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Dermatomes and Myotomes
C1
Upper Cervical Flexion
C2
Upper Cervical Extension
C3
Cervical Lateral Flexion
C4
Shoulder Girdle Elevation
C5
Shoulder Abduction
C6
Elbow Flexion
C7
Elbow Extension
C8
Thumb Extension
T1
Finger Adduction
Dermatomes and Myotomes
L2
Hip Flexion
L3
Knee Extension
L4
Dorsiflexion
L5
Big Toe Extension
S1
Foot Eversion
S2
Plantarflexion
S1&2
Knee Flexion
Reflexes
Biceps Jerk
C5&6
Tricpes Jerk
C7
Brachioradialis
C7
Knee Jerk
L3&4
Ankle Jerk
S1
Babinski: Normal response= toes plantarflex
Abnormal= dorsiflexion of great toe and downward fanning of other toes
Neurodynamic Testing
Passive Neck Flexion: Supine, head flexed. N= pain free full ROM
Straight Leg Raise: (Sciatic Nerve) Hip Add, Medial Rotation, Knee Extension
(Tibial Nerve) + Ankle Dorsiflexion/Eversion
(Common Peroneal) + Ankle Plantarflexion/ Inversion
Prone Knee Bend: Do in side ly and use neck flex/ext to desensitize
Saphenous Nerve Test: In prone. + Abd, lat rot, df and eversion
Slump Test:
Upper Limb Tension Tests: 1- Median (Waiter). 2b- Radial (Baton) 3- Ulnar (Glasses)
C Spine
Trauma
Whiplash
Ligament Sprain
Muscular Strain
Degenerative
Spondylosis: IV disc
Arthrosis: Z Joint
Inflammatory
AS
RA
Headaches
Torticollis
Hypermobility Syndrome
Cervical Rib
Neoplasm
C Spine Special Tests
Spurlings- nerve root compression
Distraction
VBI Test- Rotation L and R to end of ROM. Each +OP for 10s. Always release for 10s
before next. If positive manipulation is contraindicated.
Differentiation- Between Neck and Ear- Hold head still and get patient to turn body
each way. Repeat above. If still positive it is not from the vestibular system.
Palpation of Pulses- Check for compromised blood supply to head.
Thoracic Outlet Syndrome
PAIVMs
NAGs/Reverse NAGs/SNAGs
T Spine
Trauma
Whiplash
Fracture
Ligament Sprain
Muscular Strain
Degenerative
Spondylosis: IV disc
Arthrosis: Z Joint
Inflammatory
AS
Metabolic
Osteoporosis
Synodromes
T4
Thoracic Outlet
Shoulder
Fracture
Bursitis
Dislocation
Muscle Imbalance (winged scap)
Ligament Sprain
Snapping Scapula
Muscle Strain
Thoracic Outlet Syndrome
Calcification of Tendons
Instability
Frozen Shoulder
RC Rupture
OA
RA
Shoulder Special Tests
Joint/ Stability
Crank Test
Anterior Drawer
AC Joint
Apprehension Test
Apleys (AC Pathology)
Fulcrum Test
Rotator Cuff
Jerk Test
Drop Test (Infraspinatus and Supraspinatus)
Sulcus Sign
Hornblower’s Sign (Teres Minor)
Labrum
Lift-Off (Subscapularis)
Biceps Load I&II
Patte’s (Infraspinatus and T Minor)
Anterior Slide
Empty Can (Supraspinatus)
Impingement
Hawkins-Kennedy (Supraspinatus Impingement)
Speeds (Biceps Impingement)
Neer (Both of the above)
Thoracic Outlet Syndrome
Allen Test
Adson’s Manoeuvre
Provocation Elevation
VBI
VBI Test
Elbow Special Tests
Tendinopathy
Lateral Epicondylitis
rd
3 MCP Extension
Medial Epicondylitis
Nerve Tests
Pinch Grip (Median)
Tinel’s Sign (Ulnar)
Ligamentous Stability
Valgus Stress Test
Varus Stress Test
Elbow
Tennis Elbow
Golfer’s Elbow
Collateral Ligament Sprain
Ulnar Nerve Compression
Olecranon Bursitis
Triceps Tendinopathy
Posterior Impingement
Wrist and Hand
OA
RA
DeQuenvains
Carpal Tunnel
Guyuns Canal Syndrome
DupuYtren’s
Raynauds
CRPS
Wrist and Hand Special Tests
Finkelstein Test
Froment’s Sign (Ulnar)
Phalen’s Test
Reverse Phalen’s
Tinel’s Sign
Pelvis Special Tests
Passive Physiological
Accessory Movements
Sitting Flexion
Anterior Gapping
Standing Flexion
Posterior Gapping
Stork Test
Femoral Shear
Prone Trunk Extension
Longitudinal Caudad
Anterior and Posterior Rotation
Hibbs Test
Anteroposterior Translation
Superoinferior Glide
Hip Special Tests
Quadrant Test
Leg Length
Faber’s Test
Ober’s Sign
Piriformis Test
Thomas Test
Trendelenberg Sign
Knee Special Tests
Joint Integrity
Valgus/Varus Stress
Anterior/Post Drawer
Apley’s Test
Brush Test
Apprehension Test
Hughston Plica Test
Lachman’s Test
McMurray