Clin3 Final

Kemps

Straight Leg Raise with Braggard's Sign

Superior

tissue stretch- firm

Have client sit in a chair and lean forward, supporting themself with their arms. Ask them to bear down as if having a bowel movement.

Sharp paiin over radial styloid process as tendons are stretched. Client will want to release position immediately due to pain.

80

70

Nerve pain in the lateral 3.5 digits

• Hypermobility of the AC joint
• Tear or rupture of the AC ligament

35-45

Sharp local pain between 60-130 degrees of abduction.

0

• Firmly tap over median nerve at the proximal row of carpal bones (thru the flexor retinaculum) for 30 seconds
• (tests for CTS)

• Tennis checks lateral epicondyle; golfers checks the medial epicondyle
• Tennis is resisted wriste extension; golfers is resisted wrist flexion.

35-45

Resist shoulder flexion by bracing at forearm; palpate BLH with thumb to located lesion site

• Suspect tenosynovitis of extensor pollicus brevis and/or abductor pollicus longus (aka de Quervain's Syndrome)
• Radial side wrist pain, possibly swelling at the lateral wrist, increased pain and weakness over the radial styloid process, pain in the lateral wrist when ulnar deviating wrist

50-75

• Phalen's test (dorsum to dorsum)
• Reverse Phalen's (palm to palm)
• Tinel's (tapping medial nerve)

Straight Leg Raise with Braggard's Sign