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NPTE Special Tests Questions and Answers Rated A+
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NPTE Special Tests Questions and Answers Rated A+
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NPTE Special Tests Questions andAnswers Rated A+
Positive Test:
Normal= within 20 degrees of full extension
AC Crossover - ANSWER-Purpose: Degenerative / arthritis changes of the AC joint.
Method: Pt flexes shoulder to 90 degrees, and adducts shoulder across the body. PT
applies over pressure forcing the acromion into the distal clavicle.
Positive Test: Pain in AC joint.
AC Shear - ANSWER-Purpose: AC joint pathology
Method: PT cup his hands over pt's shoulder (clavicle and spine of scapula) and
squeeze his hands together.
Positive Test: Pain or excessive movement of AC joint.
Adson Maneuver - ANSWER-Purpose: Thoracic Outlet Syndrome
Method: Pt. in seated position. PT finds radial pulse and passively brings shoulder into
abd. and extension. Pt. then rotates head and looks over ipsilateral shoulder. Pt takes
deep breath and hold the position.
Positive Test: Diminished pulse, and symptoms of pain, numbness, tingling, weakness,
& coldness in the upper extremity.
Alar Ligament Stress Test - ANSWER-Purpose: Alar ligament Disruption
Method: PT grasps C2 spinous process and perfoms cervical side flexion and rotation.
Positive Test: Reproduction of symptoms, an abnormal feeling.
Allen Test - ANSWER-Purpose: Thoracic Outlet Syndrome
Method: Pt in sitting or standing, with should in 90 abduction & lateral rotation, elbow
flexed. Pt is asked to rotate head away from test shoulder and PT monitors radial pulse.
Positive Test: Absent or diminished pulse.
Ankle Anterior Draw Test - ANSWER-Purpose: Anterior Talofibular Ligament Integrity
,Method: Pt is supine. PT stabilizes superior to ankle while drawing the talus forward.
Positive Test: Excessive Joint Laxity
Ankle Tinel's Sign - ANSWER-Purpose: Assess tibial nerve integrity
Method: Percussion of the posterior tibial nerve behind medial malleolus.
Positive Test: Tingling/parasthesia distally in foot.
Anterior Drawer Test - ANSWER-Purpose: Knee ACL Integrity
Method: Pt is supine with knee flexed to 90 degrees. PT stabilizes foot, thrusts tibia
anteriorly while palpating the joint line.
Positive Test: Joint Laxity
Appley's Test - ANSWER-Purpose: Meniscus and ligament integrity
Method: Pt is prone with knee flexed. PT applies medial and lateral rotation with
compression and distraction forces.
Positive Test: pain
Pain with compression = meniscus involvement
Pain with distraction = ligament involvement
Apprehension Test for Anterior Shoulder Dislocation - ANSWER-Purpose: increased
likelihood of anterior shoulder dislocation
Method: *PROM* Pt in supine, shoulder in 90 degrees abduct. PT externally rotates
shoulder.
Positive Test: look of apprehension or facial grimace before reaching end point.
Apprehension Test for Posterior Shoulder Dislocation - ANSWER-Purpose: increased
likelihood of posterior shoulder dislocation
Method: Pt in supine, shoulder flexed to 90 degrees and internally rotated. PT applies
posterior force.
Positive Test: look of apprehension or facial grimace before reaching end point.
Back Rotators
(Multifidus Test) - ANSWER-Purpose: Assess the ability of the lumbar rotators &
multifidi to stabilize trunk during dynamic extremity movements.
, Method: Pt in quadruped and holds neutral pelvis.
1) single straight arm lift/hold
2) single straight leg lift/hold
3) contralateral arm/leg lift and hold
Positive Test:
G5: 3 positions, 20-30sec
G4: 20 sec, unable to do arm/leg together
G3: maintain pelvis w/ arm lift 20 sec
G2: unable to neutral pelvis w/ arm lift
Bakody's Sign - ANSWER-Purpose: Cervical pain differential
Method: Pt. abducts shoulder while placing hand on head.
Positive Test:
Decrease pain: C4-C5 radiculopathy, Potential elevated 2nd rib
Increase pain: increased pressure in interscalene triangle
Ballotable Patella - ANSWER-Purpose: Joint Capsule Swelling
Method: Pt is supine with knee extended. PT palpates the medial and lateral patella
borders while stroking down suprapatellarly.
Positive Test: Separation of thumb and finger due to swelling.
Barlow's Test - ANSWER-Purpose: likelihood of hip dislocation
Method: Examiner flexes the infant's hips and knees to 90 degrees. The examiner's
middle finger should be over the infant's greater trochanter and the thumb should be on
the inner thigh. The infant's hip is brought into abduction as the examiner applies
forward pressure on the greater trochanter. If a click, clunk, or jerk is heard as the
femoral head slips forward into the acetabulum, the test is positive. The examiner then
applies a backward and outward pressure to the inner thigh. If the femoral head slips
out of the acetabulum, the hip is unstable and is able to dislocate.
Biceps Tension Test - ANSWER-Purpose: Detect a SLAP Lesion
Method: Shoulder in abduction at 90 degrees and ER. Pt eccentrically resists PT
applied force as pt moves into shoulder adduction.
Positive Test: Pain
Bounce Home Test - ANSWER-Purpose: Meniscal Lesion
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