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Active ROM of flexion
should be around 50 degrees
Active ROM of extension
should be around 60 degrees
Active ROM of lateral flexion
should be 45 degrees both sides
Active Rom for rotation
should be 80 degrees both sides
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
pain, changes, burning, : Median Nerve neuropathy/compression
C5-C7 radiculopathy
Anterior interosseous compression
ULTT- Median Nerve Bias 2
pain, changes, burning: : Median Nerve neuropathy/compression
Axillary or musculocutaneous nerve compression
ULTT- Radial Nerve Bias
pain, changes, burning: Radial nerve neuropathy
ULTT-Ulnar Nerve Bias
pain, changes, burning: Ulnar nerve neuropathy
C8-T1 radiculopathy