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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