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17 views18 pagesOrthopedic Tests For Physiotherapy
The document lists several orthopedic tests for the assessment of the upper and lower limbs, including hip, knee, ankle, shoulder, and elbow. The tests evaluate joint mobility, instability, ligament and meniscus injuries, and other musculoskeletal conditions.
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0% found this document useful (0 votes)
17 views18 pagesOrthopedic Tests For Physiotherapy
The document lists several orthopedic tests for the assessment of the upper and lower limbs, including hip, knee, ankle, shoulder, and elbow. The tests evaluate joint mobility, instability, ligament and meniscus injuries, and other musculoskeletal conditions.
Uploaded by
ScribdTranslationsCopyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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ORTHOPEDIC TESTICLES
FOR PHYSIOTHERAPY
LOWER LIMBS - LL
QUAD
Joint Mobility
Ober Test
Patrick Test
Thomas Test
Trendelenburg test
KNEE
Joint Mobility
Pending members
Patellar apprehension
Clarke Test
Patellar compression test
Stress test in Valgus/Varus
Lachman test
Godfrey Test
Pivot Shift Test
Anterior/Posterior drawer test
McMurray Test
Apley Test
Return test
New Monteiro Test
Ege Test
ANKLE
Joint Mobility
Thompson Test
Kleiger Test
Talar Tilt Test
Previous drawer signal
QUADRIL
Joint Mobility
Mobilize the joint in flexion, extension, abduction,
adduction, internal rotation, and external rotation. Thus,
observe the amplitude and the 'endfeel' of the movement.
OBER TEST
Detect contraction in hip abduction.
THOMAS TEST
Detect hip flexion contracture
TRENDELENBURG TEST
The test is said to be positive if the patient's hip, which is
supported by only one leg (raising of the lower limb,
contralateral), it falls to the side the raised leg. The weakness
occurs at the member in contact with the ground.
PATRICK FABERE TEST
Detects instability in the hip. Therapist performs: flexion of
knee at 90 degrees + external rotation, resting the foot on the knee
(opposite the test site). "DOING THE 4".
KNEE TESTS
Joint Mobility
Therapist assesses range of motion and 'endfeel',
during flexion and extension.
PENDING MEMBERS
Patient in DV on the stretcher and lower limbs pending. Evaluates
shortening of hamstrings.
PATELLAR REFLEX TEST
Lateral displacement of the patella, with knee in
extension.
CLARKE TEST
The therapist should apply light pressure on the upper pole.
from the patella, against the trochlea, and requests the contraction of
quadriceps. Positive test if the patient cannot
maintain contraction or refer pain. Suggestive of disorder
femoral-patellar.
KNEE PATELLA COMPRESSION TEST
Semi-flexed knee (15°) and the examiner exerts pressure
about the patella, against the femoral groove.
STRESS TEST IN VALGUS/VARUS
Evaluate the integrity of LCM (valgus) and LCL (varus)
Lachman Test
Accessory movement test of the knee, to identify
integrity of LCA. Bent member at 30º, as one of the
hands support above the knee and with the other, pull the leg
promoting tibial advancement.
GODFREY TEST
Patient in supine position, lower limbs and hip flexed at 90º. Therapist
support the patient's heel on your hand and observe if there is
displacement of the tibia downward.
PIVOT SHIFT TEST
Evaluate ACL injury. Patient in DD, relaxed leg,
flexed hip at 30º with slight internal rotation. Therapist
supports the patient's foot on their trunk (cradle hold),
the other hand supports near the head of the fibula, applying
a force in valgus in association with internal rotation. The
Approximately 30–40º, warm will suffer
Subluxation, followed by a dull sound.
FRONT/REAR DRAWER TEST
Detects injury in ACL and PCL. Patient in DD, knee
bent at 90º (hip at 45º), therapist sits on the table
providing support to the patient's foot (avoiding sliding).
Press your thumbs on the tuberosity of the tibia and perform
previous traction (LCA) and pressure for posteriorization (LCP).
