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Passive ROM
pain will be caused by a sprain
Resisted ROM
pain will be caused by muscular strain
O’Donoghue Maneuver positive findings and indications
Pain w PROM → ligamentous pathology
Pain w RROM → Muscular/musculotendinous pathology
Forminal Compression positive findings and indications
Local pain opposite of rotation → sprain,strain,facet syndrome
Local pain on same side of rotation → capsulitis
Radicular pain → nerve root compression due to disc herniation or IVF stenosis
Jackson’s Test positive findings and indications
Local pain on opposite side of lateral flexion → sprain, strain, capsulitis
Local pain on same side of lateral flexion → facet syndrome
Radicular pain → nerve root compression due to disc herniation or IVF stenosis
Extension compression test positive findings and indications
Local pain → facet syndrome
Radicular pain→ nerve root compression due to IVF stenosis
Reduction of radicular pain → compression due to disc herniation
foraminal distraction positive findings and indications
increase in local pain → adhesive capsulitis, sprain/strain
decrease in pain → facet imbrication
increased radicular pain → radiculopathy due to disc herniation
Spruling’s Test positive findings and indications
Local pain on same side → facet syndrome
local pain on opposite side → sprain,strain, capsulitis
Radicular pain → compression due to disc herniation or IVF stenosis
Maximal Foraminal Compression positive findings and indications
Local pain on same side → facet syndrome
local pain on opposite side → sprain, strain, capsulitis
Radicular pain due to disc herniation or IVF stenosis
Shoulder depression test positive findings and indications
Local pain on opposite side of lateral flexion → sprain, strain, capsulitis
local pain on the side of lateral flexion → facet syndrome
radiating pain on side of lateral flexion → Brachial plexus injury
radiating pain on opposite side of lateral flexion → IVF stenosis, disc herniation
Foraminal distraction test positive findings and indications
increase in local pain → sprain, strain, capsulitis
decrease in local pain → facet syndrome
decrease in radicular pain → compression due to disc herniation or IVF stenosis
Shoulder abduction aka Bakody’s sign positive findings and indications
decrease in symptoms → c5,C6 nerve root compression
Arm Squeeze positive findings and indications
reproduces radiating pain on squeeze → nerve root compression
Soto-Hall positive findings and indications
local pain → SP fracture, sprain/strain, capsulitis
Unilateral radicular pain → disc herniation
Bilateral shooting pain → meningitis
Sharp-Purser positive findings and indications
Clunk when pt resists flexion → cervical instability or torn alar/transverse ligament
Transverse Ligament Stress positive findings and indications
excessive translation → torn or stretched transverse ligament
cord compression signs → same
Alar ligament stress test positive findings and indications
excessive translation → Torn or stretched alar ligament
Roos Test positive findings and indications
recreation of symptoms into extremities → TOS
Wright’s Test positive findings and indications
decrease in pulse → subclavian artery compressed by hypertrophic pec minor or deformed coracoid process
pain,numbness or tingling → brachial plexus compression cause by hypertrophic pec minor or deformed coracoid process
Costoclavicular Maneuver positive findings and indications
decrease in pulse → subclavian artery compression caused by medially dislocated clavicle or hypertrophic subclavius
pain, numbness, or tingling → brachial plexus compression caused by medially dislocated clavicle or hypertrophic subclavius
Traction Test positive findings and indications
decrease in pulse → subclavian artery compression by cervical rib or subluxated first rib
pain, numbness, tingling → Brachial plexus compression by cervical rib or subluxated first rib
Halstead maneuver positive findings and indications
decrease in pulse → subclavian artery compression by cervical rib or hypertrophic anterior scalene
reproduction of pain, numbness, tingling → Brachial plexus compression by cervical rib or hypertrophic anterior scalene
Adson’s Test positive findings and indications
decrease in pulse looking at me → subclavian artery compression by cervical rib or hypertrophic anterior scalene
reproduction of pain, tingling, looking at me → Brachial plexus compression by cervical rib or hypertrophic anterior scalene
decrease in pulse or pain blah blah looking away→ hypertrophic middle scalene
ULTT- Median Nerve Bias 1 positive findings and indications
pain, changes, burning, : Median Nerve neuropathy/compression
C5-C7 radiculopathy
Anterior interosseous compression
ULTT- Median Nerve Bias 2 positive findings and indications
pain, changes, burning: : Median Nerve neuropathy/compression
Axillary or musculocutaneous nerve compression
ULTT- Radial Nerve Bias positive findings and indications
pain, changes, burning: Radial nerve neuropathy
ULTT-Ulnar Nerve Bias positive findings and indications
pain, changes, burning: Ulnar nerve neuropathy
C8-T1 radiculopathy
Adam’s Position/Maneuver positive findings and indications
Curve in standing position that resolves w flexion → functional scoliosis (muscle imbalance, leg length)
Curve that doesn’t resolve w flexion → structural scoliosis (hemivertebrae, compression fracture)
Sternal Compression Test positive findings and indications
Pain at rib angle → rib fracture
Beevor’s Sign positive findings and indications
Umbilicus moves superior → Bilateral lesion of T10,T11,T12
Umbilicus moves inferior → Bilateral lesion of T7,T8,T9
Umbilicus moves down and right → Lesion in ULQ of T7-T9
Umbilicus moves down and left → Lesion in URQ of T7-T9
Umbilicus moves up and left → Lesion in LRQ of T10-T12
Umbilicus moves up and right → Lesion in LLQ of T10-T12
Schepelmann’s sign positive findings and indications
pain on side of concavity → intercostal neuritis
pain on side of convexity → pleuritis, muscle strain
Forestier Bowstring Test positive findings and indications
can’t laterally flex or clear signs of contracture → Ankylosing spondylitis
Lewin Supine Test positive findings and indications
cant do a sit up w pain posteriorly → Ankylosing spondylitis
cant do a sit up w pain anteriorly → weak abs