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Physio Nexus Academy
PNA Clinical Skills Library

MSK Special Tests

Learn what each test is for, exactly how to apply it, what makes it positive, and what the finding actually means. Clear, practical English for clinical learning, OSCE preparation and supervised practice.

93 clinical tests8 body regionsStep-by-step proceduresPositive signs & interpretation

Applying method

Patient setup, stabilization and three practical performance steps.

Purpose & positive sign

Know what you are testing and what to watch or feel for.

Clinical reasoning & safety

Interpret findings carefully and avoid testing when unsafe.

Explore by body region

Find the test. Learn the technique.

Practise clinical reasoning

93 tests found

Cervical SpineTEST 01

Spurling Test

Purpose: Assess whether cervical foraminal loading reproduces familiar arm symptoms consistent with nerve-root irritation.

Cervical SpineTEST 02

Cervical Distraction Test

Purpose: Examine whether unloading the cervical spine reduces radiating upper-limb symptoms.

Cervical SpineTEST 03

Upper Limb Neurodynamic Test 1 (Median-Biased)

Purpose: Assess upper-limb neural mechanosensitivity, often used when cervical radiculopathy or median nerve symptoms are considered.

Cervical SpineTEST 04

Shoulder Abduction Relief Sign (Bakody Sign)

Purpose: Check whether placing the symptomatic hand on the head changes cervical-origin arm pain.

Cervical SpineTEST 05

Cervical Flexion-Rotation Test

Purpose: Assess upper-cervical rotation restriction in selected patients with suspected cervicogenic headache.

Cervical SpineTEST 06

Hoffmann Sign

Purpose: Screen for possible upper motor neuron involvement in a wider cervical neurological examination.

Cervical SpineTEST 07

Cervical Rotation Range (Under 60 Degrees)

Purpose: Measure active cervical rotation; restricted rotation is one component of a clinical cluster sometimes used when cervical radiculopathy is suspected.

Cervical SpineTEST 08

Craniocervical Flexion Test

Purpose: Assess low-load deep neck-flexor motor control and ability to perform a small craniocervical nod without substitution.

Lumbar Spine & SI JointTEST 09

Straight Leg Raise (SLR / Lasègue)

Purpose: Assess neural mechanosensitivity and possible lumbosacral nerve-root-related leg pain.

Lumbar Spine & SI JointTEST 10

Crossed Straight Leg Raise

Purpose: Explore whether lifting the unaffected leg reproduces the familiar radicular pain in the symptomatic leg.

Lumbar Spine & SI JointTEST 11

Slump Test

Purpose: Assess neural mechanosensitivity in the spine and lower limb.

Lumbar Spine & SI JointTEST 12

Prone Knee Bend (Femoral Nerve Stretch)

Purpose: Assess anterior-thigh neural mechanosensitivity or upper lumbar nerve-root irritation.

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How to study a special test

Remember the sequence: purpose → patient position → therapist position → exact hands → force direction → 3 steps → positive finding → meaning. Practise under competent clinical supervision, and screen for red flags before provocative examination.

Clinical education notice: This is a skills reference for students and qualified clinicians, not a substitute for in-person instruction, validated clinical decision rules or specialist examination. A positive test is not the same as a confirmed diagnosis. Stop when symptoms worsen, assess relevant red flags, and refer promptly where indicated.