Positive test for excessive movement, with or without
dor.
McMurray TEST
Identify lesion of posterior horns of menisci. Patient
in DD, hip at 90º and knees in maximum flexion.
Examiner palpates joint interlines, with one of
hands, and with the other, hold the foot, promoting rotation
inner and outer of the leg, anteriorly.
APLEY TEST – COMPRESSION/TRACTION
Evaluation of suspected meniscus injury. Patient in DV,
with the knee flexed at 90º, the examiner rotates the leg
(laterally and medially), combining with traction and
compression.
RETURN TEST
Patient in DD, examiner holds LI by the heel and
perform maximum flexion and then extension. In case it occurs
limitation during extension, with a soft final sensation,
positive.
TEST OF NEW MONTEIRO
Patient kneeling on the gurney and trying to sit on the
heels. If the patient does not perform the movement,
due to pain, positive.
EGE TEST
The patient squats with the knees internally rotated and in
then lift. It must be repeated squatting with rotation
external. If it is positive, there will be pain, crepitus, or blockage
mechanic next to the injury.
ANKLE
JOINT MOBILITY
Perform functional movements of the ankle (Dorsiflexion,
plantarflexion, inversion, and eversion) and observe amplitudes and
final sensations.
THOMPSON TEST
Detects complete injury in the Achilles tendon. Therapist performs
compression on the middle third of the calf. Due to
reflex effect, no injury, there is plantar flexion. In case it occurs
injury, there is no movement.
KLEIGER TEST
Detects injury in the deltoid ligament. Therapist performs
ankle sprain, if positive, there is presence of pain
it is possible for the talus to be displaced in relation to the malleolus
medial.
TALAR INCLINATION TEST
Identify lesions in the calcaneofibular ligament. Foot of
patient in neutral position, the examiner performs
medial inclination of the talus. Positive if there is movement
excessive.
FRONT DRAWER TEST
Identifies ankle instability. Patient sits on the
bedside of the stretcher, bent knee (to avoid stiffness of the
gastrocnemius), the examiner performs traction on the heel in
previous sense, while stabilizing the tibia.
SENIOR MEMBERS–MMSS
NEER IMPACT TEST
The objective is to observe the impact of the tuber
greater on the inferior face of the acromion. Therapist, stabilize.
scapula and promotes shoulder flexion to maximum amplitude.
Yocum Impact Test
It aims to observe the impact of the tuber.
larger on the inferior surface of the acromion. Patient undergoes
elbow flexion, maximum amplitude, with internal rotation
shoulder flexion, up to maximum range.
Jobe or Supine Test
The objective is to tension the supraspinatus tendon.
Patient performs horizontal abduction (45º) + internal rotation +
shoulder flexion (90º). Therapist applies resistance and
observe feedback on pain.
SPEED TEST AND PALM UP
It aims to target the long head of the biceps.
Patient performs lateral rotation + supination of forearm +
shoulder flexion at 90º. Therapist provides resistance and
after, performs a sudden and rapid elevation of the limb.
PATTE TEST
The aim is to test the infraspinatus muscle. Patient
in orthostasis, limb bent at 90º + Abduction at 90º +
external rotation. The therapist supports the patient's elbow,
with one hand and with the other imposes resistance on the back
from the patient's hand, requesting external rotation of the same.
COMPREHENSION TEST
Visa tests instability of the articular capsule. It may be
anterior and posterior. Patient in DD, upper limb
abducted to 90º, elbow flexed to 90º and rotated
externally. Therapist supports the back of one hand
below the shoulder and with the other promotes external rotation,
upper member of the patient. Should there be resistance against the
movement (low amplitude), positive.
Fukuda Test
Aims to analyze instability of the posterior capsule of
shoulder. The therapist positions themselves behind the patient, supporting the
scapula of the same, which will be with the member bent at 90º,
together with the elbow (90º) and exerted a force
of humeral posteriorization.
IMPORTANT TO KNOW:
