Shared Flashcard Set

Details

Lower Extremity Special Tests
Special Tests Athletic Training
65
Health Care
Undergraduate 2
05/02/2012

Additional Health Care Flashcards

 


 

Cards

Term
Valsalva's Maneuver
Definition

Positive Finding:
herniated disk

tumor

osteophyte

space-occupying lesion

Term
Hoover Test
Definition

Positive Finding:

Inability to life leg may reflect neuromuscular weakness

Term
Kernig/Brudzinski Signs
Definition

Positive Finding:
Increased pain with neck & hip flexion.

Pain is relieved when knee is flexed.

Pain indicative of meningeal irritation, nerve root impingement, dural irritation

Term
90-90 Straight Leg Raise
Definition

Positive Finding:

Knee flexed >20 degrees - tight hamstrings

Term
Bowstring Test (Cram Test)
Definition

Positive Finding:

Painful radicular reproduction following popliteal compression - tension on sciatic nerve

Term
Sitting Root Test
Definition

Positive Finding:

Subject arches backward and/or complains of pain in buttocks, post. thigh, and calf during knee extension - sciatic nerve pain

Term
Unilateral SLR Test
Definition

Positive Finding:
Leg and/or low back pain with dorsiflexion and/or kneck flexion - dural involvement.

Lack of pain with dorsiflexion and/or neck flexion - tight hamstring, lumbar spine or SI joint involvement.

Pain at hip flexion >70 degrees - lumbar spine or SI joint involvement.

Term
Bilateral SLR Test (Milgram Test)
Definition
Positive Finding:
Low back pain at hip flexion <70 degrees - SI joint,
hip flexion >70 degrees - lumbar spine
Term
Well SLR Test
Definition
Positive Finding:
Pain on involved side - vertebral disk damage
Term
Slump Test
Definition
Positive Finding:
sciatic-type pain or any reproduciton of symptoms
Term
Thomas Test
Definition
Positive Finding:
Lack of hip extension w/ knee flexion >45 degrees - tight iliopsoas
Full hip extension w/ knee flexion <45 degrees - tight rectus femoris
hip external rotation - tight ITB
Term
Spring Test
Definition
Positive Finding:
Increase/decrease in motion in one vertebra - hyper/hypomobility
Fracture
Term
Trendelenburg's Test
Definition
Positive Finding:
Pelvis on unsupported side drops - weak gluteus medius
Term
Stork Standing Test
Definition
Positive Finding:
Spondylolysis
Term
SI Joint Stress Test
Definition
Positive Finding:
Position 1) anterior SI lig. sprain
Position 2) posterior SI lig. sprain
Term
Yeoman's Test
Definition

Positive Finding:

anterior SI ligament pathology

tight hip flexors

femoral nerve tension

Term
Gaenslen's Test
Definition

Positive Finding:

SI Joint

Term
Faber Test (Patrick Test)
Definition

Positive Finding:

Iliopsoas, SI, or hip joint abnormalities

Term
Long-Sitting Test
Definition

Positive Finding:

Leg appears longer in supine but shorter in long-sitting: ipsilateral anteriorly rotated ilium

Leg appears shorter in supine but longer in long-sitting: ipsilaterally posteriorly rotated ilium

Term
Hip Scour/Quadrant Test
Definition
Positive Finding:
Hip joint pathology - arthritis, osteochondral defects, avascular necrosis, acetabular labrum defects
Term
Craig's Test
Definition

Positive Finding:

>15 degrees - femoral anteversion: toeing in, squinting patellae

<8 degrees - femoral retroversion: toeing out

Term
Ober's Test
Definition

Positive Finding:

Inability of leg to adduct & touch table - tight ITB

Term
Piriformis Test
Definition

Positive Finding:

Tightness/pain in hip & buttocks area - piriformis tightness
Pain in buttock & post. thigh - sciatic nerve impingement secondary to tight piriformis

Term
True Leg-Length Discrepancy Test
Definition

Positive Finding:

Difference >1cm - discrepancies in length or femur or tibia, or angle of femoral neck inclination

Term
Apparent Leg-Length Discrepancy Test
Definition
Positive Finding:
Difference >1cm - abnormal pelvic positioning
Term
Ely's Test
Definition
Positive Finding:
Hip flexion when knee is flexed - tight rectus femoris
Term
Femoral Nerve Traction Test
Definition
Positive Finding:
Decreased mobilization of femoral nerve
Term
Patellar Apprehension Test
Definition

Positive Finding:

Patellar subluxation or dislocation

Term
Ballotable Patella (Patella Tap Test)
Definition

Positive Finding:

Floating or ballotable patella - severe joint effusion

Term
Sweep Test
Definition

Positive Finding:

Intracapsular swelling

Term
Q-Angle Test
Definition

Positive Finding:

Normal female - 18 degrees

Normal male - 13 degrees

 

Greater/Less - patellofemoral pathology

Term
Medial-Lateral Grind Test
Definition

Positive Finding:

