminished radial pulse

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4
Q

apprehension test for anterior disolcation

A

P: supine with arm in 90deg abduction, laterally rotate arm; +: look of apprehension/facial grimace

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5
Q

apprehension for posterior dislocation

A

p: supine with arm 90deg abduction, medially rotate: +: look of apprehension/grimace

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6
Q

Ludington’s test

A

Biceps tendon pathology; p: clasp hands behind back and alternately contract/relax the biceps; +: absence of movement in tendon = rupture

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7
Q

Speed’s test

A

Biceps tendon pathology; p: elbow extended with arm supinated, resist shoulder flexion while palpating bicipital groove; +: pain or tenderness = tendonitis

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8
Q

Yergason’s test

A

Biceps tendon pathology; P: elbow in 90deg flexion with arm pronated, pt actively supinates against resistance wit PT palpating bicipital groove; +: pain or tenderness = tendonitis

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9
Q

What tests are used for biceps pathology

A

Ludington’s (rupture); Speeds, Yergason’s (tendonitis)

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10
Q

Drop arm test

A

RTC; p: arm in 90deg abduction & asked to slowly lower arm to side; +: pt unable to slowly lower or severe pain = tear in the RTC

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11
Q

Hawkin’s Kennedy Impingement

A

RTC pathology; p: PT flexes arm to GH 90 then medially rotates; +: pain = impingement of supraspinatus

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12
Q

Neer impingement test

A

RTC pathology (supraspinatus); p: PT stabilizes posterior scap and elbow and passively moves pt arm through flexion; +: pain/facial grimace = supraspinatus impingement

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13
Q

Supraspinatus test

A

RTC pathologyl p: arm in 90deg abduction and 30deg horizontal adduction with thumb down (empty can), PT resists arm; +: weakness or pain = tear of supraspinatus tendon, impingement, or suprascpular N involvement

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14
Q

what tests are used for RTC pathology

A

Drop arm (tear); hawkin’s kennedy, neer, supraspinatus (impingement of supraspinatus)

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15
Q

costoclavicular syndrome test

A

thoracic outlet; p: assumes military posture, PT monitors pulse; +: absent/diminished radial pulse due to first rib & clavicle compressing the subclavian A.

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16
Q

wright test (hyperabduction test)

A

thoracic outlet; p: PT moves pt arms into abduction; +: dec radial pulse likely due to compression in the costoclavicular space

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17
Q

what tests are used for thoracic outlet? which test is the only one NOT to measure radial pulse?

A

Adson’s, Allen, Costoclavicular, Roos, Wright; Roos does NOT measure radial pulse, only movement

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18
Q

glenoid labrum tear test

A

p: supine, PT passively abductions and laterally rotates arm over head with anterior force to humerus; +: clunk or grinding

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19
Q

ULTT 1 - median N

A

median N, anterior interosseous; 110deg GH abduction, supination, wrist extension, thumb extension

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20
Q

ULTT 2 - median N

A

median N, mulsculocutaneous N, axillary N; supination, wrist ext, thumb extension, shoulder ER

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21
Q

ULTT 3 - radial N

A

radial N, pronation, wrist flexion, finger/thumb flexion, ulnar dev, shoulder IR

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22
Q

ULTT 4 - ulnar N

A

ulnar N; elbow flexion, supination, wrist ext, radial dev, finger ext, shoulder ER

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23
Q

which limb tension tests are basically opposites? AND have you do the opposite motion than you would think?

