Athletic Training & Sports Medicine Center

 

Examination Links:

  • Alphabetical Listing
    of Examinations
  • Head
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       - upper limb
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       - lower limb
    • Tandem Test
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    • 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
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    • Relocation Test
    • Anterior Instability Test
    • Anterior/Posterior Translation
       Test
    • Sulcus Sign
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    • Inferior Drawer (Feagin) Test
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      Impingement Test
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    • Internal Rotation Strength
      Test
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      Test
    • Glenoid Labrum Clunk Test
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      Test
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      Test
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      Stability Test
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      (Horizontal Adduction) Test
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      Integrity Test
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  • Elbow & Radioulnar
    • Valgus Test 00
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    • Miking Sig
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       Stress Test
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    • Tinel Sign
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    • 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
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    • Flexor Digitorum Superficialis
       Test
    • Flexor Digitorum Profundus
       Test
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    • 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
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      Sacroiliac Rocking Test
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      Pubic Stress Test
    • Piedallu's Sign
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    • Yeoman's Test
    • Sit-up Test
  • Hip & Thigh
    • Scouring (Quandrant) Test
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    • Hamstring Contracture Test 1
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      Drawer Test
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      • Active
    • Posterolateral Drawer Test
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    • McMurray's Test
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    • Lateral Compression Test
    • Medial Compression Test
    • Jerk Test of Hughston
    • Pivot Shift Test
    • External Rotation 
      Recurvatum Test
    •  
  • Lower Leg
  • Ankle
  • Foot
    • Morton Test
    •  
  • Range of Motion
  • Goniometry
  • Manual Muscle Testing
  • Reflexes
  • Vital Signs
  • Body Composition

 

Thompson Test

Examination type Muscle Integrity Test
Patient & Body Segment Positioning The patient lies prone on a table with the heels placed over the edge of the table.
Examiner Position The examiner should position themselves at the side of the lower leg to be tested. Their hand should be wrapped around the belly of the gastrocnemius and soleus
Tissues Being Tested Achilles Tendon
Positive Test When squeezing the muscles a normal response would be to have the foot plantar flex. Therefore, an absence of plantar flexion upon squeezing would be a positive test, indicating a possible rupture of the Achilles Tendon.
Interpretation A positive test is present when there is a tear in the Achilles Tendon causing there to be no plantar flexion.
Common errors in performing exam A common error may be not comparing bilaterally because the amount of plantar flexion will vary in degrees from one person to another.
Factors possibly resulting in misinterpretation If the gastrocnemius and soleus are not relaxed then the squeeze will not cause the foot to go into more plantar flexion because it will already be in a degree of plantar flexion
Related tests No related test
References

Brader, Holly, Isear, Jerome, Konin, Jeff, & Wisten, Denise    

    (2002). Special Test for Orthopedic Examination (2nd ed.).

     Thorofare: SLACK Inc.

Magee, David (2002). Orthopedic Physical        

     Assessment. Philadelphia: Saunders.      

Prentice, William E. (2003). Arnheimís Principles of Athletic

     Training: A Competency-Based Approach (11th ed.).  St. Louis:     

     McGraw Hill.  
Links:

http://www.hope.edu/academic/kinesiology/athtrain/program/studentprojects/Ldornbos2/ankleandfoot/sld011.htm

http://www.arthroscopy.com/sp09009.htm

http://www.achillestendon.com/

http://www.cnn.com/HEALTH/library/DS/00160.html

http://www.emedicinehealth.com/Articles/4504-1.asp

http://www.mayoclinic.com/health/achilles-tendon-rupture/DS00160

http://www.physsportsmed.com/issues/1998/10Oct/mckeag.htm

 

How the Test is Performed

DESCRIPTION OF TEST BEING PERFORMED

With the gastrocnemius and soleus completely relaxed the examiner squeezes the belly of these muscles

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