Pain, grinding, or clicking - meniscal tear

Term
Bounce Home Test
Definition

Positive Finding:

Rubbery endfeel or springy block - meniscal tear

Term
Patellar Grind Test (Clarke's Sign)
Definition

Positive Finding:

Pain with movement or patella or inability to complete test - chondromalacia patella

Term
Renne Test
Definition

Positive Finding:

Pain under thumb when subject's knee is in 30 degrees of flexion - ITB friction syndrome

Term
Noble Test
Definition

Positive Finding:

Pain present under thumb when subject's knee positioned in 30 degrees of flexion - ITB friction syndrome

Term
Hughston's Plica Test
Definition

Positive Finding:

Pain/popping over medial aspect of the knee - abnormal plica

Term
Godfrey 90/90 Test
Definition

Positive Finding:

One tibia resting more inferiorly than the other - posterior sag or instability - PCL

Term
Posterior Sag Test (Gravity Drawer Test)
Definition

Positive Finding:

Posterior displacement of the tibia - posterior instability - PCL, arcuate ligament complex, & post. oblique ligament

Term
Reverse Pivot Shift (Jakob Test)
Definition

Positive Finding:

Lateral tibial plateau subluxes posteriorly & "clunk" at ~20-30 degrees of flexion - posterolateral rotary instability, PCL, LCL, posterolateral capsule, & arcuate complex

Term
Anterior Lachman's Test
Definition

Positive Finding:

Partial/Complete tear of ACL

Term
Anterior Drawer Test
Definition

Positive Finding:

Partial/complete tear of ACL

Term
Slocum Test With Internal Tibial Rotation
Definition

Positive Finding:

Anterolateral rotary instability secondary to partial/complete tear of ACL and posterolateral capsule

Term
Slocum Test With External Tibial Rotation
Definition

Positive Finding:

Anteromedial rotary instability secondary to MCL, ACL, & posteromedial capsule

Term
Pivot Shift Test
Definition

Positive Finding:

"clunk" at ~20-30 degrees flexion - anterolateral rotary instability secondary to torn ACL & posterolateral capsule

Term
Jerk Test
Definition

Positive Finding:

"clunk" at 30 degrees of knee flexion while being extended - anterolateral rotary instability

Term
Posterior Drawer Test
Definition

Positive Finding:

Partial/complete tear PCL

Term
Hughston Posteromedial Drawer Test
Definition

Positive Finding:

Posteromedial rotary instability secondary to PCL, posteromedial capsule, MCL, & posterior oblique lig

Term
Hughston Posterolateral Drawer Test
Definition

Positive Finding:

Posterolateral rotary instability secondary to PCL, LCL, posterolateral capsule, & arcuate complex

Term
Posterior Lachman's Test
Definition

Positive Finding:

Partial/complete tear of PCL

Term
External Rotation Recurvatum Test
Definition

Positive Finding:

Increased hyperextension & external tibial rotation - posterolateral rotary instability - PCL, LCL, posterolateral capsule, & arcuate complex

Term
Valgus Stress Test
Definition

Positive Finding:

Medial knee pain or increased movement - MCL PCL, posteromedial capsule (full extension); MCL (20-30 degrees of flexion)

Term
Varus Stress Test
Definition

Positive Finding:

Lateral knee pain or increased movement - LCL, PCL, arcuate complex (full extension); LCL (20-30 degrees of flexion)

Term
McMurray Test
Definition

Positive Finding:

"click" along medial joint line - medial meniscus tear
"click" along lateral joint line - lateral meniscus tear

Term
Apley Compression Test
Definition

Positive Finding:

Distraction - ligamentus
Compression - meniscal

Term
Steinman's Tenderness Displacement Test
Definition

Positive Finding:

Pain during rotation or lacks full flexion - meniscal tear

Term
Anterior Drawer Test (Ankle)
Definition

Positive Finding:

Anterior talofibular ligament sprain

Term
Talar Tilt Test (Inversion)
Definition

Positive Finding:

Tear of calcaneofibular ligament

Term
Talar Tilt Test (Eversion)
Definition

Positive Finding:

Tear of deltoid ligament

Term
Thompson Test
Definition

Positive Finding:

Absense of plantar flexion upon squeezing - ruptured Achilles' tendon

Term
Tap or Percussion Test
Definition

Positive Finding:

Fracture

Term
Interdigital Neuroma Test
Definition

Positive Finding:

Pain between met heads - Morton's Neuroma

Term
Compression Test
Definition

Positive Finding:

Fracture

Term
Kleiger's Test
Definition

Positive Finding:

Pain along medial aspect of ankle when externally rotated in neutral dorsiflexion - deltoid lig injury

Pain along medial aspect when externally rotated in dorsiflexion - distal tibiofibular syndesmotic involvement

 

Term
Tarsal Twist Test
Definition

Positive Finding:

Pain in midfoot - midfoot sprain

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