A

radial & ulnar (radial = ulnar deviate, ulnar = radially deviate)

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24
Q

varus/valgus stress test

A

LCL/MCL respectively; p: 20-30deg flexion

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25
Cozen's test
lateral epicondylitis; p: pt in slight elbow flexion, asked to make fist, pronate, radially deviate, and extend wrist against resistance: +: pain to lateral epicondyle or muscle weakness
26
lateral epicondylitis test
p: extend 3rd digit against resistance; +: pain or weaknesses
27
medial epicondylitis test
p: PT supinates arm, extends wrist and elbow while palpating medial epicondyle; +: pain
28
Mill's test
lateral epicondyle; p: PT pronates arm, flexes wrist, and extends elbow; +: pain in lateral epicondyle
29
what tests are used for lateral epicondylitis? what tests are mirror opposites of each other?
Cozen's, lateral epicondylitis, Mill's test; Mill's and medial epicondylitis are opposites
30
Tinel's sign
ulnar nerve compression; tap between olecranon procress and medial epicondyle; +: tingling
31
ulnar collateral ligament instability test
p: valgus force to MCP of thumb; +: excessive valgus movement = tera of ulnar collateral and accessory collateral lig = gamekeeper/skier's thumb
32
Allen's test (hand)
vascular insufficency of radial or ulnar A; pt open/closes hand with arteries compressed; +: delayed or absent flushing when arteries are released = occlusion
33
bunnel-littler test
intrinsic hand tightness; if PIP doesn't flex with MCP extended = muscle or capsule tightness BUT if it fully flexes with slight MCP flexion = muscle tightness but no capsular tightness
34
tight retinacular ligament test
PT attempts to flex DIP, if it can flex with PIP in flexion = tight retinacular but not tight capsule
35
Froment's sign
ulnar N compromise; p: hold a piece of paper between thumb and index finger; +: distal phalanx flexed (adductor pollicis paralysis); if the MCP extends too = Jeanne's sign
36
Phalen's test
carpal tunnel (median n compression); p: standing with dorsum of wrists compressed and wrist in flexion for 60sec; +: tingling in thumb, index finger, middle finger, and lateral half of ring finger
37
Tinel's sign (wrist)
carpal tunnel (medial N compression); tap over the volar aspect of pt's wrist; +: tingling in median N distruibution - thumb, index finger, middle finger, lat half of ring finger
38
Finkelstein test
thumb tenosynovitis (de Quevain's dx); p: makes fist with thumb tucked in, PT ulnarly deviates wrist; +: pain over abductor pollicis longus and extensor pollicis brevis
39
Grind test
OA of thumb CMC joint; p: PT applies compression and rotation through thumb metacarpal; +: pain
40
Murphy's test
dislocated lunate; p: makes a fist; +: third metacarpal level with the second and first
41
Ely's test
rectus femoris contracture; p: prone, passively knee flexion +: hip flexion occurs too
42
Ober test
TFL contracture; p: sidelying, PT moves leg into hip extension and abduction, then down; +: inability for test leg to adduct and touch table
43
Piriformis test
piriformis tightness or sciatic compression; sidelying with hip flexed to 60deg, PT applied adduction force at knee. +: pain or tightness
44
Thomas test
+; straight leg raise from table = hip flexion contracture
45
Tripod sign
tight hamstrings; pt sitting EOB with knees 90, PT passively extends 1 knee, +: tightness of hamstrings or extension of trunk to limit hamstring
46
90-90 Straight leg raise
hamstring tightness; p: alternately extends ea knee as much as possible with hips in 90deg flexion; +: knee remaining 20deg or more of flexion
47
Craig's Test
femoral anteversion; p: pt prone, medially and laterally rotate hip until greater trochanter is parallel with the table; anteversion should be between 8-15deg
48
Patrick's test (FABER)
iliopsoas, sacroiliac, hip joint abnormalities; pt supine with leg flexed, abducted and laterally rotated; +: failure of leg to abduct below the level of the opposite leg
49
Quadrant scouring test
arthritis, AVN, osteochondral defect; pt in supine, passively adduction and flex hip with compressive force; +: grinding, catching, or crepitation
50
Trendelenburg test
weakness of glut med on weight bearing side; p: asked to stand on one leg for ~10sec, +: drop of pelvis
51
Anterior drawer test
