What are special tests in physiotherapy?

What Are Special Tests? Special tests are used during a physical examination by clinicians in physical therapy and orthopedics. The tests can be used to rule in or out whether a patient has a certain musculoskeletal problem. They are helpful in diagnosing orthopedic conditions and injuries.

Which test included in special test?

Special testing is generally performed following a full examination of the shoulder that includes but is not limited to patient history, mechanism of injury, clinical observation, bony and soft tissue palpation, assessment of active and passive physiological movements, assessment of passive arthokinematic / accessory …

What is the purpose of special testing?

Special tests provide us with diagnostic information to identify the particular tissues involved, while SMPs help indicate the movement patterns contributing to the patient’s symptoms and where we should target our interventions.

What are 2 special tests for the rotator cuff?

Special tests performed included lift off test, passive lift off test, belly-press test, belly-off sign, bear hug, external rotation lag sign at 0°, external rotation lag sign at 90°, Hornblower’s sign, full can test, drop arm test, Jobe’s test, Neer’s sign, Hawkin’s sign, bicipital groove tenderness, and Speed’s test.

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What is a special test in Orthopaedic healthcare?

Special tests are meant to help guide your physical examination, not be the main source of your information. There are hundreds upon thousands of Special Tests available for physical therapists. We suggest relying primarily on your anatomy and kinesiology and then using special tests to reinforce your findings.

How many special tests are there for the shoulder?

There are more than 70 shoulder special tests5 in clinical use that have been developed to identify labral, rotator cuff, acromioclavicular, and biceps tendon pathology, instability, subacromial impingement, and scapular dyskinesis.

Which shoulder special test is 75% accurate?

Shoulders were then examined by high resolution MRI with 95% accuracy for full thickness tears of the supraspinatus tendon. There were 35 shoulders with full thickness tear of the supraspinatus tendon.


Sensitivity Specificity Accuracy
77% 74% 75%
86% 57% 64%
63% 77% 89%
55% 68% 50%

Can PTAs perform special tests?

PTAs are not permitted to perform evaluations, assessment procedures, or certain complex procedures; nor do they design plans of care or develop treatment plans. Accordingly, PTAs do not possess an independent “scope of practice” as do PTs.

What factors should you consider when trying to choose the appropriate special test for a patient?

Choosing the appropriate test requires understanding the patient’s history and current signs and symptoms, as well as having a sufficient suspicion or pre-test probability of a disease or condition (see section on probabilistic reasoning) (Pauker and Kassirer, 1975, 1980; Sox, 1986).

What are shoulder special tests?

Specific tests for shoulder pain include the Neer test, used to look for a type of rotator cuff injury called impingement. Speed’s test is used to check for biceps tendonitis. Other tests are meant to check for shoulder instability and dislocation.

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What is supraspinatus test?

The supraspinatus can be tested by having the patient abduct the shoulders to 90 degrees in forward flexion with the thumbs pointing downward. The patient then attempts to elevate the arms against examiner resistance (Figure 3). This is often referred to as the “empty can” test.

What is the special test for frozen shoulder?

These tests include, but are not limited to the empty can test, Speed’s test, drop arm test, and Neer and Hawkin’s impingement tests. There is no one specific special test that confirms the diagnosis of adhesive capsulitis.

What does Faber test indicate?

The FABER test is used to identify the presence of hip pathology by attempting to reproduce pain in the hip, lumbar spine or sacroiliac region. The test is a passive screening tool for musculoskeletal pathologies, such as hip, lumbar spine, or sacroiliac joint dysfunction, or an iliopsoas spasm.

What are orthopedic tests?

Here are some of the most frequently used diagnostic tests for musculoskeletal injuries and conditions.

  • Arthrography. …
  • Blood Tests. …
  • Bone Scan. …
  • Computed Tomography (CT Scan) …
  • Discography. …
  • Doppler Ultrasound. …
  • Dual-Photon Absorptiometry. …
  • Dual-Energy X-ray Absorptiometry.

What is the crank test?

Purpose. This test also called labral crank test or compression rotation test is used to identify glenoid labral tears and assess an unstable superior labral anterior posterior (SLAP) lesions.