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Questions and Answers
Murphy's Percussion Test is typically performed with the patient standing.
Murphy's Percussion Test is typically performed with the patient standing.
False (B)
Murphy's Percussion Test involves the therapist applying a direct fist percussion to the costovertebral angle.
Murphy's Percussion Test involves the therapist applying a direct fist percussion to the costovertebral angle.
False (B)
The primary indication for a positive Murphy's Percussion Test is liver enlargement.
The primary indication for a positive Murphy's Percussion Test is liver enlargement.
False (B)
A positive Murphy’s percussion test directly indicates the presence of a kidney stone.
A positive Murphy’s percussion test directly indicates the presence of a kidney stone.
The Adson Maneuver is performed with the patient seated and their head rotated away from the test side.
The Adson Maneuver is performed with the patient seated and their head rotated away from the test side.
While performing the Adson Maneuver, the therapist palpates the femoral pulse.
While performing the Adson Maneuver, the therapist palpates the femoral pulse.
A positive Adson Maneuver is indicated by an increase in the radial pulse amplitude.
A positive Adson Maneuver is indicated by an increase in the radial pulse amplitude.
The Adson Maneuver primarily tests for vascular compression in Thoracic Outlet Syndrome (TOS).
The Adson Maneuver primarily tests for vascular compression in Thoracic Outlet Syndrome (TOS).
During the Costoclavicular Test (Military Brace), the therapist moves the patient’s arm upwards and forward while palpating the radial pulse.
During the Costoclavicular Test (Military Brace), the therapist moves the patient’s arm upwards and forward while palpating the radial pulse.
The Costoclavicular Test (Military Brace) assesses for TOS by observing changes in the ulnar pulse.
The Costoclavicular Test (Military Brace) assesses for TOS by observing changes in the ulnar pulse.
The Costoclavicular Test is considered positive if there is an increase in the radial pulse during the maneuver.
The Costoclavicular Test is considered positive if there is an increase in the radial pulse during the maneuver.
The Costoclavicular Test (Military Brace) is designed to evaluate the entrapment of structures between the clavicle and the first rib.
The Costoclavicular Test (Military Brace) is designed to evaluate the entrapment of structures between the clavicle and the first rib.
The Roos Test (EAST) requires the patient to sit with their arms in a 45/45 position.
The Roos Test (EAST) requires the patient to sit with their arms in a 45/45 position.
The Roos Test (EAST) is performed by having the patient rapidly pronate and supinate their forearms for 3 minutes.
The Roos Test (EAST) is performed by having the patient rapidly pronate and supinate their forearms for 3 minutes.
A positive Roos Test (EAST) suggests TOS and is indicated by the patient's ability to maintain the position and hand movements for the full 3 minutes without symptoms.
A positive Roos Test (EAST) suggests TOS and is indicated by the patient's ability to maintain the position and hand movements for the full 3 minutes without symptoms.
The Roos Test (EAST) primarily provokes symptoms related to arterial compression in the thoracic outlet.
The Roos Test (EAST) primarily provokes symptoms related to arterial compression in the thoracic outlet.
The Wright Test is performed with the patient lying supine.
The Wright Test is performed with the patient lying supine.
The Wright Test involves Adduction of the patient’s arm while palpating the radial artery.
The Wright Test involves Adduction of the patient’s arm while palpating the radial artery.
A positive Wright Test is determined by an increase in blood pressure.
A positive Wright Test is determined by an increase in blood pressure.
The Wright Test is used to evaluate the presence of costoclavicular syndrome.
The Wright Test is used to evaluate the presence of costoclavicular syndrome.
During the Shoulder Girdle Passive Elevation Test, the patient is seated with their arms passively at their sides.
During the Shoulder Girdle Passive Elevation Test, the patient is seated with their arms passively at their sides.
The Shoulder Girdle Passive Elevation Test requires holding the elevated position for 10 seconds.
The Shoulder Girdle Passive Elevation Test requires holding the elevated position for 10 seconds.
A positive Shoulder Girdle Passive Elevation Test is indicated by an increase of symptoms.
A positive Shoulder Girdle Passive Elevation Test is indicated by an increase of symptoms.
The Shoulder Girdle Passive Elevation Test aims to relieve pressure within the costoclavicular space.
The Shoulder Girdle Passive Elevation Test aims to relieve pressure within the costoclavicular space.
The Cervical Rotation Lateral Flexion Test is performed with the patient standing.
The Cervical Rotation Lateral Flexion Test is performed with the patient standing.
The Cervical Rotation Lateral Flexion Test involves rotating the patient’s head towards the side being tested.
The Cervical Rotation Lateral Flexion Test involves rotating the patient’s head towards the side being tested.
The Cervical Rotation Lateral Flexion Test is considered positive if there is an increase in lateral flexion motion.
The Cervical Rotation Lateral Flexion Test is considered positive if there is an increase in lateral flexion motion.
The Cervical Rotation Lateral Flexion Test primarily identifies compression of the brachial plexus.
The Cervical Rotation Lateral Flexion Test primarily identifies compression of the brachial plexus.
During the Rib Spring Test, the patient is supine.
During the Rib Spring Test, the patient is supine.
In the Rib Spring Test, the therapist applies a PA force through the spinous process of the vertebra.
In the Rib Spring Test, the therapist applies a PA force through the spinous process of the vertebra.
