Escolar Documentos
Profissional Documentos
Cultura Documentos
Hyperflexion Test
Supination Stress Test
Hyperflexion Test
Indicates the presence of an elbow
disorder.
Procedure: The patient is seated.
The examiner grasps the
patients wrist and maximally
flexes the elbow, carefully noting
any restricted motion and the
location of any pain.
Assessment: Increased or
restricted mobility in the joint
coupled with pain is a sign of
joint damage, muscle
contracture, tendinitis, or a
sprain.
Stability tests
Epicondylitis Tests
Chair Test
Bowden Test
Thomson Test
Mill Test
Motion Stress Test
Cozen/Reverse Cozen Test
Golfers Elbow Sign
Forearm Extension Test
Chair Test:
Indicates lateral epicondylitis.
Procedure: The patient is
requested to lift a chair.
The arm should be
extended with the forearm
pronated.
Assessment: Occurrence
of or increase in pain over
the lateral epicondyle and
in the extensor tendon
origins in the forearm
indicates epi-condylitis.
Bowden Test:
Indicates tennis elbow (lateral epicondylitis).
Procedure: The patient is
requested to squeeze
together a blood-pressure
measuring cuff inflated to
about 30 mm Hg (about 4.0
kPa) held in his or her hand,
or, by squeezing the cuff, to
maintain a pressure specified
by the examiner.
Assessment: Occurrence of or
increase in pain over the
lateral epicondyle and in the
extensor tendon origins in
the forearm indicates epicondylitis.
Thomson Test
Indicates lateral epicondylitis.
Procedure: The patient is
requestedto make a fist and
extend the elbow with the hand
in slight dorsiflexion. The
examiner immobilizes the
dorsal wrist with one hand and
grasps the fist with the other
hand. The patient is then
requested to further extend the
fist against the examiners
resistance, or the examiner
attempts to press the
dorsiflexed fist into flexion
against the patients resistance.
Assessment: Severe pain over
the lateral epicondyle and in
the lateral extensor
compartment strongly suggests
lateral epicondylitis.
Mill Test
Indicates lateral epicondylitis
Procedure: The patient is
Cozen Test
Indicates lateral epicondylitis
Procedure: The patient is seated
for the examination. The
examiner immobilizes the elbow
with one hand while the other
hand lies flat on the dorsum of
the patients fist. The patient is
then requested to dorsiflex the
wrist against the resistance of
the examiners hand.
Alternatively, the examiner may
attempt to press the fist, which
the patientholds with the wrist
firmly extended, into flexion
against the patients resistance.
Assessment: Localized pain in the
lateral epicondyle of the humerus
or pain in the lateral extensor
compartment suggests
epicondylitis.
Tinel Test
Sign of cubital tunnel syndrome
Procedure: The patient is seated. The examiner grasps the
patients arms and gently taps on the groove for the ulnar
nerve with a reflex hammer.
As Asse sessm ssmen ent: t: The ulnar nerve courses
through a bony groove posterior to the medial epicondyle.
Because of its relatively superficial position, compression
injuries are common. Injury, traction, inflammation,
scarring, or chronic compression are the most common
causes of damage to the ulnar nerve. Pain elicited by
gently tapping the groove for the ulnar nerve suggests
chronic compression neuropathy. With th this is test, care
shoul uld be taken ken no not to tap the nerve ve to too
hard because a forceful tap will cause pain even in a
normal nerve. Note, too, that repeated tapping can injure
the nerve.
Tinel Test
Sign of cubital tunnel syndrome