The Strength in Evidence Podcast

J Templar

Join Dr. Jacob Templar as he discusses all topics powerlifting, weight lifting, injury and rehab. Likely to challenge some of your beliefs and bust some myths along the way

  1. 06/27/2023

    Special tests what are they good for

    In this episode we discuss what special tests are good for and how they fit in the diagnostic process. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6994315/ ACL test cluster (LR+ 15, LR - 27) History of Trauma Pivoting during injury felt/heard a pop immediate swelling experiencing giving way Lachman (LR+ 10, LR- 0.2) Hip Labrum and FAl test Thomas test LR+ 11.1 Reproduction of patients pain with/without a click Hip OA cluster LR+ 3/5= 5.2, 4/5= 24.3 Pain with squatting Scour Pain with active hip flexion Passive IR 48 Pain with walking and standing Pain relief with sitting (+/-) Meniscus Cluster History of pivoting injury with foot planted Joint line tenderness McMurray test Thessaly test Knee OA Clinical cluster LR +13.6 LR - .38 Age 50-58 BMI >30 Varus/algus alignment Limited passive knee extension Palpable crepitus Knee OA diagnostic cluster (LR+ 13.6; LR- 0.38) Age 50-58 BMI ≥30 Varus/valgus alignment limited passive knee extension PCL cluster (LR+ 16, LR- 0.2) History of falling on a bent knee Posterior Drawer (LR+ 50, LR -. 11) Cluster for Carpal Tunnel syndrome LR+ 4/5= 4.6, 5/5=18.3, LR-4/5= .028, 5/5=.83 1. Shaking hands to relieve symptoms 2. Wrist ratio > 67 3. Symptom Severity Scale > 1.9 4. Diminished sensation in median sensory field 1 (thumb) 5. Age > 45 years old Test cluster for myelopathy (positive likelihood ratio 3/5 30, 4/5 infinite) Hoffman sign Brachioradials reflex Age >45 Gait deviation Babinski sign Cervical Radiculopathy (likelihood ratios 3/5 +6.01 -0.65, 4/5 +30.3 - 0.77) ULTT 55 Distraction Periphrealization with mobility testing at C4-7

    54 min

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5
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About

Join Dr. Jacob Templar as he discusses all topics powerlifting, weight lifting, injury and rehab. Likely to challenge some of your beliefs and bust some myths along the way