Tests for hip fractures and their statistical utility
- Fulcrum test( Sp good, Sn excellent)
-Patellar percussion test ( Sp good, Sn high)
Tests for ACL integrity
- Lachman's (Sp high, Sn good)
-Anterior drawer (Sp high, Sn fair)
-Pivot shift (Sp high, Sn fair)
Achilles tendinopathy test
-Thompson test (Sp high, Sn excellent)
-Royal london (Sp high, Sn poor)
Plantar fasciitis
Windlass(Sp excellent, Sn poor)
A level examinations for osteoarthritis
-WOMAC, BPI, PPT, and VAS outcome measures
-6MWT, stair measurement, TUG, 30 sec chair stand
-FABER test
-balance performance through BERG balance scale, 4-square step, timed SLS
Test for space-occupying lesions
-Sign of the buttock (unknown Sp and Sn)
Tests for PCL integrity
- Posterior drawer (Sp unclear, Sn fair)
-Quad active (Sp high, Sn good)
-Post sag (Sp unclear, Sn good)
- Varus/valgus at 0o (Sp good, Sn mod)
Lateral ankle sprain tests
-Anterior drawer (Sp and Sn fair-good)
-Reverse anterolateral drawer (Sp good, Sn high)
-Medial talar tilt (Sp fair, Sn poor)
DVTs- Well's criteria
- pitting edema
-Active cancer
-full leg swelling
-collateral superficial veins
-major surgery or bedridden for 3 or more days
- 0=low risk, 1-2= mod risk, >2= high risk
A level examination for patellofemoral pain
- outcome measures like AKPS, KOOS-PF, VAS, EPQ
-squatting or ascending/descending stairs to stress the joint
Intra-articular conditions(ex. femoracetabular impingement)
-FADDIR( Sp unclear, Sn high)
-FABER (Sp mod, Sn good)
-Scour (Sp fair, Sn high)
-Flexion internal rotation (Sp unclear, Sn excellent)
Tests for MCL and PCL integrity (different tests)
- MCL- valgus stress (Sp fair, Sn high)
-LCL- varus stress (Sp poor, Sn high)
High ankle sprain tests
-Syndesmosis squeeze
-External rotation, ATFL stress- Kleiger's
-
Ottawa ankle rules-imaging
-TTP over post and lateral malleoli
-TTP over navicular and base of 5th metatarsal
-can't WB
-trauma last 7 days
- Sp poor, Sn excellent
A level examination for lateral ankle ligament sprain
- outcome measures include VAS, LEFs, ankle and foot ability measure,
- talar translation and inversion, ankle swelling, WB lunge test for DF measurements, dynamic balance, static single limb balance
Tests for neurodynamic mobility
-SLR (Sp fair, Sn good)
-Prone knee bending (Sp unclear, Sn good)
Tests for meniscus integrity
- Joint line tenderness (Sp and Sn mod)
-McMurray's (Sp high, Sn fair)
-Apley's (Sp high, Sn poor)
-Thessaly's (Sp high, Sn mod)
-Composite scoring( 3+ Sp high, Sn fair)
Morton's neuroma test
Mulder's click (Sp unknown, Sn fair-high)
Ankle impingement
Forced DF (Sp good, Sn high)
A level examination for hamstring strains
-knee flexion strength using a isokinetic or handheld dynamometer
-measure hamstring length with hip flexed to 90o using an inclinometer
Examination for osteoarthritis (CPG)
-TUG
-6MWT
-Stairs
-Limited ROM in 2 or more directions
-Morning stiffness
-Pain in lat/ant hip and WBing
Ottawa knee rules for imaging
- age >55
-TTP over the fibular head and patella
-unable to flex knee >90o
-unable to WB >4 steps
-Sp fair, Sn excellent
Tarsal tunnel syndrome
Tinel's (Sp fair-good, Sn poor-fair)
Neurodynamic testing SLR (sural, superficial and deep peroneal, tibial)
-Tibial= DF and evert
-Sural= DF and invert
-Peronal(deep and superficial)= PF and invert
A level examination for achilles tendinopathy
-Outcome measures include LEFS, VISA-A, FAAM