Athletic Training & Sports Medicine Center

  
 

Examination Links:

  • Alphabetical Listing
of Examinations
  • Head
    • Rhombterg
    • Neurological control
 - upper limb
    • Neurological control
 - lower limb
    • Tandem Test
    • Finger-to-nose test
    • Finger-thumb test
    • Hand flip test
    • Finger drumming test
    • Hand-thigh test
    • Past pointing test
    • Heel-to-knee test
    • Proprioceptive Movement
 Test
    • Proprioceptive Space Test
  • Cervical Spine
    • Spurling's Test
    • Distraction
    • Quandrant
    • Tinels' Sign
  • Thoracic Spine
    • Sagittal Plane ROM Test
    • Frontal Plane ROM Test
    • Transverse Plane ROM Test
  • Lumbar Spine
    • Straight Leg Raise Test
    • Sciatic Nerve Palpation Test
    • Bowstring Test
    • Slump Test
  • Shoulder
    • Apley Scratch Test
    • Apprehension Test
    • Relocation Test
    • Anterior Instability Test
    • Anterior/Posterior Translation
 Test
    • Sulcus Sign
    • Posterior G-H Instability Test
    • Inferior Drawer (Feagin) Test
    • Neer Impingement Test
    • Hawkins Kennedy
Impingement Test
    • Empty Can Test
    • Internal Rotation Strength
Test
    • External Rotation Strength
Test
    • Glenoid Labrum Clunk Test
    • Andrews Anterior Instability
Test
    • Anterior Drawer
    • Posterior Drawer
    • Prone Posterior Instability Test
    • Push Pull Test
    • Apprehension Test
    • Fulcrum test
    • Jerk Sign or Jahnke Test
    • Load & Shift Test
    • Acromioclavicular Joint
Stability Test
    • Cross Chest 
(Horizontal Adduction) Test
    • Sternoclavicular Joint 
Integrity Test
    • Speed's Test
    • Gilcrest's Palm-Up test
    • Ludington's Test
    • Drop Arm Test
    • Drop Sign
    • External Rotation Lag Sign
    • Internal Rotation Lag Sign
    • Gerber Lift-Off Test
    • O'Brien Test
    • Yergason Test
    • Biceps Load Test I
    • Biceps Load Test II
    • Winging Scapula Test
    • Adson Maneuver
    • Allen Test
    • Roo's Test
    • Halstead's Test
  • Elbow & Radioulnar
    • Valgus Test 00
    • Valgus Test 300
    • Valgus Test 900
    • Miking Sig
    • Cross Arm Valgus
 Stress Test
    • Varus Test 00
    • Varus Test 300
    • Tinel Sign
    • Lateral Compression Test
    • Valgus Extension Overload
    • Cozen Test
    • Mills Test
    • Distal Radioulnar Instability 
Test
  • Wrist
    • Finkelstein's Test
    • Anatomical Snuff Box
Compression Test
    • Phalen's Test or Wrist Press Test
    • Tinel Sign
  • Hand & Fingers
    • Murphy's Signr
    • Boutonniere Deformity Test
    • Mallet Finger Test
    • Flexor Digitorum Superficialis
 Test
    • Flexor Digitorum Profundus
 Test
    • Gamekeeper's Thumb Test
    • MCP Radial Collateral 
Ligament Stress Test
    • MCP Ulnar Collateral 
Ligament Stress Test
    • PIP Radial Collateral 
Ligament Stress Test
    • PIP Ulnar Collateral 
Ligament Stress Test
    • DIP Radial Collateral 
Ligament Stress Test
    • DIP Ulnar Collateral 
Ligament Stress Test
    • Bunnel-Littler Test
    • Retinacular Test
    • Allen Test
  • Sacroiliac Joint
    • Ipsilateral Prone Kinetic Test
    • FABER Test
    • Passive Extension & Internal 
Rotation of Ilium on Sacrum
    • Passive Flexion & External 
Rotation of Ilium on Sacrum
    • Passive External Rotation 
of Hip
    • Pelvic Rocking Test
    • Gapping Test
    • Prone Gapping (Hibb's) Test
    • Approximation Test
    • Squish Test
      Sacroiliac Rocking Test
    • Sacral Apex Pressure Test
    • Torsion Stress Test
    • Femoral Shear Test
    • Superoinferior Symphysis
Pubic Stress Test
    • Piedallu's Sign
    • Flamingo Maneuver or Test
    • Gaenslen's Sign
    • Mazion's Pelvic Maneuver
    • Yeoman's Test
    • Sit-up Test
  • Hip & Thigh
    • Scouring (Quandrant) Test
    • FABER Test
    • Trendelenburg Test
    • Craig's Test
    • Torque Test
    • Stinchfield Test
    • Thomas Test
    • Ober Test
    • Pirifomis Test
    • Sign of the Buttock
    • Ely's Test
    • Hamstring Contracture Test 1
    • Tripod Test
    • 90-90 Straight Leg Test
    • Phelp's Test
  • Knee
    • Anterior Drawer
    • Gravity Sign
    • Active Posterior/Anterior 
Drawer Test
    • Posterolateral Drawer Test
    • Lachman
      • Tradiional
      • Thigh Assisted
      • Drop Leg
      • Table Side
      • Table End
      • Prone
      • Active
    • Posterolateral Drawer Test
    • Figure 4 Palpation
    • McMurray's Test
    • Apley's Grind Test
    • Lateral Compression Test
    • Medial Compression Test
    • Jerk Test of Hughston
    • Pivot Shift Test
    • External Rotation 
Recurvatum Test
    • Quadriceps Active Test
  • Lower Leg
    • Heel Tap Test
    • Homan's Sign
    • Squeeze Test
    • Thompson Test
  • Ankle
    • Anterior Drawer
    • Cotton Test
    • Eversion Stress Test
    • Inversion Stress Test
    • Kleiger Test
    • Squeeze Test
    • Wedge Test
  • Foot
    • Morton Test
    •  
  • Range of Motion
  • Goniometry
  • Manual Muscle Testing
  • Reflexes
  • Vital Signs
  • Body Composition

