Download Spurlingʼs Test Reproduction of shoulder/ arm pain is a positive

Spurlingʼs Test
Reproduction of shoulder/ arm pain is a positive test and
indicates and CERVICAL NERVE ROOT DISORDER
If the scapular stabilizers are not equal this may affect shoulder
function and cause pain
Apleyʼs Scratch Test
Used to evaluate the ROM of the shoulder
Left picture test abduction and external rotation
right picture test adduction and internal rotation
**note not always symmetrical and dominate hand will usually
have less ROM
GH Instability Test
(anterior apprehension test)
Anterior pressure to the humerus and EXTERNALLY rotatees
arm
Positive for ANTERIOR INSTABILITY if patient has pain
**most shoulder instability will be anterior
to relocate push anterior to posterior
GH instability test
(posterior apprehension)
opposite
apply a posterior force to anterior shoulder
pain= positive for POSTERIOR INSTABILITY
to relocate push posterior to anterior
Neurologic Evaluation
axillary nerve can be damaged with anterior dislocations
testing for intact sensation of LATERAL DELTOID
Phalenʼs Maneuver
Used to test for CARPEL TUNNEL
A positive test results in numbness in the median nerve
must hold this pose for 60 seconds for it to be accurate
Tinelʼs Sign
used to test for CARPEL TUNNEL
Positive would be tingling or “pins and needles” in the nerve
distribution
Patrickʼs Test
Used to evaluate hip motion
FABERE
(flexion, abduction, external rotation, extension)
Thomas Test
assessing tightness of ILIOPSOAS muscle (strongest flexer of
the thigh)
Positive test is elevation of opposite leg that is being bent.
testing for tightness on the side with STRAIGHT leg
Oberʼs Test
Testing for tight IT (Iliotibular band)
If leg does not return back to midline that is a positive test
Straight Leg Raise Test
Assesses sciatic nerve compression
positive test is paint down the entire leg (indicative of nerve root
damage)
Lasegueʼs Test
This can tell if the pain is sciatic or hamstring
it takes the tension off the hamstring
again positive is radiating pain
Braggardʼs Test
similar to Lasgues as you are making sure the pain is from sciatic
nerve compression and not hamstring tightness
Trendelenburg Test
Assesses the GLUTEUS MEDIUS muscle
Normal: this muscle should contract to keep the PELVIS LEVEL
If weak, it alignment will not be level upon leg raise
McMurray Test
Assessing for medial and lateral meiscal tears
POSITIVE IS PALPABLE OR AUDIBLE CLICK
Valugus Stress
to check MCL
(pulling out distally pushing in from lateral side)
Varus Stress
right part of above picture
Apleyʼs compression and
Distraction Test
To check LCL
(pushing distal leg medially while pushing knee outward: creating
air in the thighs by bringing lower leg in
Compression is an assessment of torn meniscus
Distraction assessment of meniscal vs ligamentous
if distraction is positvie then its a ligament
Anterior Drawer Test
both of these assess the integrity of the ACL
Lachmanʼs Test
Posterior Drawer test
Assess the integrity of the PCL
Patellar Grind test
Assessment of posterior patellar articulatory surface
Grinding or pain = positive test
Patellofemoral Syndrome:
imbalance bt vastus medials and vastus lateralis
Bounce Home test
Assessment of full knew extension
could indicate: torn meniscus, loose body, or joint swelling
Positive it it gets “caught” during extension
Ankle Draw Test
assessment of anterior and posterior TALOFIBULAR
LIGAMENTS
Tibiotalor Motion test
patient in supine
Dorsiflex each foot and compare
Swing Test
For talar dysfunction
can detect lose of motion
Anterior dysfunction: foot will appear PLANTER FLEXED
foot parallel to ground, knee flexed
Thompson Test
Test achilles tendon
squeeze of the calf planter flexes the foot if achilles tendon is
intact
do against gravity to increase sensitivity