Tests Especiales en Inglés

8/12/2019 Tests Especiales en Ingls

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Mike BoisselleGeared Towards Athletic Training Students


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Special Tests

Specific procedures applied

to determine the presence ofpathomechanics

Unique to each structure,joint, or body part

Bilateral Comparison


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Keep In Mind While Performing

Special Tests

AnatomyIsolateStabilizeBilateral comparisonPatient positionPositive signs

Medical Emergencies


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Homans Sign

Patient is in supine position,

in knee extension

Dorsiflex patient and squeez

egastroc

Positive sign-painPain indicatingthrombophlebitis


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Anterior Drawer Test

Patient seated legs overtable

Stabilize distal tibia andfibula

Apply anterior force tocalcaneus

Positive test: pain and/orlaxity

Indicating anteriortalofibular ligamentsprain


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Talar Tilt (Inversion) Patient sitting with legs over

table

Stabilize distal tibia, and grasp

talus

Tilt the talus into adduction Pain and/or laxity indicates

calcaneofibular ligament damage


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Talar Tilt (Eversion) Patient sitting with legs over

table

Stabilize distal tibia, and graspcalcaneus

Tilt the calcaneus intoabduction

Pain and/or laxity indicatesdeltoid ligament damage


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Thompson Test

Patient prone on table withheels off edge

Examiner squeezes muscle bellyof gastrocnemius-soleuscomplex

Normal response is slight

plantar flexionAbsence of plantar flexion

indicates Achilles tendonrupture


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Tap or Percussion Test Patient sitting with feet over

tables edge

Passively dorsiflex patient

Apply a firm tap to patients heel

Pain is indicative of possible

fracture


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Feiss Line

Patient seated legs over table

Draw a dot on medial

malleolus, and first MTP joint

Draw a line connecting dots

Observe the navicular tubercle

Weight bearing and non weightbearing


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Feiss Line (continued) Non weight bearing

navicular drop

Indicates congenital pes

planus

Weight bearing naviculardrop

Indicates functional pesplanus


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Interdigital Neuroma Test Patient seated with legs over

table

Squeeze the metatarsal headstogether 3 minutes

Pain, tingling, numbness in

the foot, toe or ankle Positive test indicating

interdigital neuroma


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Compression Test Patient sitting feet just over

edge

Compress the tibia andfibula

Start away from pain, work

towards

Pain may indicate fracture


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That cannot beright


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TinelsSign

Patient sits with feet at edge oftable

Tap posterior tibial nerve onmedial side

Positive test- radiating pain andtingling

Indicative of tarsal tunnelsyndrome

Tests Especiales en Inglés

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