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Cervical Region

Forminal compression test, Vertebral artery test

Lumbar/Sacroiliac Region

Sacroiliac joint stress test, Sitting flexion test, Standard flexion test

Foraminal compression test

The patient is positioned in sitting with the head laterally flexed. The therapist places both hands on top of the subject's head and exerts a downward force. A positive test is indicated by pain radiating into the arm toward the flexed side and may be indicative of nerve root compression.

Vertebral artery test

The patient is positioned in supine. The therapist places the patient's head in extension, lateral flexion, and rotation to the ipsilateral side. A positive test is indicated by dizziness, bystagmus, slurred speech or loss of consciousness and may be indicative of compression of the vertebral artery.

Sacroiliac joint stress test

The patient is positioned in supine. The therapist crosses their arms placing the palms of the hands on the patient's anterior superior iliac spines. The therapist applies a downward and lateal force o the pelvis. A positive test is indicated by unilateral pain in the sacroiliac joint or gluteal area and may be indicative of sacroiliac joint dysfunction.

Sitting flexion test

The patient is positioned in sitting with the knees flexed to 90 degrees and the feet on the floor. The patient's hips should be abducted to allow the patient to bend forward. The therapist places his/her thumbs on the inferior margin of the posterior superior iliac spines and monitors the movement of the bony structures as the patient bends forward and reaches toward the floor. A positive test is indicated by one posterior superior iliac spine moving further in a cranial direction and may be indicative of an articular restriction.

Standing flexion test

The patient is positoned in standing with the feet 12 inces apart. The therapist places his/her thumbs on the inferior margin of the posterior superior iliac spines and monitors the movement of the nomy structures as the patient bends forward with the knees extended. A positive test is indicated by one posterior superior iliac spine moving further in a cranial direction and may be indicative of an articular restriction.

Spine Special Tests

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