A positive Rib Spring Test is determined by an absence of pain during the procedure.
A positive Rib Spring Test is determined by an absence of pain during the procedure.
The Rib Spring Test assesses the mobility and integrity of the costovertebral and costotransverse joints.
The Rib Spring Test assesses the mobility and integrity of the costovertebral and costotransverse joints.
The examiner should stabilize the ipsilateral transverse process during the rib spring test.
The examiner should stabilize the ipsilateral transverse process during the rib spring test.
The Wright Test is performed by abducting the patient's arm while palpating the ulnar artery.
The Wright Test is performed by abducting the patient's arm while palpating the ulnar artery.
The Shoulder Girdle Assitive Elevation Test involves the patient lifting their shoulders to the ears for 30 seconds.
The Shoulder Girdle Assitive Elevation Test involves the patient lifting their shoulders to the ears for 30 seconds.
The Cervical Rotation Lateral Flexion Test is used to detect hypomobility in the 2nd rib.
The Cervical Rotation Lateral Flexion Test is used to detect hypomobility in the 2nd rib.
The Roos Test (EAST) is performed with the patient opens and closes hands for 5 minutes.
The Roos Test (EAST) is performed with the patient opens and closes hands for 5 minutes.
Murphy's Percussion Test evaluates for visceral pathology.
Murphy's Percussion Test evaluates for visceral pathology.
Indication of the Adson Maneuver is low suspicion of arterial TOS.
Indication of the Adson Maneuver is low suspicion of arterial TOS.
During the Costoclavicular (Military Brace) Test, pulse amplified indicates TOS.
During the Costoclavicular (Military Brace) Test, pulse amplified indicates TOS.
Flashcards
Murphy's Percussion Test
Murphy's Percussion Test
Patient is prone or sitting, therapist behind patient. Therapist places a flat hand over the costovertebral angle and applies a percussive thump. Positive if tenderness/pain is present.
Adson Maneuver
Adson Maneuver
Patient seated, head rotated to test side, therapist standing behind. Palpate radial pulse, patient's arm is laterally rotated, extended, and patient extends head. Positive if pulse abolished or symptoms reproduced.
Costoclavicular Test (Military Brace)
Costoclavicular Test (Military Brace)
Patient seated, therapist standing behind. Palpating the radial pulse, therapist moves patient's arm down and back. Positive if pulse abolished or symptoms reproduced.
Roos Test (EAST)
Roos Test (EAST)
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Wright Test
Wright Test
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Shoulder Girdle Passive Elevation Test
Shoulder Girdle Passive Elevation Test
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Cervical Rotation Lateral Flexion
Cervical Rotation Lateral Flexion
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Rib Spring Test
Rib Spring Test
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Study Notes
- Several special tests can assess thoracic spine pathology.
Murphy's Percussion Test
- The position of the patient during the test is prone or seated, and the therapist stands behind
- Palms touch the patient's back at the the costovertebral angle as the therapist applies a percussive thump over the flat hand
- The test is postive if there is tenderness or pain
- Indicates possible renal involvement
Thoracic Outlet Syndrome (TOS) Tests
- Several tests can be used to assess TOS, including:
- Adson Maneuver
- Costoclavicular (Military Brace) Test
- Roos Test (Elevated Arm Stress Test [EAST])
- Wright Test
- Shoulder Girdle Passive Elevation
- Cervical Rotation Lateral Flexion Test
Adson Maneuver
- The patient is seated with their head rotated to the test side, and the therapist stands behind the patient
- Palpate the radial pulse and the patient's arm is laterally rotated and extended as the patient extends their head
- A positive test is indicated by the abolishment of the pulse or reproduction of symptoms
- Indicates possible arterial TOS
Costoclavicular Test (Military Brace)
- The patient is seated and the therapist stands behind
- While palpating the radial pulse, the therapist moves the patient's arm down and back
- The pulse being abolished or reproducing of symptoms indicate a positive test
- Indicates possible TOS
Roos Test (EAST)
- The patient is sitting with arms in 90/90 position with the therapist monitoring
- The patient opens and closes their hands for 3 minutes
- The inability to perform for 3 minutes, or if pain, profound weakness or heaviness occurs on the affected side indicates a positive test
- Indicates possible TOS
Wright Test
- Patient is sitting while the therapist stands behind
- While palpating the radial artery, the patient's arm is abducted as far as possible
- A change in pulse strenght is a positive test
- Indicates possible TOS
Shoulder Girdle Passive Elevation Test
- The patient is seated with arms crossed, while the therapist stands behind
- Passively elevate the patient's shoulder girdle and hold for 30 seconds or more
- A reduction of symptoms is a positive test
- Indicates possible TOS
Cervical Rotation Lateral Flexion
- The patient is seated, therapist standing behind
- Passively and maximally rotate the patient's head away from the side to be tested
- While maintaining this position, laterally flex the head toward the sternum (ear toward sternum)
- Decreased lateral flexion motion indicates a positive test
- Indicates the hypomobility of the 1st rib
Rib Spring Test
- The patient is positioned prone and the therapist stands to the side
- Stabilize the opposite transverse process while putting PA force through the angle of the rib to be tested
- The reproduction, or worsening of symptoms indicates a positive test
- Suggests costovertebral or costotransverse joint irritation
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