Physical Therapy Examination Preparation
Terms
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- Speeds Test
- Biceps tendonosis/tendonitis upper limb in full ext, forearm supinated resist shoulder flexion
- Neer impingement test
- long head of biceps/supraspinatus tendon UE is IR than fully ABD
- Drop arm test
- ID's rotator cuff tear. Passively ABD shoulder 120* Pt instructed to lower limb slowly. Pain=+test
- Clunk test
- Glenoid labrum tear. Sup w/shoulder in full ABD. Push Hum head ANT while EXT ROT humorus.
- Adson's test
- ID's thoracic inlet prob. In sitting find radial pulse, rotate head towards extremity tested then extend and EXT ROT head & shoulder. Neuro/vascular symp=pos test
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Medial epicondylitis test
(golfers elbow)
Sports/Occup req strong grip - sitting elbow 90*, passively sup forearm, EXT elbow, and EXT wrist. pain=pos test
- Thomas test
- ID's tight hip flexors. Pt sup one hip/knee MAX flexed to chest. pos if FLEX occurs on straight leg.
- Ely test
- ID's tight rectus femorus Pt prone knee of tested limb fully flexed. pos if hip of tested limb flexes.
- Mc Murray test
- ID's meniscal tear. Pt sup w/tested knee in max flexion passively IR/EXT knee=lat meniscus. ER/EXT =medial meniscus.
- Anterior drawer test
- ID's ATFL instability. Pt sup w/heel off table and 20*PF stabilize leg, pull talus ANT. pos if excessive ANT motion.
- Vertebral artery test
- Pt. sup extend head and neck and rot L then R for 30 sec. pos for dizziness, visual disturbances, blurred speech, nausea/vomitting.
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Intervertebral foramen
(Quadrant test) - sidebending L, ROT L and EXT. Repeat to other side. pos for pain/parasthesia.
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Facet dysfunction
(Quadrant test) - sidebending L, ROT R and MAX EXT L. repeat other side. pos for pain/parasthesia.
- Stork standing test
- ID's spondylolisthesis. Pt stands on one leg, EXT trunk repeat opposite side. pos w/low back pain
- Bicycle test
- differentiates between intemittent claudication and spinalstenosis. Pt rides stationary bike while erect then while slumped. stenosis=can ride longer slumped
- Gillet's test
- assess ilio/sacral movement. Pt standing one thumb under PSIS other thumb on center of sacrum at equal level have Pt flex hip and knee of PSIS leg. pos=no movement
- DJD
- degeneration of articular cartilage/hypertrophy of subchondral weight bearing bones. Corticosteroids and NSAIDs. Jt prot, aerobic, aquatic, PT indicated.
- Ankylosing spondylitis
- prog inflam disorder of axial skeleton.^cervical and thoracic kyphosis and v lumbar lordosis. Corticosteroids, TNF. Trunk exer esp EXT. Aquatic or Aerobic PT indicated.
- RA
- MCP's and prox PIP's w/pannus, ulnar drift and volar sublux, bouchard's nodes(dorsal PIPs). JT/tissue maint aquatic or aerobic PT indicated.
- Osteochondritis dissecans
- separation of art cart from underlying bone (medial femoral condyle, femoral head, talar dome, humeral capitellum). Jt prot, flex ex to maint jt ROM, aquatic or aerobic, strength and endurance PT indicated.
- Myofascial pain syndrome
- tight trigger point w/in the muscle. Inj of cortico-steroid/analgesic. Jt oscil and STM, cryo, thermo, hydrotherapy, US, TENS. task spec tng & resistive exer.
- Musculocutaneous Nerve
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C5,C6 Coracobrachialis, biceps brachii, brachialis.
Sensory:Anteriolateral surface of forearm. Motor:Loss of flexion, weak supination. - Median Nerve
- C6,C7,C8,T1 Pronators, Radial side flexors, most thumb muscles. Sensory:Palmer thumb, 2nd,3rd,4th(rad side) fingers. Motor:Loss of Pronation, Thumb Opp/Flex/Abd
- Ulnar Nerve
- C8,T1 FCU,FDP(med side), interossei,4th & 5th lumbricals. Sensory:4th(med side) and 5th finger. Motor:Loss of Ulnar Dev,Weak finger and wrist flex, thumb Add, intrinsics(claw hand)
- Sciatic nerve
- L4-S3 Hamstrings, Add magnus. Sensory:Post/Lat calf, ankle, heel. Motor:All muscle function below the knee.
- Femoral Nerve
- L2,L3,L4 Sartorius, Quadriceps, iliacus, pectinius. Sensory:Middle anterior thigh and medial thigh prox to the knee. Motor:Loss of hip flex and knee ext.
- Tibial Nerve
- L4-S3 Gastroc, Soleus, Plantaris, popliteus, post tib. Sensory:Post/lat calf ankle and heel. Motor:Loss of PF and Supination.
- Superficial Peroneal Nerve
- L5-S2 Peroneus longus and brevis. Sensory:Ant/Lat distal lower leg and dorsum of foot. Motor: Loss of eversion.
- Deep Peroneal Nerve
- L4-S2 Ant Tib, Ankle DF's, 1st and 2nd interossei, Most toe Ext. Sensory:Web space between 1st and 2nd digits. Motor:Loss of DF and weak intrinsics.
- Agnosia
- Cannot recognize familiar objects
- W.R.F.A
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(Wernickes-Receptive-Fluent Aphasia )
Impaired auditory comprehension. - M.B.N.F.A
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(Motor-Broca's-NonFluent Aphasia)
Impaired speech - Causalgia
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Pianful burning sensations
Assoc w/RSD or CRPS - CP
- CNS Damage. Hemi-one side, SPASTIC: Para-both legs, Tetra-all four, Diplegia-Mostly legs but some arms. Scissored gait and toe walking. ATHETOID: BG involvement slow writhing movement. ATNR-STNR-TLR may be present
- Leg-Calve-Perthes
- Asceptic necrosis of Femoral Capital Epiphysis. Usually unilateral. Prolonged bed rest, casting, mobile traction and slings, special hip Abd orthosis.
- Strong and painful MM Exam
- Minor lesion of muscle tendon unit.
- Weak and Painless MM Exam
- Complete rupure of muscle tendon unit or Neuro deficit.
- Weak and Painful MM Exam
- Substancial (partial) disruption of muscle Tendon unit.
- SIJ Pain SLR 0-30 Deg
- Hip Pathology or Severe Nerve Root Inflamation
- SIJ Pain SLR 30-50 Deg
- Indicates sciatic NN involvement
- SIJ Pain SLR 50-70 Deg
- Prob Hamstring involvement
- SIJ Pain SLR 70-90 Deg
- SIJ stressed here
- Lupus (SLE)
- Inflammatory disease of entire body's connective tissues and organs. Butterfly rash, extreme fatigue, hair loss, anemia, Raynauds phenom. cortsteroids, energy conserv, nutrition, skin care, ROM.
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TMJ Hypermobility
Soft food, tongue on hard palate -
Jaw feels out of place.
Jt noises and catching in full open psn. Open >40mm w/deviation toward non-involved side. Palpable irregularities w/closure. -
TMJ Disc Displacement
Soft food, tongue on hard palate -
W/Reduction-popping sound on opening and closing.
W/O Reduction Pt reports intermittant locking. Limited to 20-25mm w/diflection toward involved side.