ACL; p: knee flexed to 90deg with hip at 45 deg, P>A force on tibia; +: excessive translation, with diminished or absent end point
52
Lachman test
ACL; p: knee flexed to 20-30deg with P>A force on tibia; +; excessive translation
53
anterior drawer vs lachman, which one has less knee flexion?
lachman's (20-30 vs. 90deg)
54
Lateral pivot shift test
ACL; p: medially rotate tibia with valgus force while knee is slowly flexed; +:shift or clunk indicating anteriolateral rotatory instability - reduction of tibia on femur
55
What tests are used for ACL
lateral pivot shift, anterior drawer, lachman's
56
posterior drawer test
PCL; pt supine with knee flexed to 90deg and hip at 45deg, A>P force on tibia +: excessive posterior translation with diminished or absent end point
57
Posterior sag sign
PCL; p: supine with kne flexed to 90deg and hip flexed to 45deg; +: tibia sagging
58
Slocum test
anteriolateral OR anteriomedial knee instability; p: supine, knee flexed to 90deg and hip at 45deg, pt foot rotated 30deg medially with lower leg stabilized then P>A force on tibia; +: excessive instability on lateral aspect of tibia; OR rotate foot laterally and look for medial translation
59
Valgus/varum stress test
MCL/LCL respectively. performed with knee in 20-30deg flexion. if positive with knee in full extension: MCL, PCL, posterior oblique ligament and posterior medial capsule OR LCL, PCL, arcuate complex and posteriolateral capsule
60
Apley's compression test
meniscus; pt prone with knee flexed to 90deg, compress and medially/laterally rotate tibia; +: clicking or pain
61
Bounce home test
meniscal lesion; pt in supine, maximally flex knee then extend passively; +: incomplete extension or rubbery end feel
62
McMurray test
posterior mensical lesion, clicking or pronounced crepitation
63
Brush test
effusion in the knee - proximally stroke medial surface of patella +: wave of fluid just below the distal border
64
Patellar tap test
effusion; slight tap over the patella; +: if the patella appears to be floating
65
Clarke's sign
patellofemoral dysfunction; slight distal pressure to superior pole of patella then pt contracts quads - +: failure to complete contraction without pain
66
Hughston's plica test
medial plica dysfunction: pt supine, PT flexes knee and medially rotates tibia while attempted to move patella medially to feel medial femoral condyle; +: popping sound over medial plica
67
Noble compression test
ITB friction syndrome; hand over the lateral epicondyle of the femur with pressure over lateral epicondyle, pt extends knee +: pain over lateral femoral epicondyle ~30deg
68
Patellar apprehension test
patellar subluxation or dislocation; lateral directed force to patella; +: look of apprehension or attempt to contract quadriceps
69
Anterior drawer test for ankle
ATLF; tib fib stabilized with ankle in 20deg PF, +: excessive anterior translation of talus
70
Talar tilt
calcaneofibular ligament sprain, tib fib stabilized with pt in sidelying, tilts talus into abduction and adduction +: excessive tranlation
71
Thompson test
Achilles tendon rupture; pt prone, squeeze muscle belly of gastroc/soleus +: absence of PF
72
Tibial torsion test
excessive tibial rotation; pt sitting EOB, PT thumbs on B malleoli, measure the acute angle formed by axes of knee and ankle; normal = 12-18deg in adults
73
True leg length discrepancy
greater than 1cm; lying supine with legs 15-20cm apart; measure from ASIS to distal point of medial malleoli
74
Foraminal compression test
nerve root compression in C spine; p: in sitting with head laterally flexed, inferior force through top of head; +: pain radiating into arm toward flexed side
75
Vertebral artery test
compression of vertebral artery; pt in supine, C spine extension, lateral flexion, rotation to ipsilateral side; +: dizziness, nystagmus, slurred speech, loss of consciousness
76
Sacroiliac joint stress test
SIJ dysfunction; supine, downward and lateral force to pt ASIS; +: unilateral pain in SIJ or gluteal area
77
Sitting (or standing) flexion test
articular SIJ dysfunction; pt sitting wtih knees 90, pt bends forward with thumbs of inferior margin of PSIS; +: PSIS moves farther in cranial direction than the other; for standing pt stands with feet 12in apart

Neuro (17 decks)

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