Passively SLR with straight knee - stop if pain
if pain, bend the knee and passively SLR again
(+) if pain and if hip ROM does not increase with bent knee >> pain is still felt in same spot
Back
Lachman's Test
Front
knee in OPP - 20 deg flex
anteriorly translate tibia on femur
slow force to assess amount of mvmt
quick force to assess ligament taughtness
(+) for excessive motion anteriorly
Back
Patellar Tilt
Front
For tight lateral retinaculum
pt knee fully extended
lat glide patella creating a shelf then lift patella up
(+) if you cannot get the patella to horizontal
Back
FAIR
Front
For piriformis syndrome
(+) for pain in piriformis region
sidelying, hip in flex, ADD, IR
Back
McMurray's Test
Front
for Meniscus
MEDIAL: varus stress with tibial IR
LATERAL: valgus stress with tibial ER
(+) for joint line pain, clicking, locking
Back
Anterior Drawer Test and Post Drawer Test
Front
For ACL and PCL respectively
pt supine, knee bend to 90, foot flat on table
PT sits on foot and glides all the way post then quickly pull with an ant/post directed force to assess translation
(+) for inc motion anteriorly/posteriorly
Ant Drawer should not be done alone as there is a high probability of false negatives
Back
Posterior Impingement Test
Front
For post impingement with labral or capsular dysfunction
(+) for reproduction of pt's pain
in Thomas test position
LR, ABD then slowly ext the hip off the side of the table
Back
Great Toe Extension Test
Front
to assess windlass mechanism
pt in seated, PT takes 1st MT into extension
PT should observe a rise in the ML arch
(+) for dysfunctional windlass if no rise occurs
Back
Fitzgerald
Front
2 Tests: for ant and post labral dysfunction
POST LABRUM: start pt in hip flex, ADD, and IR then passively take them out of all these into opp pos
ANT LABRUM: start pt in hip flex ABD, and ER then passively take them out of all these into opp pos
Both are (+) with sharp pain and/or clicking
Back
Figure 8 measurement
Front
for ankle edema
very high intrarater reliability (poor inter-)
start and end at same place each time you measure - there are a variety of ways
Back
Talar Tilt Test
Front
for ankle ligament integrity
pt supine or long sitting
hold in neutral DF with forearm and INV then EV palpating ATFL then deltoid ligaments
(+) for pain, laxity/excessive movement
Back
Windlass Test
Front
to assess windlass mechanism
in seated and in standing
PT take 1st MT into ext
(+) reproduction of pt's pain
Back
Anterior Drawer Test - Ankle
Front
for talofibular ligament integrity
pt in supine, slight PF (OPP)
perform PA for subtalar joint
(+) for pain, laxity
Back
Craig's
Front
Measures anteversion angle at hip
prone, palpate greater trochanter and feel for when it is most prominent (with hip IR/ER), stop here and measure angle of tibia
normal = 8-15 degrees of IR
Back
Scour
Front
AKA: hip quadrant or hip clearing test
(+) if they feel the pain they came in with - may feel crepitation too
very Sn
supine, hip in 90 deg flexion, press down through an arc of motion with hip in ADD and then in ABD
Back
Thessaly's Test
Front
for meniscus
pt standing on one leg, bends knee to ~20 deg
holds PT hands and rotates over knee 3x
(+) for pain, clicking, locking
Back
McConnell's
Front
For PF presentation and indicates use of taping
isometric testing of knee at 30, 60, 90, 120 deg flexion, if any are painful then correct with medial patellar glide and re test
If this rids of pain, do mcconnell taping
Back
Dorsiflexion - Eversion Test
Front
for tarsal tunnel syndrome
pt seated, take them into df and eversion, then tap along the distribution of the tibial nerve
(+) for N/T into foot associated with your tapping (tinel's sign) or local nerve pain
Back
FADIR
Front
For anterior femoroacetabular impingement potentially with labral dysfunction as well
(+) with ant hip pain
Full flexion with ADD and IR; pt. supine
Back
Valgus stress test at 0 and 30
Front
for MCL
at 0, if excessive motion observed, indicated multi structural injury
at 30 - more specific to mcl injury only
(+) for excessive gapping, pain
Back
Kleiger's Test
Front
For assessment of high ankle injury
pt seated, grab calcaneus and take pt into full DF and Eversion
(+) for pain in syndesmotic region
Back
FABER
Front
Groin pain is positive for intracapsular dysfunction (labrum)
figure 4 position
Back
Varum stress test at 0 and 30
Front
for LCL
at 0 indicated multi structural injury
at 30, more specific to LCL only
(+) for excessive gapping, pain