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Thomas Hemmings

Complete the table below

NAME OF TEST INTERPRETATION/WHAT TISSUE STRUCTURE DOES THIS TEST LOAD?

Cervical Axial Vertebrae, discs and some pressure through IVF


Compression

Cervical distraction test Releases pressure opens IVF and releases pressure of discs, loads
muscles and ligaments

Cervical Flexion Loading IVF, Nerve roots of cervical spine, Discs


Compression test

Cervical Rotation Loading IVF, Nerve roots of cervical spine, Discs


Compression test

Cervical Lateral Flexion Loading IVF, Nerve roots of cervical spine, Discs
Compression test

Cervical Maximal maximally closes the IVF loading of Discs


Compression test

Shoulder Depression Loading/stretch Brachial plexus and muscle, ligaments or capsular


test tissue

Shoulder abduction test Shortening and taking pressure off Brachial plexus
(Bakody’s)
Test for increased intrathecal pressure. This increased pressure within
Valsalva test the spinal cord, usually due to a space-occupying lesion, such as a
herniated disc, a tumour or osteophytes.
Lhermittes sign Dural Meningeal irritation

Brachial plexus tension Loads the Brachial Plexus


test

Cervicogenic dizziness Not covered

Adson’s test Scalenes (anterior most common) Brachial plexus or nerve trunk
neurovascular compromise. Decrease/disappearance of radial pulse.
Thx outlet syndrome test.

Halstead test (reverse Scalenes (Posterior most common) Brachial plexus or nerve trunk
Adson’s) neurovascular compromise. Decrease/disappearance of radial pulse.
Thx outlet syndrome test.
Thomas Hemmings

Wright’s test Brachial plexus or nerve trunk neurovascular compromise. Pec minor.
(hyperabduction) Decrease/disappearance of radial pulse. Thx outlet syndrome test.

Costoclavicular test Brachial plexus or nerve trunk neurovascular compromise.


Decrease/disappearance of radial pulse. Thx outlet syndrome test.
Decrease in costoclavicular space

Provocation elevation Brachial plexus or nerve trunk neurovascular compromise. Vascular


test (Roos) insufficiency and thx outlet syndrome test
Slump Test
If positive for pain and unable to extend the knee and if pain subsides
when neck is in extension there is increased tension in the
neuromeningeal tract and Discs
Passive Scapular
Approximation Stretching of serratus anterior could detect scapulocostal syndrome

Percussion
Fractured ribs or bone disease. Percuss away from sight of pain

Rib Fracture Screen


Tuning fork test, bruising or inflammation

Adam’s Forward
Bending Test Detects Scoliosis

Ott Sign
Check for degenerative inflammatory processes restricted ROM
through Thx spine.
Chest Expansion
Expansion of thx cage ruling out ankylosing spondylitis
Beevor’sSign
Unbibium to stay still (test to see if antagonistic muscles are
contracting/active)
Abdominal Reflexes
Watch umbilicus to shift to left and right depending on quadrant
(Stimulates abdominal muscles)