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Title: Tests for elbow joint
Description: Special tests to assess elbow joint. Beneficial for students of physiotherapy (4th year).
Description: Special tests to assess elbow joint. Beneficial for students of physiotherapy (4th year).
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SPECIAL TESTS FOR
THE ELBOW
SPECIAL TESTS FOR THE ELBOW
SPECIAL TEST:
Handgrip Test
STRUCTURE:
Median Nerve
...
The therapist is standing
with the stabilizing hand supporting the patient’s wrists
...
Repeat with wrist
in ulnar deviation (figure B)
...
Repeat with wrist in ulnar deviation
...
C
...
187-88
Figure B
Copyright © 1998 by The Ola Grimsby Institute • 1
...
646
...
The
therapist is standing or sitting
APPLICATION: The therapist resists pronation of forearm for 15-20 seconds
...
p
...
800
...
6128
SPECIAL TESTS FOR THE ELBOW
SPECIAL TEST:
Lacertus Fibrosus Compression Test
STRUCTURE:
If a radial head fracture is present this test will increase pain
...
POSITION:
The patient is sitting with the elbow flexed and forearm fully pronated
...
Limitation and pain with supination
...
p
...
800
...
6128
ELB • 23
SPECIAL TESTS FOR THE ELBOW
SPECIAL TEST:
STRUCTURE:
POSITION:
APPLICATION:
POSITIVE SIGN:
REFERENCE:
ELB • 24
Superficial Arch Compression Test
Median Nerve
...
The therapist is standing/sitting in front of the patient
...
Symptoms reproduced; weakness of flexor digitorum superficialis
...
p
...
Copyright © 1998 by The Ola Grimsby Institute • 1
...
646
...
The patient is sitting
...
Place a piece of paper between the patient’s index finger and thumb at the
level of the metacarpalphalangeal joints and have the patient squeeze hard
...
The paper can be easily pulled out
...
A
...
208-209
C
...
194-195
Figure B
Copyright © 1998 by The Ola Grimsby Institute • 1
...
646
...
The patient is seated
...
Have the
patient make an “O” with thumb and distal phalanx of index finger; place a
sheet of paper between patient’s thumb and index finger
...
The therapist pulls paper away from patient’s hand
...
A
...
206
C
...
154
G
...
96
Copyright © 1998 by The Ola Grimsby Institute • 1
...
646
...
Positive test for ulnar nerve involvement
...
The therapist is standing/
sitting
...
Have the patient adduct the 2nd and 5th digits towards each other
...
Marked weakness of adduction of 2nd and 5th digits of the hand as compared to
the contralateral side
...
p
...
p
...
800
...
6128
ELB • 27
SPECIAL TESTS FOR THE ELBOW
SPECIAL TEST:
Tinel Sign
STRUCTURE:
Ulnar nerve
...
POSITION:
The patient is sitting with the affected elbow in an extended position
...
The therapist's stabilizing hand supports the
wrist
...
APPLICATION:
The ulnar nerve is tapped by the therapist in the groove between the olecranon
process and the medial epicondyle of the humerus
...
REFERENCE:
ELB • 28
A
...
170-171
B
...
56
C
...
153
Copyright © 1998 by The Ola Grimsby Institute • 1
...
646
...
The therapist is standing/sitting
...
The therapist resists wrist extension and radial deviation
...
A
...
150-151
C
...
151
Copyright © 1998 by The Ola Grimsby Institute • 1
...
646
...
POSITION:
The patient is sitting with the elbow flexed 90 degrees
...
The node is palpable if it is enlarged
...
REFERENCE:
B
...
45
ELB • 30
Copyright © 1998 by The Ola Grimsby Institute • 1
...
646
...
The therapist is standing
with one hand placed on the posterior-medial aspect of the lower humerus
...
A varus force is applied to the distal forearm
...
A
...
174-175
B
...
56
C
...
151 (elbow flexed 20-30 degrees)
Copyright © 1998 by The Ola Grimsby Institute • 1
...
646
...
The therapist is standing
with one hand on the posterior lateral aspect of the humerus on the joint line
...
APPLICATION: Apply a valgus force to the distal forearm
...
REFERENCE: A
...
172-173
B
...
546
C
...
151
ELB • 32
Copyright © 1998 by The Ola Grimsby Institute • 1
...
646
Title: Tests for elbow joint
Description: Special tests to assess elbow joint. Beneficial for students of physiotherapy (4th year).
Description: Special tests to assess elbow joint. Beneficial for students of physiotherapy (4th year).