ortho testing

Vertebral Artery Test

CIRCULATION DEFICIENCY OF VERTEBRAL ARTERY

DIZZINESS OR NYSTAGMUS (eye condition: rapid involuntary movement of eyes)

Hautants

VERTEBROBASILAR INSUFFICIENCY

ARM DROPS OR DRIFTS, PRONATES

SYMPTOMS REOCCUR

DIZZINESS, BLURRED VISION

TMJ AROM

ASSESS FOR MOTION OF MANDIBLE TMJ DYSFUNCTION CLICKING, CREPITUS, ASYMMETRY

Three Knuckle Test

ACTIVE RANGE OF MANDIBLE HYPOMOBILITY < 3 FINGERS FIT

Swallowing test

PAIN ON SWALLOWING DUE TO SCM TRIGGER POINTS PAIN DIMINISHES ON SWALLOW

Scalene Cramp

REPRODUCE ACTIVE SCALENE TRIGGER POINTS PAIN IN REFERRED PATTERN OF SCALENES

Scalene Relief

PRESENCE OF ACTIVE TRIGGER POINTS IN ANTERIOR SCALENE REDUCTION OF PAIN WITHIN A FEW MINUTES

spurlings

CERVICAL NERVE ROOT OR FACET JOINT IRRITATION RADIATING PAIN = NERVE ROOT LOCAL PAIN = FACET JOINT

CERVICAL DISTRACTION

RELIEVE PRESSURE ON CERVICAL NERVE ROOTS REDUCTION OF PAIN

FIRST RIB MOBILITY

ASSESS MOBILITY OF FIRST RIB LIMITED FLEXION = HYPOMOBILITY

ANT NECK FLEX STRENGTH

STRENGTH OF SCM, ANT SCALENES, SUPRA/INFRAHYOIDS, LONGUS CAPITIS, LONGUS COLLO, RECTUS CAPITIS UNABLE TO HOLD AGAINST GRAVITY = WEAKNESS

ORBICULARIS ORIS STRENGTH TEST

BELLS PALSY (Paralysis of one side of face) POSITIVE IF UNABLE TO RESIST

SUPINE TO SIT

FUNCTIONAL LEG LENGTH DISCREPANCY  LONGER IN SUPINE = ANTERIOR INNOMNATE ROTATION LONGER IN SIT UP = POSTERIOR INNOMINATE ROTATION

GILLETS / SACROILLIAC JOINT MOTION FRISK TEST

SI JOINT MOBILITY THUMB ON THE AFFECTED SIDE MOVES SUPERIORLY AS KNEE LIFT

SI JOINT GAPPING TEST

ANTERIOR LIGAMENTS OF SI JOINT UNILATERAL GLUTEAL OR POSTERIOR LEG PAIN = ANT SI LIG SPRAIN

SI SQUISH TEST

POSTERIOR LIGAMENTS OF SI JOINT PAIN LOCAL TO SI JOINT = POST SI SPRAIN

HIP QUADRANT / SCOURING

JOINT CAPSULE TIGHTNESS OR OTHER HIP PATHOLOGY EARLY LEATHERY END FEEL, BUMPINESS, OR CREPITUS = CAPSULAR TIGHTNESS OR OSTEOPHYTE

FABER FIGURE 4 PATRICKS

ASSESS HIP AND PSOAS MUSCLE AFFECTED KNEE REMAINS ABOVE UNAFFECTED KNEE = HIP PATHOLOGY OR SHORTENED PSOAS PAIN LOCAL TO SI JOINT W OVERPRESSURE ON KNEE = SI JOINT DYSFUNCTION

GAENSLENS

HIP OR SI JOINT DYSFUNCTION PAIN LOCAL TO AREA = HIP OR SI JOINT DYSFUNCTION

THOMAS TEST

HIP FLEXOR MUSCLE SHORTNESS OR CONTRACTURE LEG WONT TOUCH TABLE AT POSTERIOR KNEE = HIP FLEXOR SHORTNESS IF KNEE STAYS EXTENDED = REC FEM SHORTNESS

