Strunsky Test

What is Strunsky Test?

A strunsky test is a provocation test that is used to assess metatarsalgia. Now you people have encountered two new words: “provocation test” and metatarsalgia. Let’s understand both these terms

What is the provocation test?

A provocation test places stress on the joint to get a response or reproduce the symptoms.

What is Metatarsalgia?

Metatarsalgia is a condition in which the ball of your foot becomes inflamed and painful.

Metatarsalgia symptoms

The most common symptom of metatarsalgia is

  • Pain at the end of one or more metatarsal bones. These are the bones (metatarsal bones) that are located in the ball of your foot, closest to your toes.
  • The pain worsens when you run, stand, bend or flex your feet or walk – mainly walking barefoot on a hard surface, and the pain improves when you rest.
  • You may feel like you are stepping or walking on a pebble.
  • You’ll feel a sharp or shooting pain. You can also feel the sensation of numbness or tingling in your toes.

The procedure of performing the Stransky Test

Let’s understand the procedure for performing the Strunsky test.

  • The patient lies in a supine position with their feet hanging over the edge of the examining table.
  • Now the examiner grasps the patient’s left leg’s toe between his right hand’s thumb and the index finger (pincher grip).

Note – What is a pincher grip?

Pincher grip is also known as pincher grasp. It refers to the action or process of closing the thumb and index finger together in order to hold an object.

  • Therefore, in the same way, the examiner grasps the patient’s right leg’s toe between his left hand’s thumb and the index finger (pincher grip).
  • After grasping both the patient’s toes between his thumb and the index finger (pincher grip) with both hands, the examiner now forcefully flexes the metatarsophalangeal joints.

Strunsky-testTest Results of the Strunsky Test

If there is a chronic irritation of the metatarsophalangeal joint due to metatarsalgia, Stransky test significantly increases symptoms as a result of high (increased) pressure placed on the metatarsophalangeal joints.

While subsequent palpation of the metatarsophalangeal joint can then determine the painful joint.

strunsky-test-joint-palpation

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Sacroiliac Joint Tests

Mennell’s Sign / Mennell’s Test – Used to assess degenerative processes in the sacroiliac joint.

Springing Test – To detect functional impairment in the Thoracic & Lumbar spine & Sacroiliac Joint.

Gaenslen’s Test – To detect any pathology or dysfunction around the sacroiliac joint.

Standing Flexion Test/ Standing Forward Flexion Test – To assess sacroiliac joint dysfunction.

Faber Test / Patrick’s Test – Used to assess the pathology or dysfunction at the hip joint, muscles around the hip joint, and at the sacroiliac joint.

Thoracic Spine Test 

Ott Sign – For Measuring the ROM of the Thoracic Spine

Cervical Exams

Cervical Flexion Compression Test –  To identify if there is a Herniated disk in the Cervical spine.

Jackson Compression Test –  To Detect Cervical Radiculopathy (Cervical Nerve Root Compression).

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Cervical Distraction Test – To detect the presence of cervical radiculopathy.

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Soto Hall Test – For Detecting Problem in Patient’s Neck (Cervical Spine).

Maximum Compression of the Intervertebral Foramina Test of Cervical Spine – For Detecting Facet Joint Dysfunction in the Cervical Spine.

Some other Tests

Transverse Humeral Ligament Test – Indicates transverse humeral ligamentous insufficiency, and it also indicates biceps tendinitis.

Pelvic Ligament Tests – used for the assessment of the pelvic ligaments.

Supported Forward Bend Test (Belt Test) – helps in differentiating lumbar pain and sacroiliac pain.

Adam’s Forward Bend Test – For detecting the presence of scoliosis (either functional or structural).

Noble Compression Test/Noble Test –  To assess pain coming from iliotibial band syndrome.

Neer Test –  For detecting the presence of shoulder impingement syndrome.

Resources

Clinical Tests for the Musculoskeletal System: Examinations-Signs-Phenomena by K. Buckup

Metatarsalgia Resources

https://www.webmd.com/a-to-z-guides/metatarsalgia

https://www.mayoclinic.org/diseases-conditions/metatarsalgia/symptoms-causes/syc-20354790

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