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Spurling's test
how
if pos it's...
- sitting, put head in ext, rot, ipsilat SB, and compress
- pressure on a nerve root
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Gillet's test
how
if pos it's...
- stork test
- if 1 PSIS doesn't move inf, it's pos for SI dysfunction
-
long-sitting test
how?
- lay supine and note any LLD
- sit up
- if the affected leg got longer, it's a post innom
- if it got shorter, it's an ant innom
-
sitting flexion test
- looks for SI dysfunction
- the PSIS that moves first or furthest is blocked
-
SLR test
- pos if pain goes down leg in sciatic nerve distribution
- indicates unilat dysfunction of SI jt
-
prone kne bend / femoral nerv estretch
determines if there's an upper lumber nerve root lesion and stretches the femoral nerve
prone, flex knee, PT hyperextedns hip, look for pain in lat hip, upper L spine, or ant thigh
-
Gaenslen's test
- supine, good leg flat or hanging over edge of table, bad hip being pushed into flexion while good into ext
- pain --> SI joint problem
-
sacral thrust test
- prone, put both hands on the sacrum and press
- looking for SI pain
-
sacral compression test
- pt in SL w bad side up, hips flexed to 45, knees to 90
- press down on ant/sup iliac crest
- pain means SI jt problem
-
3 tests for shoulder impingement
- Neer's
- Hawkins-Kennedy
- painful arc
-
Neer test
- stabilize the scap with one hand and passively flex the arm while it is in IR
- impingement test
-
painful arc
if there's pain only btwn 70-120 degrees arm abd
-
external rotation lag sign
arm in 20 scapt, elbow at 90, shoulder passively put in full ER -- see if pt can hold it or drifts inward
-
yergason's test
- elbow in 90, pronation
- try to supinate and ER against resistance from PT, while PT palpates biceps tendon in bicipital groove
looks for long head biceps tendon patho and slap lesions
-
IR lag sign
lift off test
- tests subscap
- put dorsum of hand on lumbar spine, PT moves it post and asks pt to hold it off the back
- lift off test -- tests ability to actively move dorsum off the back
-
belly press tests
- looks at subscap
- put hand on belly and try to press in
-
horizontal adduction test
- for AC jt damage or subacromial impingement
- shoulder and elbow flexed to 90, do passive adduction
-
resisted horizontal extension test - for what
tests for AC joint dysfunction
-
O'Brien's sign
- tests AC joint and sup labrum
- flex arm to 90, fully IR, resist a downward force
- repeat in full supination
- pos if pain is elicited in IR and relieved in sup
- ac joint pain -- it's an ac problem
- clicking in the GH joint -- it's labral
-
paxinos test
- press the clavicle and acromion together
- test of the AC jt
-
crank test
- for labrum
- standing or supine
- 160 scaption, elbow bent, press into long axis of humerus and do IR
-
biceps load test 1
- supine, shoulder to 90 abd, full ER, pt flexes elbow against resistance
- increased pain or apprehension signals labral issues
-
biceps load test 2
like test 1, but shoudler at 120 degrees abd instead of 90
-
pain provocation test
- arm passively moved into 90 abd, max ER, max sup or pro
- pos for SLAP if pain in pronation
-
resisted supination ER test
- passively put in 90 shoulder abd, elbow flexed 60-70
- PT resists sup while passively doing shoulder ER
- A positive test for labral problem is discomfort within the shoulder.
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