ELYS

REC FEMORIS SHORTNESS OR CONTRACTURE PELVIS ON AFFECTED SIDE FLEXES AS KNEE FLEXED = REC FEM SHORT/CONTRACT

PIRIFORMIS LENGTH TEST

PIRIFORMIS LENGHT REDUCED RANGE OF MOTION, FEET CLOSE TO MIDLINE = SHORTENED

OBERS

IT BAND AND TFL LENGTH LEG STAYS ABDUCTED AFTER ALLOWING TO LOWER = SHORTENED KNEE EXT = IT BAND KNEE FLEX = TFL

Iliopsoas test

ILLIOPSOAS STRENGTH TEST HOLD AGAINST GRAVITY = GRADE 3

TRENDELENBURG

GLUTE MEDIUS STRENGTH PELVIS ON UNSUPPORTED SIDE STAYS LEVEL OR DROP = GLUTE MED WEAKNESS

GLUTE MAX STRENGTH AR

GLUTE MAX STRENGTH TEST AGAINST GRAVITY = GRADE 3

PACE ABDUCTION ACTIVE

PIRIFORMIS STRENGTH WEAKNESS PAIN = TRIGGER POINTS

HAMSTRING STRENGTH

STRAIN OF MEDIAL AND LATERAL HAMSTRINGS PAIN DEEP = SEMIMEM PAIN SUPER = SEMITEN PAIN LAT = BICEPS

HIP ADDUCTOR STRENGTH TEST AR

STRENGTH OF ADDUCTORS WEAKNESS OR PAIN = STRAIN

ADSONS

THORACIC OUTLET SYNDROME  ANT SCALENE DIMINISHED RADIAL PULSE/RECURRENCE OF SYMPTOMSx

TRAVELLS VARIATION HALDSTEAD

TOS - MIDDLE SCALENE DIMINSHMENT OF PULSE/RECURRENCE OF SYMPTOMS

WRIGHTS HYPERABDUCTION

TOS - PEC MINOR DIMINISHED PULSE/RECURRENCE OF SYMPTOMS

COSTOCLAVICULAR SYNDROME PR

TOS - COMPRESSION CLAVILCE 1ST RIB DIMINSHED PULSE/RECURRENCE OF SYMPTOMS

EDENS TEST AR

TOS - CLAVICLE / 1ST RIB DIMINSHED PULSE/RECURRENCE OF SYMPTOMS

NEER IMPINGEMENT

OVERUSE INJURY OF SUPRASPINATUS LOCAL PAIN

HAWKINS-KENNEDY

OVERUSE INJURY OF SUPRASPINATUS/IMPINGEMENT LOCAL PAIN

PAINFUL ARC

SABACROMIAL IMPINGEMENT OF SUPRASPINATUS TENDON SUBACROMIAL BURSA PAIN BETWEEN 70-130 DEGREES

APLEYS SCRATCH

ASSESS COMBINED MOVEMENT OF THE SHOULDER

SHOULDER APPREHENSION

EXPLORE PREVIOS GH DISLOCATION ONLY IN CHRONIC APPREHENSION/UNWILLINGNESS

ANTERIOR APPREHENSION TEST

ANTERIOR SHOULDER INSTABILITY APPREHENSION + INSTABILITY

ADHESIVE CAPSULITIS ABDUCTION

RESTRICTED MOTION FROM FIBROSIN AND ADHESION OF AXILLARY FOLD PAINFUL, LEATHERY END FEEL BEFORE 90 DEG

AC SHEAR TEST

INTEGRITY OF AC JOINT PAIN/EXCESSIVE MOVEMENT = JOINT PATHOLOGY

DROP ARM TEST

ROTATOR CUFF INTEGRITY SUPRASPINATUS * UNABLE TO RETURN SMOOTHLY, OR PAIN

SUPRASPINATUS STRENGTH EMPTY CAN

SUPRASPINATUS TENDINITUS, STRAIN, WEAKNESS PAIN OR WEAKNESS

INFRASPINATUS STRENGTH

INFRA TENDINITUS, STRAIN, WEAKNESS PAIN OR WEAKNESS

SUBSCAPULARIS STRENGTH

SUBSCAP TENDINITUS, STRAIN, WEAKNESS PAIN OR WEAKNESS

SPEEDS

BICEPS TENDINITUS PAIN AT TENDON ON RESISTANCE

LUDINGTON TEST

TORN BICEPS TENDON CANNOT FEEL TENDON CONTRACT ABSENCE OF MOTION PAIN

YERGASONS

BICEP TENDON STABILITY IN BICEPITAL GROOVE BICEPS TENDINITIS PAIN, OR TENDON POPPING OUT OF GROOVE

TRANSVERSE HUMERAL LIGAMENT

INTEGRITY OF TRANSVERSE HUMERAL LIGAMENT PAINFUL POP, OR PALPABLE SNAP AS BICEPS TENDON SLIPS OUT OF GROOVE

LIPPMANS TEST

TENDINITIS OR INSTABILITY OF BICEPS LONG HEAD TENDON LOCAL PAIN = TENDONITIS TENDON POPS OR SLIDES = LAXITY OF TENDON

PEC MINOR LENGTH

PEC MINOR LENGTH REDUCE ROM IN RETRACTION

PEC MAJOR LENGTH

PEC MAJOR LENGTH DOES NOT DROP BELOW LEVEL OF TABLE

SHOULDER ADDUCTORS LENGTH

LATS, TERES MAJOR LENGTH ARMS CANNOT FULLY FLEX/NOT RESTING ON TABLE

RHOMBOID STRENGTH

RHOMBOID STRENGHT WEAKNESS

MIDDLE TRAP STRENGTH

MIDDLE TRAP STRENGTH WEAKNESS