Special Tests
Conditions A
T & T
Muscle Tests
Random
100
This test is performed is supine with the feet off the end of the table and the therapist grasps the gastroc/soleus muscle belly.
(name & what it assesses)
What is Thompson's test? What is Grade 3 Achille's tear.
100
Your client complains of pain in their knee. It feels like it's under the knee cap. They can't recall doing anything specific. The pain feels worst when sitting for a long time and going down stairs.
What is Patellofemoral Syndrome?
100
This technique involves stimulating the muscle spindle fibres to get reflex relaxation of the muscle.
What is muscle approximation technique?
100
This is a "trick" to figuring out how to do most of the Vizniak Muscle Tests.
What is putting the muscle in it's shortened position, asking the client to hold that position while you (the therapist) do the opposite of the muscle action.
100
This technique is contraindicated when a client is taking anti-asthmatic medications.
What is cupping and other stimulating techniques to the torso.
200
Demonstrate how to perform the "wrist flexor ligamentous stress test".
(passive extension of the wrist with forearm supported)
200
Your client is a student who is perpetually late for class. 3 weeks ago they sprinted for the bus and felt a popping sensation above the back of the heel. There was moderate swelling and bruising at the time. They now have pain when dorsiflexing.
What is a grade 2 Achilles tear?
200
Demonstrate the PNF stretch for the hamstrings and verbalize which direction the therapist force & client forces are acting and the timing.
Hamstrings = SLR (therapist push client into hip flexion (with knee straight) for 10 seconds to stretch and client does hip extension against resistance for 6 seconds X 3
200
This muscle test is done in supine, with the arm on the table, elbow flexed to 90 and hand fully supinated. Therapist stabilizes upper arm and tries to extend and radially deviate the wrist.
What is the flexor carpi ulnaris.
200
Demonstrate the best XFF treatment for AC joint sprain (include location and direction of fibers/technique).
should be working on the anterior part of the acromioclavicular ligament.
300
This test assesses for tendinitis/itis of the Common Extensor tendon.
(name of test, demonstration and positive sign (be specific))
Mill's test
- passive flexion of the wrist; pain at the lateral condyle of humerus/common extensor tendon)
300
Your client is complaining of pain on the lateral side of their knee. It has been getting worse with their increase in running training.
(condition & 2 contributing factors)
What is Iliotibial Band Syndrome?
What are: poor footwear, increased Q angle, per planus, ...
300
This technique is helpful for resolving trigger points. State all info required on exam sheet.
What is ischemic compressions?
CI=blood thinners; Pre-hydro = DMH for 10min; Time = 10-60 sec; Intensity = 7/10; direct client to DDB; Post-hydro= DMH for 10 min
300
This muscle test is done with the client in supine, upper arm on the table, elbow flexed to 90, wrist flexed to 90 and pronated. The therapist tries to extend and ulnar deviate the wrist.
What is the flexor carpi radialis.
300
Demonstrate axial distraction of the talocrural joint.
(instructor to mark)
400
This test assesses the joint integrity of the AC joint.
(name of test, demonstrate & state positive sign)
AC Shear Test
(squeeze over AC & pain + hypermobility is positive)
400
Your client complains of pain in their wrist following a fall on the ice. She mentions that she put her hand out behind her when she slipped and landed palm down. During your assessment you notice pain & instability doing wrist extension.
(condition & injured structure)
What is wrist sprain of the palmar radoiocarpal ligament?
400
Demonstrate PNF stretching for pectoralis minor.
(verbalize timing & direction of force of both therapist & client)
Pec minor stretch = client "put shoulder blade in opposite pocket" while therapist add some posterior pressure on shoulder for 10 sec to stretch; client roll shoulder forward (into a slouch position) for 6 seconds X 3
400
This muscle test is done with the client in prone position, knee bent 90, ankle plantar flexed. The therapist tries to dorsiflex the ankle.
What is the soleus.
400
Demonstrate humeroulnar distraction.
500
This test assesses the rotary function of the knee.
(name of test, demonstrate & state positive)
Helfet's test
seated, knee 90 over table, therapist palpate tibial tuberosity and have client fully extend knee; positive sign is lack of slight rotation in full extension due to torn meniscus or ligament blocking extension)
500
Your client is a 22 year old gymnast. In mid-January she was working on a parallel bar routine. She missed one of her moves and only 1 hand caught the bar wrenching her arm up and back. She had pain & bruising on the front of her shoulder. You notice that she has a slightly higher acromion on the injured side. You do ROM testing and notice pain & restriction on extension & external rotation.
(condition, specific tissue injured, stage & 2 CI's)
What is AC sprain (acromioclavicular ligament). 3weeks = subacute
CI's - no XFF with anti-inflammatory; no deep work with analgesics, no joint play to hyper mobile joints, ...
500
This set of techniques is good to use as part of your ITBand Syndrome treatment.
Name the technique group and give 3 examples of how to perform it (with demonstration)
Myofascial Release
cross hands spreading, cutting & J-stroke
500
Demonstrate the muscle test for extensor digitorum.
[instructor to watch & assess]
supine, upper arm on table, palm flat and fingers extended (lifted off the table). therapist tries to push fingers down to table.
500
Your client has a positive result when you perform Apley's distraction test. What is the Chief Complaint?
Describe & demonstrate how you would narrow down the options and figure out which specific structure is injured?
(be specific with findings)
What is knee sprain?
Posterior drawer/ Posterior sag = posterior cruciate
Valgus stress = medial collateral; Varus stress = lateral collateral