special tests 1

  1. Spurling's test
    if pos it's...
    • sitting, put head in ext, rot, ipsilat SB, and compress
    • pressure on a nerve root
  2. Gillet's test
    if pos it's...
    • stork test
    • if 1 PSIS doesn't move inf, it's pos for SI dysfunction
  3. long-sitting test
    • 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
  4. sitting flexion test
    • looks for SI dysfunction
    • the PSIS that moves first or furthest is blocked
  5. SLR test
    • pos if pain goes down leg in sciatic nerve distribution
    • indicates unilat dysfunction of SI jt
  6. 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
  7. Gaenslen's test
    • supine, good leg flat or hanging over edge of table, bad hip being pushed into flexion while good into ext
    • painĀ  --> SI joint problem
  8. sacral thrust test
    • prone, put both hands on the sacrum and press
    • looking for SI pain
  9. 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
  10. 3 tests for shoulder impingement
    • Neer's
    • Hawkins-Kennedy
    • painful arc
  11. Neer test
    • stabilize the scap with one hand and passively flex the arm while it is in IR
    • impingement test
  12. painful arc
    if there's pain only btwn 70-120 degrees arm abd
  13. 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
  14. 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
  15. 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
  16. belly press tests
    • looks at subscap
    • put hand on belly and try to press in
  17. horizontal adduction test
    • for AC jt damage or subacromial impingement
    • shoulder and elbow flexed to 90, do passive adduction
  18. resisted horizontal extension test - for what
    tests for AC joint dysfunction
  19. 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
  20. paxinos test
    • press the clavicle and acromion together
    • test of the AC jt
  21. crank test
    • for labrum
    • standing or supine
    • 160 scaption, elbow bent, press into long axis of humerus and do IR
  22. biceps load test 1
    • supine, shoulder to 90 abd, full ER, pt flexes elbow against resistance
    • increased pain or apprehension signals labral issues
  23. biceps load test 2
    like test 1, but shoudler at 120 degrees abd instead of 90
  24. pain provocation test
    • arm passively moved into 90 abd, max ER, max sup or pro
    • pos for SLAP if pain in pronation
  25. 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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special tests 1
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