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Ortho Tests

The document outlines various orthopedic tests used to diagnose musculoskeletal pain and conditions, including tests for radiculopathy, carpal tunnel syndrome, and knee injuries. It details specific tests such as Bakody's sign, Tinel's sign, and the McMurray test, along with their purposes and interpretations. Additionally, it includes information on nerve damage assessments and screening questionnaires for alcohol problems and mental health risks.

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8 views24 pages

Ortho Tests

The document outlines various orthopedic tests used to diagnose musculoskeletal pain and conditions, including tests for radiculopathy, carpal tunnel syndrome, and knee injuries. It details specific tests such as Bakody's sign, Tinel's sign, and the McMurray test, along with their purposes and interpretations. Additionally, it includes information on nerve damage assessments and screening questionnaires for alcohol problems and mental health risks.

Uploaded by

persiapersiapersia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as ODP, PDF, TXT or read online on Scribd
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orthopedic tests

methods used to identify source of


musculoskeletal pain or
assign a diagnosis to patient symptoms
orthopedic tests pain from neck radiating down arm
orthopedic tests anterior shoulder/ posterior shoulder
orthopedic tests adduction of arm back into position by the side of the body mostly done
by SUPRASPINATUS
TESTS

bakody’s sign - tests for RADICULOPATHY in C4-C6


when there is shoulder neck pain to see if it goes away when
the Px abducts arm up and places hand on top of head. in this
position, if pain goes away it is interpreted as going away
because a nerve root was released momentarily.
RADICULOPATHY which is compression of a nerve root. this
is a proximal situation. NEUROPATHY is compression of
peripheral nerves limiting sensory information to the CNS.
neuropathy like an electrical outlet in a room not working.
radiculopathy like the fuse for the entire room is blown in the
fusebox.

tinels sign - tests for damage to the nerve in the wrist by


percussing PC7, center of palmar side wrist to elicit a buzzing
of tingling sensation in palm. method can be used on other
locations for other nerves. commonly used for carpel tunnel

phalens sign - tests for carpel tunnel syndrome by


practitioner holding Px hands in a position for 60 seconds to
see if that elicits pain or discomfort in the median nerve
orthopedic tests Below shows what flexion of the shoulder is. hawkins kennedy test
requires “flexion’ of shoulder & flexion of elbow
orthopedic tests

painful arc test


nerve damage / radiculopathy type info here
in lumbosacral nerve roots
nerve damage / radiculopathy type info here
in lumbosacral nerve roots
nerve damage / radiculopathy type info here
in lumbosacral nerve roots
weak medial gluteus
cannot keep torso upright
standing on one leg

standing hip sways lateral


flexed leg’s hip drops

this test can indicate L5 root


nerve
knee ligaments type info here
orthopedic tests

varus pushes against medial knee, pain if lateral ligament


damage

valgus pushes against lateral knee, pain if medial ligament


damage MORE COMMON
orthopedic tests
mcmurray test, px supine, knee flexed

(supine) mcmurray & thessaly (standing) =


meniscus knee
pivot shift = ACL
lachman = ACL 30 degree knee flex
anterior drawer = ACL 45 degree knee flex
(prone) appley compression = hurts more or
less movement, then meniscus
appley distraction = if this hurts more then
prolly ligaments

mcburney = appendix / murphy = gallbladder / mcmurray = meniscus


knee
orthopedic tests APLEY KNEE

apley knee test, px prone, knee & foot


passively flexed, internal & external
rotation of foot done by practitioner. once
with weight applied to px plantar,
practitioner pressing while
rotating( grind test). Pain or discompfort
indicates miniscus cartliage

then test done distract/ lifting foot


upward while rotaing inward/ outward. pain
or discomfort indicates the collateral
ligaments.
medial turn will elicit lateral pain for
lateral injury
lateral turning will elicit medial pain
for medial injury
orthopedic tests

golfer/medial pain flexion

tenis / lateral pain extension

tenis elbow is overuse lateral side - lateral epicondyle slightly distal from
elbow into the muscle and tendon
orthopedic tests tinel’s method is looking to illicit paresthesia sensation distal to the
tapping

Tinel's sign (also Hoffmann-Tinel sign) is a way to detect irritated nerves. It is performed by lightly
tapping (percussing) over the nerve to elicit a sensation of tingling or "pins and needles" in the
distribution of the nerve. Percussion is usually performed moving distal to proximal.

frequently used to evaluate carpel tunnel dyndrome,


& morton’s neuroma
orthopedic tests appendicitis signs
CPT billing codes 10 first 15 min 1 on 1 contact
11 additional 15 min 1 on 1 contact
orthopedic tests enervation of hand and arm
root nerve damage assessment

MOTOR TEST
S1 tested by TOE WALK

L4 tested by HEEL WALK

L5 extend BIG TOE


orthopedic tests scapular winging

medial winging most common - LONG THORACIC NERVE


damaged, not innervating serratus anterior muscles to
pull the lower border anterior so scapula moves medial

lateral winging - spinal accessory nerve weak, so


trapezius not holding scapula
QUESTION SYSTEMS
CAGE questionnaire - uncover extent of alcohol problem

6-8 therapy >8 commit SAD PERSONS scale - 10 questions to access suicide risk in a person that
expresses lack of hope

40 points higher worse AIMS scale - focus is accessing Tardive Dyskinesia, involuntary repetitive movment

30 points <24 dementia Mini-Mental Status Examination - focus is identifying dementia


QUESTION SYSTEMS
SAD PERSONS scale - 10 questions to access suicide
risk in a person that expresses lack of hope

GERIATRIC SAD PERSONS scale - 10 questions

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