 

COORDINATION TESTS

Test

TESTING PROCEDURE

MATERIALS NEEDED

SPECIAL NOTES

MOUSE OVER PICTURE TO VIEW MOVIE
Finger-to-nose test

  1. Pt. stands/sits with eyes open & is asked to bring index finger to nose

  2. Repeat with eyes closed

  3. Both arms tested several times with increasing speed

  4. Should be easy, smooth, & quick

     
Finger-thumb test

  1. Ask pt. to touch each finger with thumb of same hand

  2. Normal side tested first, then injured side

  3. Compare for coordination & timing

     
Hand flip test

  1. Ask pt. to touch back of opposite, stationary hand with anterior fingers

  2. “Flip” test hand over, & touch opposite hand w posterior fingers

  3. Several repeats, testing both sides

  4. Compare 2 sides coordination/speed

     
Finger drumming test

  1. Ask pt. to drum index & middle finger of 1 hand up & down as quickly as possible on back of other hand

  2. Repeat with opposite hand

  3. Compare 2 sides coordination/speed

     
Hand-thigh test

  1. Ask pt. to pat thigh with hand as quickly as possible on uninjured side 1st

  2. To make more complex ask pt. to supinate & pronate hand between each hand-thigh contact

  3. Compare 2 sides coordination/speed

     
Past pointing test

  1. Pt. & examiner face each other

  2. Examiner holds up both index fingers 6” apart

  3. Ask pt. to lift arms overhead & then bring down to touch examiner’s index fingers

  4. Repeat with eyes closed

  5. Normally, no problem

  6. Pts. with vestibular disease have problems with past pointing

  May also be used for proprioception  
Heel-to-knee test

  1. Patient lies supine, eyes open

  2. Pt. touches opposite knee with heel & then slides down that shin

  3. Repeat w eyes closed, both legs

  4. Repeat several times, increase speed

  5. Note coordination differences, tremor

   
Examination type Expanding Intracranial Lesion Tests
Body Segment Positioning & Patient Action       

Walk in tandem (heel of one foot directly in front of toe of other foot, in a straight line) and then stand in tandem (heel of one foot directly in front of toe of other foot)

Examiner Position & Action Observe patient while walking and standing in tandem
Tissues Being Stressed Intracranial/Cerebral Tissue
Positive Test Observing any loss of balance, difficulty of walking in tandem (walking in a straight line) or standing in tandem (standing on 2 feet).  Note that standing will be more difficult  
Interpretation Inability to do the above suggests possible cerebral/intracranial lesion 
Common errors in performing exam For those that are more skilled, or for a more challenging exam in which suspicion of intracranial lesion is not as clear, repeat the test having the patient close their eyes
Factors possibly resulting in misinterpretation  
Related tests Rhomberg Test, Neurological Control Test - Upper/lower limb
References  
Links: What the Results Suggest

How the Test is Performed

DESCRIPTION OF TEST BEING PERFORMED
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