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Neuro > Tissue Diff Testing > Flashcards

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
Q

Cozen’s test

A

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

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26
Q

lateral epicondylitis test

A

p: extend 3rd digit against resistance; +: pain or weaknesses

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27
Q

medial epicondylitis test

A

p: PT supinates arm, extends wrist and elbow while palpating medial epicondyle; +: pain

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28
Q

Mill’s test

A

lateral epicondyle; p: PT pronates arm, flexes wrist, and extends elbow; +: pain in lateral epicondyle

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29
Q

what tests are used for lateral epicondylitis? what tests are mirror opposites of each other?

A

Cozen’s, lateral epicondylitis, Mill’s test; Mill’s and medial epicondylitis are opposites

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30
Q

Tinel’s sign

A

ulnar nerve compression; tap between olecranon procress and medial epicondyle; +: tingling

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31
Q

ulnar collateral ligament instability test

A

p: valgus force to MCP of thumb; +: excessive valgus movement = tera of ulnar collateral and accessory collateral lig = gamekeeper/skier’s thumb

32
Q

Allen’s test (hand)

A

vascular insufficency of radial or ulnar A; pt open/closes hand with arteries compressed; +: delayed or absent flushing when arteries are released = occlusion

33
Q

bunnel-littler test

A

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
Q

tight retinacular ligament test

A

PT attempts to flex DIP, if it can flex with PIP in flexion = tight retinacular but not tight capsule

35
Q

Froment’s sign

A

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
Q

Phalen’s test

A

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
Q

Tinel’s sign (wrist)

A

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
Q

Finkelstein test

A

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
Q

Grind test

A

OA of thumb CMC joint; p: PT applies compression and rotation through thumb metacarpal; +: pain

40
Q

Murphy’s test

A

dislocated lunate; p: makes a fist; +: third metacarpal level with the second and first

41
Q

Ely’s test

A

rectus femoris contracture; p: prone, passively knee flexion +: hip flexion occurs too

42
Q

Ober test

A

TFL contracture; p: sidelying, PT moves leg into hip extension and abduction, then down; +: inability for test leg to adduct and touch table

43
Q

Piriformis test

A

piriformis tightness or sciatic compression; sidelying with hip flexed to 60deg, PT applied adduction force at knee. +: pain or tightness

44
Q

Thomas test

A

+; straight leg raise from table = hip flexion contracture

45
Q

Tripod sign

A

tight hamstrings; pt sitting EOB with knees 90, PT passively extends 1 knee, +: tightness of hamstrings or extension of trunk to limit hamstring

46
Q

90-90 Straight leg raise

A

hamstring tightness; p: alternately extends ea knee as much as possible with hips in 90deg flexion; +: knee remaining 20deg or more of flexion

47
Q

Craig’s Test

A

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
Q

Patrick’s test (FABER)

A

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
Q

Quadrant scouring test

A

arthritis, AVN, osteochondral defect; pt in supine, passively adduction and flex hip with compressive force; +: grinding, catching, or crepitation

50
Q

Trendelenburg test

A

weakness of glut med on weight bearing side; p: asked to stand on one leg for ~10sec, +: drop of pelvis

51
Q

Anterior drawer test

A

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
Q

Lachman test

A

ACL; p: knee flexed to 20-30deg with P>A force on tibia; +; excessive translation

53
Q

anterior drawer vs lachman, which one has less knee flexion?

A

lachman’s (20-30 vs. 90deg)

54
Q

Lateral pivot shift test

A

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
Q

What tests are used for ACL

A

lateral pivot shift, anterior drawer, lachman’s

56
Q

posterior drawer test

A

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
Q

Posterior sag sign

A

PCL; p: supine with kne flexed to 90deg and hip flexed to 45deg; +: tibia sagging

58
Q

Slocum test

A

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
Q

Valgus/varum stress test

A

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
Q

Apley’s compression test

A

meniscus; pt prone with knee flexed to 90deg, compress and medially/laterally rotate tibia; +: clicking or pain

61
Q

Bounce home test

A

meniscal lesion; pt in supine, maximally flex knee then extend passively; +: incomplete extension or rubbery end feel

62
Q

McMurray test

A

posterior mensical lesion, clicking or pronounced crepitation

63
Q

Brush test

A

effusion in the knee - proximally stroke medial surface of patella +: wave of fluid just below the distal border

64
Q

Patellar tap test

A

effusion; slight tap over the patella; +: if the patella appears to be floating

65
Q

Clarke’s sign

A

patellofemoral dysfunction; slight distal pressure to superior pole of patella then pt contracts quads - +: failure to complete contraction without pain

66
Q

Hughston’s plica test

A

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
Q

Noble compression test

A

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
Q

Patellar apprehension test

A

patellar subluxation or dislocation; lateral directed force to patella; +: look of apprehension or attempt to contract quadriceps

69
Q

Anterior drawer test for ankle

A

ATLF; tib fib stabilized with ankle in 20deg PF, +: excessive anterior translation of talus

70
Q

Talar tilt

A

calcaneofibular ligament sprain, tib fib stabilized with pt in sidelying, tilts talus into abduction and adduction +: excessive tranlation

71
Q

Thompson test

A

Achilles tendon rupture; pt prone, squeeze muscle belly of gastroc/soleus +: absence of PF

72
Q

Tibial torsion test

A

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
Q

True leg length discrepancy

A

greater than 1cm; lying supine with legs 15-20cm apart; measure from ASIS to distal point of medial malleoli

74
Q

Foraminal compression test

A

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
Q

Vertebral artery test

A

compression of vertebral artery; pt in supine, C spine extension, lateral flexion, rotation to ipsilateral side; +: dizziness, nystagmus, slurred speech, loss of consciousness

76
Q

Sacroiliac joint stress test

A

SIJ dysfunction; supine, downward and lateral force to pt ASIS; +: unilateral pain in SIJ or gluteal area

77
Q

Sitting (or standing) flexion test

A

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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